- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01717079
rTMS and Body Shape Perception (STIMOREX)
Effect of Transcranial Magnetic Stimulation on Disturbance of Body Shape Perception in Patients With Anorexia Nervosa
Anorexia nervosa (AN) is a frequent, potentially life-threatening eating disorder characterized by a resistance to maintaining body weight at or above a minimally normal weight for age and height, an intense fear of weight gain or being "fat" even though underweight, a loss of menstrual periods in girls and women post-puberty and a disturbance in the experience of body weight or shape. Body weight and shape dissatisfaction is linked to the development, maintenance and relapse of AN. Neuroimaging studies have shown that the inferior parietal cortex is involved in body image perception and less activated in patients with AN compared with healthy subjects. Repetitive transcranial magnetic stimulation (rTMS) is used to modulate cortical excitability, and particularly to increase excitability with high-frequency rTMS. The aim of this study was to investigate the effect of "excitatory" high-frequency rTMS over the "hypoactive" inferior parietal cortex of 54 patients with AN.
This randomized, double-blind, placebo-controlled study will compare effective rTMS (2000 ten-Hz stimulations per session, applied at 90% of the resting motor threshold, with 10 sessions in two weeks) versus placebo rTMS.
Assessments will be performed before rTMS and after the last rTMS session (immediately after, at 15 days and three months). The principal criteria for judgement is a body image satisfaction scale (Boby Shape Questionnaire, BSQ-34). The secondary criteria for judgement are eating behaviour scales (Eating Attitude Test, EAT-40; Bulimia test, BULIT and Eating Disorders Inventory, EDI-2), the Hamilton depression rating scale and Hamilton anxiety rating scale, a quality of life scale (Short-Form Health Survey, SF-36), a body composition analysis using a Dual-energy X-ray absorptiometry and the alpha-MSH autoantibodies levels (biomarker for eating disorders recently described).
Inferior parietal cortex rTMS could not only improve body image perception, but also help in the treatment of eating disorders, allowing weight gain with a decreased anxiety and improving patients' quality of life. Also positive results could have direct therapeutic implications with the possibility to complete regular rTMS sessions, or to implant extradural electrodes for chronic parietal cortex stimulation.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
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Rouen, France, 76031
- ROUEN university hospital
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Female
- Age above 18
- Restrictive anorexia nervosa with a disease duration more than one year and less than three years.
- Body Mass Index below 16
- Patient receiving or having received optimal treatment for anorexia nervosa
- Right-handed
- Normal blood ionogramme
- Previous stable antidepressor treatment for one month and no expected modification in the three following months
- Patients arriving by car with someone else or by public transportation
Exclusion Criteria:
- Pregnancy
- Contraindication to transcranial magnetic stimulation i.e. pace-maker, cardiac valve protheses, metallic protheses etc.
- History of epileptic seizure
- Cerebral lesion of any etiology (post-traumatic, tumoral, vascular etc.)
- History of previous rTMS
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Effective arm
Effective coil
|
120 pulses 0.2Hz
|
Placebo Comparator: Placebo arm
Placebo coil
|
120 pulses 0.2Hz
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
BSQ-34 scale (Body Shape Questionnaire)
Time Frame: Just after rTMS
|
Just after rTMS
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
EAT-40 scale (eating attitude test)
Time Frame: Before rTMS, just after rTMS, 15 days after rTMS and 3 months after rTMS
|
Before rTMS, just after rTMS, 15 days after rTMS and 3 months after rTMS
|
BULIT scale (bulimia test)
Time Frame: Before rTMS, just after rTMS, 15 days after rTMS and 3 months after rTMS
|
Before rTMS, just after rTMS, 15 days after rTMS and 3 months after rTMS
|
EDI-2 scale (eating disorder inventory)
Time Frame: Before rTMS, just after rTMS, 15 days after rTMS and 3 months after rTMS
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Before rTMS, just after rTMS, 15 days after rTMS and 3 months after rTMS
|
Hamilton scale
Time Frame: Before rTMS, just after rTMS, 15 days after rTMS and 3 months after rTMSBefore rTMS, just after rTMS, 15 days after rTMS and 3 months after rTMS
|
Before rTMS, just after rTMS, 15 days after rTMS and 3 months after rTMSBefore rTMS, just after rTMS, 15 days after rTMS and 3 months after rTMS
|
Quality of Life Scale, MOS 36 Item Short-Form Health Survey or SF-36
Time Frame: Before rTMS, just after rTMS, 15 days after rTMS and 3 months after rTMS
|
Before rTMS, just after rTMS, 15 days after rTMS and 3 months after rTMS
|
The body mass index
Time Frame: Before rTMS, just after rTMS, 15 days after rTMS and 3 months after rTMS
|
Before rTMS, just after rTMS, 15 days after rTMS and 3 months after rTMS
|
body composition analysis using dual energy X-ray absorptiometry
Time Frame: Before rTMS and 3 months after rTMS
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Before rTMS and 3 months after rTMS
|
autoantibodies against alpha-melanocyte stimulating hormone
Time Frame: Before rTMS, just after rTMS, 15 days after rTMS and 3 months after rTMS
|
Before rTMS, just after rTMS, 15 days after rTMS and 3 months after rTMS
|
The adverse effects
Time Frame: After rTMS
|
After rTMS
|
Weight
Time Frame: Before rTMS, just after rTMS, 15 days after rTMS and 3 months after rTMS
|
Before rTMS, just after rTMS, 15 days after rTMS and 3 months after rTMS
|
BSQ-34 scale (Body Shape Questionnaire)
Time Frame: Before rTMS, 15 days after rTMS and 3 months after rTMS
|
Before rTMS, 15 days after rTMS and 3 months after rTMS
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Nathalie CHASTAN, MD, UH Rouen
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2011/122/HP
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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Stanford UniversityNational Institute of Mental Health (NIMH); National Institutes of Health (NIH) and other collaboratorsCompletedAnorexia Nervosa | Anorexia | Eating Disorder | Eating Disorders in Adolescence | Anorexia in Adolescence | Anorexia Nervosa, Atypical | Anorexia Nervosa Restricting Type | Anorexia in ChildrenUnited States
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