- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03471754
Pilot Study Using Transcranial Electrostimulation (TESA-HB) Therapy for the Treatment of Depressive Symptoms (TESAHBPilot)
February 1, 2019 updated by: Annecto LLC
Pilot Study Using Transcranial Electrostimulation (TESA-HB) Therapy for the Treatment of Depressive Symptoms Associated With Mild to Moderate Depressive Episodes
This pilot study uses TESA-HB therapy for treatment of depressive symptoms associated with mild and moderate depression episodes.
Primary objectives of this pilot study are to demonstrate the safety of TESA-HB Therapy, and to investigate the efficacy of TESA-HB Therapy for depressive symptoms.
Study Overview
Status
Terminated
Conditions
Intervention / Treatment
Detailed Description
The primary indicator variable in this study is the Hamilton Depression Rating Scale (HAM-D21), and secondary efficacy outcomes will be measured using:
- Major Depression Inventory
- Montgomery - Asberg Depression Rating Scale (MADRS)
- Beck's Depression Inventory
- Beck's Anxiety Inventory
- Hamilton Anxiety Rating Scale (HAM-A)
- The Psychological General Well-Being Index (PGWB-S)
The safety endpoints include:
- Medication Usage Log
- Adverse Event Log
Study Population includes men and women who are:
- Diagnosed with a mild to moderate depressive episode
- Have no recent history of taking antidepressant or anti-anxiety medication within 3 months prior to baseline
Study Type
Interventional
Enrollment (Actual)
12
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
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Pennsylvania
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Bensalem, Pennsylvania, United States, 19020
- Holy Redeemer Health Care at Bensalem, 3300 Tillman Drive
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
16 years to 63 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Between the ages of 18-65 years old on enrollment
- Assessed by Evaluator with mild to moderate depressive episode, based on the MDI Rating Scale (20-24 mild; 25-29 moderate).
- Have average MDI pain rating score of > 20 or <29 during baseline
- Assessed by Evaluator to have mild to moderate depressive episode, based on the HAM-D21 Rating Scale (8-13 = mild; 14-17 moderate).
- Assessed by Evaluator to have mild to moderate depressive episode based on ICD-10 Diagnostic Guidelines 1,2
- Willing and able to visit 2 weeks ( 5 times per week) as a clinic outpatient to participate in this clinical investigation
- Willing and able to return to the clinic for evaluation during the follow up period - 2 weeks, 1 month (4 wks), 2 months (8 wks), and 3 months (12wks) following the completion of TESA-HB Therapy
- Willing to be monitored, fill out daily medication logs, and appear for all physician visits for baseline, treatment and follow-up period
- English speaking and able to understand and approve the consent form, and understand and provide answers on the Depression and Anxiety assessment form and the Psychological General Well-Being Index (PGWB-S) questionnaires
Exclusion Criteria:• MDI Rating Scale of < 20 or > 29
- High variability in baseline MDI scores (changes more than 30%)
- HAM-D21 Rating Scale of < 8 or > 17
- Assessed outside of mild to moderate depression episode range based on the ICD-10 Diagnostic Guidelines 1,2
- Recent history of taking Antidepressant or Antianxiety medication within 3 months prior to baseline
- Is pregnant, or may be pregnant, or plans to become pregnant during the study period
- Sensitivity to electrodes and/or their conductive gels or adhesives
- Break in skin integrity at the areas of electrode placement
- Currently suspected use of narcotic
- Presence of any implanted electronic device, cardiac stimulator, or pacemaker
- History of brain injury, including seizures, epilepsy, stroke, tumor of central nervous system, or hydrocephalus
- Acute brain injuries, infections or tumor of central nervous system
- History of heart attacks within 1year congestive heart failure
- Blood pressure: > 140 systolic and/or > 90 diastolic
- History of schizophrenia
- Previous experience with Cranial Electrotherapy Stimulator (CES) devices
- Failure to complete 80% of daily medication logs or complete a questionnaire and two physician assessments during baseline period
- Failed to complete 75% of follow up visits or failed to complete more than 2 treatments will be excluded in the per-protocol (PP) analysis
- Acute psychiatric disorders (other than depression, insomnia and/or anxiety)
- Use of psychoactive drugs (other than antidepressants and/or anxiety)
- These subjects will continue to be followed in the study, but will be classified in the intent-to-treat (ITT) group
- HRHS employees, in an effort to protect their privacy, as the study will be conducted in a Holy Redeemer facility. Additionally, this exclusion was decided upon to minimize the possibility of coercion or undue influence in relationship with Holy Redeemer employees.
- Illiterate persons, as the study requires completion of assessments tools in the home setting where the subject may/may not have assistance with reading and understanding the tools, study documents and proceedures as required.
- Uninsured persons, to financially protect them in the rare instance that medical care would be required as a result of the study treatment
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Treatment Arm A
TESA-HB Device, Mode 3 (15mA).
Treatment arm involves two 5-day treatment cycles over a 2-week period, with 2 days off between each of the 5-day cycles.
The treatment period will as for two full weeks.
|
Duration of treatment: 50 Minute Therapy sessions administered one time each day, for two 5-day cycles
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Hamilton Depression Rating Scale (HAM-D21)
Time Frame: Statistically significant improvement from baseline to end of study period (4 months)
|
The HAM-D21 will be analyzed as a single measure result
|
Statistically significant improvement from baseline to end of study period (4 months)
|
Medication Usage Log
Time Frame: Statistically significant improvement from baseline to end of study period (4 months)
|
Will be used in total, as a covariate in analysis of primary outcome
|
Statistically significant improvement from baseline to end of study period (4 months)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Montgomery-Asberg Depression Rating Scale (MADRS)
Time Frame: Statistically significant improvement from baseline to end of study period (4 months)
|
Will be analyzed in total score
|
Statistically significant improvement from baseline to end of study period (4 months)
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Major Depression Inventory (MDI)
Time Frame: Statistically significant improvement from baseline to end of study period (4 months)
|
Will be analyzed in total score
|
Statistically significant improvement from baseline to end of study period (4 months)
|
The Psychological General Well-Being Index (PGWB-S)
Time Frame: Statistically significant improvement from baseline to end of study period (4 months)
|
Will be analyzed in total score
|
Statistically significant improvement from baseline to end of study period (4 months)
|
Beck's Depression Inventory (BDI)
Time Frame: Statistically significant improvement from baseline to end of study period (4 months)
|
Will be analyzed in total score
|
Statistically significant improvement from baseline to end of study period (4 months)
|
Beck's Anxiety Inventory (BAI)
Time Frame: Statistically significant improvement from baseline to end of study period (4 months)
|
Will be analyzed in total score
|
Statistically significant improvement from baseline to end of study period (4 months)
|
Hamilton Anxiety Rating Scale (HAM-A)
Time Frame: Statistically significant improvement from baseline to end of study period (4 months)
|
Will be analyzed in total score
|
Statistically significant improvement from baseline to end of study period (4 months)
|
Medication Usage Log (MUL)
Time Frame: Statistically significant improvement from baseline to end of study period (4 months)
|
Will be analyzed in total score, with no covariate
|
Statistically significant improvement from baseline to end of study period (4 months)
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Beth DuPree, MD, MD, Holy Redeemer Hospital
- Study Director: Yakov Katsnelson, MD, Annecto LLC
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
September 26, 2017
Primary Completion (Actual)
January 31, 2019
Study Completion (Actual)
January 31, 2019
Study Registration Dates
First Submitted
March 14, 2018
First Submitted That Met QC Criteria
March 14, 2018
First Posted (Actual)
March 21, 2018
Study Record Updates
Last Update Posted (Actual)
February 5, 2019
Last Update Submitted That Met QC Criteria
February 1, 2019
Last Verified
February 1, 2019
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- TESAHB64-17
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
Yes
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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