- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03841019
Predict MDE Outcomes After MST
Research on the Prediction of Clinical Response to Magnetic Seizure Therapy for Patients With Major Depression Episode
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Magnetic seizure therapy (MST) is likely to be an alternative options to electroconvulsive therapy (ECT).
Widespread stimulation of cortical and subcortical regions is inevitable for ECT since the substantial impedance of the scalp and skull shuts most of the electrical stimulus away from the brain. Nevertheless, magnetic pulses are capable to focus the stimulus to a specific area of the brain because they can pass the scalp and skull without resistance. In Addition, electric current will penetrate into deeper structures, while magnetic stimulus are only capable to reach a depth of a few centimeters. As a consequence, MST are able to generate focus stimuli on superficial regions of the cortex while ECT can't, which may give MST the capability to produce comparable therapeutic benefits with the absence of apparent cognitive side effects.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Jianhua Sheng, PHD
- Phone Number: 86-21-34773759
- Email: shengjianhua66@163.com
Study Locations
-
-
Shanghai
-
Shanghai, Shanghai, China, 200030
- Shanghai Mental Health Center
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- DSM-5 diagnosis of major depressive episode;
- convulsive therapy clinically indicated, such as severe psychomotor excitement or retardation, attempts of suicide, being highly aggressive, pharmacotherapy intolerance, and ineffectiveness of antipsychotics;
- the HAMD-17 ≥ 24;
- informed consent in written form.
Exclusion Criteria:
- primary diagnosis of other mental disorders;
- severe physical diseases, such as stroke, heart failure, liver failure, neoplasm, and immune deficiency;
- present with a laboratory abnormality that could impact on efficacy of treatments or safety of participants;
- failure to respond to an adequate trial of ECT lifetime;
- are pregnant or intend to get pregnant during the study;
- Unremovable metal implants.
- other conditions that investigators consider to be inappropriate to participate in this trial.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: magnetic seizure therapy
12 treatment sessions of MST, three times per week.
|
In addition to treatment as usual (TAU), participants were supposed to receive twelve sessions of MST in four weeks (three sessions per week)
|
Active Comparator: electroconvulsive therapy
12 treatment sessions of ECT, three times per week.
|
In addition to treatment as usual (TAU), participants were supposed to receive twelve sessions of ECT in four weeks (three sessions per week)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
changes in the 17-item Hamilton Depression Rating Scale (HAMD-17)
Time Frame: At baseline and 4-week follow-up
|
The HAMD-17 score ranges from 0 to 52.
A higher score indicates a worse outcome.
|
At baseline and 4-week follow-up
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
changes in the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS)
Time Frame: At baseline and 4-week follow-up
|
At baseline and 4-week follow-up
|
changes in the spectral power of the electroencephalogram (EEG) in square microvolt during resting state
Time Frame: At baseline and 4-week follow-up
|
At baseline and 4-week follow-up
|
changes in the spectral power of the electroencephalogram (EEG) in square microvolt during the auditory mismatch negativity task
Time Frame: At baseline and 4-week follow-up
|
At baseline and 4-week follow-up
|
changes in the spectral power of the electroencephalogram (EEG) in square microvolt during the facial recognition task.
Time Frame: At baseline and 4-week follow-up
|
At baseline and 4-week follow-up
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Jianhua Sheng, PhD, Shanghai Mental Health Center
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 (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- 201840269
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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