- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04076644
Maintenance Transcranial Magnetic Stimulation in Major Depressive Disorder
Maintenance of Response To Transcranial Magnetic Stimulation (TMS) in Major Depressive Disorder (MDD) Using Monthly TMS Treatment
Study Overview
Detailed Description
This an open label study using Transcranial Magnetic Stimulation (TMS) as a maintenance treatment for subjects that have seen a clinically significant response or remission from their depressive symptoms after having had an acute clinical course of TMS. All potential subjects must have been treated at the University of Missouri Columbia Neuromodulation Clinic to qualify.
There are 2 arms in this study. The first is a group of patients who will not receive any TMS treatments and will be followed for a year, and have their depression severity assessed monthly using the Personal Health Questionnaire (PHQ9), and the Quick Inventory of Depressive Symptoms.
The second arm will receive TMS treatments 5 times/month for 12 months, be assessed for changes in depressive symptom severity monthly using the PHQ9 and QIDS. TMS treatment protocols will consist of wither the standard 20min 10Hz protocol, or a 3min theta-burst protocol. The protocol used will be determined by what worked for the subject when they were treated clinically at the University of Missouri Columbia Neuromodulation clinic. Subjects in this arm will be tapered of antidepressant medication prior to monthly TMS treatment and will remain antidepressant free for the duration of the study.
The study will be a year long in duration.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Missouri
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Columbia, Missouri, United States, 65203
- University of Missouri Neuromodulation Center
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Must have recently (within 4 weeks) completed an acute TMS course (full 36 treatments) at the University of Missouri Columbia Neuromodulation clinic
- Must have clinically responded to the acute TMS treatment course (≥50% improvement according to the clinical depressive scale used - usually the PHQ-9)
- Must be able sign consent
- Must have a current address and phone number
- Must have current mental health care provider, either psychiatrist or general practioner who they see for mental health symptom management
- Must be able to taper off antidepressant medication before 1st monthly treatment block (treatment group only)
Exclusion Criteria:
- - Subject that has not completed a full acute treatment course, including taper
Subjects that have changed anything that may not make them safe for TMS, which are (all changes will be reviewed by study MD, and will not necessarily be excluded possibly depending on severity):
- Any new metal near head
- Any new medical devices that cannot be removed
- Any new pregnancies (verbally confirmed)
- Seizures that occurred post-acute TMS treatment
- Any uncontrolled cardiovascular disease
- Any new head trauma
- Any new illness causing injury to brain
- Any new medications which cannot be altered or lowered that may be contraindicated for TMS treatment
- Any drug or alcohol use deemed by the study doctor as unsafe for TMS treatment
- Subjects unwilling to sign consent or follow study procedures
- Subjects with known extended travel plans which may affect study procedures and scheduled TMS treatment
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: TMS Treatment Arm
Subjects will receive either a 20min 10hz TMS treatment, or a 3min theta-burst TMS treatment at certain monthly intervals.
The TMS treatment protocol they receive depends on what they received in their acute clinical treatment.
Subjects in the arm will be tapered off antidepressant medication before TMS treatment begins.
Subjects will be assessed monthly for depression using QIDS and PHQ9.
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TMS using either a standard 10hz 20min or 3 min theta burst protocol
Other Names:
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No Intervention: No TMS Arm
Subjects will be followed and assessed for depressive symptoms at monthly time intervals similar to the active treatment arm using QIDS and PHQ9.
This group does not receive TMS treatment.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Depression Severity Changes Scored From Patient Health Questionnaire (PHQ9)
Time Frame: given at monthly intervals for 12 months
|
The scale was given at the prior to study starting TMS treatments for the study as a baseline measurement.
It was then given prior to every monthly TMS treatment block, scale is 0-27 with 0=no depression, 27=severe depression
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given at monthly intervals for 12 months
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Depression Severity Changes Scored From Quick Inventory of Depression Symptom Questionnaire (QIDS) Pre Treatment Monthly Scores
Time Frame: given at baseline and before and after TMS treatment block for 12 months
|
The scale was given at the prior to study starting TMS treatments for the study as a baseline measurement.
It was then given prior to every monthly TMS treatment block (Pre Trt Month) and after every monthly TMS treatment block (Post Trt Month) ,scale is 0-27 with 0=no depression, 27=severe depression
|
given at baseline and before and after TMS treatment block for 12 months
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Depression Severity Changes Scored From Quick Inventory of Depression Symptom Questionnaire (QIDS) Post Treatment Monthly Scores
Time Frame: given at baseline and before and after each TMS treatment block for 12 months
|
The scale was given at the prior to study starting TMS treatments for the study as a baseline measurement.
It was then given prior to every monthly TMS treatment block (Pre Trt Month) and after every monthly TMS treatment block (Post Trt Month) ,scale is 0-27 with 0=no depression, 27=severe depression
|
given at baseline and before and after each TMS treatment block for 12 months
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Muaid Ithman, MD, University of Missouri-Columbia
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2013884
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
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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