- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05516095
The Antidepressant Effect of Intermittent Theta Burst Stimulation (iTBS)
The Antidepressant Effect of Intermittent Theta Burst Stimulation (iTBS) A Randomised Double-blind Sham-controlled Trial
The present study is a randomized placebo-controlled trial examining the effect of intermittent theta burst stimulation (iTBS) on unipolar depression. iTBS is a form of transcranial magnet stimulation.
The anti-depressive effect of two weeks of once- a - day neuronavigated iTBS over the dorsolateral left prefrontal cortex (DLPFC) will be investigated in comparison to sham (placebo) iTBS. Previous studies have shown that iTBS is an effective treatment for reducing symptoms of depression, but it is still unclear why some patients have a strong response to iTBS, whereas others show less or no reduction to test possible factors that can explain the inter-individual response to iTBS.
Measures of cognitive functions, structural and functional brain data measured by Magnetic Resonance imaging (MRi), quality of life, sleep quality, general health status, and genetic measures will be obtained to answer the goals of this study.
The main hypotheses are: 1) Patients receiving iTBS will display significantly larger reductions in depressive symptoms measured by the Montgomery-Asberg Depression Rating Scale and Becks Depression Inventory II compared to patients receiving sham stimulation. 2) Reduction in depressive symptoms will be significantly associated with a concomitant improvement in executive functions measured by neuropsychological tests. 3) Stronger connectivity at baseline between the DLFPC and the anterior cingulate cortices will be associated with better response to iTBS. 4) Variability in genetic measures will be significantly associated with treatment response to iTBS. 5) Variability in white matter structural measures of the brain will be significantly associated with the anti-depressive response to iTBS.
Participants will be recruited prospectively, and the study performed at a single university hospital. After written informed consent is obtained from eligible, volunteering patients, baseline measurements will be administrated, and the patient will be allocated to either sham or active iTBS once a day for 10 consecutive workdays. Four weeks after the last treatment day, the patients will be followed up by phone interviews.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Per M Aslaksen, PhD
- Phone Number: 4777649234
- Email: per.aslaksen@uit.no
Study Contact Backup
- Name: Marte C Ørbo, PhD
- Email: marte.c.orbo@uit.no
Study Locations
-
-
-
Tromsø, Norway, 9038
- Recruiting
- University Hospital North Norway
-
Contact:
- Ole Grønli, MD, PhD
- Email: ole.k.gronli@unn.no
-
Contact:
- Camilla Larsen, MD
- Email: cal023@post.uit.no
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- A MADRS score of =/ > 20 (moderate depression).
- The current depressive episode must have lasted more than 2 weeks but less than 2 years
- Drug therapy must have been stable for the last three weeks prior to the first treatment day with iTBS and is to be kept stable throughout the study until 4 weeks after the last day of iTBS treatment.
- Patients must volunteer to provide informed consent, be able to follow the treatment schedule and have a satisfactory safety screening for iTBS and MRI.
Exclusion Criteria:
- The current depressive episode is in the mild range or contrary that the current episode fulfills the criteria for a major depressive episode requiring inpatient treatment and/or electroconvulsive therapy.
- The current depressive episode is clearly triggered by grief or a recent major stressful life event.
- Bipolar disorder.
- Borderline personality disorder.
- Psychotic symptoms the last 6 months.
- Alcohol or substance abuse/addiction in the last 6 months.
- Current eating disorders.
- Obsessive- compulsive disorders.
- Post-traumatic stress disorder.
- Any medical history of seizure.
- Any neurological or neurosurgical pathologies.
- Any current cardiac or systemic disease.
- Metallic prosthetic material or foreign objects in the body (pacemakers, internal cardioverter defibrillator units, insulin pump, prosthetic eye equipment, etc.).
- Previously diagnosed developmental disorder.
- Pregnancy or lactating.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: QUADRUPLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
ACTIVE_COMPARATOR: Active iTBS
iTBS will be delivered with 120% of resting motor threshold, triplet 50 Hz bursts repeated at 5 Hz; 2 seconds on and 8 s off, 600 pulses per session with a total duration of 3 min 9 s.
Treatment will be provided for 10 days for two consecutive weeks (except Saturdays and Sundays).
Each patient will start treatment at the same time between 9 am and 3 pm during the 10-day treatment period.
|
Theta burst stimulation, which is a form of Transcranial magnet stimulation, works by inducing focused magnetic field pulses to make durable changes in the activity of brain regions.
The magnetic pulses are transferred to the brain through an electromagnetic coil.
Other Names:
|
PLACEBO_COMPARATOR: Sham iTBS
The sham system has an identical look, weight and sound compared to the true coil, and delivers electrical stimulation that can be felt at the skin but without penetrating the skull and thus not inducing any treatment effect.
The sham stimulation will be given with the same procedure as the active stimulation; 2 seconds on and 8 s off, 600 pulses per session with a total duration of 3 min 9 s.
|
Similar in appearance and give the same sound as the active device, but deliver no magnetic pulse that reach the brain
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Montgomery-Asberg Depression Rating Scale.
Time Frame: Up to 4 months.
|
Clinician rated depression inventory.
|
Up to 4 months.
|
Beck's Depression Inventory - II.
Time Frame: Up to 4 months.
|
Patient reported depression inventory.
|
Up to 4 months.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Beck's Anxiety Inventory.
Time Frame: Up to 4 months.
|
Patient reported anxiety inventory.
|
Up to 4 months.
|
Wisconsin Card Sorting Test.
Time Frame: Up to 2 weeks.
|
Performance based measure of executive functions.
|
Up to 2 weeks.
|
Delis-Kaplan Executive Function System.
Time Frame: Up to 2 weeks.
|
Performance based measure of executive functions.
|
Up to 2 weeks.
|
Brief-A
Time Frame: Up to 4 months.
|
Questionnaire for self-reported executive functioning.
|
Up to 4 months.
|
Whodas 2.0
Time Frame: Up to 4 months.
|
Self-reported disability assessment schedule.
|
Up to 4 months.
|
Pittsburgh Sleep Quality Index.
Time Frame: Up to 4 months.
|
Self-reported measure of sleep quality.
|
Up to 4 months.
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Per M Aslaksen, PhD, UiT The Arctic University of Norway
- Principal Investigator: Marte C Ørbo, PhD, UiT The Arctic University of Norway
- Principal Investigator: Ole Grønli, MD, PhD, University Hospital North Norway
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ANTICIPATED)
Study Completion (ANTICIPATED)
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
- 228765
- HNF1578-21 (OTHER_GRANT: Northern Norway Regional Health Authorithy)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- SAP
- ANALYTIC_CODE
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.
Clinical Trials on Depression
-
ProgenaBiomeRecruitingDepression | Depression, Postpartum | Depression, Anxiety | Depression Moderate | Depression Severe | Clinical Depression | Depression in Remission | Depression, Endogenous | Depression ChronicUnited States
-
Washington University School of MedicineCompletedTreatment Resistant Depression | Late Life Depression | Geriatric Depression | Refractory Depression | Therapy-Resistant DepressionUnited States, Canada
-
Kintsugi Mindful Wellness, Inc.Sonar Strategies; Vituity PsychiatryRecruitingDepression | Depression Moderate | Depression Severe | Depression MildUnited States
-
University GhentUniversiteit Antwerpen; Janssen-Cilag Ltd.RecruitingDepression Moderate | Depression Severe | Depression MildBelgium
-
University of California, San FranciscoRecruitingDepression Moderate | Depression Mild | Depression, TeenUnited States
-
Baylor College of MedicineUniversity of TexasRecruitingDepression | Depression Moderate | Depression Severe | Suicide and Self-harm | Depression in Adolescence | Depression MildUnited States
-
University of Cape TownNational Institute of Mental Health (NIMH)CompletedPostpartum Depression | Clinical Depression | Moderate DepressionSouth Africa
-
Washington University School of MedicinePatient-Centered Outcomes Research Institute; National Institute of Mental...CompletedMajor Depressive Disorder | Treatment Resistant Depression | Treatment-Refractory Depression | Late Life Depression | Geriatric DepressionUnited States, Canada
-
Northern Illinois UniversityUniversity Autonoma de Santo DomingoTerminatedDepression Moderate | Depression MildUnited States, Dominican Republic
-
Gerbera Therapeutics, Inc.Not yet recruitingPostpartum Depression | Depression, Postpartum | Postnatal Depression | Post-partum Depression | Post-Natal DepressionUnited States
Clinical Trials on Transcranial magnet stimulation
-
The University of Texas at DallasUnited States Department of Defense; University of Texas Southwestern Medical...CompletedPost Traumatic Stress DisorderUnited States
-
Children's Mercy Hospital Kansas CityCornell University; The Methodist Hospital Research InstituteRecruiting
-
David Chiu, MDThe Methodist Hospital Research Institute; Seraya Medical Systems, LLCCompleted
-
NYU Langone HealthWithdrawnMultiple Sclerosis
-
The Methodist Hospital Research InstituteNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)CompletedMultiple Sclerosis | Neurogenic Bladder | Voiding DysfunctionUnited States
-
Children's Mercy Hospital Kansas CityCornell University; The Methodist Hospital Research InstituteWithdrawnTourette SyndromeUnited States
-
National University of Natural MedicineOregon Health and Science University; National Center for Complementary and...UnknownCarpal Tunnel SyndromeUnited States
-
Russian Academy of Medical SciencesCompletedStrokeRussian Federation
-
Shirley Ryan AbilityLabNational Institute on Deafness and Other Communication Disorders (NIDCD)CompletedStroke | Nonfluent AphasiaUnited States
-
State University of New York - Upstate Medical...RecruitingHeadache | Brain Concussion | Mild Traumatic Brain Injury | Post-Concussion SymptomsUnited States