- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05964023
pBFS Guided VS "5-cm Rule" rTMS Over DLPFC for MDD
February 5, 2024 updated by: Changping Laboratory
Personalized Brain Functional Sector-guided rTMS Therapy Targeting DLPFC VS "5-centimeter Rule" for Major Depression
The investigators aim to investigate whether the intervention effect of pBFS-guided rTMS therapy targeting DLPFC is superior to the intervention effect of the traditional "5 cm-rule" guided rTMS therapy in patients with depressive disorders.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
After being informed about the study and potential risks.
All patients giving written informed consent will undergo a screening period to determine eligibility for study entry.
At week 0, patients who meet the eligibility requirements will be randomized in a blind manner in a 1:1 ratio to the pBFS group, or 5-cm rule group.
Then all participants will undergo a 21-day rTMS modulation and 7-day, 14-day, and 45-day post-treatment follow-up visits.
Participants will not take any other treatment during the intervention and the 7-day and 14-day post-treatment visits.
Study Type
Interventional
Enrollment (Estimated)
150
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 Contact
- Name: Meiling Li, Ph.D.
- Phone Number: 010-80726688
- Email: meilingli@cpl.ac.cn
Study Locations
-
-
Hebei
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Baoding, Hebei, China
- Recruiting
- Hebei Mental Health Center
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Contact:
- Bing Li
-
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Henan
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Xinxiang, Henan, China
- Recruiting
- HeNan Mental Hospital
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Contact:
- Yongfeng Yang, M.D
- Phone Number: 15836109413
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-
Tianjin
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Tianjin, Tianjin, China
- Not yet recruiting
- Tianjin general hospital
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Contact:
- chunshui yu
-
-
Zhejiang
-
Hanzhou, Zhejiang, China
- Not yet recruiting
- Hangzhou Seventh People's Hospital
-
Contact:
- Wei Deng
-
-
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
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Meet the diagnostic criteria of DSM-5(Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) for the depression disorder without psychotic symptoms, and currently experiencing recurrence episodes.
- Inpatients or outpatients aged 18-65 years (inclusive), male or female.
- Total HAMD-17 score ≥20 before randomization.Total MADRS score ≥25 before randomization.
- Inadequate response to at least one antidepressant trial of adequate doses and duration.
- Currently not taking any antidepressant medication. If previously medicated, a washout period of 7 days is required.
- Voluntarily participate in the trial and sign informed consent. Able to comply with the planned visit, examination and treatment plan, and other study procedures.
Exclusion Criteria:
- Meet DSM-5 diagnostic criteria for other mental disorders (such as schizophrenia spectrum disorders, bipolar and related disorders, neurodevelopmental disorders, neurocognitive disorders, or depressive disorders due to substances and/or medications, depressive disorders due to other medical problems, etc.);
- Patients with a cardiac pacemaker, cochlear implant, or other metal foreign body and any electronic equipment implanted in the body, patients with claustrophobia and other contraindications to magnetic resonance scanning, and patients with contraindications to rTMS treatment;
- Patients with serious or unstable diseases of the cardiovascular, liver, kidney, blood, endocrine, neurological system, and other systems or organs, especially those with organic brain diseases (such as ischemic stroke, cerebral hemorrhage, brain tumor, etc.) and a history of severe brain trauma as judged by the researcher;
- History of epilepsy (presence of at least 2 uninduced seizures more than 24 hours apart, or diagnosis of the epileptic syndrome, or seizures within the past 12 months); Or currently received medications or other treatments that will lower the seizure threshold;
- History of ECT, rTMS, VNS, DBS, tDCS, light therapy, or other physical therapy related to mental illness within 3 months;
- Currently receiving or planning to start formal cognitive or behavioral therapy, or systemic psychological therapy (interpersonal therapy, dynamic therapy, cognitive behavioral therapy, etc.) during the trial.
- Substance abuse or dependence (including alcohol, drugs, and other psychoactive substances) in the past 1 year;
- The female of childbearing potential plans to become pregnant during the trial and the female that is pregnant or breastfeeding.
- Patients in any clinical trials of other drugs or physical therapy within 1 month before the screening.
- First-degree relatives have bipolar affective disorder.
- There is a significant risk of suicide (MADRS item 10 ≥ 5).
- Difficulty or inability to engage in normal communication, understand or follow instructions, and cooperate with treatment and evaluators.
- Investigators think that was inappropriate to participate.
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: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: pBFS rTMS
3 sessions of active rTMS would be delivered to the pBFS-guided left DLPFC daily, with a session of 1800 pulse.
|
Participants will receive 3 sessions per day of 1800 pulses per session, lasting for 21 days.
Individualized targets will be generated using the pBFS method.
|
Active Comparator: 5-cm rTMS
3 sessions of active rTMS would be delivered to the "5-cm rule" guided left DLPFC daily, with a session of 1800 pulse.
|
Participants will receive 3 sessions per day of 1800 pulses per session, lasting for 21 days.
Individualized targets will be localized by "5-cm rule".
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in Montgomery-Asberg Depression Rating Scale (MADRS) scores
Time Frame: Baseline and Day 21
|
The MADRS is a validated instrument stratifying the severity of depressive episodes in adults.
The MADRS has an overall score ranging from 0 (no depression) to 60 (worst depression).
|
Baseline and Day 21
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
changes in MADRS
Time Frame: Baseline, Day 7, Day 14, Day 21 (immediate post-treatment), 7-day post-treatment, 14-day post-treatment, 45-day post-treatment
|
The MADRS is a validated instrument stratifying the severity of depressive episodes in adults.
The MADRS has an overall score ranging from 0 (no depression) to 60 (worst depression).
|
Baseline, Day 7, Day 14, Day 21 (immediate post-treatment), 7-day post-treatment, 14-day post-treatment, 45-day post-treatment
|
changes in HAMD
Time Frame: Baseline, Day 7, Day 14, Day 21 (immediate post-treatment), 7-day post-treatment, 14-day post-treatment, 45-day post-treatment
|
The Hamilton Depression Rating Scale (HAMD) is the most widely used clinician-administered depression assessment scale.
The HAMD-17 version consists of 17 items,and has an overall score ranging from 0 (no depression) to 52 (worst depression).
Higher scores represent higher depression severity.
|
Baseline, Day 7, Day 14, Day 21 (immediate post-treatment), 7-day post-treatment, 14-day post-treatment, 45-day post-treatment
|
cognitive change in Digit Symbol Substitution Test (DSST)
Time Frame: Baseline, Day 21 (Immediate Post-treatment)
|
Cognitive scores are measured using Chinese brief cognitive test (C-BCT), the DSST equires a subject to match symbols to numbers according to a key located on the top of the page
|
Baseline, Day 21 (Immediate Post-treatment)
|
cognitive change in continuous performance test (CPT)
Time Frame: Baseline, Day 21 (Immediate Post-treatment)
|
CPT from the C-BCT measures a person's sustained and selective attention
|
Baseline, Day 21 (Immediate Post-treatment)
|
cognitive change in Trail-Making Test (TMT)
Time Frame: Baseline, Day 21 (Immediate Post-treatment)
|
The TMT test from the C-BCT can provide information about visual search speed, scanning, speed of processing, mental flexibility, and executive functioning
|
Baseline, Day 21 (Immediate Post-treatment)
|
cognitive change in Digit Span Test (DST)
Time Frame: Baseline, Day 21 (Immediate Post-treatment)
|
DST from the C-BCT is a measure of verbal short term and working memory that can be used in two formats, Forward Digit Span and Reverse Digit Span
|
Baseline, Day 21 (Immediate Post-treatment)
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Chair: Hesheng Liu, Ph.D., Changping Laboratory
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)
August 20, 2023
Primary Completion (Estimated)
December 1, 2024
Study Completion (Estimated)
March 1, 2025
Study Registration Dates
First Submitted
July 11, 2023
First Submitted That Met QC Criteria
July 19, 2023
First Posted (Actual)
July 27, 2023
Study Record Updates
Last Update Posted (Actual)
February 6, 2024
Last Update Submitted That Met QC Criteria
February 5, 2024
Last Verified
July 1, 2023
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- CPLMDDDLV5cm
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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