- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT07376018
Ketogen diett og nevromodulering ved behandlingsresistent depresjon (ALIGN)
Adjuvant lavkarbo ketogen diett for å forbedre bildeveiledet nevromodulasjon ved behandlingsresistent depresjon
Målet med denne kliniske studien er å teste om kombinasjonen av en ketogen diett (KD) med personlig tilpasset, akselerert intermitterende theta burst-stimulering (iTBS) gir større reduksjon i depressive symptomer enn iTBS kombinert med en standard sunn diett hos voksne med behandlingsresistent depresjon. Studien har også som mål å avgjøre om deltakerne kan følge en ketogen diett gjennomførbart under en akselerert iTBS-behandlingsperiode og om dietten gir målbare endringer i ketonnivåer.
Spesifikt har studien som mål å avgjøre om den kombinerte intervensjonen:
- Reduserer depressive symptomer
- Øker sirkulerende ketonnivåer
- Er gjennomførbar og tolerabel under akselerert iTBS-behandling
Deltakerne vil starte enten en KD eller en diett i tråd med Canadas matveileder (CFGD) med en 3-ukers innføringsperiode for dietten, deretter vil de gjennomgå en periode med personlig tilpasset, akselerert iTBS mens de fortsetter den tildelte dietten. Før og etter iTBS-behandlingsperioden vil deltakerne fullføre kliniske vurderinger, gi blodprøver for metabolsk testing og gjennomgå MR-undersøkelser for å vurdere hjernekoblinger. Ketonnivåer vil bli målt daglig gjennom hele den 15-ukers diettintervensjonen. Innenfor-gruppe- og mellom-gruppe-forskjeller vil bli sammenlignet for å karakterisere endringer i kliniske utfall, metabolisme og hjernefunksjon.
Studieoversikt
Status
Studietype
Registrering (Antatt)
Fase
- Ikke aktuelt
Kontakter og plasseringer
Studiekontakt
- Navn: Sean M Nestor, M.D., PhD
- Telefonnummer: 416-347-0257
- E-post: sean.nestor@utoronto.ca; sean.nestor@sunnybrook.ca
Studer Kontakt Backup
- Navn: Nidhi Shah
- E-post: nidhi.shah@sunnybrook.ca
Studiesteder
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Ontario
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Toronto, Ontario, Canada, M4N 3M5
- Sunnybrook Health Sciences Centre
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Ta kontakt med:
- Sean M Nestor, M.D., PhD
- Telefonnummer: 416-347-0257
- E-post: sean.nestor@utoronto.ca
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Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Voksen
- Eldre voksen
Tar imot friske frivillige
Beskrivelse
Inkluderingskriterier:
- Alder 18–65 år av alle kjønn, kjønnsidentitet, etnisitet og sosioøkonomisk status
- Opplever for tiden en større depressiv episode som definert av DSM-5-TR-kriterier og bekreftet av en studielege
- Har minst moderate symptom (MADRS ≥ 20)
- Oppfyller kriterier for behandlingsresistent depresjon (TRD), definert som manglende respons på minst to tilstrekkelige antidepressiva-forsøk
- Ingen tidligere nevromodulasjonsbehandling (ingen tidligere rTMS eller elektrokonvulsiv terapi)
- I stand til å gi informert samtykke
- Tilgjengelig for 15-ukers intervensjon og villig til å følge enten en ketogen diett eller en diett i tråd med Canadas matveileder
Ekskluderingskriterier:
- Medisinske/psykiatriske komorbiditeter som hindrer deltakelse i studien eller hvor depresjon ikke er den primære psykiatriske symptombekymringen
- Historie med epilepsi, slag, større nevrologiske tilstander, psykose eller substansavhengighet de siste 6 månedene
- Fysisk eller kognitiv funksjonshemming som forstyrrer deltakelse
- Kvinner som er gravide (selvrapportert eller via blodprøver), ammer eller planlegger graviditet i studieperioden BMI < 20 kg/m²
- Selvmordsforsøk de siste 12 månedene
- Aktivt selvmordsønske bekreftet av studiens psykiater
- Aktiv spiseforstyrrelse de siste 12 månedene
- Følger for tiden en ketogen diett (KD)
- Vanemessig lavkarbo-diett de siste 6 månedene
- Mage-/tarmlidelser eller matallergier uforenlige med dietprotokollene
- Alkoholbruk >3 drinker/dag eller >14/uke
- Bruk av antikonvulsiva (benzodiazepiner med dose <2 lorazepam-ekvivalenter vil være tillatt), GABA-agonister eller medisiner som reduserer TMS-effektivitet
- Alvorlig medisinsk sykdom
- Kontraindikasjoner for MR
- Uvillighet til å utføre daglig fingerprikktesting
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Enkelt
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
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Eksperimentell: Ketogenic Diet
Participants in this arm will follow a well-formulated ketogenic diet (low carbohydrate, moderate protein, high fat) for a 3-week dietary lead-in period prior to neuromodulation, and will continue the diet for a total of 12 weeks.
The diet is designed to achieve and maintain nutritional ketosis (blood ketone levels of 0.5 to 3 mmol/L).
Dietitian support will be provided through scheduled counseling and ongoing monitoring of finger-stick ketone and glucose testing.
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Intermittent theta burst stimulation (iTBS), a form of repetitive transcranial magnetic stimulation (rTMS), is a non-invasive brain stimulation technique approved by the FDA and Health Canada for the treatment of TRD.
In this study, participants will receive an accelerated course of imaging-guided, neuronavigated left dorsolateral prefrontal cortex (DLPFC) iTBS targeted based on functional connectivity with the subgenual anterior cingulate cortex (sgACC).
Stimulation protocol consists of 1800 pulses per session, delivered at 110% of resting motor threshold, with 50-minute inter-session intervals, for 8 sessions per day over 5 consecutive days.
Andre navn:
A well-formulated ketogenic diet consisting of low carbohydrate, moderate protein, and high fat intake, designed to achieve and maintain nutritional ketosis (blood ketone levels of 0.5 to 3 mmol/L).
Delivered with dietitian-led counseling and monitored via finger-stick ketone and glucose testing.
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Aktiv komparator: Canadian Food Guide-Aligned Diet
Participants in this arm will follow a Canadian Food Guide-aligned diet for a 3-week dietary lead-in period prior to neuromodulation and will continue the diet for a total of 12 weeks.
The diet will emphasize balanced intake of vegetables, fruits, whole grains, and protein foods, without specific macronutrient restrictions.
Dietitian counseling will be approximately matched in frequency and duration to the ketogenic diet arm.
Nutritional monitoring will include dietary logs and metabolic assessments without targeted induction of ketosis.
Participants will perform finger-stick glucose testing.
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Intermittent theta burst stimulation (iTBS), a form of repetitive transcranial magnetic stimulation (rTMS), is a non-invasive brain stimulation technique approved by the FDA and Health Canada for the treatment of TRD.
In this study, participants will receive an accelerated course of imaging-guided, neuronavigated left dorsolateral prefrontal cortex (DLPFC) iTBS targeted based on functional connectivity with the subgenual anterior cingulate cortex (sgACC).
Stimulation protocol consists of 1800 pulses per session, delivered at 110% of resting motor threshold, with 50-minute inter-session intervals, for 8 sessions per day over 5 consecutive days.
Andre navn:
A Canadian Food Guide-aligned diet emphasizing balanced intake of vegetables, fruits, whole grains, and protein foods, without specific macronutrient restrictions.
Delivered with dietitian counseling matched in frequency and duration to the ketogenic diet arm, and monitored via dietary logs, metabolic assessments, and finger-stick glucose testing.
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
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Change in Depression Score on the Montgomery-Asberg Depression Rating Scale (MADRS)
Tidsramme: Baseline, Week 5 (post-iTBS), Week 8 (post-iTBS), Week 12 (post-iTBS)
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Change in depression symptomatology as assessed by the clinician-rated Montgomery-Asberg Depression Rating Scale (MADRS).
Higher scores indicate worse outcomes (greater severity of depressive symptoms)
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Baseline, Week 5 (post-iTBS), Week 8 (post-iTBS), Week 12 (post-iTBS)
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Changes in Ketone Levels
Tidsramme: Baseline through week 12
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Change in β-hydroxybutyrate concentrations over the treatment period relative to baseline.
β-hydroxybutyrate will be measured daily via finger-stick ketone testing during the lead-in and iTBS phases, and a minimum of three times per week during the post-iTBS dietary continuation phase.
Longitudinal change will be analyzed across the treatment period.
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Baseline through week 12
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Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
Tidsramme: Baseline through week 12
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Frequency, severity, and relatedness of adverse events and clinically significant laboratory abnormalities, and discontinuations due to adverse effects, with specific attention to KD-related effects (e.g., hypoglycemia, dehydration, electrolyte disturbances, gastrointestinal symptoms, dyslipidemia) and mood destabilization/suicidality.
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Baseline through week 12
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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Behandlingsforventning
Tidsramme: Utgangspunkt
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Behandlingsforventning vil bli vurdert ved hjelp av Stanford Expectations of Treatment Scale (SETS), administrert ved baseline for å evaluere deltakernes forventninger før intervensjonen.
Høyere poeng på SETS indikerer sterkere positiv behandlingsforventning.
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Utgangspunkt
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Changes in ¹H-MRS Neurochemical Metabolites
Tidsramme: Baseline to Week 8 (post-iTBS)
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Proton magnetic resonance spectroscopy will quantify changes in metabolites associated with neuroplasticity and metabolic function.
Metabolite concentrations will be compared from baseline to post-treatment to determine whether nutritional ketosis enhances neurochemical responses to iTBS.
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Baseline to Week 8 (post-iTBS)
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Changes in Resting-State Functional Connectivity
Tidsramme: Baseline to Week 8 (post-iTBS)
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Resting-state fMRI will be used to assess changes in intrinsic functional connectivity within fronto-cingulate and fronto-striatal networks.
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Baseline to Week 8 (post-iTBS)
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Changes in Task-Evoked Brain Activation
Tidsramme: Baseline to Week 8 (post-iTBS)
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Task-based fMRI will be used to measure changes in activation within predefined mood-regulation circuits.
Contrast maps from an emotional processing task will be compared from baseline to post-treatment to assess neural circuit engagement associated with iTBS combined with dietary intervention.
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Baseline to Week 8 (post-iTBS)
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Change in Secondary Depression Scores
Tidsramme: Baseline, Week 5 (post-iTBS), Week 8 (post-iTBS), Week 12 (post-iTBS)
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Baseline grid-version of the 17-item Hamilton Depression Rating Scale (HDRS) score.
The HDRS is a 17-item clinician-administered rating scale designed to assess severity of depressive symptoms.
The score range is 0 to 52, with higher score indicating more severe depression.
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Baseline, Week 5 (post-iTBS), Week 8 (post-iTBS), Week 12 (post-iTBS)
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Change in Self-Reported Depressive Symptoms
Tidsramme: Baseline, Week 3 (pre-iTBS), Week 5 (post-iTBS), Week 8 (post-iTBS), Week 10 (post-iTBS), Week 12 (post-iTBS), Week 26 (post-iTBS), Week 52 (post-iTBS)
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Self-reported depressive symptom severity will be assessed using the PHQ-9 with changes measured from baseline to each assessment point through the end of treatment.
Higher scores on the PHQ-9 represent greater depressive severity.
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Baseline, Week 3 (pre-iTBS), Week 5 (post-iTBS), Week 8 (post-iTBS), Week 10 (post-iTBS), Week 12 (post-iTBS), Week 26 (post-iTBS), Week 52 (post-iTBS)
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Functional Disability
Tidsramme: Baseline, Week 5 (post-iTBS), Week 8 (post-iTBS), Week 12 (post-iTBS), Week 26 (post-iTBS), Week 52 (post-iTBS)
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Functional disability will be measured using the WHODAS 2.0, with changes evaluated from baseline to the end of treatment.
Higher WHODAS scores indicate greater impairment.
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Baseline, Week 5 (post-iTBS), Week 8 (post-iTBS), Week 12 (post-iTBS), Week 26 (post-iTBS), Week 52 (post-iTBS)
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Well-being
Tidsramme: Baseline, Week 5 (post-iTBS), Week 8 (post-iTBS), Week 12 (post-iTBS), Week 26 (post-iTBS), Week 52 (post-iTBS)
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Well-being will be evaluated using the WHO-5 Well-Being Index, measured from baseline to the end of treatment.
Higher WHO-5 scores represent better well-being.
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Baseline, Week 5 (post-iTBS), Week 8 (post-iTBS), Week 12 (post-iTBS), Week 26 (post-iTBS), Week 52 (post-iTBS)
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Change in Anxiety Measure
Tidsramme: Baseline, Week 5 (post-iTBS), Week 8 (post-iTBS), Week 12 (post-iTBS), Week 26 (post-iTBS), Week 52 (post-iTBS)
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Anxiety symptom severity will be assessed using the Generalized Anxiety Disorder-7 (GAD-7), with improvement examined from baseline to the end of treatment.
Higher GAD-7 scores reflect more severe anxiety
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Baseline, Week 5 (post-iTBS), Week 8 (post-iTBS), Week 12 (post-iTBS), Week 26 (post-iTBS), Week 52 (post-iTBS)
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BMI (Anthropometric Outcomes)
Tidsramme: Baseline, Day 5 (post-iTBS), Week 5 (post-iTBS), Week 8 (post-iTBS)
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Anthropometric outcomes, including BMI, will be recorded to evaluate changes in adiposity and fat distribution from baseline to the end of treatment.
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Baseline, Day 5 (post-iTBS), Week 5 (post-iTBS), Week 8 (post-iTBS)
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Waist-to-Hip Ratio (Anthropometric Outcomes)
Tidsramme: Baseline, Day 5 (post-iTBS), Week 5 (post-iTBS), Week 8 (post-iTBS)
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Anthropometric outcomes, including waist circumference and waist-to-hip ratio, will be recorded to evaluate changes in adiposity and fat distribution from baseline to the end of treatment.
Higher waist-to-hip ratios indicate greater central adiposity.
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Baseline, Day 5 (post-iTBS), Week 5 (post-iTBS), Week 8 (post-iTBS)
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NIH Toolbox Dimensional Change Card Sort Test (Executive Functioning)
Tidsramme: Baseline, Week 5 (post-iTBS), Week 8 (post-iTBS), Week 12 (post-iTBS)
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Executive functioning will be assessed using the NIH Toolbox Dimensional Change Card Sort Test, with changes evaluated from baseline to the end of treatment.
Higher scores reflect better cognitive performance.
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Baseline, Week 5 (post-iTBS), Week 8 (post-iTBS), Week 12 (post-iTBS)
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NIH Flanker Inhibitory Control and Attention Test (Executive Functioning)
Tidsramme: Baseline, Week 5 (post-iTBS), Week 8 (post-iTBS), Week 12 (post-iTBS)
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Executive functioning will be assessed using the NIH Flanker Inhibitory Control and Attention Test, with changes evaluated from baseline to the end of treatment.
Higher scores reflect better cognitive performance.
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Baseline, Week 5 (post-iTBS), Week 8 (post-iTBS), Week 12 (post-iTBS)
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Working Memory
Tidsramme: Baseline, Week 5 (post-iTBS), Week 8 (post-iTBS), Week 12 (post-iTBS)
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Working memory will be measured using the NIH Toolbox List Sorting Working Memory Test, with changes compared from baseline to post-treatment.
Higher scores indicate stronger working memory ability.
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Baseline, Week 5 (post-iTBS), Week 8 (post-iTBS), Week 12 (post-iTBS)
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Episodic Memory
Tidsramme: Baseline, Week 5 (post-iTBS), Week 8 (post-iTBS), Week 12 (post-iTBS)
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Episodic memory will be assessed using the NIH Toolbox Auditory Verbal Learning Test and the Picture Sequence Memory Test, with changes evaluated from baseline to the end of treatment.
Higher scores indicate better episodic memory performance.
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Baseline, Week 5 (post-iTBS), Week 8 (post-iTBS), Week 12 (post-iTBS)
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Waist-to-Hip Ratio (Anthropometric outcome)
Tidsramme: Baseline, Day 5 (post-iTBS), Week 5 (post-iTBS), Week 8 (post-iTBS)
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Anthropometric outcomes, including waist circumference and waist-to-hip ratio, will be recorded to evaluate changes in adiposity and fat distribution from baseline to the end of treatment.
Higher waist-to-hip ratios indicate greater central adiposity.
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Baseline, Day 5 (post-iTBS), Week 5 (post-iTBS), Week 8 (post-iTBS)
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NIH Toolbox Oral Symbol Digit Test (Processing Speed)
Tidsramme: Baseline, Week 5 (post-iTBS), Week 8 (post-iTBS), Week 12 (post-iTBS)
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Processing speed will be evaluated using the NIH Toolbox Oral Symbol Digit Test, with changes assessed from baseline to post-treatment.
Higher scores reflect faster processing speed.
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Baseline, Week 5 (post-iTBS), Week 8 (post-iTBS), Week 12 (post-iTBS)
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NIH Toolbox Pattern Comparison Processing Speed Test (Processing Speed)
Tidsramme: Baseline, Week 5 (post-iTBS), Week 8 (post-iTBS), Week 12 (post-iTBS)
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Processing speed will be evaluated using the NIH Toolbox Pattern Comparison Processing Speed Test, with changes assessed from baseline to post-treatment.
Higher scores reflect faster processing speed.
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Baseline, Week 5 (post-iTBS), Week 8 (post-iTBS), Week 12 (post-iTBS)
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Perceived Physical Capacity
Tidsramme: Baseline, Days 1-5 of iTBS treatment, Week 5 (post-iTBS), Week 8 (post-iTBS), Week 12 (post-iTBS)
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The modified Rating of Perceived Exertion (RPE) scale will be used to assess participants' perceived physical effort and tolerance during routine physical activities and daily tasks.
This subjective measure captures how hard the body feels it is working based on internal sensations such as breathing, cardiovascular strain, muscle fatigue, and overall exertion, providing an index of perceived functional capacity for physical activity.
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Baseline, Days 1-5 of iTBS treatment, Week 5 (post-iTBS), Week 8 (post-iTBS), Week 12 (post-iTBS)
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Objective Physical Capacity
Tidsramme: Baseline, Week 5 (post-iTBS), Week 8 (post-iTBS), Week 12 (post-iTBS)
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Objective indices of physical capacity and fatigue will be obtained using handgrip dynamometry.
Maximal voluntary force (MVF) will be measured as the average of three maximal-effort trials, reflecting peak isometric grip strength and overall neuromuscular capacity of the hand and forearm muscles.
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Baseline, Week 5 (post-iTBS), Week 8 (post-iTBS), Week 12 (post-iTBS)
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Fatigue
Tidsramme: Baseline, Week 5 (post-iTBS), Week 8 (post-iTBS), Week 12 (post-iTBS)
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Time to exhaustion (TTE) during a sustained submaximal grip task will be used to quantify fatigue resistance and endurance, defined as the duration for which participants can maintain a prescribed grip force before they are unable to sustain the target level.
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Baseline, Week 5 (post-iTBS), Week 8 (post-iTBS), Week 12 (post-iTBS)
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Change in HbA1c Levels
Tidsramme: Baseline, Day 1 of iTBS, Week 5 (post-iTBS), Week 8 (post-iTBS)
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Changes in fasting HbA1c (measured in mmol/mol) across the study period.
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Baseline, Day 1 of iTBS, Week 5 (post-iTBS), Week 8 (post-iTBS)
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Change in Fasting Glucose Levels
Tidsramme: Baseline, Day 1 of iTBS, Week 5 (post-iTBS), Week 8 (post-iTBS)
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Changes in fasting glucose (measured in mmol/L) across the study period.
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Baseline, Day 1 of iTBS, Week 5 (post-iTBS), Week 8 (post-iTBS)
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Change in Lipid Profile
Tidsramme: Baseline, Day 1 of iTBS, Week 5 (post-iTBS), Week 8 (post-iTBS)
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Changes in lipid profile (total cholesterol, LDL, HDL, triglycerides; measured in mmol/mol) across the study period.
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Baseline, Day 1 of iTBS, Week 5 (post-iTBS), Week 8 (post-iTBS)
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Change in Liver Function Panel
Tidsramme: Baseline, Day 1 of iTBS, Week 5 (post-iTBS), Week 8 (post-iTBS)
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Changes in liver function (ALT, AST, ALP; measured in U/L) across the study period.
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Baseline, Day 1 of iTBS, Week 5 (post-iTBS), Week 8 (post-iTBS)
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Change in Total Protein and Albumin
Tidsramme: Baseline, Week 5 (post-iTBS), Week 8 (post-iTBS), Week 12 (post-iTBS)
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Changes in total protein and albumin (measured in g/L) across the study period.
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Baseline, Week 5 (post-iTBS), Week 8 (post-iTBS), Week 12 (post-iTBS)
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Change in Total Bilirubin
Tidsramme: Baseline, Day 1 of iTBS, Week 5 (post-iTBS), Week 8 (post-iTBS)
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Changes in total bilirubin (measured in mg/dL) across the study period.
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Baseline, Day 1 of iTBS, Week 5 (post-iTBS), Week 8 (post-iTBS)
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Change in Electrolytes
Tidsramme: Baseline, Day 1 of iTBS, Week 5 (post-iTBS), Week 8 (post-iTBS)
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Changes in electrolytes (measured in mmol/L) across the study period
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Baseline, Day 1 of iTBS, Week 5 (post-iTBS), Week 8 (post-iTBS)
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Change in Urea and Calcium
Tidsramme: Baseline, Day 1 of iTBS, Week 5 (post-iTBS), Week 8 (post-iTBS)
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Changes in urea and calcium (measured in mg/dL) across the study period.
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Baseline, Day 1 of iTBS, Week 5 (post-iTBS), Week 8 (post-iTBS)
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Change in BDNF
Tidsramme: Baseline, Day 1 of iTBS, Week 5 (post-iTBS), Week 8 (post-iTBS)
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Changes in BDNF (measured in ng/mL) across the study period.
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Baseline, Day 1 of iTBS, Week 5 (post-iTBS), Week 8 (post-iTBS)
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Change in IL-6 and TNF-alpha Levels
Tidsramme: Baseline, Day 1 of iTBS, Week 5 (post-iTBS), Week 8 (post-iTBS)
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Changes in inflammatory markers (measured in pg/mL) across the study period.
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Baseline, Day 1 of iTBS, Week 5 (post-iTBS), Week 8 (post-iTBS)
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Change in CRP Levels
Tidsramme: Baseline, Day 1 of iTBS, Week 5 (post-iTBS), Week 8 (post-iTBS)
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Changes in CRP (measured in mg/L) across the study period.
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Baseline, Day 1 of iTBS, Week 5 (post-iTBS), Week 8 (post-iTBS)
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Samarbeidspartnere og etterforskere
Samarbeidspartnere
Studierekorddatoer
Studer hoveddatoer
Studiestart (Antatt)
Primær fullføring (Antatt)
Studiet fullført (Antatt)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
- Psykiske lidelser
- Stemningsforstyrrelser
- Depressiv lidelse
- Depressiv lidelse, major
- Depressiv lidelse, behandlingsresistent
- Terapeutikk
- Kosthold, mat og ernæring
- Fysiologiske fenomener
- Ernæringsfysiologiske fenomener
- Kostholdsterapi
- Ernæringsterapi
- Kosthold
- Magnetisk feltterapi
- Kosthold, karbohydratbegrenset
- Transkraniell magnetisk stimulering
- Kosthold, ketogen
Andre studie-ID-numre
- 6944
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (IPD)?
IPD-planbeskrivelse
IPD-delingstidsramme
Tilgangskriterier for IPD-deling
Delt data vil inkludere avidentifisert IPD og støttedokumenter (studieprotokoll, statistisk analyseplan og databok).
Tilgang vil være begrenset til forskere med passende institusjonell tilknytning og dokumentert etisk godkjenning, som sender inn et metodisk fornuftig forslag. Forespørsler vil bli vurdert av studiens hovedansvarlige forsker (eller utpekt datatilgangskomité).
Godkjente brukere vil få tilgang gjennom sikre, institusjonelt godkjente datadelingssystemer. Alle brukere må signere en dataavtale som forbyr re-identifisering, videre deling og enhver bruk utenfor det godkjente forslaget.
IPD-deling Støtteinformasjonstype
- STUDY_PROTOCOL
- SEVJE
- ICF
- CSR
Legemiddel- og utstyrsinformasjon, studiedokumenter
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