A Pilot Double-blind Sham-controlled Trial of Repetitive Transcranial Magnetic Stimulation for Patients With Refractory Schizophrenia Treated With Clozapine

NCT ID: NCT01015001

Last Updated: 2010-08-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-05-31

Study Completion Date

2009-12-31

Brief Summary

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The primary outcome of this study is to evaluate the effects of low frequency subthreshold repetitive Transcranial Magnetic Stimulation applied to the left temporoparietal cortex of patients with refractory schizophrenia on the severity of auditory hallucinations.

The secondary outcome is to evaluate the effects of the same rTMS protocol on quality of life, functionality and general psychopathology.

Detailed Description

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Seventeen patients with DSM-IV TR diagnosis of schizophrenia were randomized in two groups. First group received 20 sessions of 20 minutes each of low-frequency (1Hz) rTMS applied over the left temporoparietal cortex (LTPC).

Second group received sham (placebo) stimulation over the LTPC for the same period of time. All patients were considered as having refractory schizophrenia and in use of at least 400mg/day of clozapine and refering auditory hallucinations occuring at least 5 times a day.

Conditions

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Schizophrenia Auditory Hallucinations

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Active rTMS

1Hz rTMS sessions applied to the left temporoparietal cortex of the subjects

Group Type ACTIVE_COMPARATOR

Active rTMS x sham (placebo) rTMS

Intervention Type PROCEDURE

Seventeen right-handed patients with DSM-IV TR diagnosis of schizophrenia were randomized in two groups. One arm received 20 sessions of 20 minutes each of low-frequency (1Hz) rTMS applied over the left temporoparietal cortex (LTPC).

The other arm received sham (placebo) stimulation over the LTPC for the same period of time. All patients were considered as having refractory schizophrenia and in use of at least 400mg/day of clozapine and referred auditory hallucinations.

(1Hz) rTMS applied over the left temporoparietal cortex

Intervention Type PROCEDURE

20 sessions lasting 20 minutes each of low-frequency (1Hz) rTMS applied over the left temporoparietal cortex (LTPC).

Sham rtms

Same number of pulses but applied with and angled coil (90 degrees) and placed over the fronto´temporal region

Group Type PLACEBO_COMPARATOR

Active rTMS x sham (placebo) rTMS

Intervention Type PROCEDURE

Seventeen right-handed patients with DSM-IV TR diagnosis of schizophrenia were randomized in two groups. One arm received 20 sessions of 20 minutes each of low-frequency (1Hz) rTMS applied over the left temporoparietal cortex (LTPC).

The other arm received sham (placebo) stimulation over the LTPC for the same period of time. All patients were considered as having refractory schizophrenia and in use of at least 400mg/day of clozapine and referred auditory hallucinations.

sham rTMS

Intervention Type PROCEDURE

same coil, same number of pulses but using an angled coil(90degres) over the frontotemporal region

Interventions

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Active rTMS x sham (placebo) rTMS

Seventeen right-handed patients with DSM-IV TR diagnosis of schizophrenia were randomized in two groups. One arm received 20 sessions of 20 minutes each of low-frequency (1Hz) rTMS applied over the left temporoparietal cortex (LTPC).

The other arm received sham (placebo) stimulation over the LTPC for the same period of time. All patients were considered as having refractory schizophrenia and in use of at least 400mg/day of clozapine and referred auditory hallucinations.

Intervention Type PROCEDURE

sham rTMS

same coil, same number of pulses but using an angled coil(90degres) over the frontotemporal region

Intervention Type PROCEDURE

(1Hz) rTMS applied over the left temporoparietal cortex

20 sessions lasting 20 minutes each of low-frequency (1Hz) rTMS applied over the left temporoparietal cortex (LTPC).

Intervention Type PROCEDURE

Other Intervention Names

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EMTr Sham

Eligibility Criteria

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Inclusion Criteria

* Patients with DSM IV TR diagnose of schizophrenia with treatment-resistant auditory hallucinations.
* Use of at least 400mg/day of clozapine
* Men and women from 18 to 65 years old
* Fertile women must be using adequate contraceptive method
* BPRS score of at least 27

Exclusion Criteria

* Suicide risk
* Patients with epilepsy, brain surgery and/or head trauma in the past, use of cardiac pace maker or metalic clip in the head
* Diagnose of substance abuse/dependance
* Severe uncontrolled organic disease that may interfere in the patient´s participation in the study
* Any other reason that, in the investigator´s opinion, might interfere with the patient´s participation in the study, such as non compliance.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospital de Clinicas de Porto Alegre

OTHER

Sponsor Role lead

Responsible Party

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Hospital de Clínicas de Porto Alegre

Principal Investigators

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Danilo Jesus, Psychiatrist

Role: PRINCIPAL_INVESTIGATOR

Hospital de Clinicas de Porto Alegre

Paulo B Abreu, phd

Role: STUDY_DIRECTOR

HCPorto Alegre

Locations

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Hospital de Clinicas de Porto Alegre

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Countries

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Brazil

Other Identifiers

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06382

Identifier Type: -

Identifier Source: org_study_id

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