Multimodal MRI-guided rTMS to Treat Refractory Hallucinations

NCT ID: NCT01373866

Last Updated: 2025-12-26

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

NA

Total Enrollment

85 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-11-15

Study Completion Date

2022-02-11

Brief Summary

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* The efficacy of neuro-navigated rTMS for patients with schizophrenia suffering from drug-resistant multisensory hallucinations will be tested by the implementation of a double-blind randomized controlled trial (RCT)
* This study will use a combination of different MRI modalities (fMRI and DTI) to define with precision rTMS brain-targets in the case of multisensory hallucinations
* The investigators anticipate that multimodal MRI-guided rTMS will allow a significant improvement in the efficacy of neuromodulation treatment of refractory hallucinations

Detailed Description

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Conditions

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Hallucinations Schizophrenia Perceptual Disorders

Keywords

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Repetitive Transcranial Magnetic Stimulation Neuronavigation Functional Magnetic Resonance Imaging Diffusion Tensor Imaging

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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Multimodal MRI-guided rTMS

Group Type EXPERIMENTAL

MagPro X100 repetitive Transcranial Magnetic Stimulation

Intervention Type DEVICE

Target defined using both fMRI during hallucinations occurence and tractography.

Parameters: 1 Hz/ 100% of the Motor Threshold/ 10 sessions (2/ day over 5 days)/ 1200 pulses/ session

Conventional T3-P3 rTMS

Group Type ACTIVE_COMPARATOR

MagPro X100 repetitive Transcranial Magnetic Stimulation

Intervention Type DEVICE

Target: T3-P3 (10-20 EEG international System). Parameters: 1 Hz/ 100% of the Motor Threshold/ 10 sessions (2/ day over 5 days)/ 1200 pulses/ session

Interventions

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MagPro X100 repetitive Transcranial Magnetic Stimulation

Target defined using both fMRI during hallucinations occurence and tractography.

Parameters: 1 Hz/ 100% of the Motor Threshold/ 10 sessions (2/ day over 5 days)/ 1200 pulses/ session

Intervention Type DEVICE

MagPro X100 repetitive Transcranial Magnetic Stimulation

Target: T3-P3 (10-20 EEG international System). Parameters: 1 Hz/ 100% of the Motor Threshold/ 10 sessions (2/ day over 5 days)/ 1200 pulses/ session

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Right-handed Female/Male, \[13-60 y.o.\],
* Schizophrenia (DSM-IV-TR diagnosis),
* Drug-resistant hallucinations (Kinon \& Kane criteria, 1993),
* Unmodified antipsychotic dosage during the 30 days preceding rMTS,
* No anticonvulsive medication,
* No neurological disorder, no addictive behavior,
* Matched for sex, age and PANSS scores,
* Consent to participate to the study,

Exclusion Criteria

* Pregnancy
* Contraindication to MRI scan
* Contraindication to rTMS treatment
* Claustrophobia
* No social insurance
Minimum Eligible Age

13 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Lille

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Renaud Jardri, M.D., Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Lille University Medical Centre, France

Locations

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Lille University Hospital Centre

Lille, , France

Site Status

Saint-Anne Psychiatric Hospital

Paris, , France

Site Status

Countries

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France

References

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Demeulemeester M, Kochman F, Fligans B, Tabet AJ, Thomas P, Jardri R. Assessing early-onset hallucinations in the touch-screen generation. Br J Psychiatry. 2015 Mar;206(3):181-3. doi: 10.1192/bjp.bp.114.154153.

Reference Type RESULT
PMID: 25733569 (View on PubMed)

Leroy A, Foucher JR, Pins D, Delmaire C, Thomas P, Roser MM, Lefebvre S, Amad A, Fovet T, Jaafari N, Jardri R. fMRI capture of auditory hallucinations: Validation of the two-steps method. Hum Brain Mapp. 2017 Oct;38(10):4966-4979. doi: 10.1002/hbm.23707. Epub 2017 Jun 28.

Reference Type DERIVED
PMID: 28660668 (View on PubMed)

Other Identifiers

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2009-A00842-55

Identifier Type: OTHER

Identifier Source: secondary_id

2009_17/0927

Identifier Type: -

Identifier Source: org_study_id