Trial Outcomes & Findings for Low Field Magnetic Stimulation for Treatment Resistant Depression (NCT NCT01944644)

NCT ID: NCT01944644

Last Updated: 2018-09-17

Results Overview

This is to compare the 6 Item Hamilton Depression Rating Scale from the Screen to after 3 Sessions of Active or Sham LFMS (7 days post-baseline). The Hamilton Scale for Depression 6 item subscale scores range from 0-24. Higher scores indicate greater severity of depression. Total scores are reported with no subscales.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

66 participants

Primary outcome timeframe

7 days after baseline

Results posted on

2018-09-17

Participant Flow

Participant milestones

Participant milestones
Measure
Active Low Field Magnetic Stimulation
LFMS will follow a previously published protocol for the treatment of a Major Depressive Episode (Rohan et al. 2004). Active Low Field Magnetic Stimulation treatments will be delivered with a prototype LFMS device manufactured by Tal Medical. LFMS sessions consist of proton echo-planar magnetic resonance spectroscopic imaging (EP-MRSI) and will be 20min in duration. LFMS exposes subjects to magnetic fields of the same magnitude and frequency used in clinical MR-Spectroscopic imaging of the brain. Active Low Field Magnetic Stimulation: Active Low Field Magnetic Stimulation treatments will be delivered with a prototype LFMS device manufactured by Tal Medical. LFMS sessions consist of proton echo-planar magnetic resonance spectroscopic imaging (EP-MRSI) and will be 20min in duration. LFMS exposes subjects to magnetic fields of the same magnitude and frequency used in clinical MR-Spectroscopic imaging of the brain.
Sham Low Field Magnetic Stimulation
Sham Low Field Magnetic Stimulation will consist of a three-dimensional spoiled gradient echo sequence of the same duration as active LFMS and which provides auditory stimulation indistinguishable from active treatment. Sham Low Field Magnetic Stimulation: Sham Low Field Magnetic Stimulation will consist of a three-dimensional spoiled gradient echo sequence of the same duration as active LFMS and which provides auditory stimulation indistinguishable from active treatment.
Overall Study
STARTED
34
32
Overall Study
COMPLETED
34
32
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Low Field Magnetic Stimulation for Treatment Resistant Depression

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Active Low Field Magnetic Stimulation
n=34 Participants
LFMS will follow a previously published protocol for the treatment of a Major Depressive Episode (Rohan et al. 2004). Active Low Field Magnetic Stimulation treatments will be delivered with a prototype LFMS device manufactured by Tal Medical. LFMS sessions consist of proton echo-planar magnetic resonance spectroscopic imaging (EP-MRSI) and will be 20min in duration. LFMS exposes subjects to magnetic fields of the same magnitude and frequency used in clinical MR-Spectroscopic imaging of the brain. Active Low Field Magnetic Stimulation: Active Low Field Magnetic Stimulation treatments will be delivered with a prototype LFMS device manufactured by Tal Medical. LFMS sessions consist of proton echo-planar magnetic resonance spectroscopic imaging (EP-MRSI) and will be 20min in duration. LFMS exposes subjects to magnetic fields of the same magnitude and frequency used in clinical MR-Spectroscopic imaging of the brain.
Sham Low Field Magnetic Stimulation
n=32 Participants
Sham Low Field Magnetic Stimulation will consist of a three-dimensional spoiled gradient echo sequence of the same duration as active LFMS and which provides auditory stimulation indistinguishable from active treatment. Sham Low Field Magnetic Stimulation: Sham Low Field Magnetic Stimulation will consist of a three-dimensional spoiled gradient echo sequence of the same duration as active LFMS and which provides auditory stimulation indistinguishable from active treatment.
Total
n=66 Participants
Total of all reporting groups
Age, Continuous
46.6 years
STANDARD_DEVIATION 15.1 • n=5 Participants
46.2 years
STANDARD_DEVIATION 12.2 • n=7 Participants
46.4 years
STANDARD_DEVIATION 13.65 • n=5 Participants
Sex: Female, Male
Female
17 Participants
n=5 Participants
20 Participants
n=7 Participants
37 Participants
n=5 Participants
Sex: Female, Male
Male
17 Participants
n=5 Participants
12 Participants
n=7 Participants
29 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=5 Participants
5 Participants
n=7 Participants
9 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
30 Participants
n=5 Participants
27 Participants
n=7 Participants
57 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
7 Participants
n=5 Participants
8 Participants
n=7 Participants
15 Participants
n=5 Participants
Race (NIH/OMB)
White
26 Participants
n=5 Participants
22 Participants
n=7 Participants
48 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
34 Participants
n=5 Participants
32 Participants
n=7 Participants
66 Participants
n=5 Participants
Hamilton Scale for Depression (HamD) 6 Item
11.8 units on a scale
STANDARD_DEVIATION 1.7 • n=5 Participants
11.4 units on a scale
STANDARD_DEVIATION 1.8 • n=7 Participants
11.6 units on a scale
STANDARD_DEVIATION 1.75 • n=5 Participants
Visual Analog Scale
55.4 units on a scale
STANDARD_DEVIATION 19.9 • n=5 Participants
49.9 units on a scale
STANDARD_DEVIATION 21.8 • n=7 Participants
52.7 units on a scale
STANDARD_DEVIATION 20.1 • n=5 Participants
Positive and Negative Affect Score (PANAS) - Negative Subscale
23.7 units on a scale
STANDARD_DEVIATION 7.6 • n=5 Participants
27.5 units on a scale
STANDARD_DEVIATION 8.9 • n=7 Participants
25.6 units on a scale
STANDARD_DEVIATION 8.25 • n=5 Participants
Positive and Negative Affect Score (PANAS) - Positive Subscale
23.1 units on a scale
STANDARD_DEVIATION 8.7 • n=5 Participants
22.4 units on a scale
STANDARD_DEVIATION 8.0 • n=7 Participants
22.8 units on a scale
STANDARD_DEVIATION 8.4 • n=5 Participants

PRIMARY outcome

Timeframe: 7 days after baseline

This is to compare the 6 Item Hamilton Depression Rating Scale from the Screen to after 3 Sessions of Active or Sham LFMS (7 days post-baseline). The Hamilton Scale for Depression 6 item subscale scores range from 0-24. Higher scores indicate greater severity of depression. Total scores are reported with no subscales.

Outcome measures

Outcome measures
Measure
Active Low Field Magnetic Stimulation
n=34 Participants
LFMS will follow a previously published protocol for the treatment of a Major Depressive Episode (Rohan et al. 2004). Active Low Field Magnetic Stimulation treatments will be delivered with a prototype LFMS device manufactured by Tal Medical. LFMS sessions consist of proton echo-planar magnetic resonance spectroscopic imaging (EP-MRSI) and will be 20min in duration. LFMS exposes subjects to magnetic fields of the same magnitude and frequency used in clinical MR-Spectroscopic imaging of the brain. Active Low Field Magnetic Stimulation: Active Low Field Magnetic Stimulation treatments will be delivered with a prototype LFMS device manufactured by Tal Medical. LFMS sessions consist of proton echo-planar magnetic resonance spectroscopic imaging (EP-MRSI) and will be 20min in duration. LFMS exposes subjects to magnetic fields of the same magnitude and frequency used in clinical MR-Spectroscopic imaging of the brain.
Sham Low Field Magnetic Stimulation
n=32 Participants
Sham Low Field Magnetic Stimulation will consist of a three-dimensional spoiled gradient echo sequence of the same duration as active LFMS and which provides auditory stimulation indistinguishable from active treatment. Sham Low Field Magnetic Stimulation: Sham Low Field Magnetic Stimulation will consist of a three-dimensional spoiled gradient echo sequence of the same duration as active LFMS and which provides auditory stimulation indistinguishable from active treatment.
6 Item Hamilton Depression Rating Scale
7.4 units on a scale
Standard Deviation 3.4
7.6 units on a scale
Standard Deviation 3.7

PRIMARY outcome

Timeframe: 7 days after baseline

A Visual Analog Scale is a measurement of subjective characteristics that cannot be directly measured. Using this self questionnaire, subjects specify their level of depression along a continuous line between two end-points ranging from 0-100 (higher score means better mood).

Outcome measures

Outcome measures
Measure
Active Low Field Magnetic Stimulation
n=34 Participants
LFMS will follow a previously published protocol for the treatment of a Major Depressive Episode (Rohan et al. 2004). Active Low Field Magnetic Stimulation treatments will be delivered with a prototype LFMS device manufactured by Tal Medical. LFMS sessions consist of proton echo-planar magnetic resonance spectroscopic imaging (EP-MRSI) and will be 20min in duration. LFMS exposes subjects to magnetic fields of the same magnitude and frequency used in clinical MR-Spectroscopic imaging of the brain. Active Low Field Magnetic Stimulation: Active Low Field Magnetic Stimulation treatments will be delivered with a prototype LFMS device manufactured by Tal Medical. LFMS sessions consist of proton echo-planar magnetic resonance spectroscopic imaging (EP-MRSI) and will be 20min in duration. LFMS exposes subjects to magnetic fields of the same magnitude and frequency used in clinical MR-Spectroscopic imaging of the brain.
Sham Low Field Magnetic Stimulation
n=32 Participants
Sham Low Field Magnetic Stimulation will consist of a three-dimensional spoiled gradient echo sequence of the same duration as active LFMS and which provides auditory stimulation indistinguishable from active treatment. Sham Low Field Magnetic Stimulation: Sham Low Field Magnetic Stimulation will consist of a three-dimensional spoiled gradient echo sequence of the same duration as active LFMS and which provides auditory stimulation indistinguishable from active treatment.
Visual Analog Scale
74 units on a scale
Standard Deviation 20.6
59.4 units on a scale
Standard Deviation 26.2

PRIMARY outcome

Timeframe: 7 days after baseline

The Positive and Negative Affect Schedule (PANAS) measures both positive affect and negative affect. Participants in the PANAS are required to respond to two 20-item subscales using 5-point scale that ranges from very slightly or not at all (1) to extremely (5). This negative subscale captures self-rated scale of symptoms of depression ranging from 0-50 (higher score means worse depression).

Outcome measures

Outcome measures
Measure
Active Low Field Magnetic Stimulation
n=34 Participants
LFMS will follow a previously published protocol for the treatment of a Major Depressive Episode (Rohan et al. 2004). Active Low Field Magnetic Stimulation treatments will be delivered with a prototype LFMS device manufactured by Tal Medical. LFMS sessions consist of proton echo-planar magnetic resonance spectroscopic imaging (EP-MRSI) and will be 20min in duration. LFMS exposes subjects to magnetic fields of the same magnitude and frequency used in clinical MR-Spectroscopic imaging of the brain. Active Low Field Magnetic Stimulation: Active Low Field Magnetic Stimulation treatments will be delivered with a prototype LFMS device manufactured by Tal Medical. LFMS sessions consist of proton echo-planar magnetic resonance spectroscopic imaging (EP-MRSI) and will be 20min in duration. LFMS exposes subjects to magnetic fields of the same magnitude and frequency used in clinical MR-Spectroscopic imaging of the brain.
Sham Low Field Magnetic Stimulation
n=32 Participants
Sham Low Field Magnetic Stimulation will consist of a three-dimensional spoiled gradient echo sequence of the same duration as active LFMS and which provides auditory stimulation indistinguishable from active treatment. Sham Low Field Magnetic Stimulation: Sham Low Field Magnetic Stimulation will consist of a three-dimensional spoiled gradient echo sequence of the same duration as active LFMS and which provides auditory stimulation indistinguishable from active treatment.
Positive and Negative Affect Score (PANAS) - Negative Subscale
15.8 units on a scale
Standard Deviation 7.2
18.6 units on a scale
Standard Deviation 7.4

PRIMARY outcome

Timeframe: 7 days after baseline

The Positive and Negative Affect Schedule (PANAS) measures both positive affect and negative affect. Participants in the PANAS are required to respond to two 20-item subscales using 5-point scale that ranges from very slightly or not at all (1) to extremely (5). This positive subscale captures self-rated scale of symptoms of depression ranging from 0-50 (higher score means worse depression).

Outcome measures

Outcome measures
Measure
Active Low Field Magnetic Stimulation
n=34 Participants
LFMS will follow a previously published protocol for the treatment of a Major Depressive Episode (Rohan et al. 2004). Active Low Field Magnetic Stimulation treatments will be delivered with a prototype LFMS device manufactured by Tal Medical. LFMS sessions consist of proton echo-planar magnetic resonance spectroscopic imaging (EP-MRSI) and will be 20min in duration. LFMS exposes subjects to magnetic fields of the same magnitude and frequency used in clinical MR-Spectroscopic imaging of the brain. Active Low Field Magnetic Stimulation: Active Low Field Magnetic Stimulation treatments will be delivered with a prototype LFMS device manufactured by Tal Medical. LFMS sessions consist of proton echo-planar magnetic resonance spectroscopic imaging (EP-MRSI) and will be 20min in duration. LFMS exposes subjects to magnetic fields of the same magnitude and frequency used in clinical MR-Spectroscopic imaging of the brain.
Sham Low Field Magnetic Stimulation
n=32 Participants
Sham Low Field Magnetic Stimulation will consist of a three-dimensional spoiled gradient echo sequence of the same duration as active LFMS and which provides auditory stimulation indistinguishable from active treatment. Sham Low Field Magnetic Stimulation: Sham Low Field Magnetic Stimulation will consist of a three-dimensional spoiled gradient echo sequence of the same duration as active LFMS and which provides auditory stimulation indistinguishable from active treatment.
Positive and Negative Affect Score (PANAS) - Positive Subscale
24.8 units on a scale
Standard Deviation 8.7
25.5 units on a scale
Standard Deviation 11.9

Adverse Events

Active Low Field Magnetic Stimulation

Serious events: 0 serious events
Other events: 1 other events
Deaths: 1 deaths

Sham Low Field Magnetic Stimulation

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Active Low Field Magnetic Stimulation
n=34 participants at risk
LFMS will follow a previously published protocol for the treatment of a Major Depressive Episode (Rohan et al. 2004). Active Low Field Magnetic Stimulation treatments will be delivered with a prototype LFMS device manufactured by Tal Medical. LFMS sessions consist of proton echo-planar magnetic resonance spectroscopic imaging (EP-MRSI) and will be 20min in duration. LFMS exposes subjects to magnetic fields of the same magnitude and frequency used in clinical MR-Spectroscopic imaging of the brain. Active Low Field Magnetic Stimulation: Active Low Field Magnetic Stimulation treatments will be delivered with a prototype LFMS device manufactured by Tal Medical. LFMS sessions consist of proton echo-planar magnetic resonance spectroscopic imaging (EP-MRSI) and will be 20min in duration. LFMS exposes subjects to magnetic fields of the same magnitude and frequency used in clinical MR-Spectroscopic imaging of the brain.
Sham Low Field Magnetic Stimulation
n=32 participants at risk
Sham Low Field Magnetic Stimulation will consist of a three-dimensional spoiled gradient echo sequence of the same duration as active LFMS and which provides auditory stimulation indistinguishable from active treatment. Sham Low Field Magnetic Stimulation: Sham Low Field Magnetic Stimulation will consist of a three-dimensional spoiled gradient echo sequence of the same duration as active LFMS and which provides auditory stimulation indistinguishable from active treatment.
Psychiatric disorders
Panic Attack
2.9%
1/34 • Number of events 1 • 7 days.
0.00%
0/32 • 7 days.

Additional Information

Marc Dubin, M.D.

Weill Cornell Medical College

Phone: (212) 746-5817

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place