Trial Outcomes & Findings for rTMS in Treatment Resistant Depression (NCT NCT02080507)

NCT ID: NCT02080507

Last Updated: 2017-05-30

Results Overview

The MADRS is a ten-item diagnostic questionnaire which psychiatrists use to measure the severity of depressive episodes in patients with mood disorders. The MADRS-S instrument has nine questions, with an overall score ranging from 0 to 60 points. A higher score indicates greater depressive symptoms.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

12 participants

Primary outcome timeframe

Baseline, Week 6

Results posted on

2017-05-30

Participant Flow

Participants were recruited March 2014 through August 2015 from the Emory University Outpatient Psychiatry Department and the Atlanta community. Of the 16 participants who consented for participation, 12 began study treatment.

Participants taking psychotropic medications were required to be stable on a stable dose for at least six weeks.

Participant milestones

Participant milestones
Measure
Active Neuronetics rTMS Stimulator
Participants in this group were randomized to receive active repetitive transcranial magnetic stimulation (rTMS) five times a week at 10 pulses/sec, 120% of motor threshold, and 3000 pulses/session for 4 weeks.
Inactive Neuronetics rTMS Stimulator
Participants in this group were randomized to receive sham repetitive transcranial magnetic stimulation (rTMS) five times a week at 10 pulses/sec, 120% of motor threshold, and 3000 pulses/session for 4 weeks.
Overall Study
STARTED
5
7
Overall Study
COMPLETED
5
7
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

rTMS in Treatment Resistant Depression

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Active Neuronetics rTMS Stimulator
n=5 Participants
Participants in this group were randomized to receive active repetitive transcranial magnetic stimulation (rTMS) five times a week at 10 pulses/sec, 120% of motor threshold, and 3000 pulses/session for 4 weeks.
Inactive Neuronetics rTMS Stimulator
n=7 Participants
Participants in this group were randomized to receive sham repetitive transcranial magnetic stimulation (rTMS) five times a week at 10 pulses/sec, 120% of motor threshold, and 3000 pulses/session for 4 weeks.
Total
n=12 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
n=5 Participants
7 Participants
n=7 Participants
11 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
5 Participants
n=7 Participants
10 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
United States
5 participants
n=5 Participants
7 participants
n=7 Participants
12 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline, Week 6

The MADRS is a ten-item diagnostic questionnaire which psychiatrists use to measure the severity of depressive episodes in patients with mood disorders. The MADRS-S instrument has nine questions, with an overall score ranging from 0 to 60 points. A higher score indicates greater depressive symptoms.

Outcome measures

Outcome measures
Measure
Active Neuronetics rTMS Stimulator
n=5 Participants
Participants in this group were randomized to receive active repetitive transcranial magnetic stimulation (rTMS) five times a week at 10 pulses/sec, 120% of motor threshold, and 3000 pulses/session for 4 weeks.
Inactive Neuronetics rTMS Stimulator
n=7 Participants
Participants in this group were randomized to receive sham repetitive transcranial magnetic stimulation (rTMS) five times a week at 10 pulses/sec, 120% of motor threshold, and 3000 pulses/session for 4 weeks.
Depression Severity as Assessed by the Montgomery Åsberg Depression Rating Scale (MADRS) Score
Baseline
26.4 units on a scale
Standard Deviation 3.14
29.29 units on a scale
Standard Deviation 5.26
Depression Severity as Assessed by the Montgomery Åsberg Depression Rating Scale (MADRS) Score
Week 6
11.5 units on a scale
Standard Deviation 4.5
16.3 units on a scale
Standard Deviation 4.03

SECONDARY outcome

Timeframe: Baseline, Week 6

The Q-Les-SF assesses the degree of enjoyment and satisfaction experienced by individuals in various areas of daily functioning. The minimum raw score is 14, and the maximum score is 70. Higher scores indicate better satisfaction with life domains (physical health, feelings, work, household duties, school/course work, leisure time activities, and social relations).

Outcome measures

Outcome measures
Measure
Active Neuronetics rTMS Stimulator
n=5 Participants
Participants in this group were randomized to receive active repetitive transcranial magnetic stimulation (rTMS) five times a week at 10 pulses/sec, 120% of motor threshold, and 3000 pulses/session for 4 weeks.
Inactive Neuronetics rTMS Stimulator
n=7 Participants
Participants in this group were randomized to receive sham repetitive transcranial magnetic stimulation (rTMS) five times a week at 10 pulses/sec, 120% of motor threshold, and 3000 pulses/session for 4 weeks.
Quality of Life Assessed by the Quality of Life Enjoyment and Satisfaction Questionnaire Short Form (Q-Les-SF) Score
Baseline
37.14 units on a scale
Standard Deviation 7.61
31.63 units on a scale
Standard Deviation 15.41
Quality of Life Assessed by the Quality of Life Enjoyment and Satisfaction Questionnaire Short Form (Q-Les-SF) Score
Week 6
67.86 units on a scale
Standard Deviation 7.14
40.18 units on a scale
Standard Deviation .89

Adverse Events

Active Neuronetics rTMS Stimulator

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

Inactive Neuronetics rTMS Stimulator

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. William McDonald

Emory University

Phone: 404-712-6945

Results disclosure agreements

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