Trial Outcomes & Findings for Safety and Effectiveness of NeuroStar® Transcranial Magnetic Stimulation (TMS) Therapy in Depressed Adolescents (NCT NCT02586688)

NCT ID: NCT02586688

Last Updated: 2025-06-12

Results Overview

The Hamilton Rating Scale for Depression (HRSD), also called the Hamilton Depression Rating Scale (HDRS), sometimes also abbreviated as HAM-D, is a multiple-item questionnaire used to provide an indication of depression, and as a guide to evaluate recovery.HAM-D-24 24-item Hamilton Depression Rating Scale; Lower score is better (76 to 0)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

112 participants

Primary outcome timeframe

6 weeks

Results posted on

2025-06-12

Participant Flow

Data regarding Phase 2 and phase 3 of the study is not available. Primary analyses for the phase 1 data showed the study didnt meet its primary end point and hence no further analyses was done.

Participant milestones

Participant milestones
Measure
TMS Active
Blinded Active TMS coil (Phase I). Active NeuroStar® Transcranial Magnetic Stimulation (TMS) Active NeuroStar® Transcranial Magnetic Stimulation (TMS): Compare active NeuroStar® coil with sham NeuroStar® coil.
TMS Sham
Blinded Sham TMS coil (Phase I) Sham NeuroStar® Transcranial Magnetic Stimulation (TMS) Sham NeuroStar® Transcranial Magnetic Stimulation (TMS): Compare active NeuroStar® coil with sham NeuroStar® coil.
Overall Study
STARTED
54
58
Overall Study
COMPLETED
48
55
Overall Study
NOT COMPLETED
6
3

Reasons for withdrawal

Reasons for withdrawal
Measure
TMS Active
Blinded Active TMS coil (Phase I). Active NeuroStar® Transcranial Magnetic Stimulation (TMS) Active NeuroStar® Transcranial Magnetic Stimulation (TMS): Compare active NeuroStar® coil with sham NeuroStar® coil.
TMS Sham
Blinded Sham TMS coil (Phase I) Sham NeuroStar® Transcranial Magnetic Stimulation (TMS) Sham NeuroStar® Transcranial Magnetic Stimulation (TMS): Compare active NeuroStar® coil with sham NeuroStar® coil.
Overall Study
Lost to Follow-up
2
1
Overall Study
Withdrawal by Subject
1
1
Overall Study
Adverse Event
3
1

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
TMS Active Arm
n=48 Participants
Blinded Active TMS coil Active NeuroStar® Transcranial Magnetic Stimulation (TMS) Active NeuroStar® Transcranial Magnetic Stimulation (TMS): Compare active NeuroStar® coil with sham NeuroStar® coil.
TMS Sham Arm
n=55 Participants
Blinded Sham TMS coil Sham NeuroStar® Transcranial Magnetic Stimulation (TMS) Sham NeuroStar® Transcranial Magnetic Stimulation (TMS): Compare active NeuroStar® coil with sham NeuroStar® coil.
Total
n=103 Participants
Total of all reporting groups
Age, Categorical
<=18 years
27 Participants
n=48 Participants
35 Participants
n=55 Participants
62 Participants
n=103 Participants
Age, Categorical
Between 18 and 65 years
21 Participants
n=48 Participants
20 Participants
n=55 Participants
41 Participants
n=103 Participants
Age, Categorical
>=65 years
0 Participants
n=48 Participants
0 Participants
n=55 Participants
0 Participants
n=103 Participants
Age, Continuous
17.6 years
STANDARD_DEVIATION 2.28 • n=48 Participants
17.2 years
STANDARD_DEVIATION 2.22 • n=55 Participants
17.4 years
STANDARD_DEVIATION 2.25 • n=103 Participants
Sex: Female, Male
Female
30 Participants
n=48 Participants
37 Participants
n=55 Participants
67 Participants
n=103 Participants
Sex: Female, Male
Male
18 Participants
n=48 Participants
18 Participants
n=55 Participants
36 Participants
n=103 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
48 participants
n=48 Participants
55 participants
n=55 Participants
103 participants
n=103 Participants
The Hamilton Rating Scale for Depression (HRSD)
28.8 units on a scale
STANDARD_DEVIATION 5.75 • n=48 Participants
29.5 units on a scale
STANDARD_DEVIATION 6.69 • n=55 Participants
29.15 units on a scale
STANDARD_DEVIATION 6.22 • n=103 Participants

PRIMARY outcome

Timeframe: 6 weeks

Population: Open Label population not analyzed for primary treatment effect. Continued treatment for maintenance

The Hamilton Rating Scale for Depression (HRSD), also called the Hamilton Depression Rating Scale (HDRS), sometimes also abbreviated as HAM-D, is a multiple-item questionnaire used to provide an indication of depression, and as a guide to evaluate recovery.HAM-D-24 24-item Hamilton Depression Rating Scale; Lower score is better (76 to 0)

Outcome measures

Outcome measures
Measure
Phase I TMS Active
n=48 Participants
Blinded Active TMS coil (Phase I). Active NeuroStar® Transcranial Magnetic Stimulation (TMS) Active NeuroStar® Transcranial Magnetic Stimulation (TMS): Compare active NeuroStar® coil with sham NeuroStar® coil.
Phase I TMS Sham
n=55 Participants
Blinded Sham TMS coil (Phase I) Sham NeuroStar® Transcranial Magnetic Stimulation (TMS) Sham NeuroStar® Transcranial Magnetic Stimulation (TMS): Compare active NeuroStar® coil with sham NeuroStar® coil.
Hamilton Depression Rating Scale-24(HAMD24) Total Score Change From Baseline Value.
-11.1 score on a scale
Standard Error 2.03
-10.6 score on a scale
Standard Error 2.00

Adverse Events

TMS Active Arm

Serious events: 3 serious events
Other events: 31 other events
Deaths: 0 deaths

TMS Sham Arm

Serious events: 1 serious events
Other events: 19 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
TMS Active Arm
n=54 participants at risk
Blinded Active TMS coil . Active NeuroStar® Transcranial Magnetic Stimulation (TMS) Active NeuroStar® Transcranial Magnetic Stimulation (TMS): Compare active NeuroStar® coil with sham NeuroStar® coil.
TMS Sham Arm
n=58 participants at risk
Blinded Sham TMS coil Sham NeuroStar® Transcranial Magnetic Stimulation (TMS) Sham NeuroStar® Transcranial Magnetic Stimulation (TMS): Compare active NeuroStar® coil with sham NeuroStar® coil.
Psychiatric disorders
Suicide Attempt (classified as definitely not related to the study device)
1.9%
1/54 • Number of events 1 • 6 weeks
Summary of AEs during the first 6 weeks post randomization to active TMS vs Sham
0.00%
0/58 • 6 weeks
Summary of AEs during the first 6 weeks post randomization to active TMS vs Sham
Psychiatric disorders
Suicidal Ideation- not related to study device
1.9%
1/54 • Number of events 1 • 6 weeks
Summary of AEs during the first 6 weeks post randomization to active TMS vs Sham
1.7%
1/58 • Number of events 1 • 6 weeks
Summary of AEs during the first 6 weeks post randomization to active TMS vs Sham
Psychiatric disorders
Worsening Depression- classified as definitely not related to the study device
1.9%
1/54 • Number of events 1 • 6 weeks
Summary of AEs during the first 6 weeks post randomization to active TMS vs Sham
0.00%
0/58 • 6 weeks
Summary of AEs during the first 6 weeks post randomization to active TMS vs Sham

Other adverse events

Other adverse events
Measure
TMS Active Arm
n=54 participants at risk
Blinded Active TMS coil . Active NeuroStar® Transcranial Magnetic Stimulation (TMS) Active NeuroStar® Transcranial Magnetic Stimulation (TMS): Compare active NeuroStar® coil with sham NeuroStar® coil.
TMS Sham Arm
n=58 participants at risk
Blinded Sham TMS coil Sham NeuroStar® Transcranial Magnetic Stimulation (TMS) Sham NeuroStar® Transcranial Magnetic Stimulation (TMS): Compare active NeuroStar® coil with sham NeuroStar® coil.
Eye disorders
Eye Pain
5.6%
3/54 • Number of events 3 • 6 weeks
Summary of AEs during the first 6 weeks post randomization to active TMS vs Sham
0.00%
0/58 • 6 weeks
Summary of AEs during the first 6 weeks post randomization to active TMS vs Sham
Gastrointestinal disorders
Nausea
11.1%
6/54 • Number of events 6 • 6 weeks
Summary of AEs during the first 6 weeks post randomization to active TMS vs Sham
5.2%
3/58 • Number of events 3 • 6 weeks
Summary of AEs during the first 6 weeks post randomization to active TMS vs Sham
Gastrointestinal disorders
Vomiting
5.6%
3/54 • Number of events 3 • 6 weeks
Summary of AEs during the first 6 weeks post randomization to active TMS vs Sham
3.4%
2/58 • Number of events 2 • 6 weeks
Summary of AEs during the first 6 weeks post randomization to active TMS vs Sham
Musculoskeletal and connective tissue disorders
Neck Pain
5.6%
3/54 • Number of events 3 • 6 weeks
Summary of AEs during the first 6 weeks post randomization to active TMS vs Sham
5.2%
3/58 • Number of events 3 • 6 weeks
Summary of AEs during the first 6 weeks post randomization to active TMS vs Sham
Gastrointestinal disorders
Twitching Facial
7.4%
4/54 • Number of events 4 • 6 weeks
Summary of AEs during the first 6 weeks post randomization to active TMS vs Sham
1.7%
1/58 • Number of events 1 • 6 weeks
Summary of AEs during the first 6 weeks post randomization to active TMS vs Sham
Nervous system disorders
Headache
31.5%
17/54 • Number of events 17 • 6 weeks
Summary of AEs during the first 6 weeks post randomization to active TMS vs Sham
17.2%
10/58 • Number of events 10 • 6 weeks
Summary of AEs during the first 6 weeks post randomization to active TMS vs Sham

Additional Information

Director of Clinical Operations

Neuronetics

Phone: 16123067393

Results disclosure agreements

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