Trial Outcomes & Findings for NeoSync TMS Treatment for Bipolar I Depression (NCT NCT02839798)

NCT ID: NCT02839798

Last Updated: 2020-04-09

Results Overview

The Montgomery-Asberg Depression Rating Scale (MADRS) will be performed as a baseline and endpoint assessments and efficacy measure. It's considered the gold standard for rating depression severity and used frequently in clinical trials. The MADRS score ranges from 0 to 60; a score of 0-6 is generally accepted to be within the normal range (or in clinical remission), while a score of 20 or higher indicates at least moderate severity.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

6 participants

Primary outcome timeframe

Baseline to week 6 reported

Results posted on

2020-04-09

Participant Flow

Participant milestones

Participant milestones
Measure
sTMS Active
Treatment with the NEST Device NEST (NeoSync EEG Synchronized TMS): The NeoSync EEG Synchronized TMS (NEST) is an electromechanical medical device that produces and delivers a sinusoidal magnetic field to areas of the brain in the treatment of Bipolar Depression.
Overall Study
STARTED
6
Overall Study
COMPLETED
4
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Reasons for withdrawal
Measure
sTMS Active
Treatment with the NEST Device NEST (NeoSync EEG Synchronized TMS): The NeoSync EEG Synchronized TMS (NEST) is an electromechanical medical device that produces and delivers a sinusoidal magnetic field to areas of the brain in the treatment of Bipolar Depression.
Overall Study
Withdrawal by Subject
2

Baseline Characteristics

NeoSync TMS Treatment for Bipolar I Depression

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
sTMS Active
n=6 Participants
Treatment with the NEST Device NEST (NeoSync EEG Synchronized TMS): The NeoSync EEG Synchronized TMS (NEST) is an electromechanical medical device that produces and delivers a sinusoidal magnetic field to areas of the brain in the treatment of Bipolar Depression.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
6 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
6 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
6 Participants
n=5 Participants
MADRS TOTAL SCORE
39.5 units on a scale
STANDARD_DEVIATION 5.0 • n=5 Participants

PRIMARY outcome

Timeframe: Baseline to week 6 reported

Population: Signed consent and got at least one treatment session

The Montgomery-Asberg Depression Rating Scale (MADRS) will be performed as a baseline and endpoint assessments and efficacy measure. It's considered the gold standard for rating depression severity and used frequently in clinical trials. The MADRS score ranges from 0 to 60; a score of 0-6 is generally accepted to be within the normal range (or in clinical remission), while a score of 20 or higher indicates at least moderate severity.

Outcome measures

Outcome measures
Measure
sTMS Active
n=6 Participants
Treatment with the NEST Device NEST (NeoSync EEG Synchronized TMS): The NeoSync EEG Synchronized TMS (NEST) is an electromechanical medical device that produces and delivers a sinusoidal magnetic field to areas of the brain in the treatment of Bipolar Depression.
Mean MADRS Total Score Change (Last Observation Carried Forward)
-17.8 score on a scale
Standard Deviation 12.2

SECONDARY outcome

Timeframe: Baseline and week 6

Population: signed consent and completed at least 1 treatment session

The Hamilton Rating Scale for Depression (HRSD-28) will be done at baseline and endpoint assessments. The HRSD-17 score, derived from the HRSD-28, will be analyzed. The HRSD-17 score ranges from 0-52; a score of 0-7 is generally accepted to be within the normal range (or in clinical remission), while a score of 20 or higher indicates at least moderate severity.

Outcome measures

Outcome measures
Measure
sTMS Active
n=6 Participants
Treatment with the NEST Device NEST (NeoSync EEG Synchronized TMS): The NeoSync EEG Synchronized TMS (NEST) is an electromechanical medical device that produces and delivers a sinusoidal magnetic field to areas of the brain in the treatment of Bipolar Depression.
Mean HDRS-17 Total Score Change (Last Observation Carried Forward)
-7.8 score on a scale
Standard Deviation 6.6

SECONDARY outcome

Timeframe: Baseline through week 6

Population: signed consent and completed at least 1 treatment session

The Inventory of Depressive Symptomatology (IDS-SR) will be performed as a baseline and after every 5 treatments. It's a standardized self-rating scale for depressive symptom severity used in many clinical trials. IDS-SR total score ranges from 0 to 84; a score of 0-13 is generally accepted to be within the normal range (or reflect clinical remission), while a score of 26 or higher indicates at least moderate severity. Single value was average mean IDS-SR score change.

Outcome measures

Outcome measures
Measure
sTMS Active
n=6 Participants
Treatment with the NEST Device NEST (NeoSync EEG Synchronized TMS): The NeoSync EEG Synchronized TMS (NEST) is an electromechanical medical device that produces and delivers a sinusoidal magnetic field to areas of the brain in the treatment of Bipolar Depression.
Mean IDS-SR Score Change (Last Observation Carried Forward)
-7.7 score on a scale
Standard Deviation 8.5

Adverse Events

ACTIVE sTMS

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
ACTIVE sTMS
n=6 participants at risk
Active Open Label Treatment with the NEST Device NEST (NeoSync EEG Synchronized TMS): The NeoSync EEG Synchronized TMS (NEST) is an electromechanical medical device that produces and delivers a sinusoidal magnetic field to areas of the brain in the treatment of Bipolar Depression.
Nervous system disorders
dizziness or lightheadedness
33.3%
2/6 • Number of events 2 • From Treatment Session #1 until Treatment #30 (6 weeks or LOCF if early termination)
participants were queried at each treatment session
Nervous system disorders
panic or anxiety attack
33.3%
2/6 • Number of events 2 • From Treatment Session #1 until Treatment #30 (6 weeks or LOCF if early termination)
participants were queried at each treatment session
Nervous system disorders
headache
50.0%
3/6 • Number of events 3 • From Treatment Session #1 until Treatment #30 (6 weeks or LOCF if early termination)
participants were queried at each treatment session
Gastrointestinal disorders
Gastrointestinal upset or nausea
33.3%
2/6 • Number of events 2 • From Treatment Session #1 until Treatment #30 (6 weeks or LOCF if early termination)
participants were queried at each treatment session
Psychiatric disorders
Irritability
16.7%
1/6 • Number of events 1 • From Treatment Session #1 until Treatment #30 (6 weeks or LOCF if early termination)
participants were queried at each treatment session
Psychiatric disorders
Suicidal Ideation
16.7%
1/6 • Number of events 1 • From Treatment Session #1 until Treatment #30 (6 weeks or LOCF if early termination)
participants were queried at each treatment session
Psychiatric disorders
Diminished Attention
16.7%
1/6 • Number of events 1 • From Treatment Session #1 until Treatment #30 (6 weeks or LOCF if early termination)
participants were queried at each treatment session
Ear and labyrinth disorders
Sinus Congestion
16.7%
1/6 • Number of events 1 • From Treatment Session #1 until Treatment #30 (6 weeks or LOCF if early termination)
participants were queried at each treatment session
Surgical and medical procedures
Tooth Extraction
16.7%
1/6 • Number of events 1 • From Treatment Session #1 until Treatment #30 (6 weeks or LOCF if early termination)
participants were queried at each treatment session
Nervous system disorders
Paresthesia
16.7%
1/6 • Number of events 1 • From Treatment Session #1 until Treatment #30 (6 weeks or LOCF if early termination)
participants were queried at each treatment session
Skin and subcutaneous tissue disorders
Contusion
16.7%
1/6 • Number of events 1 • From Treatment Session #1 until Treatment #30 (6 weeks or LOCF if early termination)
participants were queried at each treatment session

Additional Information

Dr. Linda Carpenter

Butler Hospital

Phone: 401-455-6349

Results disclosure agreements

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