Trial Outcomes & Findings for TMS for Adults With Autism and Depression (NCT NCT02939560)

NCT ID: NCT02939560

Last Updated: 2019-10-01

Results Overview

Hamilton Depression Rating Scale (HAM-D) with 17 questions. Minimum score = 0, maximum 53. Higher scores mean more severe depression.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

13 participants

Primary outcome timeframe

Baseline through Week 5

Results posted on

2019-10-01

Participant Flow

Participant milestones

Participant milestones
Measure
rTMS
Participants will receive rTMS sessions according to the study protocol. NeuroStar® TMS device (Neuronetics, Atlanta, GA): Participants in this study arm will be evaluated before and after receiving rTMS. Outcome measures will include social skills rating scales, depression rating scales and cognitive tasks while undergoing functional magnetic resonance imaging (fMRI).
Overall Study
STARTED
13
Overall Study
COMPLETED
10
Overall Study
NOT COMPLETED
3

Reasons for withdrawal

Reasons for withdrawal
Measure
rTMS
Participants will receive rTMS sessions according to the study protocol. NeuroStar® TMS device (Neuronetics, Atlanta, GA): Participants in this study arm will be evaluated before and after receiving rTMS. Outcome measures will include social skills rating scales, depression rating scales and cognitive tasks while undergoing functional magnetic resonance imaging (fMRI).
Overall Study
Withdrawal by Subject
2
Overall Study
Protocol Violation
1

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
rTMS
n=13 Participants
Participants will receive rTMS sessions according to the study protocol. NeuroStar® TMS device (Neuronetics, Atlanta, GA): Participants in this study arm will be evaluated before and after receiving rTMS. Outcome measures will include social skills rating scales, depression rating scales and cognitive tasks while undergoing functional magnetic resonance imaging (fMRI).
Age, Categorical
<=18 years
0 Participants
n=13 Participants
Age, Categorical
Between 18 and 65 years
13 Participants
n=13 Participants
Age, Categorical
>=65 years
0 Participants
n=13 Participants
Age, Continuous
25.5 years
n=13 Participants
Sex: Female, Male
Female
1 Participants
n=13 Participants
Sex: Female, Male
Male
12 Participants
n=13 Participants
Region of Enrollment
United States
13 Participants
n=13 Participants

PRIMARY outcome

Timeframe: Baseline through Week 5

Hamilton Depression Rating Scale (HAM-D) with 17 questions. Minimum score = 0, maximum 53. Higher scores mean more severe depression.

Outcome measures

Outcome measures
Measure
rTMS
n=10 Participants
Participants will receive rTMS sessions according to the study protocol. NeuroStar® TMS device (Neuronetics, Atlanta, GA): Participants in this study arm will be evaluated before and after receiving rTMS. Outcome measures will include social skills rating scales, depression rating scales and cognitive tasks while undergoing functional magnetic resonance imaging (fMRI).
Change From Baseline in Hamilton Depression Rating Scale
Baseline
21.5 score on a scale
Standard Deviation 4.3
Change From Baseline in Hamilton Depression Rating Scale
Week 5
10.2 score on a scale
Standard Deviation 6.5

PRIMARY outcome

Timeframe: Baseline, Week 5, Week 9, Week 17

Aberrant Behavior Checklist. Minimum 0, maximum 174. Higher scores indicate worse behaviors.

Outcome measures

Outcome measures
Measure
rTMS
n=10 Participants
Participants will receive rTMS sessions according to the study protocol. NeuroStar® TMS device (Neuronetics, Atlanta, GA): Participants in this study arm will be evaluated before and after receiving rTMS. Outcome measures will include social skills rating scales, depression rating scales and cognitive tasks while undergoing functional magnetic resonance imaging (fMRI).
Change From Baseline in Aberrant Behavior Checklist
Baseline
53 score on a scale
Standard Deviation 28
Change From Baseline in Aberrant Behavior Checklist
Week 5
24 score on a scale
Standard Deviation 16
Change From Baseline in Aberrant Behavior Checklist
Week 9
20 score on a scale
Standard Deviation 21
Change From Baseline in Aberrant Behavior Checklist
Week 17
30 score on a scale
Standard Deviation 28

PRIMARY outcome

Timeframe: Baseline, Week 5, Week 9, Week 17

Social Responsiveness Scale-2. Minimum 0, maximum 195. Higher indicates worse behaviors

Outcome measures

Outcome measures
Measure
rTMS
n=10 Participants
Participants will receive rTMS sessions according to the study protocol. NeuroStar® TMS device (Neuronetics, Atlanta, GA): Participants in this study arm will be evaluated before and after receiving rTMS. Outcome measures will include social skills rating scales, depression rating scales and cognitive tasks while undergoing functional magnetic resonance imaging (fMRI).
Change From Baseline in Social Responsiveness Scale-2
Baseline
70.5 score on a scale
Standard Deviation 10.6
Change From Baseline in Social Responsiveness Scale-2
Week 5
70.1 score on a scale
Standard Deviation 14.3
Change From Baseline in Social Responsiveness Scale-2
Week 9
66.0 score on a scale
Standard Deviation 16.6
Change From Baseline in Social Responsiveness Scale-2
Week 17
66.9 score on a scale
Standard Deviation 15.0

PRIMARY outcome

Timeframe: Baseline, Week 5, Week 9, Week 17

Ritvo Autism-Aspergers Diagnostic Scale. Minimum 0, maximum 240. Higher indicates worse symptoms.

Outcome measures

Outcome measures
Measure
rTMS
n=10 Participants
Participants will receive rTMS sessions according to the study protocol. NeuroStar® TMS device (Neuronetics, Atlanta, GA): Participants in this study arm will be evaluated before and after receiving rTMS. Outcome measures will include social skills rating scales, depression rating scales and cognitive tasks while undergoing functional magnetic resonance imaging (fMRI).
Change From Baseline in Ritvo Autism-Aspergers Diagnostic Scale
Baseline
38 score on a scale
Standard Deviation 11
Change From Baseline in Ritvo Autism-Aspergers Diagnostic Scale
Week 5
38 score on a scale
Standard Deviation 15
Change From Baseline in Ritvo Autism-Aspergers Diagnostic Scale
Week 9
39 score on a scale
Standard Deviation 14
Change From Baseline in Ritvo Autism-Aspergers Diagnostic Scale
Week 17
39 score on a scale
Standard Deviation 15

PRIMARY outcome

Timeframe: Baseline, Week 5, Week 9, Week 17

Repetitive Behavior Scale-Revised Global Impression. Minimum 0, maximum 100. Higher indicates worse behaviors

Outcome measures

Outcome measures
Measure
rTMS
n=10 Participants
Participants will receive rTMS sessions according to the study protocol. NeuroStar® TMS device (Neuronetics, Atlanta, GA): Participants in this study arm will be evaluated before and after receiving rTMS. Outcome measures will include social skills rating scales, depression rating scales and cognitive tasks while undergoing functional magnetic resonance imaging (fMRI).
Change From Baseline in Repetitive Behavior Scale-Revised
Baseline
59 units on a scale
Standard Deviation 26
Change From Baseline in Repetitive Behavior Scale-Revised
Week 5
26 units on a scale
Standard Deviation 25
Change From Baseline in Repetitive Behavior Scale-Revised
Week 9
27 units on a scale
Standard Deviation 22
Change From Baseline in Repetitive Behavior Scale-Revised
Week 17
30 units on a scale
Standard Deviation 18

SECONDARY outcome

Timeframe: Baseline, Week 5

Population: Unable to obtain due to lack of available equipment.

Functional MRI data during cognitive processing tasks

Outcome measures

Outcome data not reported

Adverse Events

rTMS

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
rTMS
n=13 participants at risk
Participants will receive rTMS sessions according to the study protocol. NeuroStar® TMS device (Neuronetics, Atlanta, GA): Participants in this study arm will be evaluated before and after receiving rTMS. Outcome measures will include social skills rating scales, depression rating scales and cognitive tasks while undergoing functional magnetic resonance imaging (fMRI).
Nervous system disorders
Seizure
7.7%
1/13 • Number of events 1 • Baseline to 17 weeks

Additional Information

McLeod F. Gwynette, MD

Medical University of South Carolina

Phone: 843-792-9162

Results disclosure agreements

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