Efficacy and Safety of DBS in Patients With Treatment-Resistant Depression

NCT ID: NCT03667872

Last Updated: 2018-12-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

6 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-01-15

Study Completion Date

2022-06-18

Brief Summary

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The habenula (Hb) is an ancient structure, located at the center of the dorsal diencephalic conduction system, a pathway involved in linking forebrain to midbrain regions. An increasing number of studies indicated that the lateral habeluna (LHb) is overactivity during depressive behaviors in rats, where it could drive the changes in midbrain monoamine neurotransmitter linked to depression. However, the efficiency and mechanism of deep brain stimulation (DBS) of the LHb and/or its major afferent bundle (i.e., stria medullaris thalami) could treat treatment-resistant major depression (TRD) is still unclear. This research will investigate the effectiveness and mechanism of bilateral MRI Compatible and Long-term LFP Recordable DBS to habenula and/or its major afferent bundle for treatment TRD patients.

Detailed Description

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Conditions

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Treatment Resistant Depressive Disorder

Keywords

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Deep Brain Stimulation Habenula Functional magnetic resonance imaging

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Device

MRI compatible and LFP recordable implantable stimulator

Group Type EXPERIMENTAL

Bilateral implantation of DBS system to Habeluna

Intervention Type PROCEDURE

Bilateral implantation of MRI compatible and LFP recordable DBS system to Habeluna

Interventions

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Bilateral implantation of DBS system to Habeluna

Bilateral implantation of MRI compatible and LFP recordable DBS system to Habeluna

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Age 18-70 years old;
* DSM-IV diagnosis of Major depression disorder of psychiatrists;
* More than 3 year's history of depression and failure to respond to a minimum of three different antidepressant treatments;
* Failure or intolerance or unwilling of an adequate course of electroconvulsive therapy (ECT) during any episode;
* HAMD-17≥20;
* GAF≤50;
* Capacity to provide informed consent (understanding of the study purpose and methods);

Exclusion Criteria

* Obvious medical and psychiatric comorbidities;
* Alcohol or substance abuse/dependence within 12 months;
* Antisocial personality disorder, dementia, current tic disorder;
* Subject has a history of 2 or more suicide attempts \< 12 months prior to the screening testing;
* Pregnancy and/or lactation;
* There are contraindications for DBS surgery and chronic stimulation.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Beijing Pins Medical Co., Ltd

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Habenula DBS

Shenzhen, Shenzhen, China

Site Status

Countries

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China

Central Contacts

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Zhiyan Wang

Role: CONTACT

Phone: 010-60736388

Email: [email protected]

Facility Contacts

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Xiaodong Cai

Role: primary

Yingli Zhang

Role: backup

Other Identifiers

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PINS-029

Identifier Type: -

Identifier Source: org_study_id