Combining H1-Coil Deep Transcranial Magnetic Stimulation (dTMS) and App-guided CBT in Subjects With Major Depression Disorder (MDD)

NCT ID: NCT04455646

Last Updated: 2020-07-09

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

Total Enrollment

540 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-08-26

Study Completion Date

2021-08-26

Brief Summary

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A naturalistic study design, in which dTMS patients will be randomized to get a free add-on CBT treatment. The dTMS procedure will include treatment as usual, and participants will use the app from post randomization (Pre-treatment is defined as measures from the first three days of treatment) to the end of dTMS treatment (Post-treatment which is defined as measures from after twenty TMS sessions over a minimum of four weeks), and for an additional three months of FU (FU).

Detailed Description

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Participants will be recruited from those attending dTMS clinics around the world (i.e.,naturalistic study design), and consenting individuals (in person consent done in the clinic on paper) will be given a random user code. This code will be specific for their version of the app, and the only link between their signature and the code will remain at the site for auditing purposes. Participants will undergo treatment as usual of dTMS and will use GGDE twice a day. Participants will be asked to complete demographic and clinical questionnaires via the GGDE app, and relevant clinical questionnaires will be re-administered following treatment and during FU. The initial and all following dTMS sessions will involve patients going through the stimulation procedure (The operator will record stimulation variables such as individual patient's intensity of stimulation and coil location into GGDE) followed by 5 min of GGDE use. The patient will indicate which statements (in that session) were most relevant and challenging to them, which will be followed by a pre-prepared psycho-education paragraph about the specific maladaptive belief addressed by the app that day. The patient will then be prompted to use the app one more time at home during the same day. Patient will continue similar use during FU, with two GGDE usage each day. The naturalistic design will allow the accumulation of large quantities of data in a short period of time, aiming to optimize GGDE using machine learning. Importantly, GGDE will allow the random allocation of users to different GGDE modules of the app (i.e., similar app versions with changes in specific parameters related to different depressive traits). One out of the ten modules used in this trial will include neutral (placebo) stimuli requiring the user to respond to plus/minus signs rather than MDD relevant statements.

Conditions

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Data Collection for Facilitation of Machine Learning Algorithm for Personalized Treatment

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Interventions

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CBT-based, mobile-delivered, intervention platform

App of this platform have been shown to be associated with reduced psychopathology symptoms,including depressive symptoms, following treatment (i.e., relapse prevention). GGDE, which was specifically designed to address MDD related maladaptive beliefs and symptoms,includes different CBT-based intervention modules (nine active and one sham), as well as means for data collection and response monitoring. The active treatment modules will differ in the proportion of adaptive vs. maladaptive statements and the emphasis on particular content (e.g loneliness vs. hopelessness).

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Adult outpatients accepted to treatment as usual dTMS with a Primary DSM-V diagnosis of Major Depression, single or recurrent episode
* Capable and willing to provide informed consent
* In a possession of a Smartphone capable of running the GGDE app.
* Able to adhere to the treatment schedule.

Exclusion Criteria

Investigators, site personnel directly affiliated with this study, and their immediate families (immediate family is defined as a spouse, parent, child or sibling, whether by birth or legal adoption).

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Minimum Eligible Age

22 Years

Maximum Eligible Age

68 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Brainsway

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Kadima Neuropsychiatry

San Diego, California, United States

Site Status RECRUITING

Advanced Mental Health Care Inc. - Juno Beach

Juno Beach, Florida, United States

Site Status RECRUITING

Advanced Mental Health Care Inc. - Palm Beach

Palm Beach, Florida, United States

Site Status RECRUITING

Advanced Mental Health Care Inc. - Royal Palm Beach

Royal Palm Beach, Florida, United States

Site Status RECRUITING

Greenbrook - Annapolis

Annapolis, Maryland, United States

Site Status RECRUITING

Greenbrook - Columbia

Columbia, Maryland, United States

Site Status RECRUITING

Greenbrook - Frederick

Frederick, Maryland, United States

Site Status RECRUITING

Greenbrook - Glen Burnie

Glen Burnie, Maryland, United States

Site Status RECRUITING

Greenbrook - Greenbelt

Greenbelt, Maryland, United States

Site Status RECRUITING

Greenbrook - Kensington

Kensington, Maryland, United States

Site Status RECRUITING

Greenbrook - Olney

Olney, Maryland, United States

Site Status RECRUITING

Greenbrook - Rockville

Rockville, Maryland, United States

Site Status RECRUITING

Greenbrook - O'Fallon

O'Fallon, Missouri, United States

Site Status RECRUITING

Greenbrook - Tesson Ferry

St Louis, Missouri, United States

Site Status RECRUITING

Greenbrook - Creve Coeur

St Louis, Missouri, United States

Site Status RECRUITING

Greenbrook - Chapel Hill

Chapel Hill, North Carolina, United States

Site Status RECRUITING

Greenbrook - Greensboro

Greensboro, North Carolina, United States

Site Status RECRUITING

Greenbrook - Matthews

Matthews, North Carolina, United States

Site Status RECRUITING

Greenbrook - Raleigh

Raleigh, North Carolina, United States

Site Status RECRUITING

Greenbrook - Glen Allen

Glen Allen, Virginia, United States

Site Status RECRUITING

Greenbrook TMS NeuroHealth Centers

McLean, Virginia, United States

Site Status RECRUITING

Greenbook - Newport News

Newport News, Virginia, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Aron Tendler, MD

Role: CONTACT

(561) 333-8884

Amit Ezra, MA

Role: CONTACT

+972503103134 ext. +972503103134

Facility Contacts

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David Feifel, MD

Role: primary

858-412-4130

Elyssa Sisko

Role: primary

561-267-8876

Elyssa Sisko

Role: primary

561-333-8884

Role: backup

561-386-1600

Elyssa Sisko

Role: primary

561-267-8876

Hanita Chhabra, MD

Role: primary

443-837-9645

Misty Borst, MD

Role: primary

443-718-5206

Joshua Sussal, MD

Role: primary

240-651-6824

Hanita Chhabra, MD

Role: primary

443-577-3703

Joshua Sussal, MD

Role: primary

240-542-0186

Geoffrey Grammer, MD

Role: primary

855-940-4867

Joshua Sussal, MD

Role: primary

301-476-0391

Geoffrey Grammer, MD

Role: primary

855-940-4867

Howard Ilivicky, MD

Role: primary

314-497-9657

Steven Harvey, MD

Role: primary

314-748-0091

Robert Rifkin, MD

Role: primary

314-720-8561

Andrea Hernandez, MD

Role: primary

919-951-0271

Keshavpal Reddy, MD

Role: primary

336-808-0986

Darlene Ifill-Taylor, MD

Role: primary

704-321-8252

Kellie Tolin, MD

Role: primary

984-789-4739

William Sauvé, MD

Role: primary

804-980-7520

Jessica Oleksik

Role: primary

703-356-1568

Kirsten Burke

Role: backup

703-356-1568

William Sauvé, MD

Role: primary

757-320-0224

Other Identifiers

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101

Identifier Type: -

Identifier Source: org_study_id

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