Neuroimaging Guided and Robot-assisted rTMS for Suicidal Ideation of Depression

NCT ID: NCT04653337

Last Updated: 2023-04-05

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

PHASE2

Total Enrollment

56 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-09-28

Study Completion Date

2023-12-31

Brief Summary

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There is relatively insufficient evidence on whether rTMS can improve suicidal ideation in depressive patients. And existing studies have been inconsistent in the treatment of depressive suicidal thoughts. The possible reason is inaccurate stimuli localization. Improving the accuracy of rTMS stimulus positioning may further improve the intervention effect of suicidal ideation. This study will introduce an automated TMS system with robot control and optical sensor combined with neuronavigation softwarea. By using the robot based on neuronavigation system, the rTMS coil can be accurately positioned over any preselected brain region. An infrared optical measurement device is also used in order to detect and compensate for head movements of the patient. The purpose of this randomized double-blind and sham-controlled study is to test the efficacy and safety of robot-assisted rTMS based on neuronavigation in the treatment of depressive suicidal ideation.

Detailed Description

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Conditions

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Suicidal Ideation Depression

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Robot-assisted accelerated iTBS-1800 and Antidepressants

MDD patients with suicidal ideation will receive antidepressants combined with robot-assisted accelerated iTBS-1800(10 sessions per day over 5 consecutive days). This group is in order to determine the safety, tolerability and feasibility of accelerated iTBS protocol.

Group Type EXPERIMENTAL

Robot-assisted accelerated iTBS-1800 combined with serotonin-norepinephrine reuptake inhibitors(SNRIs)

Intervention Type COMBINATION_PRODUCT

Subjects will receive a 5-day trial of robot-assisted accelerated iTBS-1800 (10 sessions of iTBS1800 with 50 min interval per day over 5 consecutive days) combined with SNRIs(Venlafaxine or Duloxetine).

Robot-assisted accelerated iTBS-600 and Antidepressants

MDD patients with suicidal ideation will receive antidepressants combined with robot-assisted accelerated iTBS-600(6 sessions of iTBS with 30 min interval per day over 5 consecutive days).

Group Type ACTIVE_COMPARATOR

Robot-assisted accelerated iTBS-600 combined with serotonin-norepinephrine reuptake inhibitors(SNRIs)

Intervention Type COMBINATION_PRODUCT

Subjects will receive a 5-day trial of robot-assisted accelerated iTBS-600 (6 sessions of iTBS600 with 30 min interval per day over 5 consecutive days) combined with SNRIs(Venlafaxine or Duloxetine)

Sham accelerated iTBS-600 and Antidepressants

MDD patients with suicidal ideation and depression will receive antidepressants combined with sham accelerated iTBS-600(6 sessions of sham iTBS with 30 min interval per day over 5 consecutive days).

Group Type SHAM_COMPARATOR

Sham accelerated iTBS combined with serotonin-norepinephrine reuptake inhibitors(SNRIs)

Intervention Type COMBINATION_PRODUCT

Subjects will receive a 5-day trial of sham accelerated iTBS (6 sessions of iTBS600 with 30 min interval per day over 5 consecutive days) combined with SNRIs(Venlafaxine or Duloxetine)

Interventions

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Robot-assisted accelerated iTBS-1800 combined with serotonin-norepinephrine reuptake inhibitors(SNRIs)

Subjects will receive a 5-day trial of robot-assisted accelerated iTBS-1800 (10 sessions of iTBS1800 with 50 min interval per day over 5 consecutive days) combined with SNRIs(Venlafaxine or Duloxetine).

Intervention Type COMBINATION_PRODUCT

Robot-assisted accelerated iTBS-600 combined with serotonin-norepinephrine reuptake inhibitors(SNRIs)

Subjects will receive a 5-day trial of robot-assisted accelerated iTBS-600 (6 sessions of iTBS600 with 30 min interval per day over 5 consecutive days) combined with SNRIs(Venlafaxine or Duloxetine)

Intervention Type COMBINATION_PRODUCT

Sham accelerated iTBS combined with serotonin-norepinephrine reuptake inhibitors(SNRIs)

Subjects will receive a 5-day trial of sham accelerated iTBS (6 sessions of iTBS600 with 30 min interval per day over 5 consecutive days) combined with SNRIs(Venlafaxine or Duloxetine)

Intervention Type COMBINATION_PRODUCT

Eligibility Criteria

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Inclusion Criteria

* 18-60 years
* meeting the criteria of the Diagnostic and Statistical Manual of Mental Disorder- V of MDD, single or recurrent
* have a score \> 17 on the HAMD-17
* have a score ≥ 6 on the BSI-CV
* right- handedness
* physical examination, medical history, vital signs, blood routine, liver and kidney function, ECG, EEG and other indicators are normal
* are voluntary and competent to consent to treatment

Exclusion Criteria

* People with a history of severe physical illness and depression caused by psychoactive substances and non-dependent substances
* Patients with metal or electronic equipment, such as intracranial metal foreign bodies, cochlear implants, pacemakers and brace, etc.
* Risk of seizures, previous central nervous system diseases, head trauma, alcoholism, abnormal EEG, MRI evidence of abnormal brain structure, or family history of epilepsy
* Acute suicide
* have psychotic symptoms and need to use antipsychotic drugs
* receive ECT treatment within 2 months
* pregnant, breastfeeding or planning to become pregnant during the trial
* refuses to sign the consent
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Xijing Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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HuaNing WANG, PhD

Role: STUDY_CHAIR

Xijing Hospital

Locations

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XijingH

Xi'an, Shaan'xi, China

Site Status RECRUITING

Countries

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China

Central Contacts

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NaiLong TANG

Role: CONTACT

+8618960692506

Facility Contacts

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HuaNing WANG, PhD

Role: primary

Other Identifiers

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KY20202066-F-1

Identifier Type: -

Identifier Source: org_study_id

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