Effects of a Classic High-frequency rTMS Treatment Versus a Deep rTMS Treatment

NCT ID: NCT04956016

Last Updated: 2026-01-13

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

RECRUITING

Clinical Phase

NA

Total Enrollment

152 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-08-23

Study Completion Date

2028-08-31

Brief Summary

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The main objective is to demonstrate that dTMS is more efficient than high frequency rTMS with a conventional coil.

The patient will receive treatment arm A or B :

Arm A : classic rTMS treatment (use of the 8-shaped coil) and standard therapy Arm B: treatment with deep rTMS (use of the H-shaped coil (helmet)) and standard therapies.

20 rTMS sessions are planned (5 sessions per week) and 3 follow-up visits : at Day 30, Day 60 and Day 90.

Detailed Description

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Conditions

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Depressive Disorder, Treatment-Resistant

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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classic rTMS treatment

Arm A: classic rTMS treatment (use of the 8-shaped coil) and standard therapy

Group Type ACTIVE_COMPARATOR

classic rTMS using the 8-shaped coil

Intervention Type DEVICE

20 rTMS sessions are planned (5 sessions per week)

treatment with deep rTMS

Arm B: treatment with deep rTMS (use of the H1-shaped coil (helmet)) and standard therapies

Group Type ACTIVE_COMPARATOR

deep rTMS using the H1-shaped coil

Intervention Type DEVICE

20 rTMS sessions are planned (5 sessions per week)

Interventions

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classic rTMS using the 8-shaped coil

20 rTMS sessions are planned (5 sessions per week)

Intervention Type DEVICE

deep rTMS using the H1-shaped coil

20 rTMS sessions are planned (5 sessions per week)

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Volunteer subjects over 18 years old
* Having signed a free and informed consent
* Having a diagnostic of caracterised depressive episod recurrent or isolated according to DSM IV criteria (A.P.A 1994).
* Having an antidepressant treatment not modified since 3 weeks
* Score to MADRS scale ≥ 21
* Subject affiliated to a social security regimen

Exclusion Criteria

* Depression with psychotic caracteristics
* Co-morbid diagnosis according to axis I (DSM IV) of schizophrenia, dependence (or abuse) on alcohol and / or another substance (lifetime)
* Patient who has already undergone seismotherapy for current episode and non-responder to this treatment
* Patient hospitalized under duress or under legal protection (guardianship, curatorship)
* Patient with a high risk of suicide (item 10 of MADRS \> 4) in the absence of hospitalization.
* Contra-indication for IRM exam or rTMS : personnal history of comitial crisis, of neurological or neurochirurgical pathologies, metallic prosthetic material or foreign body (pacemaker, intraoculare ferromagnetic material, implanted cardiac defibrillator, cochlear implant, metal clip
* Pregnancy
* Simultaneous participation to another interventionnal study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier Henri Laborit

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ghina HARIKA-GERMANEAU, Dr

Role: PRINCIPAL_INVESTIGATOR

Centre Hospitalier Henri Laborit

Locations

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Centre Hospitalier Henri Laborit

Poitiers, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Ghina HARIKA-GERMANEAU, Dr

Role: CONTACT

0033 5 16 52 61 18

Facility Contacts

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Ghina Harika-Germaneau, MD, PhD

Role: primary

Other Identifiers

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2021-A00796-35

Identifier Type: -

Identifier Source: org_study_id

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