Pre-mapping Networks for Brain Stimulation 2

NCT ID: NCT05260086

Last Updated: 2022-05-19

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

COMPLETED

Clinical Phase

NA

Total Enrollment

92 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-04-15

Study Completion Date

2022-05-12

Brief Summary

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The investigators compare the primary and secondary outcome measures using accelerated intermittent theta burst stimulation (aiTBS, 20 sessions active and 20 sessions sham in a counterbalanced crossover design) to treat depressive symptoms with 2 parallel arms of intervention: personalized (stimulation position based on participants' brain networks) vs conventional (stimulation in F3 position of the 10-20 EEG cap) aiTBS.

Detailed Description

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Conditions

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Depressive Episode Major Depressive Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

The investigators compare study outcomes using aiTBS in personalized stimulation targets vs conventional F3 stimulation targets in parallel arms, each arm controlled by its respective sham stimulation in a counterbalanced crossover design.
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Personalized aiTBS active - sham

counterbalanced crossover with sham neuronavigated stimulation

Group Type EXPERIMENTAL

Neuronavigated aiTBS

Intervention Type DEVICE

Accelerated intermittent theta burst stimulation (aiTBS, 4 sessions per day with at least 20 minutes pause between sessions) in the left dorsolateral prefrontal cortex (DLPFC)

Conventional (F3) aiTBS active - sham

counterbalanced crossover with sham neuronavigated stimulation

Group Type ACTIVE_COMPARATOR

Neuronavigated aiTBS

Intervention Type DEVICE

Accelerated intermittent theta burst stimulation (aiTBS, 4 sessions per day with at least 20 minutes pause between sessions) in the left dorsolateral prefrontal cortex (DLPFC)

Interventions

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Neuronavigated aiTBS

Accelerated intermittent theta burst stimulation (aiTBS, 4 sessions per day with at least 20 minutes pause between sessions) in the left dorsolateral prefrontal cortex (DLPFC)

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Men and women between the ages of 18 and 60 years
* Diagnosis of major depressive disorder according to DSM 5 (F32.x according to ICD-10) or bipolar disorder (bipolar I or bipolar II) according to DSM 5 (F31.x according to ICD-10) and an acute depressive condition at the time of the initial examination in outpatient or inpatient treatment (e.g. Department of Psychiatry and Psychotherapy, UMG)
* Availability of informed consent to participate in the study, including the examinations and interventions

Exclusion Criteria

* Neurological diseases, current or previous
* Other Axis I diagnoses that mimic the affective disorder, current or previous
* Physical illnesses that could be related to the affective symptoms (so-called organic causes)
* Illicit drug use in the past month
* Substance dependence, current or previous
* Physical illnesses which, depending on their type and severity, could interfere with the planned examinations, influence the parameters to be examined or endanger the test participant during the course of the examination
* Medical contraindications against performing an MRT examination / rTMS application (such as metal parts in the body, e.g. implants, pacemakers, infusion pumps, metal splinters, etc.)
* Pregnancy
* Previously known cerebral-morphological abnormalities (e.g. tumor, lesion, etc.)
* Evidence or history of epilepsy
* Head trauma with a history of loss of consciousness
* Unwillingness to be informed of incidental findings
* Participation in an rTMS / EKT application within the last 8 weeks
* Lack of the ability to provide informed consent
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Medical Center Goettingen

OTHER

Sponsor Role lead

Responsible Party

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PD Dr. Roberto Goya-Maldonado

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Roberto Goya-Maldonado, MD

Role: PRINCIPAL_INVESTIGATOR

University Medical Center Göttingen (UMG)

Locations

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Laboratory of Systems Neuroscience and Imaging in Psychiatry (SNIP-Lab Göttingen)

Göttingen, , Germany

Site Status

Countries

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Germany

Other Identifiers

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01759

Identifier Type: -

Identifier Source: org_study_id

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