VGR Accelerated TMS Treatment for Depression

NCT ID: NCT06138678

Last Updated: 2024-11-25

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

146 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-01-15

Study Completion Date

2027-08-01

Brief Summary

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Intermittent theta burst stimulation (iTBS), a variant of repetitive transcranial magnetic stimulation (rTMS), is a well documented method for treatment of depression.

The aim of the study is to assess the effect of an accelerated iTBS protocol compared to a routine iTBS protocol. In the accelerated protocol patients will receive 1200 pulses per session (2 sessions per day, 15 treatment days) and in the routine protocol patients will receive 600 pulses per session (1 session per day, 30 treatment days).

Participants (n = 146) will be recruited among patients referred to iTBS and randomized to treatment. Participants will be assessed by a psychiatrist, or a resident psychiatrist, prior to treatment to assure that they fulfill all inclusion criteria and non of the exclusion criteria. A psychiatrist, or a resident psychiatrist, will assess depressive symptoms 3 and 6 weeks after first day of treatment. Patients will complete self-rating questionnaires during screening, weekly for 6 weeks starting from the first day of treatment, and 6 months after end of treatment.

Detailed Description

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Conditions

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Depression

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Accelerated iTBS protocol

Magnetic pulses of 120% of visual motor threshold applied in triplets of 50 Hz bursts, repeated at 5 Hz; 2 seconds on and 8 seconds off; 1200 pulses per session; total duration of 6 min 40 s over the left DLPFC (F3), given in 2 sessions per day (50 min interval) on 15 week days.

Group Type EXPERIMENTAL

iTBS (intermittent theta-burst stimulation)

Intervention Type DEVICE

The iTBS treatment is a type of rTMS (repetitive transcranial magnetic stimulation), delivered with MagPro R30 stimulator and a conventional cool-B65 coil.

The iTBS treatment is applied to over the dorsolateral prefrontal cortex using a standardized measuring of the anatomical landmark F3 from the 10-20 positioning system. The coil is positioned with the handle at in a 45 degree angle from the midline. The centre of the butterfly is placed towards the patient head.

Routine iTBS protocol

Magnetic pulses of 120% of visual motor threshold applied in triplets of 50 Hz bursts, repeated at 5 Hz; 2 seconds on and 8 seconds off; 600 pulses per session; total duration of 3 min 20 s over the left DLPFC (F3), given in 1 session per day on 30 week days.

Group Type ACTIVE_COMPARATOR

iTBS (intermittent theta-burst stimulation)

Intervention Type DEVICE

The iTBS treatment is a type of rTMS (repetitive transcranial magnetic stimulation), delivered with MagPro R30 stimulator and a conventional cool-B65 coil.

The iTBS treatment is applied to over the dorsolateral prefrontal cortex using a standardized measuring of the anatomical landmark F3 from the 10-20 positioning system. The coil is positioned with the handle at in a 45 degree angle from the midline. The centre of the butterfly is placed towards the patient head.

Interventions

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iTBS (intermittent theta-burst stimulation)

The iTBS treatment is a type of rTMS (repetitive transcranial magnetic stimulation), delivered with MagPro R30 stimulator and a conventional cool-B65 coil.

The iTBS treatment is applied to over the dorsolateral prefrontal cortex using a standardized measuring of the anatomical landmark F3 from the 10-20 positioning system. The coil is positioned with the handle at in a 45 degree angle from the midline. The centre of the butterfly is placed towards the patient head.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* diagnosis of depression verified through a Mini International Neuropsychiatric Interview (M.I.N.I.)
* MADRS-S \>= 20
* unchanged medication last month
* unchanged psychological treatment last month
* admitted to psychiatric ward last month
* no ECT or TMS last six months
* provision of signed informed consent form
* indication for TMS is depression

Exclusion Criteria

* addiction (illicit drugs or alcohol)
* pregnancy
* epilepsy
* conductive ferromagnetic or other metals implanted in the head or within 30 cm of the treatment coil
* implanted device that is activated or controlled in any way by physiological signals
* implanted mediation pumps
* intracardiac lines, even when removed
* regular use of benzodiazepines
* any condition that seriously increases the risk of non-compliance or loss of follow-up
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Göteborg University

OTHER

Sponsor Role collaborator

Uppsala University

OTHER

Sponsor Role collaborator

The Swedish Society of Medicine

OTHER

Sponsor Role collaborator

Vastra Gotaland Region

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Melker Hagsäter, MD, MSc, PhD

Role: PRINCIPAL_INVESTIGATOR

Västra Götaland Regional Council

Locations

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Kungälv Hospital

Kungälv, , Sweden

Site Status RECRUITING

Hospital of Skövde

Skövde, , Sweden

Site Status RECRUITING

Countries

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Sweden

Central Contacts

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Melker Hagsäter, MD, MSc, PhD

Role: CONTACT

+46 3039 8000

Facility Contacts

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Melker Hagsäter

Role: primary

+46 10441 00 00

Other Identifiers

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VAiT

Identifier Type: -

Identifier Source: org_study_id

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