UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000020892
Receipt number R000024104
Scientific Title Antidepressant Efficacy of Prefrontal Transcranial Magnetic Stimulation Monotherapy in Non-drug-responsive Major Depression: a Randomized Case-control Study
Date of disclosure of the study information 2016/02/04
Last modified on 2018/07/09 13:56:15

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Basic information

Public title

Antidepressant Efficacy of Prefrontal Transcranial Magnetic Stimulation Monotherapy in Non-drug-responsive Major Depression: a Randomized Case-control Study

Acronym

Direct comparisons of antidepressant effects between rTMS and iTBS

Scientific Title

Antidepressant Efficacy of Prefrontal Transcranial Magnetic Stimulation Monotherapy in Non-drug-responsive Major Depression: a Randomized Case-control Study

Scientific Title:Acronym

Direct comparisons of antidepressant effects between rTMS and iTBS

Region

Asia(except Japan)


Condition

Condition

A treatment option for Medication-resistant depression

Classification by specialty

Psychiatry

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

We will investigate and compare the efficacy among left prefrontal iTBS, 10 Hz rTMS and sham stimulation in the treatment of major depressive patients.

Basic objectives2

Others

Basic objectives -Others

We further evaluate whether the history of depression refractoriness and the RECT-modulated frontal theta power may predict the antidepressant efficacy of TBS or TMS monotherapy.

Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase III


Assessment

Primary outcomes

the changing of HDRS-17 (week-2 vs. baseline) in response to the 2-week prefrontal brain stimulation

Key secondary outcomes

Computerized rACC-engaging cognitive tasj(RECT); EEG; Maudsley Staging method for refractoriness; response rate; the changing of HDRS-17 of the 12-week follow-up after the treatment (week-14 vs. baseline) in response to the 2-week brain stimulation; Young mania Rating scale; Clinical Global Index; Depression and somatic symptoms; Life stress scale; the comparison for localization between" 5 cm rule" and MRI neuro-navigation.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Cluster

Blinding

Double blind -all involved are blinded

Control

Placebo

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

Numbered container method


Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

Left DLPFC intermittent TBS group (1 session/day, 5 days/week,2weeks); 80% active motor threshold, 1800 pulses once

Interventions/Control_2

Left DLPFC 10Hz rTMS group (1 session/day, 5 days/week,2weeks); 100% motor threshold,1600 pulses once

Interventions/Control_3

Sham group(1 session/day, 5 days/week,2weeks)
randomly divided to half with TBS and half with rTMS parameters using a sham coil.

Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

21 years-old <=

Age-upper limit

70 years-old >=

Gender

Male and Female

Key inclusion criteria

adult patients with the relapse of major depressive episode

Key exclusion criteria

Patients with schizophrenia, organic mental disorder and major physical illness; with brain implants or cardiac pacemakers; pregnancy; or who having strong suicidal risk

Target sample size

120


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Cheng-Ta Li

Organization

Taipei Veterans General Hospital, Taiwan

Division name

Psychiatry

Zip code


Address

No.201, Sec. 2, Shih-Pai Road, Beitou district, Taipei, Taiwan

TEL

+88628757027

Email

on5083@msn.com


Public contact

Name of contact person

1st name
Middle name
Last name Cheng-Ta Li

Organization

Taipei Veterans General Hospital, Taiwan

Division name

Psychiatry

Zip code


Address

No.201, Sec. 2, Shih-Pai Road, Beitou district, Taipei, Taiwan

TEL

+88628757027

Homepage URL


Email

on5083@msn.com


Sponsor or person

Institute

Taipei Veterans General Hospital, Taiwan

Institute

Department

Personal name



Funding Source

Organization

Taipei Veterans General Hospital, Taiwan

Organization

Division

Category of Funding Organization

Outside Japan

Nationality of Funding Organization

Taiwan, ROC


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2016 Year 02 Month 04 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2015 Year 03 Month 17 Day

Date of IRB


Anticipated trial start date

2016 Year 02 Month 05 Day

Last follow-up date

2018 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2016 Year 02 Month 04 Day

Last modified on

2018 Year 07 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000024104