Multimodal MRI-guided rTMS to Treat Refractory Hallucinations
MULTIMODHAL
Multimodal MRI-guided Repetitive Transcranial Magnetic Stimulation to Treat Drug-resistant Hallucinations: a Randomized Control Trial
2 other identifiers
interventional
85
1 country
2
Brief Summary
- The efficacy of neuro-navigated rTMS for patients with schizophrenia suffering from drug-resistant multisensory hallucinations will be tested by the implementation of a double-blind randomized controlled trial (RCT)
- This study will use a combination of different MRI modalities (fMRI and DTI) to define with precision rTMS brain-targets in the case of multisensory hallucinations
- The investigators anticipate that multimodal MRI-guided rTMS will allow a significant improvement in the efficacy of neuromodulation treatment of refractory hallucinations
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Nov 2010
Longer than P75 for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 15, 2010
CompletedFirst Submitted
Initial submission to the registry
May 13, 2011
CompletedFirst Posted
Study publicly available on registry
June 15, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 11, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
February 11, 2022
CompletedDecember 26, 2025
December 1, 2025
11.2 years
May 13, 2011
December 18, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Severity and Frequency of Hallucinations
Visual Analogue Scale (Severity)/ Visual Analogue Scale (Frequency rate)
Assessed at baseline (t0) and longitudinally after the 10 rTMS sessions during the following month (D+15, M+1, M+3, M+6, M+12)
Secondary Outcomes (2)
Clinical State
Assessed at baseline (t0) and longitudinally after the 10 rTMS sessions during the following month (D+15, M+1, M+3, M+6, M+12)
MRI changes
Assessed at baseline (t0) and 1 month after the rTMS sessions (M+1)
Study Arms (2)
Multimodal MRI-guided rTMS
EXPERIMENTALConventional T3-P3 rTMS
ACTIVE COMPARATORInterventions
Target defined using both fMRI during hallucinations occurence and tractography. Parameters: 1 Hz/ 100% of the Motor Threshold/ 10 sessions (2/ day over 5 days)/ 1200 pulses/ session
Eligibility Criteria
You may qualify if:
- Right-handed Female/Male, \[13-60 y.o.\],
- Schizophrenia (DSM-IV-TR diagnosis),
- Drug-resistant hallucinations (Kinon \& Kane criteria, 1993),
- Unmodified antipsychotic dosage during the 30 days preceding rMTS,
- No anticonvulsive medication,
- No neurological disorder, no addictive behavior,
- Matched for sex, age and PANSS scores,
- Consent to participate to the study,
You may not qualify if:
- Pregnancy
- Contraindication to MRI scan
- Contraindication to rTMS treatment
- Claustrophobia
- No social insurance
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Lille University Hospital Centre
Lille, F-59037, France
Saint-Anne Psychiatric Hospital
Paris, 75005, France
Related Publications (2)
Demeulemeester M, Kochman F, Fligans B, Tabet AJ, Thomas P, Jardri R. Assessing early-onset hallucinations in the touch-screen generation. Br J Psychiatry. 2015 Mar;206(3):181-3. doi: 10.1192/bjp.bp.114.154153.
PMID: 25733569RESULTLeroy A, Foucher JR, Pins D, Delmaire C, Thomas P, Roser MM, Lefebvre S, Amad A, Fovet T, Jaafari N, Jardri R. fMRI capture of auditory hallucinations: Validation of the two-steps method. Hum Brain Mapp. 2017 Oct;38(10):4966-4979. doi: 10.1002/hbm.23707. Epub 2017 Jun 28.
PMID: 28660668DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Renaud Jardri, M.D., Ph.D.
Lille University Medical Centre, France
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 13, 2011
First Posted
June 15, 2011
Study Start
November 15, 2010
Primary Completion
February 11, 2022
Study Completion
February 11, 2022
Last Updated
December 26, 2025
Record last verified: 2025-12
Data Sharing
- IPD Sharing
- Will not share