rTMS Intervention on Motivational Anhedonia of Treatment Resistant Depression and Brian Network Mechanism
rTMS
Study of Individualized Accurate Targeting rTMS Intervention on Motivational Anhedonia of Treatment Resistant Depression and Brain Network Mechanism
1 other identifier
interventional
90
1 country
1
Brief Summary
Study of individualized accurate targeting rTMS intervention on motivational anhedonia of treatment resistant depression and brain network mechanism
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 Jan 2018
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2018
CompletedFirst Submitted
Initial submission to the registry
April 22, 2019
CompletedFirst Posted
Study publicly available on registry
June 19, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2021
CompletedJune 19, 2019
June 1, 2019
4 years
April 22, 2019
June 18, 2019
Conditions
Outcome Measures
Primary Outcomes (2)
Change from baseline in Hamilton Depression Scale
The participants' depression symptom assessed by the Hamilton Depression Scale and the Beck Depression Self-Rating Scale change from baseline after the treatment.
baseline;15 day post-treatment
Change from baseline in Motivation and Pleasure Scale
The severity of participants' anhedonia assessed by the Motivation and Pleasure Scale change from baseline after the treatment.
baseline;15 day post-treatment
Secondary Outcomes (3)
The change from baseline in behavioral results of Monetary Incentive Delay task
baseline; 15 day post-treatment change from baseline after the treatment.
The change from baseline in event-related brain potentials during the monetary incentive delay task
baseline; 15 day post-treatment
The change from baseline in neuroimaging results of functional magnetic resonance imaging scan in multimodalities
baseline; 15 day post-treatment
Study Arms (2)
Real Stimulation
ACTIVE COMPARATORThe Real Stimulation of rTMS lasted 25 mins and delivered at 10 Hz with 1s duration,4s rest, a total of 3000 pulses at 100% of the rest motor threshold (RMT) . Behavior and MRI dataset should be acquired before the first rTMS session and after the last rTMS session.
Sham Stimulation
SHAM COMPARATORThe procedure of Sham Stimulation protocol was performed by a placebo coil,lasted 25 mins and delivered at 10 Hz with 1s duration,4s rest, a total of 3000 pulses at 100% of the rest motor threshold (RMT) . MRI dataset should be acquired before the first rTMS session and after the last rTMS session.
Interventions
repeated transcranial magnetic stimulation with real coil is a noninvasive technique to activate and modify the activity of the neurons
repeated transcranial magnetic stimulation with sham coil is a placebo
Eligibility Criteria
You may not qualify if:
- History of significant head trauma or neurological disorders.
- Alcohol or drug abuse.
- Focal brain lesions.
- History of seizure.
- First degree relative with epilepsy, significant neurological illness or head trauma, endocrine disease.
- Significant unstable medical condition.
- Recent aggression or other forms of behavioral dyscontrol.
- Left-handedness.
- Pregnancy.
- Current alcohol or drug abuse
- Inability to provide informed consent.
- Patients with contraindications or factors affecting imaging quality, such as pacemakers, cochlear implants, or hearts Cerebrovascular metal stent, and metal denture.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Anhui Medical University
Hefei, Anhui, 230032, China
Related Publications (1)
Wang X, He K, Chen T, Shi B, Yang J, Geng W, Zhang L, Zhu C, Ji G, Tian Y, Bai T, Dong Y, Luo Y, Wang K, Yu F. Therapeutic efficacy of connectivity-directed transcranial magnetic stimulation on anticipatory anhedonia. Depress Anxiety. 2021 Sep;38(9):972-984. doi: 10.1002/da.23188. Epub 2021 Jun 22.
PMID: 34157193DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Kai Wang, MD
Anhui Medical University
- STUDY DIRECTOR
Fengqiong Yu, MD
Anhui Medical University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- A/Prof.
Study Record Dates
First Submitted
April 22, 2019
First Posted
June 19, 2019
Study Start
January 1, 2018
Primary Completion
December 31, 2021
Study Completion
December 31, 2021
Last Updated
June 19, 2019
Record last verified: 2019-06