Repetitive Transcranial Magnetic Stimulation (rTMS) Compared or Associated With Venlafaxine for Depressive Disorder: A Functional Magnetic Resonance Imaging (fMRI) Study
Overview
- Phase
- Phase 3
- Intervention
- Not specified
- Conditions
- Depression
- Sponsor
- Xijing Hospital
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- The primary outcome measure is remission
- Last Updated
- 14 years ago
Overview
Brief Summary
The purpose of this study is to treat participants with a diagnosis of depressive disorder to assess the efficacy of repetitive Transcranial Magnetic Stimulation (rTMS) and venlafaxine in the treatment of depressive disorders compared venlafaxine only (the optimal medication) and to rTMS only. fMRI will be performed to determine if treatment response is related to changes in fMRI, and use it to investigate the respondence to the treatments.
Investigators
fengshufang
Fourth Military Medical University, Department of Psychosomatics, Xijing Hospital
Xijing Hospital
Eligibility Criteria
Inclusion Criteria
- •18 years and older
- •Clinical diagnosis of major depressive disorder (DSM-IV)
- •HDRS-17 items \> 20
- •Failure of one antidepressant treatment (efficacious doses for 6 weeks at least)
Exclusion Criteria
- •Psychotic features
- •Failure of one previous venlafaxine treatment
- •Addiction comorbidity or schizophrenia comorbidity
- •Involuntary hospitalization
- •Seizures history
- •Pregnancy or breastfeeding
- •Somatic comorbidity able to impact on cognitive functions
Outcomes
Primary Outcomes
The primary outcome measure is remission
Time Frame: 1-6 weeks
It will be evaluated using the Hamilton Depression Rating Scale (HDRS-17 \< 8)
Secondary Outcomes
- QIDS-C30(1-6 weeks)
- fMRI(0,6 weeks)
- CGI(1-6 weeks)
- UKU Scale(1-6 weeks)