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on-invasive brain stimulation for Depressio

Phase 2
Conditions
Health Condition 1: G- Mental Health
Registration Number
CTRI/2018/09/015772
Lead Sponsor
Director NIMHANS
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

Individuals with a diagnosis of moderate or severe depression according to ICD-10 diagnosed by a psychiatrist would be recruited if they continue to have at least moderate depressive symptoms as defined clinically and using the HDRS cut-off score of more than 17 even after at least 4-weeks of adequate antidepressant trial with any conventional antidepressant medication

Exclusion Criteria

1.Patients aged < 18 and > 60 years of age

2.If patient is on any psychotropic (other than antidepressant medications, which is kept constant throughout the study period unless clinically required), anticholinergic or cardiac medications

3.Patients with suicidal tendencies or psychotic depression

4.Patients with any co-morbid cardiac or neurological disorders that can increase the risk of TMS related complications or are having a contraindication for TMS/tDCS treatment

5.Pregnant/lactating patients

6.Failure of other organ systems or systemic illness that could affect autonomic function or participantsâ?? ability to cooperate

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1.Clinical scores: HDRS, MADRS, CGI, <br/ ><br>2.HRV measures: both time and frequency domain measures of heart rate variability <br/ ><br>3.Cortical excitability and plasticity measures <br/ ><br>4. Metaplasticity effects of tDCS-rTMS on M1 <br/ ><br>Timepoint: Baseline, 15 days and 2 months after the start of neuromodulation therapy
Secondary Outcome Measures
NameTimeMethod
1. HRV measures: both time and frequency domain measures of heart rate variability <br/ ><br>2.Cortical excitability and plasticity measures <br/ ><br>3. Metaplasticity effects of tDCS-rTMS on M1 <br/ ><br>Timepoint: Baseline, 15 days and 2 months after the start of neuromodulation therapy
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