A Randomized, Sham-Controlled Trial Evaluating the Safety and Effectiveness of NeuroStar® Transcranial Magnetic Stimulation (TMS) Therapy in Depressed Adolescents
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- Neuronetics
- 入组人数
- 112
- 试验地点
- 26
- 主要终点
- Hamilton Depression Rating Scale-24(HAMD24) Total Score Change From Baseline Value.
研究概览
简要总结
To evaluate the safety and efficacy of daily, active Neurostar® TMS (when compared with sham treatment) in adolescents meeting criteria for Major Depressive Disorder (MDD).
详细描述
To evaluate the antidepressant effects of daily, active TMS (when compared with sham treatment) in adolescents meeting criteria for Major Depressive Disorder, single or recurrent episode.
Secondary:
To evaluate the acute and long term safety of TMS treatment in adolescent MDD subjects.
To evaluate the durability of benefit of TMS treatment over the course of 6 months in subjects who received clinical benefit from acute treatment course(s) .
To evaluate the benefit of daily, active, open-label TMS in Phase I subjects who did not receive protocol-defined clinical benefit; as new acute treatment (sham to active) or as extended treatment course (blinded active to open label active) .
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 12 Years 至 21 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Primary diagnosis of unipolar major depressive disorder, in a current major depressive episode, without psychotic features
- •Duration of current episode of depression ≥4 weeks and ≤3 years
- •Clinical Global Impression - Severity of Illness ≥ 4
- •Resistance to antidepressant treatment in a discrete illness episode
- •HAMD24 Item 1 ≥ 2 and total score ≥ 20
- •Subjects able to commit to protocol visit schedule
- •At the end of the baseline visit, subject must have a HAMD24 score of ≥ 18 and change in score may not be ≥ 25% decrease from that seen at the screening visit
排除标准
- •Prior TMS, vagus nerve stimulation (VNS), or electroconvulsive therapy (ECT)
- •Contraindication to TMS
- •Cardiac pacemakers, implanted medication pumps, intracardiac lines
- •History of neurological disorder
- •Unstable medical conditions
- •Any psychiatric disorder, which in the judgement of the Investigator may hinder the subject in completing the procedures required by the study protocol.
- •Significant acute suicide risk
- •Inability to locate and quantify a motor threshold
- •If sexually active female, not on an accepted method of birth control.
- •Diagnoses of the following conditions (current unless otherwise stated):
- •Depression secondary to a general medical condition, or substance induced:
- •Seasonal pattern of depression as defined by Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
- •Any psychotic disorder (lifetime), including history of schizophrenia, schizoaffective disorder, other psychosis, psychotic features in this or previous episodes, amnestic disorder,
- •Intellectually disabled,
- •Substance dependence or abuse within the past year (except nicotine or caffeine),
- •Bipolar disorder,
- •Obsessive compulsive disorder (lifetime),
- •Post-traumatic stress disorder (lifetime),
- •Eating disorder (lifetime).
结局指标
主要结局
Hamilton Depression Rating Scale-24(HAMD24) Total Score Change From Baseline Value.
时间窗: 6 weeks
The Hamilton Rating Scale for Depression (HRSD), also called the Hamilton Depression Rating Scale (HDRS), sometimes also abbreviated as HAM-D, is a multiple-item questionnaire used to provide an indication of depression, and as a guide to evaluate recovery.HAM-D-24 24-item Hamilton Depression Rating Scale; Lower score is better (76 to 0)
次要结局
未报告次要终点