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临床试验/ChiCTR-IOR-14005602
ChiCTR-IOR-14005602进行中(未招募)不适用

定位低頻連環顱外磁激治療對抗藥性鬱躁性抑鬱症隨機對照試驗

Food and Health Bureau1 个研究点 分布在 1 个国家目标入组 60 人开始时间: 2015年1月15日最近更新:

试验速览

阶段
不适用
状态
进行中(未招募)
发起方
入组人数
60
试验地点
1
主要终点
Clinically significant response defined as 50% reduction in MADRS from baseline and CGI equal or less than 2 at end of treatment at week 3

研究概览

简要总结

定位低頻連環顱外磁激治療對抗藥性鬱躁性抑鬱症

研究设计

研究类型
干预性研究
主要目的
随机平行对照

入排标准

年龄范围
18 至 65(—)
性别
All

入选标准

  • Right-handed - Aged 18-65 - DSM5 Bipolar I or II Disorder - Currently in DSM5 Major Depressive episode lasting for 6 weeks or more - No DSM5 manic or hypomanic episode in the past week - MADRS score >20 - Clinical Global Impression severity of illness scale of or more than 4 - All patients must be on lithium ( plasma levels 0.5 to 1.0 mmol/L) or sodium valproate (plasma levels >350mmol/L) or lamotrigine. -Showed no response (defined as lack of significant reduction of MADRS total score 25% or less compared to pre-treatment scores) to at least one adequate antidepressant trial (defined as full or best tolerated doses for at least 6 weeks; antidepressants may include bupropion or SSRI apart from paroxetine. -Currently making valid informed written consent

排除标准

  • Organic brain syndromes -Current psychotic symptoms -Mental retardation -substance use in recent 3 months -active suicidal ideation or suicide attempt in the past month -obsessive-compulsive disorder, PTSD, eating disorders -Lack of response to adequate trial of electroconvulsive therapy -Previous rTMS treatment -Current pregnancy -Personal or known 1st-degree relatives’ history of seizures -Presence of metallic implants or aneurysm clips -Unstable cardiac disease

研究组 & 干预措施

Two groups

Repetitive Transcranial Magnetic Stimulation for three weeks versus An inactive Sham coil

结局指标

主要结局

Clinically significant response defined as 50% reduction in MADRS from baseline and CGI equal or less than 2 at end of treatment at week 3

次要结局

  • Rate of treatment-emergent DSM5
  • manic or hypomanic episodes from low-frequency stimulation of right DLPFC in BPI or II Depression by week 4.
  • Early remission rate defined as MADRS <7 and CGI=1 at week 3
  • Sustained response and remission rate at weeks 6 and 12 after treatment initiation.

研究者

发起方
Food and Health Bureau

研究点 (1)

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定位低頻連環顱外磁激治療對抗藥性鬱躁性抑鬱症隨機對照試驗 | 临床试验