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Magnetic Seizure Therapy (MST) for Treatment Resistant Major Depression

Phase 3
Completed
Conditions
Major Depression
Interventions
Device: Tonica MagPro MST
Device: Thymatron
Registration Number
NCT00770783
Lead Sponsor
University Hospital, Bonn
Brief Summary

The investigators intend to test in a single center, clinical pilot efficacy study the primary hypothesis that Magnetic Seizure Therapy (MST) as add-on therapy to a controlled pharmacotherapy is efficacious in the treatment of refractory major depression assessed with the Hamilton Depression Rating Scale (HAMD).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
30
Inclusion Criteria
  • Patient is diagnosed with a major depressive episode (MDE) according to DSM-IV Diagnosis Criteria derived from the SCID.
  • Patient has not had an acceptable clinical response due to failure (resistance) with at least two treatments from different treatment categories during the current MDE.
  • Patient has a score ≥ 20 on the 24-item Hamilton Rating Scale of Depression.
  • Patient is able to give his informed consent to participate in this study and he is able to fulfill the requirements of the study.
  • Patient is a male or nonpregnant female adequately protected from conception. Females of childbearing potential must use an acceptable method of birth control.
  • Convulsive therapy clinically indicated
Exclusion Criteria
  • Patient currently has a secondary diagnosis of, or signs of, delirium, dementia, amnesia, or other cognitive disorders per DSM-IV.
  • Patient has had or has currently a diagnosis of non-affective psychotic disorder per DSM-IV.
  • Patient has had alcohol or substance dependence within the previous 12 months or abuse within the previous six months other than nicotine dependence or abuse.
  • Patient has a history or diagnosis of clinically relevant cardiac disease.
  • Patient has a history or diagnosis of clinically relevant injury or disease of the central nervous system.
  • Patient has magnetic material in the head.
  • Patient has implanted medical devices such as cardiac pacemaker, vagus nerve stimulator, medical pumps etc.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Magnetic Seizure Therapy (MST)Tonica MagPro MST-
Electroconvulsive Therapy (ECT)Thymatron-
Primary Outcome Measures
NameTimeMethod
Clinical improvement (Hamilton Rating Scale for Depression)After each treatment and at followups up to 3 months after the treatment course
Secondary Outcome Measures
NameTimeMethod
Clinical improvement (Montgomery- Åsberg Rating Scale for Depression)After each treatment and at followups up to 3 months after the treatment course

Trial Locations

Locations (1)

Department of Psychiatry and Psychotherapy - University Hospital

🇩🇪

Bonn, Germany

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