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Investigating tDCS as a Treatment for Unipolar and Bipolar Depression

Phase 2
Completed
Conditions
Unipolar Depression
Bipolar Depression
Interventions
Device: Soterix tDCS device
Device: Sham tDCS device
Registration Number
NCT01562184
Lead Sponsor
The University of New South Wales
Brief Summary

Transcranial direct current stimulation (tDCS) is a novel treatment approach for depression that has shown promising efficacy in four recent double-blind, randomized, sham-controlled trials (RCT) and a meta-analysis. This study is a RCT of tDCS in depressed patients, testing its efficacy in both unipolar and bipolar depression. Mood, cognitive test performance and biomarkers will be measured during the trial.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
120
Inclusion Criteria
  • 18 years of age or above.
  • Meets criteria for a DSM-IV Major Depressive Episode with duration of at least 4 weeks.
  • Total score β‰₯ 20 on the Montgomery-Asberg Depression Rating Scale at study entry.
Exclusion Criteria
  • Current episode duration greater than 3 years.
  • Failed more than 3 adequate antidepressant trials in current episode.
  • DSM-IV psychotic disorder.
  • Drug or alcohol abuse or dependence (preceding 3 months).
  • Inadequate response to ECT in the current episode of depression.
  • Rapid clinical response required, e.g., high suicide risk.
  • Significant acute suicide risk, defined as follows: suicide attempt within the previous 6 months that required medical treatment; or β‰₯ 2 suicide attempts in the past 12 months; or has a clear-cut plan for suicide and states that they cannot guarantee that they will call their regular psychiatrist or the investigator if the impulse to implement the plan becomes substantial during the study; or in the investigator's opinion, is likely to attempt suicide within the next 6 months.
  • Clinically defined neurological disorder or insult.
  • Metal in the cranium, skull defects, or skin lesions on scalp (cuts, abrasions, rash) at proposed electrode sites.
  • Pregnancy.
  • Concurrent long acting benzodiazepines, ritalin or dexamphetamine medication.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Active tDCSSoterix tDCS deviceActive tDCS
Sham tDCSSham tDCS deviceSham tDCS
Primary Outcome Measures
NameTimeMethod
Montgomery Asberg Depression Rating Scale for Depression (MADRS)12 weeks
Secondary Outcome Measures
NameTimeMethod
Quick Inventory of Depressive Symptomatology - Self Report (QIDS-SR)12 weeks
Montreal Cognitive Assessment (MoCA): Global Cognitive Function8 weeks

Trial Locations

Locations (6)

University of New South Wales / Black Dog Institute

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Sydney, New South Wales, Australia

Emory University

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Atlanta, Georgia, United States

Sheppard Pratt

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Towson, Maryland, United States

Rowan University

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Cherry Hill, New Jersey, United States

University of Texas Southwestern

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Dallas, Texas, United States

Duke University

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Durham, North Carolina, United States

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