Major Depression
Conditions
Keywords
Transcranial magnetic stimulation (TMS), Major depression, treatment resistant major depression
Brief summary
A doubleblind randomised trial with active versus sham rTMS in combination with escitalopram in patients with prior treatment resistant depression in an acute 12 weeks trial with subsequent 24 weeks study phase with active versus placebo citalopram
Detailed description
In this study we aimed at investigating to what degree rTMS applied over the left dorsolateral cortex relieves depressive symptoms when the treament is combined with antidepressive medication. The study will also be able to supply knowledge on how long any possible effect of the rTMS treatment lasts. In the first 12 weeks of the trial participants are randomised to either rTMS combined with escitalopram or sham rTMS combined with escitalopram. rTMS is given daily for the first 3 weeks. The next phase is a relapse prevention study where the responders from the initial phase are randomised to either active or placebo escitalopram for 24 weeks.
Interventions
15 treatments of rTMS active with a duration of 30 minutes each
Transcraniel Magnetic Stimulation active and sham
Sponsors
Study design
Eligibility
Inclusion criteria
* Major depression Hamilton score above 18 * Age 18 to 75
Exclusion criteria
* Pregnancy og breastfeeding * Mental retardation and organic brain disease * Alcohol and substance abuse * Metal implants in brain, pacemakers and other electronic implants
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| depression scores | 6 weeks |
Countries
Denmark