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Efficacy of Intermittent ThetaBurst Stimulation Compared to 10 Hz Stimulation on Dorsolateral Prefrontal Cortex in Treatment Resistant Major Depressive Disorder: a Double-blind Randomized Study

Efficacy of Intermittent ThetaBurst Stimulation Compared to 10 Hz Stimulation on Dorsolateral Prefrontal Cortex in Treatment Resistant Major Depressive Disorder: a Double-blind Randomized Study

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02376491
Acronym
THETA-DEP
Enrollment
60
Registered
2015-03-03
Start date
2015-06-30
Completion date
2019-03-31
Last updated
2019-07-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

DEPRESSION

Brief summary

This trial will compare innovating stimulation parameters, intermittent Theta Burst Stimulation, to the standard high frequency stimulation protocol. The Left dorsolateral prefrontal cortex, targeted by MRI navigation will be the site of stimulation in both treatment conditions. The study seeks to determine if there is a superiority in therapeutic efficacy with iTBS protocol compared to conventional one.

Interventions

DEVICETranscranial magnetic stimulation

Sponsors

Nantes University Hospital
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

* Age 18 years to 75 years * Both gender eligible * Volontary and able to give consent * Major depressive episode (MADRS \> 20) single or recurrent * Resistance to at least 2 antidepressants , * Treated by antidepressant at efficient stable posology since more than 6 weeks

Exclusion criteria

* Initiation or modification of antidepressant drug * Neurodegenerative diseas * Bipolar I, II disorder * Schizophrenia, schizoaffective disorder, schizophreniform, delusional disorder, or current psychotic symptoms * Substance abuse in past 15 days * Substance dependence not weaned * Benzodiazepine and any anticonvulsant during rTMS treatment course * ECT failure in medical history * Contra-indication to rTMS and MRI * Pregnancy * Difficulty to obtain informed consent

Design outcomes

Primary

MeasureTime frameDescription
Therapeutic response rate6 monthsPrimary outcome will be therapeutic response rate corresponding to with MADRS score improvement \> 50 % in each group at the end of TMS sessions and one month after. A final score of \<8 is categorized as remission.

Secondary

MeasureTime frame
Relapse rate6 months
Quality of life6 months
Measures of cortical excitability6 months

Countries

France

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 11, 2026