Bipolar Depression
Conditions
Brief summary
The aim is to evaluate the evaluate the clinical interest and the safety of repetitive transcranial magnetic stimulation (rTMS) delivered as intermittent Theta burst stimulation(iTBS) on severity of depression in patients with treatment-resistant bipolar disorder.
Detailed description
Methods: A double-blind randomized sham-controlled pilot study will be conducted in 40 patients with bipolar treatment-resistant depression receiving either active (n=20) or sham (n=20) iTBS over the left dorsolateral prefrontal cortex. Depression severity will be assessed by an investigator blinded to iTBS condition before and after 10 to 30 iTBS sessions depending on remission onset. Remission will be defined as Beck Depression Inventory, BDI score\<10. Objective/Hypothesis: The investigators hypothesized the superiority of active iTBS over sham ITBS
Interventions
Transcranial magnetic stimulation. MagProX100 (MagVenture, Denmark) with a figure-eight coil (MCF-B65)
Transcranial magnetic stimulation. MagProX100 (MagVenture, Denmark) with a sham figure-eight coil (MCF-P-B65)
Sponsors
Study design
Eligibility
Inclusion criteria
* Bipolar disorder according to Diagnostic and Statistical Manual of Mental Disorders, DSM-IV criteria * Montgomery and Asberg depression scale \> 20
Exclusion criteria
* other psychiatric features, rapid cycles * Benzodiazepines intake * pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Beck Depression Inventory | 2 time point measure, before and after the end of stimulation sessions (changes from baseline BDI scores at 6 weeks) | Self-reported clinical scale with 13 items |