Changes of Functional Connectivity After rTMS in Depression
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Purpose
In order to explore the effect of repetitive TMS, which has shown to be effective in intractable depression, we will examine resting-state, default-mode network functional connectivity in patients with major depression. We will use a double-blind, sham-controlled design. Our target sample size is 60(30 patients will be treated by active rTMS, the other 30 will be treated by sham rTMS). We will apply 10-day course of 10 Hz rTMS on left dorsolateral prefrontal cortex of the subjects.
| Condition | Intervention | Phase |
|---|---|---|
|
Major Depression |
Device: repetitive transcranial magnetic stimulation(rTMS) Device: Sham repetitive transcranial magnetic stimulation(rTMS) |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single Blind (Subject) Primary Purpose: Treatment |
| Official Title: | Change of Dopamine Pathway After rTMS Treatment in Major Depressive Disorder |
- change of functional connectivity between pre/post rTMS [ Time Frame: 14 days ] [ Designated as safety issue: No ]
| Enrollment: | 44 |
| Study Start Date: | May 2009 |
| Study Completion Date: | June 2011 |
| Primary Completion Date: | June 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: transcranial magnetic stimluation |
Device: repetitive transcranial magnetic stimulation(rTMS)
10-day course of 10 Hz rTMS on left dorsolateral prefrontal cortex of the subjects.
Other Name: MAGSTIM
|
| Sham Comparator: rTMS_sham |
Device: Sham repetitive transcranial magnetic stimulation(rTMS)
Sham repetitive transcranial magnetic stimulation(rTMS)
|
Detailed Description:
Up to now, 24 patients with major depression and 6 normal controls are enrolled. Twenty-three patients and 4 normal participants have taken 10 days rTMS. One patients and one control withdrew their consent without any reason and one control withdrew the consent because of headache.
We scanned fMRIs(to examine functional connectivity)twice for each participant, which were taken 3 days before the first and 3 days after the last rTMS.
All of participants have not reported side effects except mild headahe. There's been no seizure event up to now.
Eligibility| Ages Eligible for Study: | 19 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- DSM-IV major depressive episode
- Failure of at least 3 different kind of antidepressant
Exclusion Criteria:
- Organic brain disorder
- Other diagnosis of DMS-IV except nicotine dependence
- History of seizure disorder
Contacts and Locations| Korea, Republic of | |
| Department of Psychiatry, Severance Hospital | |
| Seoul,, Korea, Republic of, 120-752 | |
| Principal Investigator: | EUN LEE, M.D., Ph.D. | Yonsei University College of Medicine, Severance Hospital |
More Information
No publications provided
| Responsible Party: | Yonsei University |
| ClinicalTrials.gov Identifier: | NCT01325831 History of Changes |
| Other Study ID Numbers: | 4-2008-0525 |
| Study First Received: | July 7, 2009 |
| Last Updated: | January 31, 2012 |
| Health Authority: | Korea: Food and Drug Administration |
Additional relevant MeSH terms:
|
Depression Depressive Disorder Depressive Disorder, Major |
Behavioral Symptoms Mood Disorders Mental Disorders |
ClinicalTrials.gov processed this record on May 21, 2013