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| Descriptive Information Fields | |
| Brief Title † | Magnetic Stimulation Therapy for Treating Vascular Depression |
| Official Title † | Vascular Depression and Magnetic Stimulation Therapy |
| Brief Summary | This 12-week study will evaluate the effectiveness of repetitive transcranial magnetic stimulation (rTMS) of the brain, followed by citalopram (Celexa®), for treatment of depression associated with small vascular lesions in the brain (vascular depression). |
| Detailed Description | Vascular depression is a condition that typically affects the elderly and is associated with small vascular lesions. It is more resistant to treatment and has a poorer outcome than nonvascular depression. By altering excitability in the cortical area of the brain, rTMS may be an effective treatment neuropsychiatric conditions, particularly depression. Participants in this study will be randomly assigned to 15 treatments of either rTMS or sham rTMS for 3 weeks. Following treatment, participants will receive citalopram for 9 weeks. Response rates to treatment; relapse rates; the size, number, and location of the vascular lesions; and the amount of regional brain atrophy will be measured. Improvements in activities of daily living, quality of life, and cognitive function will also be also measured. |
| Study Phase | Phase III |
| Study Type † | Interventional |
| Study Design † | Treatment, Randomized, Double Blind (Subject, Investigator, Outcomes Assessor), Placebo Control, Parallel Assignment, Efficacy Study |
| Primary Outcome Measure † | Response rates to treatment; relapse rates; the size, number, and location of the vascular lesions; and the amount of regional brain atrophy [ Time Frame: Measured at Week 12 ] [ Designated as safety issue: Yes ] |
| Secondary Outcome Measure † | Improvements in activities of daily living, quality of life, and cognitive function [ Time Frame: Measured at Week 12 ] [ Designated as safety issue: No ] |
| Condition † | Depressive Disorder Depression |
| Intervention † | Procedure: Repetitive transcranial magnetic stimulation (rTMS) Drug: Citalopram Procedure: Sham rTMS |
| MEDLINE PMIDs | |
| Links | |
| Recruitment Information Fields | |
| Recruitment Status † | Completed |
| Enrollment † | 132 |
| Start Date † | September 2001 |
| Completion Date | August 2008 |
| Eligibility Criteria † | Inclusion Criteria:
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| Gender | Both |
| Ages | 51 Years to 89 Years |
| Accepts Healthy Volunteers | No |
| Contacts †† | |
| Location Countries † | United States |
| Administrative Information Fields | |
| NCT ID † | NCT00044798 |
| Organization ID | R01 MH63405 |
| Secondary IDs †† | DATR A4-GPX |
| Study Sponsor † | National Institute of Mental Health (NIMH) |
| Collaborators †† | |
| Investigators † | |
| Information Provided By | National Institute of Mental Health (NIMH) |
| Verification Date | August 2008 |
| First Received Date † | September 4, 2002 |
| Last Updated Date | August 20, 2008 |