Efficacy and Safety of DTMS in Adolescent Major Depressive Disorder

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age11-23
SponsorZhifen Liu

About this trial

The goal of this randomized controlled trial is to explore the efficacy and safety of two different dTMS devices in adolescent depression: deep TMS H1 coil and deep TMS H7 coil.

The main questions it aims to answer are:

Type of study: Clinical trial. Participant population: Adolescents with major depressive disorder (MDD). Objective: To explore whether the H7 coil is no less effective than the H1 coil for adolescents with MDD, further providing clinicians with additional treatment options for patients.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients of all genders, aged between 11 and 23 years old, and right-handedness.

In accordance with the diagnostic criteria for the major depressive disorder of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5).

The current major depressive episode (MDE) must be confirmed using the Mini International Neuropsychiatric Interview (M.I.N.I).

Beck Depression Inventory, Second Edition (BDI-II): total BDI-II score> 13 at screening.

Disqualifiers

A diagnosis of other psychiatric disorders in the DSM-5.

Clinically significant laboratory abnormality or medical condition, that in the opinion of the investigator would hinder the subject in completing the procedures required by the study.

History of significant neurologic disease, including subdural hematoma, brain tumor, unexpected seizure/epilepsy disorder, or history of significant head trauma.

Have obvious suicide risk, or have actual suicide behavior within 6 months before the screening.

Trial design

Design model

Parallel

Treatments tested in this trial

  • deep transcranial magnetic stimulation with H1coil

    Device

    Participants will receive dTMS treatment with H1 coil

  • deep transcranial magnetic stimulation with H7 coil

    Device

    Participants will receive dTMS treatment with H7 coil

Treatment groups

100 Participants
are divided into 2 treatment groups
Group A: H1 coilActive comparator 1 intervention
Group B: H7 coilExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Hamilton Depression Scale -24 (HAMD-24)

score change. Higher score means worse outcome.(Min = 0, Max = 76)

Time frame
From enrollment to the end of treatment at 12 weeks
2

Response on Hamilton Depression Scale-24

Defined as a score reduction of 50% or more

Time frame
From enrollment to the end of treatment at 12 weeks
3

Remission onHamilton Depression Scale-24

Defined as a score of 7 or less

Time frame
From enrollment to the end of treatment at 12 weeks

Secondary outcomes

1

Hamilton Anxiety Rating Scale (HAM-A)

score change. Higher score means worse outcome.(Min = 0, Max = 56)

Time frame
From enrollment to the end of treatment at 12 weeks
2

Snaith-Hamilton Pleasure Scale (SHAPS)

score change. Higher score means worse outcome.(Min= 0, Max = 56)

Time frame
From enrollment to the end of treatment at 12 weeks
3

Beck Scale for Suicide Ideation-Chinese Version (BSI-CV)

score change. Higher score means worse outcome.(Min= 0, Max = 38)

Time frame
From enrollment to the end of treatment at 12 weeks
4

Self-Injury Diary Card

Higher numeric value means worse outcome.

Time frame
From enrollment to the end of treatment at 12 weeks

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Zhifen Liu

Lead sponsor

The First Affiliated Hospital of Shanxi Medical University

Sponsor institution