Functional Electrical Stimulation for MDD

ConditionMDD
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-70
SponsorUnity Health Toronto

About this trial

This study aims to determine whether Functional Electrical Stimulation (FES) of the facial muscles is a safe and effective treatment for major depressive disorder (MDD).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Meet the DSM-5 criteria for unipolar MDD with a current MDE without psychotic features, with ≤ 2 failed treatment trials (non-treatment-resistant depression), validated by MINI done by a trained research assistant.

Have no change in the medication regimen or other forms of treatments (e.g., psychotherapy) for at least 4 weeks (28 days) prior to beginning the study, and have no plan to change them during the 20-session treatment period (14 days), and the 4-week post-treatment observation period. This will be established through self-report, in combination with the ATHF filled out by the participant.

Have an MDD diagnosis as confirmed by the MADRS score of ≥7.

Age group between 18 and 70 years of age

Disqualifiers

History of epilepsy or seizures.

Damage or dysfunction of facial nerves.

Metallic orthopedic implants in the mouth (e.g., plates or screws).

Current fibromyalgia or currently receiving or have received rTMS within the last 28 days before the screening.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Functional Electrical Stimulation (FES)

    Device

    Once per day for the duration of 4 weeks. Total of 20 sessions (each session lasts 60 mins)

Treatment groups

60 Participants
are divided into 2 treatment groups
Group A: Active FESExperimental treatment 1 intervention
Group B: Sham FESSham comparator 1 intervention

Trial outcomes

Primary outcomes

1

Efficacy of FES: Change in Depression Severity

Change in depression severity measured using the 17-item Hamilton Depression Rating Scale (HAM-D-17). Scores range from 0 to 52, with higher scores indicating more severe depressive symptoms.

Time frame
4 weeks of Intervention, 4 weeks of follow-up
2

Tolerability of FES

The overall dropout and protocol compliance rates will be assessed.

Time frame
4 weeks of Intervention, 4 weeks of follow-up
3

FES safety

The number and nature of adverse events will be assessed

Time frame
4 weeks of Intervention, 4 weeks of follow-up

Secondary outcomes

1

Change in Anxiety Symptoms

Anxiety symptoms will be assessed using the Generalized Anxiety Disorder-7. Total scores range from 0 to 21, with higher scores indicating greater anxiety symptom severity.

Time frame
4 weeks of Intervention, 4 weeks of follow-up
2

Change in Well-Being

Well-being will be assessed using the World Health Organization-Five Well-Being Index. Raw total scores range from 0 to 25, with higher scores indicating better well-being.

Time frame
4 weeks of Intervention, 4 weeks of follow-up
3

Change in Sleep Quality

Sleep quality will be assessed using the Pittsburgh Sleep Quality Index. Global scores range from 0 to 21, with higher scores indicating poorer sleep quality.

Time frame
4 weeks of Intervention, 4 weeks of follow-up
4

Response and Remission Rate

Response and Remission will be assessed using the 17-item Hamilton Depression Rating Scale. Total scores on the 17-item Hamilton Depression Rating Scale range from 0 to 52, with higher scores indicating greater depression symptom severity.

Time frame
4 weeks of Intervention, 4 weeks of follow-up

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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This trial is not recruiting at the moment. You can still explore other options: