UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000013272
Receipt number R000015471
Scientific Title A semi-crossover open trial of combined therapy of fMRI neurofeedback and repetitive transcranial magnetic stimulation (rTMS) for affective disorders.
Date of disclosure of the study information 2014/02/25
Last modified on 2014/09/25 14:59:20

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Basic information

Public title

A semi-crossover open trial of combined therapy of fMRI neurofeedback and repetitive transcranial magnetic stimulation (rTMS) for affective disorders.

Acronym

A semi-crossover open trial of combined therapy of fMRI neurofeedback and repetitive transcranial magnetic stimulation (rTMS) for affective disorders.

Scientific Title

A semi-crossover open trial of combined therapy of fMRI neurofeedback and repetitive transcranial magnetic stimulation (rTMS) for affective disorders.

Scientific Title:Acronym

A semi-crossover open trial of combined therapy of fMRI neurofeedback and repetitive transcranial magnetic stimulation (rTMS) for affective disorders.

Region

Japan


Condition

Condition

Major depressive disorder (Monopolar depression) and bipolar disorder(Bipolar I disorder and bipolar II disorder)

Classification by specialty

Psychiatry Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

A main purpose of this clinical trial is to evaluate safety and efficacy, including antidepressant effect and prefrontal cognitive enhancement, of fMRI neurofeedback and rTMS applied to major depressive episode. Moreover, alterations induced by neurofeedback or rTMS are longitudinally investigated using fMRI.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Phase I,II


Assessment

Primary outcomes

1) Hamilton Depression Rating Scale (Ham-D) 17items and 24items
2) Beck Depression Inventry II (BDI-II)
3) Self-rating Depression Scale (SDS)
4) rTMS side effects questionnaire, which was translated in Japanese from original version of Center for Noninvasive Brain Stimulation, Harvard Medical School.: evaluated every rTMS session

Key secondary outcomes

5) State-Trait Anxiety Inventory (STAI)
6) Bipolar Spectrum Diganostic Scale (BSDS)
7) Neuropsychological Tests (Emotional "Face-word" Stroop Task, Four-armed Bandit Task)


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -participants are blinded

Control

Placebo

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Device,equipment Behavior,custom

Interventions/Control_1

fMRI neurofeedback
Connectivity-based neurofeedback using a 3T fMRI apparatus

Interventions/Control_2

Navigation-guided high-frequency rTMS
TMS coil: air-cooled figure-of-eight coil
site: left dorsolateral prefrontal cortex (lt.DLPFC)
frequency: 10Hz (4sec. train, 26sec. interval)
intensity: 90-100% resting motor threshold (RMT)
number of pulses: 2000pulses/session
time of session: 25 minutes
number of sessions: 5 to 20 sessions (1 to 4 weeks)

Interventions/Control_3

Combined trial of two interventions listed above

Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

50 years-old >

Gender

Male and Female

Key inclusion criteria

1. DSM-IV-TR diagnosis of major depressive disorder or bipolar disorder(BPI or II)
2. Current diagnosis of major depressive episode
3. Normal visual acuity
4. Aged 20-75 years-old, outpatients, self-sustained ADL
5. Capability of informed consent

Key exclusion criteria

1. Implanted cardiac pacemaker
2. Surgical aneurysm clips
3. Neurostimulator
4. Implanted pumps
5. Metal fragments in body/eyes
6. Tattoos or permanent eyeliner (if ink contains metallic specks)
7. Treatment history of ECT
8. Diagnosis of neurological disorders (including epilepsy), substance dependence, or
significant cardiac disease
9. History of neurological disorders (including epilepsy), substance dependence, or head injury with loss of consciousness

Target sample size

30


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hidehiko Takahashi

Organization

Kyoto University Graduate School of Medicine

Division name

Department of Psychiatry

Zip code


Address

54, Kawaramachi-shogoin, Sakyo-ku, Kyoto 606-8507, Japan

TEL

075-751-3386

Email

hidehiko@kuhp.kyoto-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Hidehiko Takahashi

Organization

Kyoto University Graduate School of Medicine

Division name

Department of Psychiatry

Zip code


Address

54, Kawaramachi-shogoin, Sakyo-ku, Kyoto 606-8507, Japan

TEL

075-751-3386

Homepage URL


Email

hidehiko@kuhp.kyoto-u.ac.jp


Sponsor or person

Institute

Kyoto University Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Ministry of Education, Culture, Sports, Science and Technology

Organization

Division

Category of Funding Organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

Advanced Telecommunications Research Institute International(ATR)

Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2014 Year 02 Month 25 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Terminated

Date of protocol fixation

2014 Year 01 Month 10 Day

Date of IRB


Anticipated trial start date

2014 Year 03 Month 14 Day

Last follow-up date

2014 Year 09 Month 25 Day

Date of closure to data entry

2014 Year 09 Month 25 Day

Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2014 Year 02 Month 25 Day

Last modified on

2014 Year 09 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000015471


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name