UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000032313
Receipt number R000036832
Scientific Title Efficacy and safety of repetitive transcranial magnetic stimulation with new protocol in treatment-resistant major depressive disorder and bipolar disorder: a randomized, open-label, parallel group trial
Date of disclosure of the study information 2018/04/25
Last modified on 2019/03/15 18:00:10

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Efficacy and safety of repetitive transcranial magnetic stimulation with new protocol in treatment-resistant major depressive disorder and bipolar disorder: a randomized, open-label, parallel group trial

Acronym

Efficacy and safety of rTMS with new protcol in treatment-resistant MDD and BD

Scientific Title

Efficacy and safety of repetitive transcranial magnetic stimulation with new protocol in treatment-resistant major depressive disorder and bipolar disorder: a randomized, open-label, parallel group trial

Scientific Title:Acronym

Efficacy and safety of rTMS with new protcol in treatment-resistant MDD and BD

Region

Japan


Condition

Condition

Major depressive disorder and bipolar disorder

Classification by specialty

Psychiatry

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To examine the efficacy and safety of rTMS with new protocol in patients with treatment-resistant depression or bipolar depression

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Change in the total QIDS-J score at 5 week

Key secondary outcomes

・The rates of response and remission at 5 week.
・Change in the PHQ-9, YMARS and THINC-it score at baseline compared to after TMS stimulation.
・Adverse events.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

High-frequency left prefrontal rTMS(120% of motor threshold, 10 pulses per second, 4 second on-time, 11 second off-time, 150 trains, 6,000 total pulses/session), two times weekly, for 5 weeks

Interventions/Control_2

High-frequency left prefrontal rTMS(120% of motor threshold, 10 pulses per second, 4 second on-time, 11 second off-time, 75 trains, 3,000 total pulses/session), four times weekly, for 5 weeks

Interventions/Control_3


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

25 years-old <=

Age-upper limit

75 years-old >=

Gender

Male and Female

Key inclusion criteria

1)MDD or bipolar disorder
2) More after 4 weeks of treatment with fixed regimen of medication and/or psychotherapy
3)Total QIDS-J >=11 at baseline

Key exclusion criteria

1)Unable to determine MT
2)Depression secondary to a general medical condition, or substance-induced
3)History of substance abuse or dependence within the past 6 months (except nicotine and caffeine)
4)Schizophrenic disorder or schizoaffective disorder
5)Major depression with psychotic features in the current episode
6)Individuals with a significant neurological disorder or insult including any condition likely to be associated with increased intracranial pressure, space occupying brain lesion, any history of seizure, history of cerebrovascular accident, transient ischemic attack within two years, cerebral aneurysm, dementia, mini Mental State Exam score of less than or equal to 24, Parkinson's disease, Huntington's chorea, multiple sclerosis)
7)Increased risk of seizure for any reason, including prior diagnosis of increased intracranial pressure (such as after large infarctions or trauma), or history of significant head trauma with loss of consciousness or personal history of epilepsy
8)Individuals with hearing loss
9) Patients who did not respond to rTMS or ECT
10)Present suicidal risk as assessed by the investigator or a history of attempted suicide in the last 3 years.
11)Any self-inflicted harm in the past
12)Implantation of metal object in upper body
13)Cardiac pacemakers, implanted medication pumps, intracardiac lines, or acute, unstable cardiac disease
14)Implanted neurostimulators
15)Abnormal MRI
16)Women who are pregnant or breast-feeding
17)Clinically significant laboratory abnormality, in the opinion of the investigator based on CBC and biochemistry

Target sample size

30


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Shinsuke Kito

Organization

Jikei University School of Medicine

Division name

Department of Psychiatry

Zip code


Address

3-25-8 Nishi-shinbashi, Minato-ku, Tokyo 105-8461, Japan

TEL

03-3433-1111

Email

kito@jikei.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Toshihide Hayashi

Organization

Medical Care Toranomon

Division name

Medical Care Toranomon

Zip code


Address

1-16-16 Toranomon, Minatoku, Tokyo 105-0001, Japan

TEL

03-5510-3898

Homepage URL


Email

dtms@medcare-tora.com


Sponsor or person

Institute

Medical Care Toranomon

Institute

Department

Personal name



Funding Source

Organization

Medical Care Toranomon

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


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

2018 Year 04 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

4

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

2018 Year 03 Month 30 Day

Date of IRB

2018 Year 03 Month 30 Day

Anticipated trial start date

2018 Year 04 Month 25 Day

Last follow-up date

2019 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2018 Year 04 Month 19 Day

Last modified on

2019 Year 03 Month 15 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000036832


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name