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TMS for Depression and Anxiety

Phase 2
Waitlist Available
Led By Shan H Siddiqi, MD
Research Sponsored by Brigham and Women's Hospital
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline (before treatment), 3 weeks (after 15 treatments), and 6 weeks (after 30 treatments)
Awards & highlights

Study Summary

This trial will compare two different ways of using transcranial magnetic stimulation to treat people with major depressive disorder. The goal is to see if one method is better than the other at treating both depression and anxiety.

Who is the study for?
This trial is for adults aged 18-65 with major depressive disorder who have not improved after at least one antidepressant treatment. Participants must have a Beck Depression Inventory score of 20+ and an Anxiety Inventory score of 16+. It's not for those with dementia, bipolar, seizure disorders, certain metal implants, severe substance use in the past six months (except cannabis/nicotine), active psychosis or suicidal thoughts.Check my eligibility
What is being tested?
The study tests two different targets for transcranial magnetic stimulation (TMS) to see which is more effective for treating symptoms of depression versus anxiety. TMS is a non-invasive procedure that uses magnetic fields to stimulate nerve cells in the brain.See study design
What are the potential side effects?
TMS may cause discomfort at the site of stimulation, headache, lightheadedness, or tingling. Rarely it can induce seizures or mania in people with bipolar disorder. Most side effects are mild and improve shortly after treatment.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline (before treatment), 3 weeks (after 15 treatments), and 6 weeks (after 30 treatments)
This trial's timeline: 3 weeks for screening, Varies for treatment, and baseline (before treatment), 3 weeks (after 15 treatments), and 6 weeks (after 30 treatments) for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Anxiety
Mental Depression
Secondary outcome measures
Multidimensional battery of emotional questionnaires
Multidimensional task-based emotional assessment
NIH Toolbox cognitive battery
+3 more

Trial Design

2Treatment groups
Experimental Treatment
Group I: Dysphoric targetExperimental Treatment1 Intervention
The "dysphoric" target is a region in the dorsolateral prefrontal cortex. TMS targeted to this region has been shown to be more effective for depression than anxiety.
Group II: Anxiosomatic targetExperimental Treatment1 Intervention
The "anxiosomatic" target is a region in the dorsomedial prefrontal cortex. TMS targeted to this region has been shown to be more effective for anxiety than depression.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Transcranial magnetic stimulation
2015
Completed Phase 4
~480

Find a Location

Who is running the clinical trial?

Brigham and Women's HospitalLead Sponsor
1,608 Previous Clinical Trials
11,469,837 Total Patients Enrolled
27 Trials studying Depression
115,733 Patients Enrolled for Depression
Shan H Siddiqi, MDPrincipal InvestigatorBrigham and Women's Hospital
1 Previous Clinical Trials
15 Total Patients Enrolled

Media Library

Transcranial magnetic stimulation (Other) Clinical Trial Eligibility Overview. Trial Name: NCT04604210 — Phase 2
Depression Research Study Groups: Dysphoric target, Anxiosomatic target
Depression Clinical Trial 2023: Transcranial magnetic stimulation Highlights & Side Effects. Trial Name: NCT04604210 — Phase 2
Transcranial magnetic stimulation (Other) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04604210 — Phase 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Has the FDA sanctioned Transcranial magnetic stimulation?

"There is some evidence to suggest that Transcranial magnetic stimulation is safe, thus its safety score sits at a 2. This Phase 2 trial has yet to collect data attesting to the efficacy of this intervention."

Answered by AI

Are there any slots currently available for participants of this experiment?

"The clinical trial is still in the recruitment phase, which began on February 3rd 2021 and was refreshed as recently as August 1st 2022. This data can be confirmed via clinicaltrials.gov."

Answered by AI

What outcomes are researchers hoping to obtain from this clinical trial?

"As a primary measure of the trial's efficacy, patients will be evaluated using Beck Anxiety Inventory (BAI) scores across Baseline, 3 and 6 week time frames. Secondary assessments include Multidimensional battery of emotional questionnaires which assesses temperament, reactivity to emotion and impulsivity; Resting-state functional MRI scans for assessing brain connectivity before/after treatment; and Multidimensional task-based emotional assessment via interactive computerized tasks including Aversion-Reward Conflict, Emotion Conflict Resolution etc., each yielding results in accuracy & reaction time."

Answered by AI

Does the protocol for this trial preclude people under age 55 from participating?

"This clinical trial seeks volunteers aged 18 to 65 years old."

Answered by AI

Who qualifies to participate in this medical trial?

"This clinical trial is enrolling 40 persons with depression that are between 18 and 65 years of age. Essential criteria for inclusion include the following: FDA-sanctioned TMS classification, DSM-5 diagnosis of major depressive disorder with a prior unsuccessful antidepressant attempt, BDI score over 20, and BAI score above 16."

Answered by AI

How many individuals can the clinical trial accommodate?

"Affirmative. According to clinicaltrials.gov, this trial is actively seeking volunteers and it was posted on February 3rd 2021 with the latest update registered on August 1st 2022. Forty individuals are sought from a single site for inclusion in the study."

Answered by AI

Who else is applying?

What state do they live in?
New York
Massachusetts
How old are they?
65+
18 - 65
What site did they apply to?
Brigham & Women's Hospital
What portion of applicants met pre-screening criteria?
Did not meet criteria
Met criteria
~10 spots leftby Apr 2025