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Transcranial Magnetic Stimulation

Intensive TMS for Bipolar Disorder

N/A
Waitlist Available
Led By Yvette Sheline, MD
Research Sponsored by University of Pennsylvania
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 upon study completion, approximately 1 week
Awards & highlights

Study Summary

This trial will test if high-dose, spaced out theta-burst transcranial magnetic stimulation (rTMS) can help reduce symptoms of bipolar depression better than a sham treatment. It will enroll patients who are 18-70 years old, have failed two prior treatments, and still have depressive symptoms.

Who is the study for?
This trial is for adults aged 18-70 with bipolar depression who haven't improved after at least two treatments. Participants must score ≥20 on the MADRS, be right or left-handed, able to consent, and on a stable medication regimen including one mood stabilizer. Exclusions include those with certain implants, psychotic disorders, rapid cycling Bipolar illness, major neurological disorders or medical illnesses like advanced cancer.Check my eligibility
What is being tested?
The study tests if high dose spaced theta-burst rTMS can significantly reduce depressive symptoms in bipolar depression compared to sham treatment. It targets patients who have not responded well to previous therapies and aims to determine the effectiveness of this intensive TMS approach.See study design
What are the potential side effects?
While specific side effects are not listed here, TMS generally may cause discomfort at the stimulation site, headache, lightheadedness or seizures in rare cases. The intensity of these side effects could vary based on individual response to treatment.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~upon study completion, approximately 1 week
This trial's timeline: 3 weeks for screening, Varies for treatment, and upon study completion, approximately 1 week for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Clinical efficacy of high dose spaced theta burst (HDS-TBS)
Secondary outcome measures
Relationship between change in brain resting state functional connectivity and treatment effects

Trial Design

2Treatment groups
Active Control
Placebo Group
Group I: Active Transcranial Magnetic StimulationActive Control1 Intervention
Active Intensive iTBS involves intermittent theta-burst stimulation (iTBS), a patterned form of repetitive transcranial magnetic stimulation (rTMS) over the left dorsal lateral prefrontal cortex (L-DLPFC).
Group II: Sham Transcranial Magnetic StimulationPlacebo Group1 Intervention
Sham Intensive iTBS involves using the coil's electric stimulation functionality that allows for the delivery of a brief electric pulse to the scalp simultaneous to the TMS pulse, which mimics the scalp sensation from active stimulation.

Find a Location

Who is running the clinical trial?

University of PennsylvaniaLead Sponsor
2,000 Previous Clinical Trials
42,880,054 Total Patients Enrolled
Yvette Sheline, MDPrincipal InvestigatorUniversity of Pennsylvania
1 Previous Clinical Trials
30 Total Patients Enrolled

Media Library

Intensive intermittent theta-burst stimulation (iTBS) (Transcranial Magnetic Stimulation) Clinical Trial Eligibility Overview. Trial Name: NCT05228457 — N/A
Depression, Bipolar Disorder Research Study Groups: Active Transcranial Magnetic Stimulation, Sham Transcranial Magnetic Stimulation
Depression, Bipolar Disorder Clinical Trial 2023: Intensive intermittent theta-burst stimulation (iTBS) Highlights & Side Effects. Trial Name: NCT05228457 — N/A
Intensive intermittent theta-burst stimulation (iTBS) (Transcranial Magnetic Stimulation) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05228457 — N/A

Frequently Asked Questions

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

Is the requisite age for entry into this research 18 or older?

"This clinical trial has established specific age boundaries of 18 to 70 years old for eligible applicants. For those younger than 18, 205 studies may be available; conversely, 1030 trials are accessible to individuals over 65."

Answered by AI

How many participants have been enrolled in this investigation?

"Affirmative. According to clinicaltrials.gov, this medical trial is currently accepting participants and was first publicized on March 1st 2022 with the latest update occurring two weeks later on the 17th of that same month. 32 people need to be enrolled from a single site for completion of the study's objectives."

Answered by AI

Does this research experiment currently have any vacancies for participants?

"Yes, clinicaltrials.gov indicates that this medical research is currently recruiting participants. This trial was initially launched on March 1st 2022 and recently amended on the 17th of the same month. 32 individuals are needed from a single location to complete this study."

Answered by AI

What are the criteria for inclusion in this medical study?

"For this trial, 32 individuals between 18 and 70 who have melancholia are being sought. Those wishing to participate must meet the following criteria: a DSM 5 diagnosis of bipolar disorder type I or II, right- or left-handedness, any gender identity, treatment resistant depression as defined by ATHF standards with at least two prior unsuccessful antidepressant trials, current use of one mood stabilizer medication, competency in providing informed consent for participation in the study and scoring 20+ on Montgomery Asberg Depression Rating Scale (MADRS)."

Answered by AI

Who else is applying?

What state do they live in?
Maryland
What site did they apply to?
Center for Neuromodulation in Depression and Stress, University of Pennsylvania
What portion of applicants met pre-screening criteria?
Did not meet criteria
Met criteria
How many prior treatments have patients received?
0
~11 spots leftby Apr 2025