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Non-invasive Brain Stimulation
Theta Burst Stimulation for Treatment-Resistant Depression (ciTBS Trial)
N/A
Recruiting
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
18 - 70 years of age
Failed 2+ prior treatments (treatment-refractory)
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 2 weeks
Awards & highlights
No Placebo-Only Group
Summary
This trial will use a new TMS protocol to see if it is more effective than current TMS protocols in treating patients with treatment-resistant depression.
Who is the study for?
This trial is for adults aged 18-70 with major depressive disorder who haven't improved after at least two treatments. They must score ≥20 on a depression scale, speak English, and can consent to treatment. Exclusions include MRI contraindications, implanted medical devices like pacemakers, pregnancy, recent substance abuse issues, or certain neurological conditions.
What is being tested?
The study tests an accelerated form of magnetic brain stimulation called intermittent Theta Burst Stimulation (iTBS), concentrating the usual 6-week protocol into five days for those with treatment-resistant depression.
What are the potential side effects?
Potential side effects may include discomfort at the stimulation site, headache, lightheadedness, or seizures in very rare cases. The rapid pace of this specific protocol's side effects are not fully known but will be monitored closely.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am between 18 and 70 years old.
Select...
My condition did not improve after two or more treatments.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 2 weeks
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~2 weeks
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Depressive Symptoms Change
Secondary study objectives
Self report Symptom Change
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
1Treatment groups
Experimental Treatment
Group I: Compressed iTBS scheduleExperimental Treatment1 Intervention
Stimulation 3-pulse 50-Hz bursts at 5-Hz for 2-s trains, with trains every 10 s, for 10 minutes, 10 times a day, for 5 consecutive days.
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Who is running the clinical trial?
University of PennsylvaniaLead Sponsor
2,066 Previous Clinical Trials
42,712,869 Total Patients Enrolled
Yvette Sheline, MDPrincipal Investigator - University of Pennsylvania
Penn Behavoral Health, University Of Penn-Outpatient Psychiatry Center
Boston University School Of Medicine (Medical School)
Beth Israel Deaconess Hp M C (Residency)
1 Previous Clinical Trials
34 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- You have a health condition that makes it difficult to get accurate MRI results.You have been struggling with alcohol or drug addiction in the past three months.My gender does not limit my participation.I am between 18 and 70 years old.You have been diagnosed with major depressive disorder (MDD) according to the standard criteria used by mental health professionals.I have a neurological condition that may affect my treatment, as determined by my doctor.You cannot have an MRI scan for medical reasons.My condition did not improve after two or more treatments.Your score on the Montgomery Asberg Depression Rating Scale is 20 or higher, indicating severe depression.You have a medical device implanted in your body, such as a pacemaker or aneurysm clip.I am taking antidepressants approved by my doctor, at safe levels for TMS.
Research Study Groups:
This trial has the following groups:- Group 1: Compressed iTBS schedule
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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