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Theta Burst Stimulation for Adolescent Depression
N/A
Recruiting
Led By Sara Tremblay, PhD
Research Sponsored by The Royal Ottawa Mental Health Centre
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Ages 16-19 years old
Depressive symptoms have not improved after ≥ 1 adequate dose of antidepressant in the current depressive episode
Must not have
Have a specific contraindication to TMS and/or MRI (e.g., personal history of epilepsy or seizures, metal head implant, pacemaker)
Concomitant unstable major medical or neurological disease (e.g., uncontrolled diabetes or renal dysfunction)
Timeline
Screening 3 weeks
Treatment Varies
Follow Up administered at screening, weekly for 2 weeks in accelerated group, every 3rd week for 6 weeks in once/daily (standard) group, as well as 2-, 4- and 12-weeks post-treatment course for both treatment protocols.
Awards & highlights
No Placebo-Only Group
Summary
This trial aims to study the effectiveness of a new treatment called Theta burst stimulation (TBS) for major depression in adolescents. They want to compare how well a new accelerated, three times a day T
Who is the study for?
This trial is for adolescents with major depression who haven't improved with standard treatments. Participants must be able to undergo fMRI scans and TBS sessions. Specific details on inclusion and exclusion criteria are not provided, but typically these would outline health conditions or medications that might interfere with the treatment.
What is being tested?
The study tests if using Theta Burst Stimulation (TBS), a type of brain stimulation therapy, three times a day works better than once daily for treating depression in adolescents. It's guided by fMRI scans to target specific brain areas.
What are the potential side effects?
While side effects aren't detailed here, common ones for TBS may include headache, scalp discomfort at the stimulation site, lightheadedness, or seizures in very rare cases.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am between 16 and 19 years old.
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My depression hasn't improved after trying at least one antidepressant.
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My current depression symptoms are moderate, as shown by my CDRS-R score.
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My main diagnosis is depression without psychosis, confirmed by a specific interview.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I cannot have TMS or MRI due to conditions like epilepsy or having a metal implant.
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I do not have any uncontrolled major illnesses like diabetes or kidney problems.
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I am not willing to keep my current antidepressant treatment as is.
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I take more than 1 mg/day of lorazepam or its equivalent.
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I have been diagnosed with bipolar disorder (I or II).
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ administered at screening, every other day for 2 weeks in accelerated group, weekly for 6 weeks in once/daily (standard) group, as well as 2-, 4- and 12-weeks post-treatment course for both treatment protocols.
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~administered at screening, every other day for 2 weeks in accelerated group, weekly for 6 weeks in once/daily (standard) group, as well as 2-, 4- and 12-weeks post-treatment course for both treatment protocols.
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Compare the efficacy of accelerated intermittent theta burst stimulation (iTBS) and standard once daily iTBS on clinical response in adolescents.
Secondary study objectives
Change in self-reported suicidal ideation as measured by Beck Scale for Suicidal Ideation (BSS).
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
2Treatment groups
Active Control
Group I: Accelerated iTBSActive Control1 Intervention
Intermittent Theta Burst Stimulation (iTBS) will be applied to the left dorsolateral prefrontal cortex (DLPFC). Participants will receive daily sessions (Mon-Fri), three times a day for 10 days (2 weeks).
Group II: Standard iTBSActive Control1 Intervention
Intermittent Theta Burst Stimulation (iTBS) will be applied to the left DLPFC. Participants will receive daily sessions (Mon-Fri), once a day for 30 days (6 weeks).
Find a Location
Who is running the clinical trial?
Université de SherbrookeOTHER
307 Previous Clinical Trials
77,614 Total Patients Enrolled
5 Trials studying Depression
6,711 Patients Enrolled for Depression
The Royal Ottawa Mental Health CentreLead Sponsor
19 Previous Clinical Trials
2,090 Total Patients Enrolled
5 Trials studying Depression
613 Patients Enrolled for Depression
Sara Tremblay, PhDPrincipal InvestigatorThe Royal's Institute of Mental Health Research
3 Previous Clinical Trials
488 Total Patients Enrolled
2 Trials studying Depression
466 Patients Enrolled for Depression
Jean-François Lepage, PhDPrincipal InvestigatorSherbrooke University