Accelerated rTMS for treatment-resistant depression
Official title: The Mechanisms of Underlying Accelerated Repetitive Transcranial Magnetic Stimulation for Treatment-resistant Depression Via Reelin-Apoer2-NMDAR Pathway- Mediated Synaptic Plasticity
Run by First Affiliated Hospital of Zhejiang University · NCT05607654 · Data updated 2026-11-12
This study is testing a faster way of using brain stimulation to see if it can help people with depression who haven't found relief from other treatments.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 45 Years |
| Sex | All |
| Enrollment | 60 (estimated) |
| Sponsor | First Affiliated Hospital of Zhejiang University Academic / other |
| Locations | 1 site (Hangzhou, Zhejiang) |
| Status | Recruiting |
| Started | January 1, 2023 |
| Main results expected | December 31, 2024 |
| Study ends | December 31, 2026 |
| Registry record updated | January 13, 2023 |
| Trial ID | NCT05607654 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are Han Chinese individuals aged 18-45 with a diagnosis of major depression who are unmedicated and right-handed.
✕Probably not a fit
Patients with co-morbid mental disorders, severe somatic diseases, or contraindications to MRI scanning may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This project evaluates an accelerated schedule of repetitive transcranial magnetic stimulation (rTMS) for individuals suffering from treatment-resistant depression. Participants are divided into two groups, receiving either active stimulation or a sham treatment, while their brain activity and blood markers are monitored. The study aims to understand the mechanisms behind accelerated rTMS by assessing neuroimaging and biomarker changes at baseline, five days post-treatment, and one month later.
Why it matters
Potential benefit: If successful, this approach could provide a new effective treatment option for patients with treatment-resistant depression.
How similar studies have gone: While the approach of accelerated rTMS is relatively novel, similar studies have shown promise in improving outcomes for treatment-resistant depression.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. The current episode met the DSM-5 diagnostic criteria for major depression in patients with first-episode or relapsed unmedicated depression without psychotic symptoms. 2. 24-item Hamilton Depression Scale (HAMD-24) ≥ 20. 3. Age 18-45 years, regardless of gender. 4. Right-handedness. 5. Han Chinese. 6. Signed a written informed consent, willing to participate in the study and be evaluated. Exclusion Criteria: 1. Co-morbid other mental disorders, including: schizophrenia, mental retardation, substance dependence, etc. 2. Patients with metal objects in the body or with other contraindications to MRI scanning 3. Patients with severe or unstable somatic diseases 4. Women during pregnancy or lactation, and women of childbearing age with positive urine HCG test results during the screening period 5. Other conditions that, in the opinion of the investigator, exist that make participation in this clinical trial inappropriate.
Where it's running
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The First Affiliated Hospital of Zhejiang University
Hangzhou, Zhejiang, China Recruiting
Study contacts
- Study coordinator: Manli Huang, M.D
- Email: huangmanli@zju.edu.cn
- Phone: 13957162975
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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EEG-Guided TMS for Adults With Depression
This study tests whether delivering intermittent theta burst stimulation (iTBS) timed to brain waves using EEG can improve treatment for adults with major depressive disorder who have not responded to usual antidepressants.
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Ketamine plus behavioral activation therapy for treatment-resistant depression
This study tests whether adding behavioral activation therapy to ketamine treatment helps adults with treatment-resistant depression feel better than ketamine alone.
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Ketamine-assisted psychotherapy for treatment-resistant depression in adults
This open-label program tests intravenous ketamine combined with psychotherapy to see if it helps adults with treatment-resistant depression.
-
Mindfulness‑augmented brain stimulation for treatment‑resistant depression
This trial will test whether combining fast brain stimulation (iTBS) with a digital mindfulness program helps people with treatment‑resistant depression reduce symptoms and improve thinking.
-
ipRGCs as biomarkers to predict TMS response in major depressive disorder
This study tests whether retinal cells called ipRGCs can predict who will respond to TMS in treatment-resistant depression.
-
Rapid, robot-guided TMS with NRX-101 for treatment-resistant depression
This trial tests whether a single-day, robot-guided brain stimulation plus NRX-101 can help adults with treatment-resistant depression compare to sham stimulation and placebo.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.