Clinical trial Recruiting at 1 site Interventional Ages 18 to 45

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 typeInterventional
Ages18 Years to 45 Years
SexAll
Enrollment60 (estimated)
SponsorFirst Affiliated Hospital of Zhejiang University
Academic / other
Locations1 site (Hangzhou, Zhejiang)
StatusRecruiting
StartedJanuary 1, 2023
Main results expectedDecember 31, 2024
Study endsDecember 31, 2026
Registry record updatedJanuary 13, 2023
Trial IDNCT05607654 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

  • The First Affiliated Hospital of Zhejiang University
    Hangzhou, Zhejiang, China
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.