Compare 10 Hz rTMS vs. iTBS for teens with major depressive disorder
Official title: A Randomized Controlled Trial Protocol Comparing 10 Hz rTMS and iTBS for Adolescent Depression: Clinical Efficacy, Neurocognitive and Neurobiological Mechanisms
Run by Qilu Hospital of Shandong University · NCT07873060 · Data updated 2026-11-12
This study tests whether two brain-stimulation approaches work for teens ages 11–19 who have major depressive disorder, by randomly assigning them to receive either 10 Hz rTMS or iTBS over two weeks.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 11 Years to 19 Years |
| Sex | All |
| Enrollment | 80 (estimated) |
| Sponsor | Qilu Hospital of Shandong University Academic / other |
| Locations | 1 site (Jinan, Shandong) |
| Status | Recruiting |
| Started | October 8, 2026 |
| Main results expected | December 31, 2026 |
| Study ends | December 31, 2027 |
| Registry record updated | October 14, 2026 |
| Trial ID | NCT07873060 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Aged 11–19 with DSM-5 confirmed major depressive disorder, no psychotic symptoms or major comorbidities, and no contraindications to MRI or TMS.
✕Probably not a fit
Individuals with high suicide risk, seizure history, recent rTMS/ECT, or certain medical implants or conditions may not benefit or may be excluded for safety.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
In this interventional trial, adolescents with DSM-5 diagnosed major depressive disorder are randomized to receive either 10 Hz repetitive transcranial magnetic stimulation or intermittent theta burst stimulation over a two-week course. Participants will undergo assessments of depressive symptoms, cognitive function, and brain physiology using imaging and neurophysiological measures at baseline, immediately after treatment, and at a one-month follow-up to explore immediate and lasting effects and potential mechanisms. The study will be conducted at the Shandong Mental Health Center with collaboration from regional universities, enrolling up to 80 participants aged 11–19 who meet specified inclusion criteria and have no major comorbid psychiatric or neurological conditions. Safety monitoring and MRI/TMS suitability screening are part of the protocol to ensure appropriate participation. Findings could help clarify which stimulation protocol is more effective and for whom among adolescence with depression.
Why it matters
Potential benefit: If successful, the trial could identify a more effective brain-stimulation option for reducing depressive symptoms in adolescents.
How similar studies have gone: Previous studies of TMS modalities in youths have shown promise, but direct comparison in this age group is relatively novel and requires further validation.
Who can join: the full rules
Show full inclusion / exclusion criteria
\*\*Inclusion Criteria:\*\* * Aged 11 to 19 years * Meeting the DSM-5 criteria for MDD * Absence of current or past psychotic symptoms (e.g., auditory or visual hallucinations) * No comorbid schizophrenia, bipolar disorder, obsessive-compulsive disorder, post-traumatic stress disorder, panic disorder, or other severe psychiatric conditions * No contraindications to MRI or TMS, including implanted cardiac pacemakers, neurostimulators, artificial metal heart valves, intracranial aneurysm clips, cochlear implants, or other metallic implants \*\*Exclusion Criteria:\*\* * Alcohol or substance dependence * Severe or unstable medical conditions, including neurological, endocrine, and rheumatic diseases, brain disorders, traumatic brain injury or surgery, and infectious diseases * Recent receipt of rTMS or electroconvulsive therapy * High suicide risk * A history of epilepsy or unprovoked seizures * Pregnancy
Where it's running
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Shandong Mental Health Center
Jinan, Shandong, China Recruiting
Study contacts
- Study coordinator: Kangcheng Wang, PhD
- Email: wangkangcheng@sdnu.edu.cn
- Phone: +86 136 0640 0147
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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.