Concurrent and consecutive rTMS plus CBM for depression in adults
Official title: Effects of Concurrent and Consecutive Repetitive Transcranial Magnetic Stimulation (rTMS) and Cognitive Bias Modification (CBM)
Run by The University of Hong Kong · NCT07636694 · Data updated 2026-11-12
This study tests whether combining rTMS with a computer-based CBM-I program can reduce negative thinking and depressive symptoms in adults with major depressive disorder.
Quick facts
| Study type | Interventional |
|---|---|
| Sex | All |
| Enrollment | 180 (estimated) |
| Sponsor | The University of Hong Kong Academic / other |
| Locations | 1 site (Quarry Bay, Hong Kong Island) |
| Status | Recruiting |
| Started | February 24, 2025 |
| Main results expected | December 2028 |
| Study ends | December 2028 |
| Registry record updated | October 16, 2026 |
| Trial ID | NCT07636694 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18+) with major depressive disorder, fluent in Chinese, right-handed, with BDI-II scores 14-28, and eligible for MRI and rTMS.
✕Probably not a fit
Individuals with contraindications to rTMS, MRI, or with severe medical or neurological conditions may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Adults with major depressive disorder will receive either active or sham rTMS, and CBM-I will be delivered either concurrently with rTMS or in separate sessions. The trial will measure changes in depressive symptoms and negative interpretation bias, and explore brain changes in the dorsolateral prefrontal cortex. Neural and cognitive outcomes will be compared across delivery modes and between active versus sham stimulation. MRI feasibility will be considered to assess brain activity and cognitive control related to self-referential interpretation.
Why it matters
Potential benefit: If successful, participants may experience greater reductions in depressive symptoms and negative thought patterns, with potential neural changes supporting improved cognitive control.
How similar studies have gone: Previous work suggests neuromodulation plus cognitive bias modification can influence depressive symptoms, but concurrent versus sequential delivery is less established.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Aged 18 years or above * Right-handed * Normal or corrected hearing and vision * Obtained primary education or above * Able to fluently read and understand Chinese * Beck's Depression Inventory-II (BDI-II) score ranging from 14-28 Exclusion Criteria: * History of severe physical disease, brain organic diseases, and neurological disorders (e.g., dementia, brain injury, stroke, epilepsy, Parkinson's disease) * History of substance use/ dependence/ withdrawal * Participants with intellectual disability based on IQ scores * Participants with contraindications for rTMS such as foreign metal bodies, implant devices (cochlear implants) or history (personal or family) of seizure * Participants who are not suitable to be scanned by magnetic resonance imaging (MRI) machine (e.g., claustrophobic, pregnant, metal in the body, hearing aids)
Where it's running
-
InnoCentre of Clinical Neuropsychology, The University of Hong Kong
Quarry Bay, Hong Kong Island, Hong Kong Recruiting
Study contacts
- Study coordinator: Richard Liu Mr. Liu
- Email: richliu18@connect.hku.hk
- Phone: +85290971398
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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.