Playing music during ECT to reduce agitation afterward
Official title: the Effect of a MUsic Intervention on poStictal Agitation in Electroconvulsive Therapy Patients: the MUSE Trial
Run by Erasmus Medical Center · NCT06817330 · Data updated 2026-11-12
This trial will try playing recorded music during ECT to see if it reduces agitation after the treatment in adults receiving ECT for severe depression.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 92 (estimated) |
| Sponsor | Erasmus Medical Center Academic / other |
| Locations | 2 sites (Rotterdam and 1 other locations) |
| Status | Recruiting |
| Started | November 25, 2025 |
| Main results expected | February 28, 2027 |
| Study ends | February 28, 2027 |
| Registry record updated | December 17, 2025 |
| Trial ID | NCT06817330 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adult patients (≥18) undergoing ECT for depression (including bipolar depression) who receive etomidate anesthesia, understand Dutch, and can provide informed consent are the intended participants.
✕Probably not a fit
Patients with significant hearing impairment, severe neurological disorders that interfere with music processing, those receiving ECT for schizophrenia, or patients not anesthetized with etomidate are unlikely to benefit from this intervention.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional study compares peri-procedural recorded music played to patients undergoing electroconvulsive therapy with a control condition of headphones without music. Participants who meet inclusion criteria receive ECT under etomidate and are assigned to either the music or silent-headphone condition during the intervention and immediate recovery period. The main outcome is the incidence and severity of postictal agitation, with secondary interest in whether reduced agitation corresponds to less post-treatment cognitive impairment. The rationale is that music has lowered preoperative anxiety and sedative needs in other hospital settings, and a simple, low-risk music intervention could be an easy preventive option if effective.
Why it matters
Potential benefit: If successful, this low-risk, low-cost approach could reduce how often and how severely patients become agitated after ECT and may lower related complications like retrograde amnesia.
How similar studies have gone: Music interventions have shown benefit in reducing preoperative anxiety and sedative or analgesic needs in surgical settings, but using peri-ECT music specifically to prevent postictal agitation is a novel application with limited direct evidence.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients undergoing ECT treatment for depression (including depression as part of bipolar disorder) * Adult patients (≥18 years) * Hypnotic agent used is etomidate * Sufficient understanding of the Dutch language (in judgement of the attending physician or researcher) * Written informed consent by patient or legal representative Exclusion Criteria: * Significant impaired hearing (defined as unable to communicate verbally or listen to music) * Severe neurological condition (defined as interfering with the ability to process music) * Patients receiving ECT for treatment of schizophrenic disorders
Where it's running
-
Erasmus Medical Center
Rotterdam, Netherlands Recruiting -
Antes Parnassia Group
Rotterdam, Netherlands Recruiting
Study contacts
- Principal investigator: Markus Klimek, MD, PhD — Erasmus Medical Center
- Study coordinator: Emy S van der Valk Bouman, MD
- Email: e.vandervalkbouman@erasmusmc.nl
- Phone: +31107033357
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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.