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CompletedNCT00488748Updated Jan 28, 2015

Magnetic Seizure Therapy (MST) for Severe Mood Disorder

A Phase 3 interventional study of Thymatron and Magstim Theta in Depression, sponsored by Sarah Lisanby. Completed at 2 sites in United States. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2015-01-28.

Sponsored by Sarah Lisanby · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
75
Allocation
Randomized
Ages
18 Years to 90 Years
Sex
All
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Study summary

This study will compare the clinical efficacy and side effects of Magnetic Seizure Therapy (MST) and Electroconvulsive Therapy (ECT) in patients currently experiencing a major depressive episode in the context of either unipolar or bipolar depression. The investigators will conduct a number of clinical and neuropsychological tests to assess clinical and cognitive response to treatment. The investigators hypothesize that:

  1. MST and ECT will have similar antidepressant efficacy.
  2. MST will have less post-treatment amnesia than ECT as reflected in primary measures of anterograde and retrograde amnesia following the acute treatment phase.
  3. At follow up, MST will show a lesser degree of persisting deficit in measures of retrograde amnesia than ECT.
Read the detailed description

The purpose of this study is to compare the clinical efficacy and side effects of Magnetic Seizure Therapy (MST) and Electroconvulsive Therapy (ECT) in patients currently experiencing a major depressive episode in the context of either unipolar or bipolar depression. ECT is known to be highly effective in treating depression, but it can have some adverse cognitive side effects. MST is a new form of convulsive therapy that is being developed as a means of improving the side effect profile of ECT so that more patients may benefit without suffering significant detrimental effects on cognition.

Both ECT and MST cause a seizure, but they do so in different ways. In ECT, an electrical stimulator is used to pass an electrical current between two electrodes placed on the person's head, which causes some electricity to go through the brain and cause a seizure. In MST, a magnetic stimulator is used to pass a magnetic field to the brain, which then creates a small electrical field in the brain that causes a seizure.

In addition to the treatment sessions, this study will involve a number of assessments at different timepoints that are used to evaluate the person's antidepressant response and the physical and cognitive side effects of treatment.

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Conditions studied

  • Depression

Keywords

  • MST
  • Magnetic Seizure Therapy
  • ECT
  • Electroconvulsive Therapy
  • Depression
  • Magnetic
03

In context

Seizures

881 studies on the registry are indexed under Seizures; 143 are open to participants now.

This study's enrollment of 75 is above the median of 64 across 610 interventional studies indexed under Seizures.

Browse Seizures studies →

Lead sponsor

Sarah Lisanby is the lead sponsor of 2 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age 18-90
  • Clinical diagnosis of major depressive episode, in the context of unipolar or bipolar disorder
  • Use of effective method of birth control for women of child-bearing capacity
  • Willing and capable to provide informed consent
  • Convulsive therapy clinically indicated
  • Hamilton Rating Scale for Depression (HRSD24) ≥ 20

Exclusion criteria

Exclusion Criteria:

  • Current unstable or serious medical condition, or any comorbid medical condition that substantially increases the risks of ECT (such as acute myocardial infarction, space occupying brain lesion or other cause of increased intracranial pressure, unstable aneurysm or vascular malformation, poorly controlled diabetes mellitus, carcinoma, renal failure, hepatic failure)
  • Pregnancy
  • History of neurological disorder, epilepsy, stroke, brain surgery, metal in the head, history of known structural brain lesion
  • Presence of devices that may be affected by MST (pacemaker, medication pump, cochlear implant, implanted brain stimulator)
  • Breast-feeding
  • History of head trauma with loss of consciousness for greater than 5 minutes
  • History of schizophrenia, schizoaffective disorder, or rapid cycling bipolar disorder
  • Vagus nerve stimulator implanted
  • History of substance abuse or dependence in past 3 months
  • Failure to respond to an adequate course of ECT in the current depressive episode
  • History of ECT in the past 6 months and/or failure to respond to an adequate trial of ECT lifetime
  • Presence of intracardiac lines
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
75 participants (actual)

Study arms

  • Experimental
    MST

    Magnetic Seizure Therapy (MST)

    Device: Magstim Theta

  • Active comparator
    ECT

    Electroconvulsive Therapy (ECT)

    Device: Thymatron

Interventions

  • DeviceThymatron

    Right unilateral placement, 6x seizure threshold, 3 times per week until clinically appropriate to stop (approximately 2-6 weeks)

    Also known as: Thymatron, Electroconvulsive Therapy (ECT)

  • DeviceMagstim Theta

    100% power, vertex placement, 3 times per week, until clinically appropriate to stop (approximately 2-6 weeks)

    Also known as: Magstim Theta, Magnetic Seizure Therapy (MST)

06

What researchers measure

Primary outcomes

  1. Clinical improvement (Hamilton Rating Scale for Depression)

    Time frame: After each treatment and at follow-ups up to 6 months after the treatment course

Secondary outcomes

  1. Clinical improvement (Inventory of Depressive Symptomatology - Clinician-Rated)

    Time frame: Before and after treatment course, and at follow-ups up to 6 months after the treatment course

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Study locations

2 sites
  • Duke University
    Durham, North Carolina 27710, United States
  • University of Texas Southwestern Medical Center
    Dallas, Texas 75390, United States
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References and documents

Publications

  • Lisanby SH, Luber B, Schlaepfer TE, Sackeim HA. Safety and feasibility of magnetic seizure therapy (MST) in major depression: randomized within-subject comparison with electroconvulsive therapy. Neuropsychopharmacology. 2003 Oct;28(10):1852-65. doi: 10.1038/sj.npp.1300229. PubMed 12865903 ↗
  • Kosel M, Frick C, Lisanby SH, Fisch HU, Schlaepfer TE. Magnetic seizure therapy improves mood in refractory major depression. Neuropsychopharmacology. 2003 Nov;28(11):2045-8. doi: 10.1038/sj.npp.1300293. PubMed 12942146 ↗
  • Jiang J, Zhang C, Li C, Chen Z, Cao X, Wang H, Li W, Wang J. Magnetic seizure therapy for treatment-resistant depression. Cochrane Database Syst Rev. 2021 Jun 16;6(6):CD013528. doi: 10.1002/14651858.CD013528.pub2. PubMed 34131914 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 28, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00488748
Lead sponsor
Sarah Lisanby
Collaborators
Duke University, University of Texas Southwestern Medical Center, Stanley Medical Research Institute
Responsible party
Sarah Lisanby (Professor and Chair, Department of Psychiatry and Behavioral Sciences, Duke University) — Sponsor-investigator
First posted
Jun 20, 2007
Start date
Jun 2007
Primary completion
Aug 2012
Completion
Aug 2012
Last update
Jan 28, 2015

Study contacts

Sarah H. Lisanby, MD
principal investigator · Duke University

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2015. You cannot join it, but the record below documents what was studied.

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