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CompletedNCT00699218TMS-BDUpdated Jul 23, 2018Results posted

A Pilot Study on Repetitive Transcranial Magnetic Stimulation (rTMS) Treatment of Bipolar Depression

An interventional study of Magnetic Stimulator Rapid2 made by Magstim Company Ltd. U.K. in Mood Disorder, Bipolar Disorder and Major Depression, sponsored by University of California, Davis. Completed at 1 site in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2018-07-23.

Sponsored by University of California, Davis · Not applicable, Interventional, and Device feasibility

Phase
Not applicable
Study type
Interventional
Enrollment
15
Allocation
Not applicable
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This is a pilot project to study if repetitive Transcranial Magnetic Stimulation (rTMS) will benefit patients with bipolar depression safely. Based on published studies, this study hypothesizes that rTMS on the left dorsal prefrontal lobe will improve symptoms in some patients who have failed at least two medications.

Read the detailed description

Candidate with bipolar depression will be screened after signing informed consent. Those who meet the selection criteria will be treated with daily rTMS for 3 weeks and be followed-up at 2 weeks. Participants will keep their ongoing medication unless a medication significantly increases the possibility of seizure. They must be on the same dose of antidepressant medication for least 4 weeks without improvement of symptoms before being recruited into the study. Mood and other observed mental status will be measured by standard psychological scales.

02

Conditions studied

  • Mood Disorder
  • Bipolar Disorder
  • Major Depression
  • Depression

Keywords

  • Bipolar
  • Depression
  • TMS
  • repetitive Transcranial Magnetic Stimulation
  • treatment
  • Efficacy
  • Safety
03

In context

Depression

8,057 studies on the registry are indexed under Depression; 1,641 are open to participants now.

This study's enrollment of 15 is below the median of 84 across 6,720 interventional studies indexed under Depression.

Browse Depression studies →

Lead sponsor

University of California, Davis is the lead sponsor of 798 studies on the registry; 146 are open to participants now.

Of its 65 completed or terminated interventional studies of FDA-regulated products, 43 (66%) have results posted.

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

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Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • bipolar I or II patients, currently in a depression episode
  • Patient must have failed at least 2 medication
  • Score of 21-item Hamilton Rating Scale for Depression (HAM-D)

Exclusion criteria

Exclusion Criteria:

  • Rapid cycling bipolar or mixed episode of mood disorder by definition of current DSM criteria
  • Substantial risk of suicide during the screening period that requires inpatient care
  • Presence of psychosis
  • Dual diagnosis of other primary, currently clinically significant severe mental disorders
  • History of other significant neurological diseases, such as seizure disorder, stroke, brain tumors, abnormalities in the blood vessels in brain, dementia, Parkinson's disease, Huntington's chorea or multiple sclerosis
  • History of any medical event that may increase the risk of having seizure, such as head trauma with unconsciousness for more than 5 minutes or a family history of seizure
  • Significant medical complications that may deteriorate during the trial or have increased likelihood of danger consequences
  • Patients who are pregnant or intend to become pregnant during the study period
  • Any metallic prosthesis in head, neck or upper body (including cardiac pace maker) that cannot be safely removed during treatment
  • Current Vagus Nerve Stimulation (VNS) treatment or Electroconvulsive Therapy (ECT) treatment, or with history of failed ECT treatment
  • Patient's Motor Threshold for TMS cannot be detected
  • Significant side effects which are intolerable during the screening or any later stage of the trial
  • Started psychotherapy within the previous 8 weeks or foreseeable psychotherapy will be started or changed in 6 weeks
05

Study design

Phase
Not applicable
Primary purpose
Device feasibility
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
15 participants (actual)

Study arms

  • Experimental
    rTMS treatment

    Active rTMS treatment. Transcranial magnetic stimulation using a device called MagStim

    Device: Magnetic Stimulator Rapid2 made by Magstim Company Ltd. U.K.

Interventions

  • DeviceMagnetic Stimulator Rapid2 made by Magstim Company Ltd. U.K.

    High frequency repetitive TMS given daily on weekdays for 3 weeks

    Also known as: Repetitive Transcranial Magnetic Stimulation (rTMS)

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What researchers measure

Primary outcomes

  1. Hamilton Rating Scale for Depression (HAM-D)

    Scored Questionnaire 0-52, A score of 0-7 is considered to be normal. Scores of 20 or higher indicate moderate, severe, or very severe depression. The higher score means more severe depression.

    Time frame: 5 weeks

Secondary outcomes

  1. Inventory of Depressive Symptomatology

    Self reported depression scale range 0-84. Questionnaire administered at 1,2, and 3 weeks (end of treatment). We also did a 5 week follow-up. The higher scores indicate greater or more severe depression.

    Time frame: 5 weeks

07

Results

Posted Jul 23, 2018

Participant flow

Participant flow — Overall Study
MilestoneExperimental
Started15
Completed15
Not completed0

Outcome measures

PrimaryHamilton Rating Scale for Depression (HAM-D)

Scored Questionnaire 0-52, A score of 0-7 is considered to be normal. Scores of 20 or higher indicate moderate, severe, or very severe depression. The higher score means more severe depression.

Time frame:
5 weeks
Reported as:
Mean · units on a scale
Hamilton Rating Scale for Depression (HAM-D)
units on a scaleExperimental
Week 118.4 ± 8.7
Week 213.4 ± 6.8
Week 312.4 ± 6.8
Week 513.7 ± 7.4
SecondaryInventory of Depressive Symptomatology

Self reported depression scale range 0-84. Questionnaire administered at 1,2, and 3 weeks (end of treatment). We also did a 5 week follow-up. The higher scores indicate greater or more severe depression.

Time frame:
5 weeks
Reported as:
Mean · units on a scale
Inventory of Depressive Symptomatology
units on a scaleExperimental
Week 141.1 ± 10.2
Week 234.3 ± 15.5
Week 330.5 ± 16.1
Week 531.9 ± 15.2

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
rTMS Treatment0/15 (0%)0/15 (0%)3/15 (20%)
Most frequent other events
Most frequent other events
EventrTMS Treatment
Mild Focal PainSkin and subcutaneous tissue disorders3/15

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Experimental
<=18 years0
Between 18 and 65 years3
>=65 years12
Age, Continuous
Age, Continuous(years)Experimental
Mean50 (19 to 68)
Sex: Female, Male
Sex: Female, Male(Participants)Experimental
Female10
Male5
08

Study locations

1 site
  • Center for Mind and Brain
    Davis, California 95618, United States
09

References and documents

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 23, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00699218
Lead sponsor
University of California, Davis
Collaborators
National Alliance for Research on Schizophrenia and Depression
Responsible party
Sponsor
First posted
Jun 17, 2008
Start date
May 2008
Primary completion
Jul 2009
Completion
Apr 2010
Results posted
Jul 23, 2018
Last update
Jul 23, 2018

Study contacts

Guohua Xia, M.D., Ph.D.
principal investigator · Department of Psychiatry and Behavioral Sciences, UC Davis

Oversight

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

Not currently enrolling

This study is completed, as verified in Oct 2017. You cannot join it, but the record below documents what was studied.

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