CClinicalTrials.gg
CompletedNCT02452892Updated Dec 5, 2017Results posted

Low Field Magnetic Stimulation (LFMS) in Subjects With Treatment-Resistant Depression (TRD)

An interventional study of LFMS in Depression, Depressive Disorder and Depressive Disorder, Treatment-resistant, sponsored by Tal Medical, Inc.. Completed at 12 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-12-05.

Sponsored by Tal Medical, Inc. · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
122
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to compare the relative effectiveness of 20 and 60 minutes of Low-Field Magnetic Stimulation in relieving symptoms in patients with major depression who are treatment resistant.

Read the detailed description

The primary objective of this study:

  • To compare the relative efficacy, as measured by a change in the 6-item Hamilton Rating Scale for Depression (HAM-D6), of 20 and 60 minutes of LFMS compared to sham (placebo) in subjects with treatment resistant depression (TRD).

Secondary objectives:

  • To determine if subjects with TRD may respond to 120 minutes of LFMS.
  • To determine the persistence of response to LFMS therapy during the observation period.
  • To evaluate the safety and tolerability of LFMS.
02

Conditions studied

  • Depression
  • Depressive Disorder
  • Depressive Disorder, Treatment-resistant
  • Depressive Disorder, Major

Keywords

  • Depression
  • Major depression
  • Low-field magnetic stimulation
  • LFMS
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 122 is above the median of 84 across 6,720 interventional studies indexed under Depression.

Browse Depression studies →

Lead sponsor

This is the only study on the registry with Tal Medical, Inc. as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria: (Key)

  • Meets the Diagnostic and Statistical Manual of Mental Disorder, 5th Edition (DSM-5) criteria for Major Depressive Disorder (MDD), as determined by psychiatric evaluation.
  • Has TRD of the current MDE, as assessed at the site by the Massachusetts General Hospital/Antidepressant Treatment Response Questionnaire (MGH/ATRQ).
  • On an adequate dose of one antidepressant therapy (ADT) for at least eight weeks prior to the screening visit (Visit 1). The ADT dose must be stable for at least four weeks prior to the screening visit (Visit 1). Subjects must be willing to remain on the same stable dose of ADT upon signing the informed consent form until the end of the treatment observation period (end of Week 2) and, where possible, to the end of study participation

Exclusion Criteria: (Key)

  • Have failed four or more lifetime adequate ADT treatment regimens (including the ongoing ADT for the current MDE).
  • Have been treated with adjunctive antipsychotic medication with an antidepressant for at least two weeks during the current depressive episode.
  • Are deemed to be at significant risk for suicidal behavior
  • Are unable to lie on their back for the duration of study treatment
  • Have a lifetime history of:

    1. Delirium, dementia, amnestic, or other cognitive disorder;
    2. Schizophrenia or any psychotic disorder, based on the Structured Clinical Interview for DSM-5 Axis I Disorders Patient Edition (SCID-I/P);
    3. Bipolar I or II disorder, based on the SCID-I/P.
  • Have a current DSM-5 diagnosis at the screening visit (Visit 1) of:

    1. An eating disorder active within the 12 months prior to the screening visit (Visit 1);
    2. Comorbid anxiety disorders that predominate over MDD, as assessed by the investigator;
    3. Alcohol or substance use disorder active within the 12 months prior to the screening visit (Visit 1);
    4. Clinically significant DSM-5 Axis II disorder.
  • Have ever received electroconvulsive therapy, vagal nerve stimulation, deep brain stimulation or repetitive transcranial magnetic stimulation.
  • Have a non-removable programmable device or appliance such as cardiac pacemakers or cochlear implants.
  • Have any non-removable ferromagnetic implants, or conductive or other magnetic sensitive materials present in the head or neck .
  • Have a lifetime history of seizures or clinically significant electroencephalography abnormalities. A history of childhood febrile seizures is permitted.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
122 participants (actual)

Study arms

  • Sham comparator
    LFMS Sham

    For sham therapy, the device will be on; however, no magnetic field stimulation will be delivered. Low field magnetic stimulation (no magnetic field for sham) will be administered using a portable tabletop device capable of generating time-varying electromagnetic fields of LFMS.

    Device: LFMS

  • Active comparator
    LFMS 20 minutes

    LFMS 20 minutes + Sham 40 min.Low field magnetic stimulation (1 kilohertz oscillating magnetic field) will be administered using a portable tabletop device capable of generating time-varying electromagnetic fields of LFMS.

    Device: LFMS

  • Active comparator
    LFMS 60 minutes

    LFMS 60 minutes.Low field magnetic stimulation (1 kilohertz oscillating magnetic field) will be administered using a portable tabletop device capable of generating time-varying electromagnetic fields of LFMS.

    Device: LFMS

  • Other
    LFMS 120 min

    Week 2 subjects may be re-randomized to receive LFMS 120 minutes. Low field magnetic stimulation (1 kilohertz oscillating magnetic field) will be administered using a portable tabletop device capable of generating time-varying electromagnetic fields of LFMS.

    Device: LFMS

Interventions

  • DeviceLFMS

    Low field magnetic stimulation (1 kilohertz oscillating magnetic field) will be administered using a portable tabletop device capable of generating time-varying electromagnetic fields of LFMS. For sham therapy, the device will be on; however, no magnetic field stimulation will be delivered.

    Also known as: Low Field Magnetic Stimulation

06

What researchers measure

Primary outcomes

  1. Change From Baseline to ( Day 4) in the 6-item Hamilton Rating Scale for Depression (HAM-D6) Total Score.

    Hamilton Rating Scales for Depression were designed to measure the severity of depressive symptoms in subjects with primary depressive illness. HAM-D6 is a subset of the HAM-D17 that assesses 6 items associated with major depression. The scale uses HAM-D17 items 1, 2, 7, 8, 10 and 13. Item 13 is scored 0 to 2 and all others are scored 0 to 4. Total score ranges from 0 to 22; higher score indicates more depression. Change from baseline: mean score at Week 1 Day 4 minus mean score at baseline". Week 1 Day 4 : Change from baseline to the end of the efficacy period ( Day 4) in the 6-item Hamilton Rating Scale for Depression (HAM-D6) total score .Responders at Day 4 will be defined as those subjects who achieve a decrease in HAM-D6 total score of 50% or more compared to baseline (Day 1, Week 1). All other subjects will be deemed to be non-responders at Day 4. Each patient's total score is his/her own reference for determining a decrease of 50% or more.

    Time frame: Week 1 Day 4

Secondary outcomes

  1. Change From Day 4 in HAM-D6 Total Score at Day 11 for Week 1 Non-responders: Response to 120 Minutes LFMS

    Hamilton Rating Scales for Depression were designed to measure the severity of depressive symptoms in subjects with primary depressive illness. HAM-D6 is a subset of the HAM-D17 that assesses 6 items associated with major depression. The scale uses HAM-D17 items 1, 2, 7, 8, 10 and 13. Item 13 is scored 0 to 2 and all others are scored 0 to 4. Total score ranges from 0 to 22; higher score indicates more depression. Change from Day 11: mean score at Week 2 Day 11 minus mean score at Day 4". To determine if subjects with TRD who are non-responders to 0, 20 or 60 minutes of LFMS on Day 4 may respond to 120 minutes of LFMS at the end of Day 11. Responders will be defined as those subjects who achieve a decrease in HAM-D6 total score of 50% or more compared to baseline (Day 1, Week 1). All other subjects will be deemed to be non-responders. Each patient's total score is his/her own reference for determining a decrease of 50% or more.

    Time frame: Day 11 (Week 2)

  2. Day 4 Responders: Persistence of Effect Based on Pre-specified HAM-D6 Total Score

    To determine the persistence of response to LFMS therapy during a four-week follow-up period in subjects who were responders at Day 4. Persistence of response was achieved if during Week 2 post baseline visits and follow-up visits subjects' 6-item Hamilton Rating Scale for Depression (HAM-D6) total scores were lower than or equal to 50% of the baseline ( Day1 Week1) scores. Non-responder imputation method was used where missing post-baseline dichotomous ("yes or no") were imputed as non-responder. Logistic regression model used to compare treatment groups for each visit, where the model considers the treatment, age and gender as covariates.

    Time frame: Day 42

07

Results

Posted Dec 5, 2017
Limitations and caveats
The study was not powered for secondary measures. Statistical significance for group-wise comparisons wasn't expected.

Participant flow

12clinical study sites in the US recruited 122 subjects that were randomized into the study. The date of first subject enrollment was 03 September 2015 and the date of last subject enrolled was 22 July 2016.

Week 1 Initial Randommization
Participant flow — Week 1 Initial Randommization
MilestoneLFMS ShamLFMS 20 MinutesLFMS 60 MinutesLFMS 120 Min
Started4140410
Completed4040400
Not completed1010
Withdrew: Adverse event1000
Withdrew: Lost to follow-up0010
Week 2 Stratification & Re-Randomization
Participant flow — Week 2 Stratification & Re-Randomization
MilestoneLFMS ShamLFMS 20 MinutesLFMS 60 MinutesLFMS 120 Min
Started657741
Non-reponders380041
Responders27770
Completed637739
Not completed2002
Withdrew: Withdrawal by subject0002
Withdrew: Lost to follow-up2000
Follow-up
Participant flow — Follow-up
MilestoneLFMS ShamLFMS 20 MinutesLFMS 60 MinutesLFMS 120 Min
Started637739
Completed627738
Not completed1001
Withdrew: Withdrawal by subject0001
Withdrew: Subject left town on day 421000

Outcome measures

PrimaryChange From Baseline to ( Day 4) in the 6-item Hamilton Rating Scale for Depression (HAM-D6) Total Score.

Hamilton Rating Scales for Depression were designed to measure the severity of depressive symptoms in subjects with primary depressive illness. HAM-D6 is a subset of the HAM-D17 that assesses 6 items associated with major depression. The scale uses HAM-D17 items 1, 2, 7, 8, 10 and 13. Item 13 is scored 0 to 2 and all others are scored 0 to 4. Total score ranges from 0 to 22; higher score indicates more depression. Change from baseline: mean score at Week 1 Day 4 minus mean score at baseline". Week 1 Day 4 : Change from baseline to the end of the efficacy period ( Day 4) in the 6-item Hamilton Rating Scale for Depression (HAM-D6) total score .Responders at Day 4 will be defined as those subjects who achieve a decrease in HAM-D6 total score of 50% or more compared to baseline (Day 1, Week 1). All other subjects will be deemed to be non-responders at Day 4. Each patient's total score is his/her own reference for determining a decrease of 50% or more.

Time frame:
Week 1 Day 4
Reported as:
Least squares mean · units on a scale
Change From Baseline to ( Day 4) in the 6-item Hamilton Rating Scale for Depression (HAM-D6) Total Score.
units on a scaleLFMS ShamLFMS 20 MinutesLFMS 60 Minutes
Change From Baseline to ( Day 4) in the 6-item Hamilton Rating Scale for Depression (HAM-D6) Total Score.-4.0 (-5.18 to -2.91)-4.2 (-5.34 to -3.04)-4.9 (-6.03 to -3.73)
Statistical analysis
  • LFMS Sham vs LFMS 60 Minutes · Mixed Models Analysis · p = 0.307 (P-value displayed for 60min. Mixed Model Repeated Measures (MMRM) model.)Week 1 baseline HAM-D6 total score, treatment,visit treatment\*visit age, \& gender included in model. Visit was the repeated measure within subjects.
  • LFMS Sham vs LFMS 20 Minutes · Mixed Models Analysis · p = 0.859 (P-value displayed for 20min. Mixed Model Repeated Measures (MMRM) model.)Week 1 baseline HAM-D6 total score, treatment,visit treatment\*visit age, \& gender included in model. Visit was the repeated measure within subjects.
SecondaryChange From Day 4 in HAM-D6 Total Score at Day 11 for Week 1 Non-responders: Response to 120 Minutes LFMS

Hamilton Rating Scales for Depression were designed to measure the severity of depressive symptoms in subjects with primary depressive illness. HAM-D6 is a subset of the HAM-D17 that assesses 6 items associated with major depression. The scale uses HAM-D17 items 1, 2, 7, 8, 10 and 13. Item 13 is scored 0 to 2 and all others are scored 0 to 4. Total score ranges from 0 to 22; higher score indicates more depression. Change from Day 11: mean score at Week 2 Day 11 minus mean score at Day 4". To determine if subjects with TRD who are non-responders to 0, 20 or 60 minutes of LFMS on Day 4 may respond to 120 minutes of LFMS at the end of Day 11. Responders will be defined as those subjects who achieve a decrease in HAM-D6 total score of 50% or more compared to baseline (Day 1, Week 1). All other subjects will be deemed to be non-responders. Each patient's total score is his/her own reference for determining a decrease of 50% or more.

Time frame:
Day 11 (Week 2)
Reported as:
Least squares mean · units on a scale
Change From Day 4 in HAM-D6 Total Score at Day 11 for Week 1 Non-responders: Response to 120 Minutes LFMS
units on a scaleLFMS ShamLFMS 120 Min
Change From Day 4 in HAM-D6 Total Score at Day 11 for Week 1 Non-responders: Response to 120 Minutes LFMS-2.6 (-3.60 to -1.68)-2.6 (-3.56 to -1.67)
Statistical analysis
  • LFMS Sham vs LFMS 120 Min · Mixed Models Analysis · p = 0.966 (P-value is not adjusted for multiple comparisons. P-value was estimated from Mixed Model Repeated Measures (MMRM) model.)Week 2 baseline HAM-D6 total score, treatment, visit, treatment\*visit, age, \& gender included in model. Visit was the repeated measure within subject.
SecondaryDay 4 Responders: Persistence of Effect Based on Pre-specified HAM-D6 Total Score

To determine the persistence of response to LFMS therapy during a four-week follow-up period in subjects who were responders at Day 4. Persistence of response was achieved if during Week 2 post baseline visits and follow-up visits subjects' 6-item Hamilton Rating Scale for Depression (HAM-D6) total scores were lower than or equal to 50% of the baseline ( Day1 Week1) scores. Non-responder imputation method was used where missing post-baseline dichotomous ("yes or no") were imputed as non-responder. Logistic regression model used to compare treatment groups for each visit, where the model considers the treatment, age and gender as covariates.

Time frame:
Day 42
Reported as:
Number · percentage of LFMS responders
Day 4 Responders: Persistence of Effect Based on Pre-specified HAM-D6 Total Score
percentage of LFMS respondersLFMS 20 MinutesLFMS 60 MinutesLFMS Sham
Day 4 Responders: Persistence of Effect Based on Pre-specified HAM-D6 Total Score53.857.178.6
Statistical analysis
  • LFMS 60 Minutes vs LFMS Sham · Regression, Logistic · p = 0.294 (For 60 min LFMS, P-value not adjusted for multiple comparisons. P-value estimated using LR model including Wk2 baseline HAM-D6 total score, treatment, age \& gender as covariates.)Non-responder imputation (NRI) for missing data, where missing post-baseline results were considered non-response
  • LFMS 20 Minutes vs LFMS Sham · Regression, Logistic · p = 0.232 (For 20min. LFMS, P-value not adjusted for multiple comparisons. P-value estimated using Logistic Regression model including Wk2 baseline HAM-D6 total score, treatment, age \& gender as covariates.)Non-responder imputation (NRI) for missing data, where missing post-baseline results were considered non-response
Post-hocMontgomery-Asberg Depression Rating Scale (MADRS): Change From Week 1 Baseline (Day 1) to End of Week 1 (Day 4)

The MADRS is a 10-item checklist designed to measure the overall severity of depressive symptoms in subjects with Major Depressive Disorder (MDD). Individual items are rated on a scale of 0 to 6 in which a score of 6 represents the most severe symptoms for each item assessed. The total score ranges from 0 to 60. Remission of depression based on the MADRS is defined as a subject with a MADRS total score of ≤11 at endpoint. A responder on the MADRS is defined as a 50% or greater reduction from baseline in total MADRS score

Time frame:
Day 4 Week 1
Reported as:
Least squares mean · units on a scale
Montgomery-Asberg Depression Rating Scale (MADRS): Change From Week 1 Baseline (Day 1) to End of Week 1 (Day 4)
units on a scaleLFMS ShamLFMS 20 MinutesLFMS 60 Minutes
Montgomery-Asberg Depression Rating Scale (MADRS): Change From Week 1 Baseline (Day 1) to End of Week 1 (Day 4)-7.58 (-9.8 to -5.4)-8.09 (-10.3 to -5.8)-10.32 (-12.6 to -8.0)
Statistical analysis
  • LFMS Sham vs LFMS 60 Minutes · ANCOVA · p = 0.0932 (P-value is not adjusted for multiple comparisons.)P-value was estimated using ANCOVA model with treatment, age, \& gender as factors and baseline negative MADRS score as a covariate.
  • LFMS Sham vs LFMS 20 Minutes · ANCOVA · p = 0.7509 (The p-value is not adjusted for multiple comparisons.)P-value was estimated using ANCOVA model with treatment, age, \& gender as factors and baseline negative MADRS score as a covariate.
Post-hocPositive and Negative Affect Schedule (PANAS): Change From Baseline at Day 4 in Positive Score

The PANAS comprises two mood scales, one that measures positive affect and the other that measures negative affect. Used as a psychometric scale, the PANAS can show relationships between positive and negative affect with personality stats and traits. Descriptors are used to define their meanings. Subjects completing the PANAS are required to respond to a 20-item test using 5-point scale that ranges from very slightly or not at all (1) to extremely (5).To calculate the positive affect score, added scores on items 1, 3, 5, 9, 10, 12, 14, 16, 17, and 19. Scores can range from 10-50, which higher scores representing higher levels of positive affect, or the extent to which the individual feels enthusiastic, active and alert.

Time frame:
Day 4 Week 1
Reported as:
Least squares mean · units on a scale
Positive and Negative Affect Schedule (PANAS): Change From Baseline at Day 4 in Positive Score
units on a scaleLFMS ShamLFMS 20 MinutesLFMS 60 Minutes
Positive and Negative Affect Schedule (PANAS): Change From Baseline at Day 4 in Positive Score1.67 (-0.29 to 3.62)3.62 (1.63 to 5.62)3.24 (1.23 to 5.26)
Statistical analysis
  • LFMS Sham vs LFMS 60 Minutes · ANCOVA · p = 0.2672 (P-value not adjusted for multiple comparisons.)P-value estimated using ANCOVA model with treatment,age,\& gender as factors \& baseline positive PANAS score as a covariate.
  • LFMS Sham vs LFMS 20 Minutes · ANCOVA · p = 0.1660 (P-value not adjusted for multiple comparisons.)P-value estimated using ANCOVA model with treatment,age,\& gender as factors \& baseline positive PANAS score as a covariate.
Post-hocPositive and Negative Affect Schedule (PANAS) Change From Baseline in Negative Score at Day 4

The PANAS comprises two mood scales, one that measures positive affect and the other that measures negative affect. Subjects completing the PANAS are required to respond to a 20-item test using 5-point scale that ranges from very slightly or not at all (1) to extremely (5).Negative affect scores can be obtained by adding up scores for items 2, 4, 6, 7, 8, 11, 13, 15, 18 and 20. The negative affect score can range from 10 to 50, with lower scores representing lower level of negative affect, or the extent to which the individual feels aversive mood states and general distress. This analysis outcome treated Item #2 as random missing data.

Time frame:
Day 4, Week 1
Reported as:
Least squares mean · units on a scale
Positive and Negative Affect Schedule (PANAS) Change From Baseline in Negative Score at Day 4
units on a scaleLFMS ShamLFMS 20 MinutesLFMS 60 Minutes
Positive and Negative Affect Schedule (PANAS) Change From Baseline in Negative Score at Day 4-2.27 (-4.20 to -0.34)-3.57 (-5.55 to -1.59)-5.32 (-7.31 to -3.33)
Statistical analysis
  • LFMS Sham vs LFMS 60 Minutes · ANCOVA · p = 0.0307 (P-value not adjusted for multiple comparisons. All missing values including the 72 data points in Item#2 were considered as random missing data.)P-value estimated using ANCOVA model with treatment, age, \& gender as factors \& baseline negative PANAS score as a covariate.
  • LFMS Sham vs LFMS 20 Minutes · ANCOVA · p = 0.3537 (P-value not adjusted for multiple comparisons. All missing values including the 72 data points in Item#2 were considered as random missing data. .)P-value estimated using ANCOVA model with treatment, age, \& gender as factors \& baseline negative PANAS score as a covariate.
Post-hocPositive and Negative Affect Schedule (PANAS) Change From Baseline in Negative Score at Day 4

The PANAS comprises two mood scales, one that measures positive affect and the other that measures negative affect. Subjects completing the PANAS are required to respond to a 20-item test using 5-point scale that ranges from very slightly or not at all (1) to extremely (5).Negative affect scores can be obtained by adding up scores for items 2, 4, 6, 7, 8, 11, 13, 15, 18 and 20. The negative affect score can range from 10 to 50, with lower scores representing lower level of negative affect, or the extent to which the individual feels aversive mood states and general distress. This analysis outcome treated Incorrect Item #2 where Item #2 data was removed.

Time frame:
Day 4
Reported as:
Least squares mean · units on a scale
Positive and Negative Affect Schedule (PANAS) Change From Baseline in Negative Score at Day 4
units on a scaleLFMS ShamLFMS 20 MinutesLFMS 60 Minutes
Positive and Negative Affect Schedule (PANAS) Change From Baseline in Negative Score at Day 4-2.95 (-5.03 to -0.87)-3.78 (-5.94 to -1.59)-5.58 (-7.74 to -3.41)
Statistical analysis
  • LFMS Sham vs LFMS 60 Minutes · ANCOVA · p = 0.0848 (P-value not adjusted for multiple comparisons. All missing values including the 72 data points in Item#2 were treated where incorrect Item #2 data was removed.)P-value estimated using ANCOVA model with treatment, age, \& gender as factors \& baseline negative PANAS score as a covariate.
  • LFMS Sham vs LFMS 20 Minutes · ANCOVA · p = 0.5930 (P-value not adjusted for multiple comparisons. All missing values including the 72 data points in Item#2 were treated where Incorrect Item #2 data was removed.)P-value estimated using ANCOVA model with treatment, age, \& gender as factors \& baseline negative PANAS score as a covariate.
Post-hocPositive and Negative Affect Schedule (PANAS) Change From Baseline in Negative Score at End of Week 1, Day 4

The PANAS comprises two mood scales, one that measures positive affect and the other that measures negative affect. Subjects completing the PANAS are required to respond to a 20-item test using 5-point scale that ranges from very slightly or not at all (1) to extremely (5).Negative affect scores can be obtained by adding up scores for items 2, 4, 6, 7, 8, 11, 13, 15, 18 and 20. The negative affect score can range from 10 to 50, with lower scores representing lower level of negative affect, or the extent to which the individual feels aversive mood states and general distress. This analysis outcome approach took Incorrect Item #2 and imputed using worst possible value.

Time frame:
Day 4, Week 1
Reported as:
Least squares mean · units on a scale
Positive and Negative Affect Schedule (PANAS) Change From Baseline in Negative Score at End of Week 1, Day 4
units on a scaleLFMS ShamLFMS 20 MinutesLFMS 60 Minutes
Positive and Negative Affect Schedule (PANAS) Change From Baseline in Negative Score at End of Week 1, Day 4-2.29 (-4.24 to -0.34)-3.50 (-5.49 to -1.51)-5.36 (-7.36 to -3.36)
Statistical analysis
  • LFMS Sham vs LFMS 60 Minutes · ANCOVA · p = 0.0307 (P-value not adjusted for multiple comparisons. All missing values including the 72 data points in Item#2 were treated where incorrect Item #2 data was imputed using worst possible value.)P-value estimated using ANCOVA model with treatment, age, \& gender as factors \& baseline negative PANAS score as a covariate.
  • LFMS Sham vs LFMS 20 Minutes · ANCOVA · p = 0.3907 (P-value not adjusted for multiple comparisons. All missing values including the 72 data points in Item#2 were treated where incorrect Item #2 data was imputed using worst possible value.)P-value estimated using ANCOVA model with treatment, age, \& gender as factors \& baseline negative PANAS score as a covariate.

Adverse events

Collected over Day 1- Day 42. Treatment-emergent events for Week 1 was defined as any Adverse Event (AE) that began on or after Day 1 treatment until the end of Day 7. Treatment-emergent AEs for Week 2 was defined as any AE that began on or after the Day 8 treatment until the end of Day 15 (not including the follow-up phase).. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
LFMS Sham0/79 (0%)0/79 (0%)20/79 (25.3%)
LFMS 20 Minutes0/40 (0%)0/40 (0%)14/40 (35%)
LFMS 60 Minutes0/41 (0%)0/41 (0%)13/41 (31.7%)
LFMS 120 Min - Week 20/41 (0%)0/41 (0%)10/41 (24.4%)
Most frequent other events
Showing 10 of 42
Most frequent other events
EventLFMS ShamLFMS 20 MinutesLFMS 60 MinutesLFMS 120 Min - Week 2
HeadcheNervous system disorders7/796/404/414/41
DizzinessNervous system disorders1/791/403/411/41
FatigueGeneral disorders1/792/401/411/41
InsomniaPsychiatric disorders2/790/402/411/41
DiarrhoeaGastrointestinal disorders3/790/400/410/41
PyrexiaGeneral disorders2/790/400/410/41
NasopharyngitisInfections and infestations2/790/400/410/41
SomnolenceNervous system disorders0/791/400/410/41
NauseaGastrointestinal disorders1/791/401/410/41
Ligament sprainInjury, poisoning and procedural complications0/791/400/410/41

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)LFMS ShamLFMS 20 MinutesLFMS 60 MinutesLFMS 120 MinTotal
<=18 years00000
Between 18 and 65 years3735370109
>=65 years454013
Sex: Female, Male
Sex: Female, Male(Participants)LFMS ShamLFMS 20 MinutesLFMS 60 MinutesLFMS 120 MinTotal
Female232326072
Male181715050
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)LFMS ShamLFMS 20 MinutesLFMS 60 MinutesLFMS 120 MinTotal
White312827086
Black or African American9911029
Asian13206
Other00101
08

Study locations

12 sites
  • CNS Trials
    Garden Grove, California 92845, United States
  • Synergy Escondido
    Lemon Grove, California 91945, United States
  • Pacific Trials Partners
    Oakland, California 94612, United States
  • Sarkis Clinical Trials
    Gainesville, Florida 32607, United States
  • CNS Healthcare
    Jacksonville, Florida 32256, United States
  • Segal Institute
    Lauderhill, Florida 33319, United States
  • Institute for Advanced Medical Research
    Alpharetta, Georgia 30005, United States
  • Radiant Research
    Atlanta, Georgia 30328, United States
  • Neurobehavioral-Clinical Research
    Canton, Ohio 44718, United States
  • Midwest Clinical
    Dayton, Ohio 45417, United States
  • Future Search Trials
    Dallas, Texas 75231, United States
  • Northwest Clinical Research Center
    Bellevue, Washington 98007, United States
09

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 5, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02452892
Lead sponsor
Tal Medical, Inc.
Responsible party
Sponsor
First posted
May 25, 2015
Start date
Sep 2015
Primary completion
Sep 2016
Completion
Oct 2016
Results posted
Dec 5, 2017
Last update
Dec 5, 2017

Study contacts

Atul Pande, MD
study chair · Tal Medical

Oversight

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

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