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CompletedNCT05843240Updated Apr 30, 2025

Effects of Repetitive Transcranial Magnetic Stimulation on Cerebral Autoregulation in Patients With Acute Ischemic Stroke

An interventional study of Repetitive transcranial magnetic stimulation and Sham repetitive transcranial magnetic stimulation in Transcranial Magnetic Stimulation, sponsored by Yi Yang. Completed at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-04-30.

Sponsored by Yi Yang · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
128
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study was to investigate the effect of repetitive transcranial magnetic stimulation on cerebral autoregulation in patients with acute ischemic stroke.

Read the detailed description

Current studies have shown that repetitive transcranial magnetic stimulation can change the excitability of nerve cells, improve intracerebral artery blood supply, and even reduce the degree of neurological impairment in patients with ischemic stroke. The purpose of this study was to investigate the effect of repetitive transcranial magnetic stimulation on cerebral autoregulation in patients with acute ischemic stroke.

02

Conditions studied

  • Transcranial Magnetic Stimulation

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03

In context

Ischemic Stroke

2,593 studies on the registry are indexed under Ischemic Stroke; 930 are open to participants now.

This study's enrollment of 128 is close to the median of 120 across 1,752 interventional studies indexed under Ischemic Stroke.

Browse Ischemic Stroke studies →

Lead sponsor

Yi Yang is the lead sponsor of 41 studies on the registry; 25 are open to participants now.

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

Inclusion criteria

  1. Age ≥ 18 years, both sexes;
  2. Clinically definite diagnosis of acute ischemic stroke;
  3. Baseline National Institute of Health Stroke Scale (NIHSS) score ≤25;
  4. Pre-onset modified Rankin Scale (mRS) score ≤1;
  5. Randomized and initiated transcranial magnetic stimulation within 1 week of onset;
  6. Subject or legal representative agreed to the treatment and signed the informed consent.

Exclusion criteria

Exclusion Criteria:

  1. Presence of a medical condition such as severe cognitive impairment or mental impairment;
  2. Patients with serious physical diseases or who have had craniocerebral surgery;
  3. Previous history of epilepsy, family history of epilepsy or presence of seizure provoking factors;
  4. Pregnancy or breastfeeding;
  5. The presence of metal foreign bodies near the stimulation site, such as intracranial metal implants, cochlear implants, built-in pulse generators (brain pacemakers, cardiac pacemakers), etc.;
  6. Patients who are unable to complete cerebral autoregulation, or bilateral temporal window penetration poorly;
  7. life expectancy of ≤3 months or inability to complete the study for other reasons;
  8. unwillingness to be followed up or poor treatment compliance;
  9. Those who are participating in other clinical investigators, or who have participated in other clinical studies within 3 months prior to enrollment, or who have participated in this study;
  10. Other conditions that the investigators deemed unsuitable for enrollment.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
128 participants (actual)

Study arms

  • Active comparator
    rTMS

    Patients are treated with repetitive transcranial magnetic stimulation (rTMS).

    Procedure: Repetitive transcranial magnetic stimulation

  • Placebo comparator
    sham-rTMS

    Patients are treated with sham repetitive transcranial magnetic stimulation (sham-rTMS).

    Procedure: Sham repetitive transcranial magnetic stimulation

Interventions

  • ProcedureRepetitive transcranial magnetic stimulation

    After enrollment, patients received rTMS once a day for 5 consecutive days (stimulation plan: stimulation of M1 region on the affected side at 10Hz).

  • ProcedureSham repetitive transcranial magnetic stimulation

    After enrollment, patients received sham-rTMS once a day for 5 consecutive days with the same parameters as the rTMS group, but the coil was rotated 90° away from the scalp.

06

What researchers measure

Primary outcomes

  1. phase difference(PD) in degree

    A cerebral autoregulation parameter derived from transfer function analysis. Continuous cerebral blood flow velocities of bilateral middle cerebral artery will be assessed noninvasively using transcranial Doppler. Spontaneous arterial blood pressure will be simultaneously recorded using a servo-controlled plethysmograph on the left or right middle finger with an appropriate finger cuff size. Transfer function analysis will be used to derive the cerebral autoregulatory parameter.

    Time frame: 0-5 days

07

Study locations

1 site
  • The First Hospital of Jilin University
    Changchun, Jilin, China
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 30, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05843240
Lead sponsor
Yi Yang
Responsible party
Yi Yang (Vice President of First Hospital of Jilin University, The First Hospital of Jilin University) — Sponsor-investigator
First posted
May 6, 2023
Start date
May 7, 2023
Primary completion
Mar 3, 2024
Completion
Jun 3, 2024
Last update
Apr 30, 2025

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2025. You cannot join it, but the record below documents what was studied.

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