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RecruitingNCT06692114Updated Aug 15, 2025

Efficacy and Influencing Factors of Deep Transcranial Magnetic Stimulation in the Treatment of OCD

An interventional study of Deep Transcranial Magnetic Stimulation, DTMS active and Deep Transcranial Magnetic Stimulation, DTMS sham in Obsessive-Compulsive Disorder, sponsored by Zhen Wang. Recruiting at 1 site in China. Open to participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-08-15.

Sponsored by Zhen Wang · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2024; still recruiting 2 years 2 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
70
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
All
01

Study summary

This study aims to explore the efficacy and influencing of accelerated dTMS (deep Transcranial Magnetic Stimulation) treatment in patients with obsessive-compulsive disorder (OCD), and explores the potential neural mechanisms of treatment effect by magnetic resonance imaging (MRI) and electroencephalography (EEG).

Read the detailed description

The study is to recruit eligible patients with obsessive-compulsive disorder (OCD) from the Shanghai Mental Health Center for deep transcranial magnetic stimulation (dTMS) intervention, and recruit healthy controls who meet the enrollment criteria from the community. Among them, patients with OCD will be randomly divided into a real stimulation group and a sham stimulation group. After baseline assessment, dTMS treatment will be administered twice a day. EEG data collection, MRI data, cognitive tasks, psychological self-assessment scales and clinical symptom assessment will be conducted before treatment and 2 weeks after treatment. During the treatment process, patients will receive two treatments per day, each lasting 20 minutes, for a total of 2 weeks, or 28 treatments in total.

02

Conditions studied

  • Obsessive-Compulsive Disorder

Keywords

  • deep transcranial magnetic stimulation
03

In context

Obsessive-Compulsive Disorder

606 studies on the registry are indexed under Obsessive-Compulsive Disorder; 160 are open to participants now.

This study's planned enrollment of 70 is above the median of 45 across 492 interventional studies indexed under Obsessive-Compulsive Disorder.

Browse Obsessive-Compulsive Disorder studies →

Lead sponsor

Zhen Wang is the lead sponsor of 2 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Aged between 18 and 50, both genders are welcome.
  • DSM-5 criteria for OCD.
  • Y-BOCS total score ≥ 20 despite therapeutic-dose SRI treatment or completion of at least one full course of CBT. The treatment regimen must have been stable for at least 8 weeks prior to enrollment and remain unchanged throughout the study.
  • More than 9 years of education.
  • Right-handed.

Exclusion criteria

Exclusion Criteria:

  • Any additional current psychiatric comorbidity, except for obsessive- compulsive personality disorder.
  • Severe obsessive symptoms prevent the completion of necessary assessments.
  • Has a history of receiving ECT therapy.
  • Has received rTMS or tDCS treatment within the past two months.
  • Has severe physical illnesses or any physical conditions that can induce epilepsy or intracranial hypertension, including cardiovascular and respiratory diseases, among others.
  • Has a past history of neurological disorders (such as epilepsy, cerebrovascular accidents, etc.) or brain injuries, or a history of brain surgery.
  • Has implanted medical devices such as intracranial stents, cardiac pacemakers, coronary stents, cochlear implants, etc.
  • Serious suicide risk.
  • Pregnancy or nursing of an infant.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
70 participants (estimated)

Study arms

  • Experimental
    active treatment group

    The resting motor threshold (RMT) of the patient was measured before the first treatment. Symptom induction was performed before each treatment to achieve moderate anxiety in patients. The magnetic stimulation intensity was 100% RMT, using the deep transcranial magnetic stimulation coil H7 for treatment, with the stimulation area being the anterior cingulate cortex (ACC) and medial prefrontal cortex (mPFC). Treatment was administered twice daily for 20 minutes each time for 2 weeks.

    Device: Deep Transcranial Magnetic Stimulation, DTMS active

  • Sham comparator
    sham group

    The same RMT test as the active treatment group was accepted, and symptom induction was performed before treatment to achieve moderate anxiety. During treatment, the coil in the shame treatment group only produces sound and scalp vibration, and does not generate a real magnetic field. There is no other difference between the two coils. The frequency and number of treatments were the same as those in the active treatment group.

    Device: Deep Transcranial Magnetic Stimulation, DTMS sham

Interventions

  • DeviceDeep Transcranial Magnetic Stimulation, DTMS active

    The treatment plan is to perform 2 treatments per day for 20 minutes each time, for a total of 28 treatments. Each treatment stimulates at a frequency of 20 Hz for 2 seconds, with a sequence interval of 20 seconds. Each treatment consists of 50 sequences, for a total of 2000 pulses.

  • DeviceDeep Transcranial Magnetic Stimulation, DTMS sham

    The treatment plan is to perform 2 treatments per day for 20 minutes each time, for a total of 28 treatments. Compared with active treatment, the sham stimulation coil only produced sound and scalp vibration.

06

What researchers measure

Primary outcomes

  1. To explore the differences in treatment efficacy between active and sham dTMS in patients with OCD

    It assesses the severity of OCD symptoms. The Y-BOCS scale ranges from 0 to 40, with 0 being no symptoms and 40 being severe. The primary outcome measure percent reduction of Y-BOCS scores at completion of the dTMS treatment.

    Time frame: baseline,2weeks,4weeks

Secondary outcomes

  1. To explore the differences in treatment efficacy between active and sham dTMS in patients with OCD

    The secondary outcome measure was the response rate to the treatment, which was defined as a reduction of at least 35% in Yale-Brown Obsessive Compulsive Scale (Y-BOCS)

    Time frame: baseline,2 weeks, 4 weeks

  2. Change in The Beck Depression Inventory (BDI)

    It is a 21-item self-report measure scored on a 4-point Likert-type scale to summarize recent symptoms of depression.

    Time frame: baseline,2 weeks, 4 weeks

  3. Change in the The Beck Anxiety Inventory (BAI)

    It is a 21-item self-report inventory that is used for measuring the severity of anxiety

    Time frame: baseline,2 weeks, 4 weeks

Other outcomes

  1. Attention Network Task (ANT)

    Have patients allocate their attention and process information through tasks processed by a grid structure. Monitor whether there are any changes in patients' attention after treatment.

    Time frame: Up to 2 weeks

  2. Rapid Serial Visual Presentation (RSVP)

    Use programs to rapidly present image stimuli in order to assess patients' attention, recognition, or judgment abilities.

    Time frame: Up to 2 weeks

07

Study locations

1 of 1 sites recruiting
  • Shanghai Mental Health Center
    Shanghai, Shanghai Municipality 200030, China
    • Shanghai Center · Contact
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 15, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06692114
Lead sponsor
Zhen Wang
Responsible party
Zhen Wang (vice-president, Shanghai Mental Health Center) — Sponsor-investigator
First posted
Nov 18, 2024
Start date
Jul 26, 2024
Primary completion
Jun 1, 2027 (estimated)
Completion
Sep 1, 2027 (estimated)
Last update
Aug 15, 2025

Study contacts

Zhen W Wang, PhD,MD
Contact
wangzhen@smhc.org.cn
+86 34773516
Zhen Wang, PhD,MD
principal investigator · Study Principal Investigato

Oversight

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

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