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CompletedNCT06797791TBS-GEMUpdated Jan 28, 2025

Assessment of Multifocal Continuous Theta Burst Transcranial Magnetic Stimulation (cTBS) Effects in Generalized Epilepsy Patients.

An interventional study of Multifocal Continuous Theta Burst Transcranial Magnetic Stimulation in Generalized Epilepsy, sponsored by Universitatea de Stat de Medicina si Farmacie Nicolae Testemiţanu. Completed at 2 sites in Moldova, Republic of. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-01-28.

Sponsored by Universitatea de Stat de Medicina si Farmacie Nicolae Testemiţanu · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years 11 months after the study started (first participant enrolled Dec 2021, registered Nov 2024).
Phase
Not applicable
Study type
Interventional
Enrollment
14
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical study is to assess the efficacy of multifocal theta burst transcranial magnetic stimulation in the prevention of epileptic seizures in adult patients with generalized epilepsy. The main questions it aims to answer are:

  • How does multifocal continuous theta burst stimulation (cTBS) impact the frequency and severity of epileptic seizures?
  • Does cTBS influence the quality of life in patients with generalized epilepsy?
  • What is the safety and tolerability profile of the experimental multifocal cTBS protocol?
02

Conditions studied

  • Generalized Epilepsy

Keywords

  • TBS
  • cTBS
  • IGE
  • Generalized
  • Epilepsy
  • Theta
  • Burst
  • Transcranial
  • Magnetic
  • Stimulation
  • Continuous
03

In context

Epilepsy, Generalized

39 studies on the registry are indexed under Epilepsy, Generalized; 4 are open to participants now.

This study's enrollment of 14 is below the median of 75 across 25 interventional studies indexed under Epilepsy, Generalized.

Browse Epilepsy, Generalized studies →

Lead sponsor

This is the only study on the registry with Universitatea de Stat de Medicina si Farmacie Nicolae Testemiţanu 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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adult patients with generalized epilepsy (according to ILAE 2017 classification of epilepsy).

Exclusion criteria

Exclusion Criteria:

  • refusal to sign the ;
  • focal, combined or unknown epilepsy (according to ILAE criteria);
  • drug-resistant form of epilepsy (according to ILAE definition);
  • history or symptoms of renal or hepatic failure;
  • history of oncological disorder;
  • uncontrolled high blood pressure;
  • cognitive impairment;
  • psychiatric disorders;
  • signs of structural brain injury or focal neurological symptoms;
  • use of opioids or muscle relaxants;
  • history of substance abuse;
  • ferromagnetic implants in head and neck regions;
  • cardiac pacemakers;
  • pregnancy or lactation.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
14 participants (actual)

Study arms

  • Experimental
    Multifocal continuous theta burst transcranial magnetic stimulation

    After determining the resting motor threshold (RMT), all subjects underwent 6 sessions of continuous theta burst stimulation (cTBS) for 6 consecutive days according to the research protocol. TBS sessions were accompanied by parallel high-density electroencephalography (hdEEG) monitoring. Afterward, a follow-up period of up to three months with visits at predefined intervals of 4, 8, and 12 weeks was carried out.

    Device: Multifocal Continuous Theta Burst Transcranial Magnetic Stimulation

Interventions

  • DeviceMultifocal Continuous Theta Burst Transcranial Magnetic Stimulation

    The experimental stimulation protocol included 3 trains of cTBS with an inter-train interval of 10 min. Each train of cTBS consisted of 600 pulses applied in blocks at the theta frequency (200ms) with a duration of 40 s. A block of pulses consisted of 3 pulses at 50Hz frequency, stimulus intensity being estimated as 80% of the RMT. Stimulation application was performed by positioning the Magventure MMC-140 coil over the vertex (Cz) according to the 10-20 EEG system overlapping bilateral motor and somatosensory cortical areas.

    Also known as: cTBS

06

What researchers measure

Primary outcomes

  1. Seizure frequency

    ≥50% improvement from Baseline in seizure frequency

    Time frame: at 12 weeks

Secondary outcomes

  1. Quality of Life in Epilepsy (QOLIE-31) Inventory

    Exploratory analyses will investigate the changes in the 31-item Quality of Life in Epilepsy (QOLIE-31) score from Baseline due to study protocol and interventions. The questionnaire comprises seven categories: worry about epileptic seizures, emotional well-being, energy/fatigue, social function, cognitive function, medication effects, and general quality of life. The scale is scored from 0 to 100. Higher scores reflect a higher quality of life.

    Time frame: at 12 weeks

  2. Seizure Severity Questionnaire (SSQ)

    Exploratory analyses will investigate the changes in the Seizure Severity Questionnaire (SSQ) score from Baseline due to study protocol and intervention. The SSQ is a 24-item questionnaire that includes questions regarding the frequency and usefulness of warning signs, severity and disturbance of ictal movements, loss of consciousness, and frequency, severity, and postictal cognitive, emotional, and physical disturbance. Scores per category range from 1 to 7, with higher scores indicating greater severity.

    Time frame: at 12 weeks

  3. Patient Global Impression of Change (PGIC)

    Improvement in Patient Global Impression of Change (PGIC) score from Baseline. PGIC is used to assess patients' perceptions of changes after treatment. It is a 7-point scale with the options "very much improved", "much improved", "minimally improved", "no change", "minimally worsened", "much worsened" and "very much worsened".

    Time frame: at 12 weeks

Other outcomes

  1. Number of participants with treatment-related adverse events as assessed by CTCAE v4.0

    After each continuous Theta Burst Stimulation (cTBS) session an assessment of possible adverse events ( CTCAE v4.0 terms) occurring during and/or immediately after stimulation was done.

    Time frame: From start of intervention (Day 1) through 6 consecutive days (Day 6) of treatment

07

Study locations

2 sites
  • Emergency Medicine Institute
    Chisinau, MD2004, Moldova, Republic of
  • Nicolae Testemițanu State University of Medicine and Pharmacy
    Chisinau, MD2004, Moldova, Republic of
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Dec 2021 to primary completion in Aug 2023, 20 months.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 3, 2024
First posted
Jan 28, 2025
StartActual
Dec 1, 2021
Primary completionActual
Aug 31, 2023
CompletionActual
Sep 30, 2023
Last update
Jan 28, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 28, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06797791
Lead sponsor
Universitatea de Stat de Medicina si Farmacie Nicolae Testemiţanu
Responsible party
Pavel Leahu (Dr., Asst. prof., PhD candidate, Universitatea de Stat de Medicina si Farmacie Nicolae Testemiţanu) — Principal investigator
First posted
Jan 28, 2025
Start date
Dec 1, 2021
Primary completion
Aug 31, 2023
Completion
Sep 30, 2023
Last update
Jan 28, 2025

Oversight

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

Not currently enrolling

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

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