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Not yet recruitingNCT06898645Updated Mar 27, 2025

Efficacy of Cerebellar Transcranial Magnetic Stimulation to Treat Hereditary Spinocerebellar Ataxias

An interventional study of navigated iTBS (Intermittent theta-burst stimulation) targeting the cerebellum in Spinocerebellar Ataxias, sponsored by Xijing Hospital. Not yet recruiting. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-03-27.

Sponsored by Xijing Hospital · Not applicable, Interventional, and Treatment

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Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Spinocerebellar ataxia (SCA) is a type of autosomal dominant ataxia and there is currently no effective treatment. The goal of this clinical trial is to learn the efficacy of navigated iTBS (Intermittent theta-burst stimulation) targeting the cerebellum to treat hereditary spinocerebellar ataxias in adults and explore the role and neural plasticity mechanisms. It will also learn about the safety of cerebellar transcranial magnetic stimulation. The main questions it aims to answer are:

  1. Does navigated iTBS targeting the cerebellum improve the symptoms and clinical scale score of ataxias?
  2. Safety evaluation measures included treatment-related dizziness, head and neck pain, tinnitus, hearing loss, and epilepsy. Adverse reactions were reported by both subjects and investigators.

Participants will:

  1. Navigated iTBS targeting the cerebellum or sham stimulation every day for 7 day,
  2. Assessments were made at baseline, within 24 hours after the end of treatment, after 12 weeks, and after 24 weeks of telephone follow-up.
Read the detailed description
  1. Gait analysis, electroencephalogram (EEG), functional magnetic resonance (fMRI) and a series of clinic scales were used to further observe the therapeutic effect and reveal the possible mechanism of neuroplasticity.
  2. Forty-two iTBS sessions(1,800 pulses per session, 50-minute intersession interval) were delivered as 6 daily sessions over 7 consecutive days at 80% resting motor threshold (adjusted for cortical depth).
02

Conditions studied

  • Spinocerebellar Ataxias
03

In context

Spinocerebellar Ataxias

95 studies on the registry are indexed under Spinocerebellar Ataxias; 25 are open to participants now.

This study's planned enrollment of 80 is above the median of 29 across 61 interventional studies indexed under Spinocerebellar Ataxias.

Browse Spinocerebellar Ataxias studies →

Lead sponsor

Xijing Hospital is the lead sponsor of 474 studies on the registry; 158 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
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

  • SCA1/2/3 patients confirmed by genetic testing
  • aged 18-65 years
  • presence of ataxia with a score3-20 on the Scale for the Assessment and Rating of Ataxia (SARA) and a score\<60 on the International Cooperative Ataxia Rating Scale (ICARS)
  • Signed by patients or their family members

Exclusion criteria

Exclusion Criteria:

  • Patients with serious medical conditions (such as kidney failure, liver disease) and uncontrolled high blood pressure or diabetes
  • Patients with severe cognitive and behavioral disorders or mental illness
  • Pregnant and lactating patients; Use other ongoing clinical medications, except for neuroprotective agents such as coenzyme Q10, butylphthalein, or cyticholine; If patients are taking valproate, riluzole and other drugs but they and their guardians have a strong desire for treatment, they can be evaluated again after washout.
  • History of stroke, encephalitis and epilepsy
  • Pacemakers, electronic devices and intracranial metal objects.
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
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
80 participants (estimated)

Study arms

  • Experimental
    active stimulation

    navigated iTBS (Intermittent theta-burst stimulation) targeting the cerebellum

    Device: navigated iTBS (Intermittent theta-burst stimulation) targeting the cerebellum

  • Sham comparator
    sham stimulation

    Sham stimulation was delivered via the built-in mode of the stimulator with 10% RMT intensity.

    Device: navigated iTBS (Intermittent theta-burst stimulation) targeting the cerebellum

Interventions

  • Devicenavigated iTBS (Intermittent theta-burst stimulation) targeting the cerebellum

    1,800 pulses per session for unilateral cerebellum, 50-minute intersession interval, 80% resting motor threshold, total 75600 pulse number.

06

What researchers measure

Primary outcomes

  1. The change from baseline score on ICARS(International Cooperative Ataxia Rating Scale)

    International Cooperative Ataxia Rating Scale contains four subscales on a scale of 0 to 100, with higher scores indicating more severe ataxia

    Time frame: at baseline, within 24 hours after the end of treatment, after 12 weeks, and within 24 hours after the end of the second round of treatment

Secondary outcomes

  1. The change from baseline score on SARA(Scale for the Assessment and Rating of Ataxia)

    Scale for the Assessment and Rating of Ataxia contains eight items on a scale of 0 to 40, with higher scores indicating more severe ataxia

    Time frame: at baseline, within 24 hours after the end of treatment, after 12 weeks, and within 24 hours after the end of the second round of treatment

  2. Gait analysis

    The instrumented gait analysis showed that step width, step length

    Time frame: at baseline, within 24 hours after the end of treatment, after 12 weeks, and within 24 hours after the end of the second round of treatment

  3. scalp electroencephalogram

    TMS combined with EEG

    Time frame: at baseline, within 24 hours after the end of treatment, after 12 weeks, and within 24 hours after the end of the second round of treatment

  4. Safety evaluation measures

    Incidence and severity of side effects

    Time frame: within 24 hours after the end of treatment

Other outcomes

  1. The change from baseline score on MMSE(Mini-mental state examination)

    Assesse cognitive function (orientation, memory, attention, calculation, language ability, etc.)

    Time frame: at baseline, within 24 hours after the end of treatment, after 12 weeks, and within 24 hours after the end of the second round of treatment

  2. MOCA(Montreal Cognitive Scale)

    A rapid cognitive assessment tool designed to evaluate cognitive dysfunction, covering 11 assessment items across 8 cognitive domains: attention and concentration, executive function, memory, language, visuospatial skills, abstract thinking, calculation, and orientation.

    Time frame: at baseline, within 24 hours after the end of treatment, after 12 weeks, and within 24 hours after the end of the second round of treatment

  3. HAMA(Hamilton anxiety scale)

    Assess the severity of anxiety symptoms in patients

    Time frame: at baseline, within 24 hours after the end of treatment, after 12 weeks, and within 24 hours after the end of the second round of treatment

  4. HAMD(Hamilton depression scale)

    Assess the severity of depressive symptoms

    Time frame: at baseline, within 24 hours after the end of treatment, after 12 weeks, and within 24 hours after the end of the second round of treatment

  5. PSQI(Pittsburgh sleep quality Index)

    A self-rated questionnaire which assesses sleep quality and disturbances over a 1-month time interval

    Time frame: at baseline, within 24 hours after the end of treatment, after 12 weeks, and within 24 hours after the end of the second round of treatment

  6. The 9-Hole Peg Test

    A common fine motor test used in occupational therapy assessments to collect a baseline on fine motor skills, dexterity, hand-eye coordination, motor planning, and more

    Time frame: at baseline, within 24 hours after the end of treatment, after 12 weeks, and within 24 hours after the end of the second round of treatment

  7. 10-m walking test

    The 10 Metre Walk Test is a performance measure used to assess walking or gait speed in meters per second over a short distance and can be employed to determine functional mobility, gait, and vestibular function

    Time frame: at baseline, within 24 hours after the end of treatment, after 12 weeks, and within 24 hours after the end of the second round of treatment

07

Study locations

No study locations are listed for this record.

08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Mar 2025; primary completion for Dec 2026, 21 months later.

Of 28 interventional studies with no phase under Spinocerebellar Ataxias, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 30. This study's planned 21 months is close to that.

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

Registered
Feb 4, 2025
First posted
Mar 27, 2025
StartEst.
Mar 20, 2025
Primary completionEst.
Dec 31, 2026
CompletionEst.
Dec 31, 2027
Last update
Mar 27, 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 Mar 27, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06898645
Lead sponsor
Xijing Hospital
Responsible party
Sponsor
First posted
Mar 27, 2025
Start date
Mar 20, 2025 (estimated)
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Mar 27, 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 not yet recruiting, as verified in Jan 2025. You cannot join it, but the record below documents what was studied.

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