ClinicalTrials.gg
Not yet recruitingNCT07801391I2StartUpdated Sep 3, 2026

Personalized and Accelerated Transcranial Magnetic Stimulation for Treatment-resistant Anxiety Related Disorders

An interventional study of Individually Neuronavigated accelerated intermittent theta burst stimulation with MagPro X100 in Anxiety and Fear-Related Disorders, sponsored by National University Hospital, Singapore. Not yet recruiting at 1 site in Singapore. Open to participants aged 21 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-09-03.

Sponsored by National University Hospital, Singapore · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
24
Allocation
Not applicable
Ages
21 Years to 70 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 47 studies in Anxiety Disorders with a site in Singapore — 15 open to participants now, 20 under way, none of them phase 3. Anxiety Disorders · Singapore.

Planned enrollment
36th of 37
24 · median 122
Started
2026
with 4 others
No phase
35 of 47
12 open now
Primary completion
2029-12
later than 19 of 19 live
Registered
47th of 47
by date
Lead sponsor
2 of 47
National University Hospital, Singapore

Among the 47 studies in Anxiety Disorders with a site in Singapore, this one is the 36th largest by planned enrollment of the 37 interventional ones that give a count, is one of 5 that started in 2026, is one of 35 with no phase, reaches primary completion later than 19 of the 19 other live ones, and was the 47th registered.

Anxiety Disorders

7,207 studies on the registry are indexed under Anxiety Disorders; 1,682 are open to participants now.

Browse Anxiety Disorders studies →

Open to participants now

15 of the 47 studies in Anxiety Disorders with a site in Singapore are open now. Recruiting first, the newest first:

9 more — sign in →

All 15 open studies →

A study can be open while its sites in Singapore have not opened yet or have stopped. Only those recruiting at a site in Singapore →

Who these studies take

Of the 944 Anxiety Disorders studies recruiting now, 417 (44%) set no upper age limit and 460 (49%) stop at 75 or younger; 233 take children under 18; 317 take healthy volunteers.

This study: 21 Years to 70 Years · all sexes · no healthy volunteers.

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02

Study summary

This proposal seeks to carry out an open-label single arm study to examine the neurobehavioral changes induced by personalized, causal network mapping guided accelerated intermittent theta burst stimulation (aiTBS) in patients with treatment-resistant anxiety-related disorders.

03

Conditions studied

  • Anxiety and Fear-Related Disorders

Browse trials for

Keywords

  • Anxiety
  • Neuronavigated
  • iTBS
  • Accelerated
04

Who can participate

Ages eligible
21 Years to 70 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

  • Male/ female aged ≥ 21 years and ≤ 70 years
  • Diagnosis of an anxiety-related disorder as validated by the MINI (Specifically, the types of anxiety-related disorders are: generalized anxiety disorder; panic disorderl social anxiety disorder; obsessive compulsive disorder; post-traumatic stress disorder; agoraphobia; anxiety disorder due to another medical condition; other specified anxiety disorders; and unspecified anxiety disorder.)
  • Non-response to adequate trial (4 weeks) of at least two anxiety medication as verified by the study clinician, or psychotherapy for anxiety
  • BAI score of 16 or above
  • Able to give
  • Able to understand English

Exclusion criteria

Exclusion Criteria:

  • psychotic disorder
  • Significant personality disorder which may hinder the progress of this study
  • Drug or alcohol abuse or dependency (preceding 3 months)
  • Rapid clinical response required, e.g., high suicide risk
  • Significant neurological disorder, which may pose increased risks with TMS, e.g., epilepsy
  • Metal in the cranium, skull defects, pacemaker, cochlear implant, medication infusion pumps or any other electronic implants/ devices
  • Tattoos containing derromagnetic ink or permanent piercings
  • Currently wearing dental braces
  • Pregnancy
  • Unsuitable for MRI or TMS for any other reasons
  • With recent TMS or ECT treatment within the past 3 months
  • Currently on multiple stimulant medications (2 or more)
  • Participant does not have the capacity to provide consent
Terms in these criteria, in plain language(2)

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.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

05

Study design

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

Study arms

  • Experimental
    Individualized neuronavigated intermittent theta burst stimulation (MagPro X100) system for anxiety

    Participants will receive an accelerated intermittent theta burst stimulation (iTBS) treatment delivered with a MagVenture MagPro X100 system (MagVenture A/S, Denmark) equipped with a butterfly shaped MagVenture Cool-B65 A/P coil. The treatment course is comprised of 6 treatment sessions daily for 5 consecutive workdays for a total of 30 sessions. Each iTBS session is approximately 10 minutes (depth corrected Resting Motor Threshold of 90%, 60 cycles of 10 bursts of three pulses at 50 Hz, repeated at 5 Hz; 2s on and 8s off; 1800 pulses per session; with a 50-minute interval between sessions). All iTBS sessions will be performed by staff trained and credentialed in TMS according to Singapore College of Psychiatrists guidelines.

    Device: Individually Neuronavigated accelerated intermittent theta burst stimulation with MagPro X100

Interventions

  • DeviceIndividually Neuronavigated accelerated intermittent theta burst stimulation with MagPro X100

    Magpro X100, Axilium Cobot, Localite Camera

06

What researchers measure

Primary outcomes

  1. Beck Anxiety Inventory (BAI)

    The primary outcome will be the response rate as defined as ≥50% reduction from baseline BAI scores pre- and post-iTBS treatment. BAI is an ordinal self-report scale measuring physical and cognitive anxiety symptoms ranging from 0-63. Higher scores mean worse outcome.

    Time frame: Baseline, immediately post-treatment, 1-month and 3-months post-intervention.

Secondary outcomes

  1. Beck Depression Inventory (BDI)

    Change in BDI scores pre- and post-iTBS treatment. BDI is an ordinal self-report scale measuring depressive symptoms ranging from 0-63. Higher scores mean worse outcome.

    Time frame: Baseline, immediately post-treatment, 1-month and 3-months post-intervention.

  2. Penn State Worry Questionnaire (PSWQ)

    Change in PSWQ scores pre- and post-iTBS treatment. PSWQ is an ordinal self-report scale measuring pathological worry ranging from 16-80. Scores depend on whether the item is worded positively or negatively.

    Time frame: Baseline, immediately post-treatment, 1-month and 3-months post-intervention.

  3. Mini-Mood and Anxiety Symptom Questionnaire (Mini-MASQ)

    Change in Mini-MASQ scores pre- and post-iTBS treatment. The Mini-MASQ is an orginal self-report scale measuring symptoms of anxiety and depression. Scores depend on whether the item is worded positively or negatively.

    Time frame: Baseline, immediately post-treatment, 1-month and 3-months post-intervention.

  4. Hamilton Anxiety Rating Scale (HAM-A)

    Change in HAM-A scores pre- and post-iTBS treatment. HAM-A is an ordinal clinician-rated scale measuring severity of psychic and somatic anxiety, ranging from 0-56. Higher scores mean a worse outcome.

    Time frame: Baseline, immediately post-treatment, 1-month and 3-months post-intervention.

  5. Inventory of Depression and Anxiety Symptoms-II (IDAS-II)

    Change in IDAS-II scores pre- and post-iTBS treatment. IDAS-II is an ordinal self-report scale measuring depression, anxiety, and bipolar symptoms ranging from 99-495. Higher scores mean worse outcome.

    Time frame: Baseline, immediately post-treatment, 1-month and 3-months post-intervention.

  6. Sheehan Disability Scale (SDS)

    Change in SDS scores pre- and post-iTBS treatment. SDS is an ordinal self-report scale measuring how symptoms affect functional imapirment across work/ school, social life, and family/ home responsibilities, ranging from 0-10 for each domain. Higher scores mean a worse outcome.

    Time frame: Baseline, immediately post-treatment, 1-month and 3-months post-intervention.

Other outcomes

  1. Correlation of changes in functional connectivity with changes in BAI scores

    The investigators will perform additional exploratory post-hoc analyses by analysing brain imaging changes before and after TMS treatment.

    Time frame: Baseline, immediately post-treatment, 1-month and 3-months post-intervention.

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

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 Sep 2026; primary completion for Dec 2029, 39 months later.

Of 3,841 non-industry interventional studies with no phase under Anxiety Disorders, half reached primary completion within 12 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 28. This study's planned 39 months is above that.

Counting every sponsor, half of 3,943 studies reached it within 12 months; a quarter within 5 and three quarters within 28.

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

Registered
Aug 31, 2026
First posted
Sep 3, 2026
StartEst.
Sep 2026
Primary completionEst.
Dec 2029
CompletionEst.
Dec 2029
Last update
Sep 3, 2026
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 Sep 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07801391
Responsible party
Sponsor
First posted
Sep 3, 2026
Start date
Sep 2026 (estimated)
Primary completion
Dec 2029 (estimated)
Completion
Dec 2029 (estimated)
Last update
Sep 3, 2026

Study contacts

Phern Chern Tor, MBBS
Contact
cip@nuhs.edu.sg
+65 6908 2222

Oversight

Data monitoring committee
No
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 Aug 2026. You cannot join it, but the record below documents what was studied.

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