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RecruitingNCT07889739Updated Oct 22, 2026

Sensation Seeking and TMS Response in TRD

An observational study in MDD, Severe Depression and Major Depressive Episode, sponsored by Technical University of Munich. Recruiting at 1 site in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-22.

Sponsored by Technical University of Munich · Observational

From the registry’s dates

  • Started May 2024; still recruiting 2 years 5 months later.
Updated Oct 22, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
100
Ages
18 Years and older
Sex
All
01

Study summary

his real-world observational study examines whether sensation-seeking personality traits influence the clinical response to transcranial magnetic stimulation (TMS) in patients with treatment-resistant depression (TRD). Participants will complete a validated sensation seeking scale prior to TMS treatment, and depressive symptoms will be assessed using standardized clinical scales during and after the TMS course.

Read the detailed description

his study aims to explore the relationship between sensation seeking traits and clinical outcomes following TMS therapy in adults with treatment-resistant depression (TRD). Using a naturalistic, real-world treatment setting, patients undergoing standard TMS therapy will complete a validated sensation seeking questionnaire (e.g., Zuckerman Sensation Seeking Scale or similar) prior to treatment initiation. Depression severity will be measured at baseline, mid-treatment, and post-treatment using established scales (e.g., HAM-D, MADRS, or PHQ-9). The study will analyze whether sensation seeking predicts treatment response or remission rates, contributing to a better understanding of psychological moderators of TMS effectiveness.

02

Conditions studied

  • MDD
  • Severe Depression
  • Major Depressive Episode

Keywords

  • Transcranial Magnetic Stimulation
  • TMS
  • Treatment-Resistant Depression
  • Sensation Seeking; Personality Traits
  • Depression
  • Real-world Study
  • Observational Research
03

In context

Depression

8,240 studies on the registry are indexed under Depression; 1,641 are open to participants now.

This study's planned enrollment of 100 is below the median of 158 across 1,111 observational studies indexed under Depression.

Browse Depression studies →

Lead sponsor

Technical University of Munich is the lead sponsor of 319 studies on the registry; 57 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
Sampling method
Non-probability sample

Study population

This study includes adult patients experiencing a current depressive episode related to Major Depressive Disorder (MDD), Bipolar Disorder (Type I or II), or Schizoaffective Disorder who meet clinical criteria for Treatment-Resistant Depression (TRD). All participants receive transcranial magnetic stimulation (TMS) as part of routine clinical care in a specialized neuromodulation program.

Participants are consecutively recruited during their standard TMS treatment. The study collects self-report and clinician-rated data, including the Sensation Seeking Scale (SSS) and Montgomery-Åsberg Depression Rating Scale (MADRS), to examine whether sensation-seeking traits are associated with symptom improvement.

This population reflects the heterogeneous, real-world clinical cohort typically referred for TMS, including unipolar and bipolar depression, as well as schizoaffective disorder in a depressive phase.

Estimated enrollment: 60-100 participants, depending on recruitment flow and data comp

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

  • Adults (≥18 years).
  • Diagnosis according to ICD-10: recurrent depressive disorder, severe depressive disorder, schizoaffective disorder (depressive episode) or bipolar affective disorder (depressive episode).
  • Treatment-Resistant Depression (TRD): inadequate response to ≥2 adequate antidepressant trials in the current episode (per clinician judgment or ATHF if available).
  • Baseline assessments available: MADRS within ≤7 days before first TMS session and baseline Sensation Seeking Scale (SSS) prior to or at treatment initiation.
  • Capacity to provide informed consent and ability to complete study questionnaires in the site language.

Exclusion criteria

Exclusion Criteria:

  • Contraindications to TMS (per device labeling/clinical standards): any ferromagnetic or electronic intracranial/cranial implants, cochlear implant, deep brain stimulator, medication pump near coil, skull defect, or other conditions deemed unsafe by the treating clinician.
  • History of seizure/epilepsy (except single, clearly provoked event), current epileptiform disorder, or significant neurological disease lowering seizure threshold (e.g., recent stroke, brain tumor, active TBI with persistent sequelae, active CNS infection).
  • Moderate-to-severe substance use disorder within the past 3 months (excluding nicotine/caffeine), per clinician assessment.
  • Imminent suicide risk requiring a higher level of care (e.g., active plan/intent) at screening.
  • Concurrent acute ECT or investigational device/drug during the TMS acute course (participation allowed if such treatments are not initiated during the observation window).
  • Any condition that, in the judgment of the treating clinician or PI, would preclude safe TMS delivery or reliable outcome measurement (e.g., severe cognitive impairment preventing valid MADRS/SSS completion).
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
100 participants (estimated)
Target follow-up
3 Months
Patient registry
Yes

Interventions

  • OtherTranscranial Magnetic Stimulation (TMS)

    Patients with treatment-resistant depression will receive standard clinical TMS therapy according to usual clinical protocols. The study will observe treatment outcomes and assess the association with individual sensation seeking traits. No experimental intervention or randomization is applied.

06

What researchers measure

Primary outcomes

  1. Correlation Between Change in Montgomery-Åsberg Depression Rating Scale (MADRS) Scores and Baseline Sensation Seeking Scale (SSS) Total Score

    The primary analysis will test the correlation between change in depressive symptom severity (ΔMADRS = baseline MADRS - end-of-treatment MADRS) and the baseline Sensation Seeking Scale total score. Pearson's or Spearman's correlation coefficient (r/ρ) will be calculated, with 95% confidence intervals.

    Time frame: Baseline (within 7 days before first TMS session) to end of acute TMS course (approximately 4-6 weeks)

Secondary outcomes

  1. Association Between Change in MADRS and SSS Total Score (Adjusted Model)

    Multivariable linear regression of ΔMADRS on baseline SSS total, adjusting for age, sex, baseline MADRS, treatment parameters, and TRD burden.

    Time frame: Baseline to end of acute TMS (4-6 weeks)

07

Study locations

1 of 1 sites recruiting
  • Technical University of Munich, TUM School of Medicine and Health, Department of Psychiatry and Psychotherapy,
    München, Bavaria 81675, Germany
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — All anonymised study outcomes will be shared, including questionnaire, physiological, and device data.

Supporting information: Study protocol, Informed consent form, Analytic code

Time frame: IPD and supporting information will be made available immediately after the publication of study results, for an unrestricted duration.

Access criteria: The de-identified individual patient data, i.e., all IPD that underlie results in a publication, will be made accessible after its publication for non-commercial academic projects that have a legitimate research topic and a clearly stated hypothesis. In the event that the application is accepted, researchers will be asked to get the study approved by their institution's ethics board. The study principal investigator will subsequently provide the de-identified data sets via a safe data transfer system.

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 22, 2026
Show all 1 update
  1. Oct 22, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07889739
Responsible party
Ulrike Vogelmann (Dr.med., Technical University of Munich) — Principal investigator
First posted
Oct 22, 2026
Start date
May 2, 2024
Primary completion
Jan 31, 2027 (estimated)
Completion
Jan 31, 2027 (estimated)
Last update
Oct 22, 2026

Study contacts

Ulrike Vogelmann, Dr. med.
Contact
ulrike.vogelmann@mri.tum.de
17661535471 ext. +49
Joan Koti, MD
Contact
joan.koti@mri.tum.de
017635737540 ext. +49

Oversight

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

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