Trial record 17 of 2549 for:    depression AND Major Depression AND major | "Depression"

Transcranial Magnetic Stimulation (rTMS) Accelerates the Response to Escitalopram in Major Depression

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00149071
Recruitment Status : Completed
First Posted : September 8, 2005
Last Update Posted : November 5, 2007
Medicon Valley Academy
Information provided by:
Hillerod Hospital, Denmark

Brief Summary:
A doubleblind randomised trial with active versus sham rTMS in combination with escitalopram in patients with prior treatment resistant depression in an acute 12 weeks trial with subsequent 24 weeks study phase with active versus placebo citalopram

Condition or disease Intervention/treatment Phase
Major Depression Device: rTMS Device: TMS Not Applicable

Detailed Description:

In this study we aimed at investigating to what degree rTMS applied over the left dorsolateral cortex relieves depressive symptoms when the treament is combined with antidepressive medication. The study will also be able to supply knowledge on how long any possible effect of the rTMS treatment lasts.

In the first 12 weeks of the trial participants are randomised to either rTMS combined with escitalopram or sham rTMS combined with escitalopram. rTMS is given daily for the first 3 weeks.

The next phase is a relapse prevention study where the responders from the initial phase are randomised to either active or placebo escitalopram for 24 weeks.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 61 participants
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Treatment
Official Title: Treatment of Therapy-Resistant Major Depression With Transcranial Stimulation rTMS in Combination With Escitalopram
Study Start Date : March 2004
Actual Study Completion Date : January 2006

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Active Comparator: A
Device: rTMS
15 treatments of rTMS active with a duration of 30 minutes each

Device: TMS
Transcraniel Magnetic Stimulation active and sham

Device: rTMS
active Transcranial Magnetic Stimulation

Device: rTMS
daily for three weeks

Sham Comparator: B
sham rTMS
Device: TMS
Transcraniel Magnetic Stimulation active and sham

Device: rTMS
active Transcranial Magnetic Stimulation

Device: rTMS
daily for three weeks

Primary Outcome Measures :
  1. depression scores [ Time Frame: 6 weeks ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 75 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Major depression Hamilton score above 18
  • Age 18 to 75

Exclusion Criteria:

  • Pregnancy og breastfeeding
  • Mental retardation and organic brain disease
  • Alcohol and substance abuse
  • Metal implants in brain, pacemakers and other electronic implants

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00149071

Psychiatric research unit, Hilleroed Hospital,
Hillerod, Denmark, 3400
Sponsors and Collaborators
Hillerod Hospital, Denmark
Medicon Valley Academy
Principal Investigator: Line G Bretlau, MD Psychiatric research Unit, Hilleroed Hospital, Denmark Identifier: NCT00149071     History of Changes
Other Study ID Numbers: 1,2
First Posted: September 8, 2005    Key Record Dates
Last Update Posted: November 5, 2007
Last Verified: November 2007

Keywords provided by Hillerod Hospital, Denmark:
Transcranial magnetic stimulation (TMS)
Major depression
treatment resistant major depression

Additional relevant MeSH terms:
Depressive Disorder
Depressive Disorder, Major
Behavioral Symptoms
Mood Disorders
Mental Disorders
Serotonin Uptake Inhibitors
Neurotransmitter Uptake Inhibitors
Membrane Transport Modulators
Molecular Mechanisms of Pharmacological Action
Neurotransmitter Agents
Serotonin Agents
Physiological Effects of Drugs
Antidepressive Agents, Second-Generation
Antidepressive Agents
Psychotropic Drugs
Antiparkinson Agents
Anti-Dyskinesia Agents
Autonomic Agents
Peripheral Nervous System Agents
Muscarinic Antagonists
Cholinergic Antagonists
Cholinergic Agents