Deep Brain Stimulation for Treatment Resistant Depression
This study is currently recruiting participants.
(see Contacts and Locations)
Verified April 2016 by Emory University
Sponsor:
Emory University
Collaborator:
The Dana Foundation
Information provided by (Responsible Party):
Helen Mayberg, Emory University
ClinicalTrials.gov Identifier:
NCT00367003
First received: August 18, 2006
Last updated: April 18, 2016
Last verified: April 2016
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Purpose
The purpose of the proposed study is to evaluate the safety, feasibility and efficacy of chronic, high frequency stimulation of the subgenual cingulate white matter (Cg25WM) using the ANS Totally Implantable Deep Brain Stimulation System as an adjunctive treatment for severe treatment-refractory Major Depression in twenty TRD patients, and to investigate potential mechanisms of action of this intervention.
| Condition | Intervention | Phase |
|---|---|---|
|
Major Depressive Disorder |
Device: Deep Brain Stimulator, implantable |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Deep Brain Stimulation for Treatment Resistant Depression |
Further study details as provided by Emory University:
Primary Outcome Measures:
- decrease in Hamilton Depression Rating Scale-24 score of at least 50% at 6 months open treatment [ Time Frame: 6 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 20 |
| Study Start Date: | September 2006 |
| Estimated Study Completion Date: | September 2018 |
| Estimated Primary Completion Date: | September 2018 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: DBS for Treatment Resistant Depression
Deep Brain Stimulation for Treatment Resistant Depression.
|
Device: Deep Brain Stimulator, implantable
Deep Brain Stimulator
|
Detailed Description:
Major Depression is one of the most common and costly of all psychiatric disorders. While depression can be effectively treated in the majority of patients by either medication or some form of evidence-based psychotherapy, up to 20% of patients fail to respond to standard interventions. For these patients, trial-and-error combinations of multiple medications and electroconvulsive therapy are often required (Kennedy and Lam 2003; UK ECT Review Group 2003). For patients who remain severely depressed despite these aggressive approaches, new strategies are needed.
Specific Aim 1. To asses the safety and tolerability of acute and chronic Cg25-DBS.
Specific Aim 2. To assess the antidepressant efficacy of active Cg25-DBS in treatment-resistant depressed patients.
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years (Adult, Senior) |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Criteria
Minimum Eligibility Criteria
- Age 18-70 years old.
- Currently insured or receiving Medicare.
- Ability to provide written informed consent.
- Diagnosis of a Major Depressive Episode or Bipolar Type II - current episode depressed
- Current episode duration of at least 1 year
- Failure to respond to a minimum of four different antidepressant treatments.
- Failure or intolerance of an adequate course of electroconvulsive therapy (ECT) during any episode.
- All patients must have an established outpatient psychiatrist and be willing to sign a written release to allow study investigators to give and receive information from this psychiatrist
- Willing to temporarily relocate to the Atlanta area for at least 3-4 months and return for all required follow-up visits
Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study.
To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below.
For general information, see Learn About Clinical Studies.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00367003
Please refer to this study by its ClinicalTrials.gov identifier: NCT00367003
Contacts
| Contact: Sinead Quinn | 404-727-9228 | dbs@emory.edu | |
| Contact: Lydia Denisson | 404-712-1580 | dbs@emory.edu |
Locations
| United States, Georgia | |
| Emory University School of Medicine | Recruiting |
| Atlanta, Georgia, United States, 30322 | |
| Principal Investigator: Helen Mayberg, M.D. | |
| Sub-Investigator: Roberg Gross, M.D., Ph.D. | |
| Sub-Investigator: Patricio Riva Posse, MD | |
| Sub-Investigator: Steven Garlow, MD | |
Sponsors and Collaborators
Emory University
The Dana Foundation
Investigators
| Principal Investigator: | Helen Mayberg, M.D. | Emory University |
More Information
Publications:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Helen Mayberg, Professor, Emory University |
| ClinicalTrials.gov Identifier: | NCT00367003 History of Changes |
| Other Study ID Numbers: | IRB00024883 |
| Study First Received: | August 18, 2006 |
| Last Updated: | April 18, 2016 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Emory University:
|
Depression, Unipolar, Bipolar-II, DBS, Imaging |
Additional relevant MeSH terms:
|
Depression Depressive Disorder Depressive Disorder, Major Depressive Disorder, Treatment-Resistant |
Behavioral Symptoms Mood Disorders Mental Disorders |
ClinicalTrials.gov processed this record on September 23, 2016