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Major Depressive DisorderNCT05694754

Transcranial Magnetic Stimulation Theta Burst (TMS), Depression and Smoking.

A study testing Theta Burst Transcranial Magnetic Stimulation in people with Major Depressive Disorder and Smoking Reduction, run by Dr. Julian Reyes López at 1 site in Mexico.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This study evaluates de efficacy of Theta Burst Transcranial Magnetic Stimulation (TMS) applied on the left dorsolateral prefrontal cortex in patients with Major Depressive disorder and tobacco consumption. Read more about this study

Who is it for?
Ages 18 to 45 yearsHealthy volunteers can take part
Conditions the study is for
Major Depressive Disorder, Smoking Reduction
What is being tested?
Theta Burst Transcranial Magnetic Stimulation
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
1 siteMexico
Study dates
1 Oct 2021to 31 Jan 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 45 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • With dependence on tobacco use, with depressive symptomatology, that they agree to sign the informed consent letter.

Who cannot join

  • History of head trauma with loss of consciousness, with intracranial metallic objects or metallic plates in the skull, patients with structured suicidal ideation or recent attempts, who suffer from uncontrolled chronic diseases at the time of entering the study (for example: hypertension, diabetes, rheumatic diseases), patients with psychotic symptoms. subjects with alterations in electroencephalogram (epileptiform activity), patients with any type of uncontrolled chronic medical or neurological disease, pregnant women.

Trial locations and contacts

1 site in 1 country.

sofia cañizares Gómez, master contact

(442)1910317

soficanizares@gmail.com

Gerardo Trejo Cruz, master contact

(442)2848849

gerardotrejocruz@outlook.com

Mexico1 site, 1 recruiting
  • Sofia Cañizares Gómez

    Querétaro City, Querétaro, 76170

    sofia cañizares gómez, master, 00524421910317, soficanizares@gmail.com

    gerardo trejo cruz, master, 00524422848849, gerardotrejocruz@outlook.com

    Recruiting

Other trials in Mexico

About this study

Official title: Transcranial Magnetic Stimulation and Its Effects on Mayor Depressive Disorder and Smoking Cessation

This study evaluates de efficacy of Theta Burst Transcranial Magnetic Stimulation (TMS) applied on the left dorsolateral prefrontal cortex in patients with Major Depressive disorder and tobacco consumption.

Read the detailed description

Major Depressive Disorder (MDD) affects 350 million worldwide causing damage on quality of life and risk behavior such as suicide and smoking. smoking is the second leading cause of death causing about 5 million deaths annually. Theta Burst Stimulation (TBS) is a more tolerable protocol administered at lower intensities and shorter intervals than conventional rTMS protocols.

Being tested
Theta Burst Transcranial Magnetic Stimulation
Keywords
Transcranial magnetic stimulation, Theta Burst, Depression, Tobacco, suicide ideation
Medical subject headings
Depressive Disorder, Major, Smoking Reduction, Depression

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Theta Burst Transcranial Magnetic StimulationDevice

    Magventure MagPro R30 stimulation Device, MCF-B70 stimulation Coill

Study groups in NCT05694754
Study groupRoleWhat they receive
1 sessionExperimentalParticipants will receive 1 session from monday to friday,during 4 weeks, with 600 total pulses per session
Receives: Device: Theta Burst Transcranial Magnetic Stimulation
3 sessionsExperimentalParticipants will receive 3 sessions from monday to friday,during 4 weeks, with 1800 total pulses per session with a 10 minutes rest interval
Receives: Device: Theta Burst Transcranial Magnetic Stimulation

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. MINI Neuropsychiatric Interview

    It is a short structured diagnostic interview that explores the main psychiatric disorders of Axis I of DSM-IV and ICD-10

    Measured: 15 minutes

  2. Fagerström test

    it is a short and simple test consisting of 6 questions. The score ranges from 0-10, so that the higher the score, the greater the dependency. Not only does this test measure physical dependence but it also has therapeutic and prognostic value.

    Measured: 5 minutes

  3. Richmond Test

    Scale consisting of 4 items to assess the degree of motivation to quit smoking on a scale of 1 to 10. For an individual to have expectations of success in a smoking cessation program, they must present a score of 9 or 10 points

    Measured: 5 minutes

  4. Glover-Nilsson Test

    Test consisting of 11 items to measure the psychosocial and behavioral dependence of individuals; it is scored from 0 to 4, with 4 being the maximum score, items 1,4 and 5 measure psychological dependence, questions 2,3,6,7,8,9 and 10 measure behavioral dependence and question 11 measures social dependence.

    Measured: 8 minutes

  5. Test of the Unit of the Institute of Public Health of Madrid (UISPM)

    Test consisting of 23 items divided into 6 modules (stimulation, sedation, automatism, social dependency, psychic dependency and gestural dependency) each item is scored from 0 to 4 being 4 the highest score.

    Measured: 10 minutes

  6. Minnesota Nicotine Withdrawal Syndrome Scale (MNWS)

    This eight-item scale measures withdrawal symptoms (craving, irritability, anxiety, difficulty concentrating, restlessness, increased appetite or weight gain, depression, and insomnia), The score ranges from 0 to 4, with 4 being the highest score, indicating a severe withdrawal syndrome

    Measured: 5 minutes

  7. Nicotine Craving Questionnaire (CCN)

    12-item questionnaire to assess the degree of craving, with five response options ranging from completely disagree 1 to completely agree 5

    Measured: 8 minutes

  8. Paradigm of reactivity to signals and heart rate variability

    it consists of presenting a series of images that were chosen from the International Series of images for smoking (with neutral counterparts), Version 1.2 (58), the images were presented as follows : 2 blocks of smoking images and 2 blocks with neutral images that are interspersed, each block contains 25 images with a duration of 6 seconds per image, the test has a total duration of 10 minutes; while the participant observes the images, they will place a polar model H10 bluetooh chest strap sensor to measure HRV

    Measured: 10 minutes

  9. Co-oximetry

    spectrophotometric technique to detect the loss in the oxygenation capacity of hemoglobin that consists of determining the level of carbon monoxide (CO) in the air exhaled by an individual, levels of 10 or more ppm of CO in the exhaled air correspond to smoking subjects. Levels of 6 to 10 ppm in sporadic smokers, and figures below 6 ppm in non-smokers.

    Measured: 1 minute

  10. Hamilton Rating Depression Scale (HDRS)

    21 item, Clinical assessment of depressive symptoms

    Measured: 10 minutes

  11. Montgomery-Asberg Rating Depression Scale (MADRS)

    10 ítem Clinical assessment of the principal depressive symptoms

    Measured: 10 minutes

  12. Hamilton Anxiety Rating Scale (HARS)

    14 Ítem clinical scale for rating anxiety symptoms.

    Measured: 10 minutes

  13. Beck Depression Invetory (BDI)

    it´s a 21 ítem self evaluated symptomatology of depression

    Measured: 10 minutes

  14. Beck Hopelesness Scale (BHS)

    is a 20-item self-report inventory designed to measure 3 major aspects of hopelessness (Feelings about the future, loss of self-motivation and expectations)

    Measured: 10 minutes

  15. Plutchik Risk Suicide Scale

    it´s a 26 ítem self-reported scale that assess the intensity of suicidal ideation

    Measured: 10 minutes

  16. Beck suicidal ideation scale (BSIS)

    is an evaluation of suicidal thinking: is an evaluation of suicidal thinking that helps identify individuals at risk of comitting self harm

    Measured: 10 minutes

  17. Wisconsin Card Sorting Test (WCST)

    is a neuropsychological test that assess cognitive flexibility

    Measured: 20 minutes

  18. Stop Signal Task

    is a unique versión of a classic approach to measuring response inhibition

    Measured: 25 minutes

Secondary outcomes (1)
  1. Marlowe and Crowne Social Desirability Scale

    self-applied scale consisting of 33 items for the evaluation of the need for social approval, for example, generating a good impression through socially appropriate responses

    Measured: 10 minutes

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Jan 2023
  2. Study start1 Oct 2021
  3. Primary completion1 Dec 2022
  4. Study completion31 Jan 2023 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
20 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05694754
Sponsor's protocol ID
21-03-2022
Status last verified
Jan 2023
First submitted
12 Jan 2023
Last updated
23 Jan 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Fluharty M, Taylor AE, Grabski M, Munafo MR. The Association of Cigarette Smoking With Depression and Anxiety: A Systematic Review. Nicotine Tob Res. 2017 Jan;19(1):3-13. doi: 10.1093/ntr/ntw140. Epub 2016 May 19.

    PubMed 27199385
  • Picciotto MR, Mineur YS. Molecules and circuits involved in nicotine addiction: The many faces of smoking. Neuropharmacology. 2014 Jan;76 Pt B(0 0):545-53. doi: 10.1016/j.neuropharm.2013.04.028. Epub 2013 Apr 28.

    PubMed 23632083
  • Ahern E, Kinsella S, Semkovska M. Clinical efficacy and economic evaluation of online cognitive behavioral therapy for major depressive disorder: a systematic review and meta-analysis. Expert Rev Pharmacoecon Outcomes Res. 2018 Feb;18(1):25-41. doi: 10.1080/14737167.2018.1407245. Epub 2017 Nov 30.

    PubMed 29145746
  • Garcia-Gomez L, Hernandez-Perez A, Noe-Diaz V, Riesco-Miranda JA, Jimenez-Ruiz C. SMOKING CESSATION TREATMENTS: CURRENT PSYCHOLOGICAL AND PHARMACOLOGICAL OPTIONS. Rev Invest Clin. 2019;71(1):7-16. doi: 10.24875/RIC.18002629.

    PubMed 30810545
  • Baeken C, Marinazzo D, Everaert H, Wu GR, Van Hove C, Audenaert K, Goethals I, De Vos F, Peremans K, De Raedt R. The Impact of Accelerated HF-rTMS on the Subgenual Anterior Cingulate Cortex in Refractory Unipolar Major Depression: Insights From 18FDG PET Brain Imaging. Brain Stimul. 2015 Jul-Aug;8(4):808-15. doi: 10.1016/j.brs.2015.01.415. Epub 2015 Feb 7.

    PubMed 25744500
  • Arikan MK, Gunver MG, Tarhan N, Metin B. High-Gamma: A biological marker for suicide attempt in patients with depression. J Affect Disord. 2019 Jul 1;254:1-6. doi: 10.1016/j.jad.2019.05.007. Epub 2019 May 6.

    PubMed 31082626
  • Mahoney JJ 3rd, Hanlon CA, Marshalek PJ, Rezai AR, Krinke L. Transcranial magnetic stimulation, deep brain stimulation, and other forms of neuromodulation for substance use disorders: Review of modalities and implications for treatment. J Neurol Sci. 2020 Nov 15;418:117149. doi: 10.1016/j.jns.2020.117149. Epub 2020 Sep 20.

    PubMed 33002757
  • Filipcic I, Milovac Z, Sucic S, Gajsak T, Filipcic IS, Ivezic E, Aljinovic V, Orgulan I, Penic SZ, Bajic Z. Efficacy, Safety and Tolerability of Augmentative rTMS in Treatment of Major Depressive Disorder (MDD): A Prospective Cohort Study in Croatia. Psychiatr Danub. 2017 Mar;29(1):31-38. doi: 10.24869/psyd.2017.31.

    PubMed 28291972
  • Czeisler ME, Lane RI, Petrosky E, Wiley JF, Christensen A, Njai R, Weaver MD, Robbins R, Facer-Childs ER, Barger LK, Czeisler CA, Howard ME, Rajaratnam SMW. Mental Health, Substance Use, and Suicidal Ideation During the COVID-19 Pandemic - United States, June 24-30, 2020. MMWR Morb Mortal Wkly Rep. 2020 Aug 14;69(32):1049-1057. doi: 10.15585/mmwr.mm6932a1.

    PubMed 32790653

Questions about this trial

What is this clinical trial studying?

A study testing Theta Burst Transcranial Magnetic Stimulation in people with Major Depressive Disorder and Smoking Reduction, run by Dr. Julian Reyes López at 1 site in Mexico.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 23 Jan 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Mexico. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact sofia cañizares Gómez, master ((442)1910317, soficanizares@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

MINI Neuropsychiatric Interview (time frame: 15 minutes). The study lists 18 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05694754, which also lists 9 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Jan 2023.

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