NCT06528938 Comparing the Efficacy of Accelerated vs. Standard fMRI-guided iTBS in Treating Adolescents Depression
| NCT ID | NCT06528938 |
| Status | Recruiting |
| Phase | — |
| Sponsor | The Royal Ottawa Mental Health Centre |
| Condition | Depression |
| Study Type | INTERVENTIONAL |
| Enrollment | 10 participants |
| Start Date | 2024-08-01 |
| Primary Completion | 2026-08-01 |
Eligibility & Interventions
Eligibility Fast-Check
Enter your details for a quick preliminary check. This does not replace medical advice.
What to Expect as a Participant
You will actively receive the study intervention — which may be a drug, biologic, device, or procedure.
This trial targets 10 participants in total. It began in 2024-08-01 with a primary completion date of 2026-08-01.
⚠ This information is for research awareness only. Always consult your physician before joining any clinical trial. Participation is voluntary and you may withdraw at any time.
Brief Summary
Repetitive transcranial magnetic stimulation (rTMS) is a Health Canada approved treatment for major depression. Theta burst stimulation (TBS), a type of rTMS, is a very promising new treatment for major depression in adults and adolescents. However, very few studies have assessed the efficacy of accelerated, three times a day TBS in comparison with standard once a day TBS in adolescents. The study aims to explore further evidence in hopes to conduct a large-scale, randomized, multisite, placebo-controlled clinical trial evaluating the effects of a functional magnetic resonance imaging (fMRI)-guided accelerated rTMS protocol vs. standard once/daily rTMS for treatment-resistant depression in adolescents.
Eligibility Criteria
Inclusion Criteria: 1. Voluntary and competent to consent. 2. Ages 16-19 years old. 3. Can speak and read English. 4. Primary and/or predominant diagnosis of major depressive episode without psychotic features in the current episode, confirmed by The Mini International Neuropsychiatric Interview for Children and Adolescents (MINI-KID). 5. Depressive symptoms have not improved after ≥ 1 adequate dose of antidepressant in the current depressive episode. 6. Moderate symptoms in the current depressive episode, indexed by a score of at least 40 on the Children's Depression Rating Scale Revised for depression (CDRS-R). 7. Are able to adhere to the treatment schedule. 8. Have stable psychotropic medications and/or psychotherapy regimen for at least four weeks before participating in the trial. Exclusion Criteria: 1. Diagnosis of bipolar I or II disorder, based on the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) criteria. 2. Current or past substance (\< 3 months) (excluding caffeine or nicotine) or alcohol abuse/dependence, as defined in the DSM-5 criteria. Based on DSM-5 criteria, mild cannabis or alcohol use would be allowed in the past 3 months, moderate to severe would be an exclusion. 3. Current use of illegal substances or cannabis confirmed by urine screening test. 4. Concomitant unstable major medical or neurological disease (e.g., uncontrolled diabetes or renal dysfunction). 5. Organic cause of depressive symptoms (e.g. thyroid dysfunction), ruled out by the treating physician. 6. Acute suicidality or life-threatening due to self-neglect. 7. Are pregnant or breastfeeding, or plan to become pregnant during treatment (pregnancy will be assessed by a urine test). 8. Have a specific contraindication to TMS and/or MRI (e.g., personal history of epilepsy or seizures, metal head implant, pacemaker). 9. Unwilling to maintain the current antidepressant regimen. 10. Taking more than 1 mg/day of lorazepam or equivalent. 11. Any other condition that, in the opinion of the investigators, would impair the participant's ability to complete the study.
Contact & Investigator
Sara Tremblay, PhD
PRINCIPAL INVESTIGATOR
The Royal's Institute of Mental Health Research
Frequently Asked Questions
Who can join the NCT06528938 clinical trial?
This trial is open to participants of all sexes, aged 16 Years or older, up to 19 Years, studying Depression. Full inclusion and exclusion criteria are listed in the Eligibility Criteria section. Always confirm your eligibility with the research team before applying.
Is NCT06528938 currently recruiting?
Yes, NCT06528938 is actively recruiting participants. Contact the research team at stacey.shim@theroyal.ca for enrollment information.
Where is the NCT06528938 trial being conducted?
This trial is being conducted at Ottawa, Canada.
Who is sponsoring the NCT06528938 clinical trial?
NCT06528938 is sponsored by The Royal Ottawa Mental Health Centre. The principal investigator is Sara Tremblay, PhD at The Royal's Institute of Mental Health Research. The trial plans to enroll 10 participants.
Related Trials
Related Intelligence Guides
In-depth guides covering this condition's trials, eligibility, and what to expect.