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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02863094
Other study ID # NSFC-81171273-01
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date May 2016
Est. completion date August 2021

Study information

Verified date October 2021
Source Anhui Medical University
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

To investigate the treatment effect of continuous transcranial magnetic stimulation on schizophrenia patients with auditory hallucinations, and the underlying neural mechanism by functional MRI


Description:

All patients underwent a medical evaluation that included physical examination and routine laboratory studies before and after repetitive transcranial magnetic stimulation (rTMS) treatment. Patients were randomly allocated to rTMS group and the sham group by random number. There are about 30 patients in each group.The decision to enroll a patient was always made prior to randomization. Patients were studied using a double-blind design. Study participants, clinical raters, and all personnel responsible for the clinical care of the patient remained masked to allocated condition and allocation parameters. Only rTMS administrators had access to the randomization list; they had minimal contact with the patients, and no role in assessing AVH and other measures. Each patient would be treated for continuous 15 days by rTMS Before the rTMS treatment, the Auditory Hallucination Rating Scale, Psychotic Symptom Rating Scale, and the Positive and Negative Syndrome Scale were obtained by a trained investigator to assess baseline severity of auditory verbal hallucination (AVH) and other symptoms. The patients had receiving a battery measure of neuropsychological tests (standardized tests to investigate their cognitive problems, anxiety and depressive symptoms in daily life), magnetic resonance imaging scan in multimodalities, electroencephalography (EEG), event-related potentials during stop signal test and Iowa-gambling test record. After the last treatment, the Auditory Hallucination Rating Scale, Psychotic Symptom Rating Scale, and the Positive and Negative Syndrome Scale were obtained, as well as the Global Index of Safety to assess adverse events of the treatment. Patients were instructed to focus their answers on the past 15 days. The patients had also receiving a battery measure of neuropsychological tests, magnetic resonance imaging scan in multimodalities, and EEG record. A month after the last treatment, participants were interviewed to obtain the Auditory Hallucination Rating Scale, Psychotic Symptom Rating Scale, the Positive, and Negative Syndrome Scale. They were instructed to focus their answers on the past week. Additionally, they were also asked to assess the battery of neuropsychological tests, and have magnetic resonance imaging scan in multimodalities, and EEG record. Afterwards, they were unblinded by the study coordinator.


Recruitment information / eligibility

Status Completed
Enrollment 60
Est. completion date August 2021
Est. primary completion date August 2021
Accepts healthy volunteers No
Gender All
Age group 18 Years to 50 Years
Eligibility Inclusion Criteria: - Patients met diagnostic criteria for schizophrenia or schizoaffective disorder using the Structural Clinical Interview for Diagnostic and Statistical Manual Diploma in Social Medicine (DSM)-IV (SCID, Version 2.0), - Patients reported auditory hallucinations at least 5 times per day based on pre-enrollment assessments using a written log or hand-held counter. - Patients remain their psychotropic medication at steady dosages for at least 4 weeks prior to study entry and for the duration of the trial. - Verbal intelligence quotient > 85 as measured by using a Chinese version of the National Adult Reading Test. Exclusion Criteria: - History of significant head trauma or neurological disorders - Alcohol or drug abuse - Focal brain lesions on T1- or T2-weighted fluid-attenuated inversion-recovery magnetic resonance images - a prior history of a seizure not induced by drug withdrawal, - first degree relative with epilepsy, significant neurological illness or head trauma, endocrine disease, such as thyroid disease, significant unstable medical condition, - recent aggression or other forms of behavioral dyscontrol - left-handedness, pregnancy - estimated intelligence quotient<80 - current alcohol or drug abuse - inability to provide informed consent. - Hamilton Anxiety Rating Scale or the Hamilton Depression Rating Scale score > 7

Study Design


Related Conditions & MeSH terms


Intervention

Device:
transcranial magnetic stimulation


Locations

Country Name City State
China Anhui Medical University Hefei Anhui

Sponsors (1)

Lead Sponsor Collaborator
Anhui Medical University

Country where clinical trial is conducted

China, 

Outcome

Type Measure Description Time frame Safety issue
Primary Symptom improvement assessed by Auditory Hallucination Rating Scale up to 2 months
Secondary functional connectivity of the temporal parietal junction assessed by functional MRI Functional MRI measures: the functional connectivity between stimulated target and the whole brain areas up to 2 months
Secondary Global network properties assessed through Graph Theory up to 2 months
Secondary Symptom improvement assessed by Positive and Negative Syndrome Scale up to 2 months
Secondary Global structural connectivity assessed by diffusion weighted image up to 2 months
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