Depression Clinical Trial
Official title:
Pilot Study of Repetitive Transcranial Magnetic Stimulation (rTMS) as Adjuvant Treatment in Patients With Non-remitting Depression: Third Stage of Citalopram/Escitalopram Study
The study will systematically investigate the use of repetitive transcranial magnetic stimulation (rTMS) in non-remitters of a selective serotonin reuptake inhibitor (SSRI) followed by a serotonin-norepinephrine reuptake inhibitor (SNRI) trial with the capacity to identify gene variants that predict rTMS response.
This is the first study of its kind to systematically investigate the use of repetitive
transcranial magnetic stimulation (rTMS) in non-remitters of a selective serotonin-reuptake
inhibitor (SSRI) followed by an serotonin-norepinephrine reuptake inhibitor (SNRI) trial
with the capacity to identify gene variants that predict rTMS response. The study is similar
in design to the STAR*D study in that it will be the third treatment stage for a study of
subjects with major depressive disorder (MDD). rTMS is a novel intervention which was FDA
approved for treatment of MDD in October 2008 and was not clinically available at the time
of the STAR*D study.
The primary aim of this pilot study is to provide 10 Hertz (Hz) repetitive transcranial
magnetic stimulation (rTMS) applied to the left dorsolateral prefrontal cortex (L-DLPFC) as
adjuvant treatment for depression in individuals who have not had a remission of their
depressive symptoms after an 8 week trial of an SSRI (citalopram or escitalopram) followed
by an 8 week trial of an SNRI, duloxetine and identify gene variants associated with
improvement of their depressive symptoms.
;
Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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