Open Label Optimization Study

Major Depressive Disorder Clinical Trial

— OLO  

Official title:

An Open Label Optimization Study to Assess the Effectiveness of the SAINT® Neuromodulation System (NMS) to Treat Major Depressive Disorder

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05819021
• Other study ID #: CLN-0107
• Status: Recruiting
• Start date: April 6, 2023
• Est. completion date: April 15, 2027

Study information

• Verified date: February 2024
• Source: Magnus Medical
• Contact: Jessica Hawkins
• Phone: 650-525-4485
• Email: jessica[@]magnusmed.com/https://www.magnusmed.com/clinical-trials/
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The goal of this observational study is to demonstrate effectiveness in the treatment of Major Depressive Disorder

The primary objective is to assess the effectiveness in the treatment of Major Depressive Disorder using the CGI-I at the end of the treatment

Participants will receive 10 treatments per day for 5 days (M-F) of SAINT®

Description:

This is a prospective, multi-center, open-label study.

Up to 1000 adult subjects, in a major depressive episode, who have failed to receive satisfactory improvement from a prior antidepressant medication in the current episode, are eligible to participate in this study if they are deemed to be appropriate candidates for TMS.

Overall study duration is expected to be approximately 4 years. The study duration per subject is anticipated to be approximately 1 year.

Hypothesis: The SAINT® Neuromodulation System will demonstrate effectiveness in the treatment of MDD as measured by CGI-I at the end of the treatment (cessation of stimulation).

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 1000
• Est. completion date: April 15, 2027
• Est. primary completion date: October 15, 2026
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

1. Adult males or females, 18 and older, who have failed to receive satisfactory improvement from prior antidepressant medication in the current episode.

2. Confirmed primary clinical diagnosis of major depressive disorder (MDD) without psychotic features consistent with DSM-V criteria.

3. No medical conditions that would preclude the safe use of TMS.

4. Primary psychiatrist has determined TMS to be an appropriate clinical option.

5. Able to provide consent and comply with all study requirements.

6. Negative pregnancy test at the intended time of SAINT™ 5-day acute course treatment and agreement to use effective birth control during SAINT® acute therapy.

Exclusion Criteria:

1. Have any contraindication to TMS (section 2 User Manual).

2. Have any contraindication to receiving an MRI

3. Participants with an abnormal brain MRI as determined by PI, study physician or designee.

4. Deemed by the PI, study physician or designee to be a high risk of suicide or has made a suicide attempt within the last 6 months.

5. Treatment dose with cortical depth adjustment is greater than 120% motor threshold and cannot be completed.

Related Conditions & MeSH terms

• Depression
• Depressive Disorder
• Depressive Disorder, Major
• Major Depressive Disorder

Intervention

Device:
• SAINT® Neuromodulation System (NMS)
The SAINT® NMS utilizes a type of accelerated iTBS delivered to a personalized treatment target derived from a functional MRI scan. SAINT® was designed to optimize the individual patient response to treatment. This novel approach to TMS is accomplished by focusing on three critical aspects of the treatment that drive effect. These aspects are personalized stimulation target, total course dose of stimulation, and neurophysiologically relevant stimulation pattern.

Locations

Country	Name	City	State
United States	Fermata	Brooklyn	New York
United States	BrainHealth Solutions	Costa Mesa	California
United States	LA TMS	Los Angeles	California
United States	Boston Precision Neurotherapeutics	Natick	Massachusetts
United States	Seattle Neuropsychiatric Treatment Center	Seattle	Washington
United States	Acacial Research Center	Sunnyvale	California
United States	Integral TMS	Sunnyvale	California

Sponsors (1)

Lead Sponsor	Collaborator
Magnus Medical

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Safety - Adverse Event Reporting assessment for causality and severity	Any untoward medical occurrence in a participant treated with an investigational device, without regard to the possibility of a causal relationship with this treatment. Adverse events will be recorded and followed through all follow-up visits	Consent through 12 month follow up visit
Primary	Mean Clinical Global Impression Improvement Scale (CGI-I) score at the end of treatment (Day 5 SAINT® therapy)	Clinical Global Impression-Improvement (CGI-I) score is based on a scale from zero (0) - Not Assessed to seven (7) Very Much Worse with lower scores showing improvement and higher scores showing little or no improvement.	End of Stimulation Day 5
Secondary	Montgomery-Asberg Depression Rating Scale (MADRS) score change from baseline to cessation of stimulation in comparison with bioimaging assessments MADRS score change from baseline to cessation of stimulation in comparison with bioimaging assessments	The rating is based on a clinical interview. Questions are asked using scales from zero (0) to six (6) with lower scores showing a better outcome and higher scores showing a worse outcome	Baseline to End Stimulation Day 5
Secondary	Cambridge Brain Science Tools assessment score change in comparison with change in MADRS scores from baseline to cessation of stimulation	Assess aspects of cognition including reasoning, memory, attention and verbal ability on an online platform. Scores are automatically calculated on a scale from zero (0) to one hundred (100) and zero (0) to negative one hundred (-100) with positive numbers being associated with "Best" and negative numbers being associated with "Worst"	Baseline to End of Stimulation Day 5
Secondary	To test the durability of the antidepressant effect by assessing the Clinical Global Impression Severity Scale (CGI-S) after cessation of stimulation	The Clinical Global Impression-Severity (CGI-S) is a brief clinician assessment that rates the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Score is based on a scale from zero (0) - Not Assessed to seven (7) Very Much Worse with lower scores showing improvement and higher scores showing little or no improvement.	3, 6, 9, 12 month follow up visit