Status:

COMPLETED

rTMS in the Treatment of Bipolar Depression

Lead Sponsor:

Bayside Health

Conditions:

Bipolar Affective Disorder

Eligibility:

All Genders

18-70 years

Phase:

NA

Brief Summary

Bipolar affective disorder (BPAD) is: * A serious mental illness * Estimated to be present in as high as 6.4% of the population in Western populations * Associated with considerable disability and hi...

Detailed Description

Bipolar affective disorder is a serious mental illness with significant mortality and morbidity \[1\]. Some estimates of prevalence in Western populations are as high as 6.4% \[2\]. The depressive asp...

Eligibility Criteria

Inclusion

  • Patients will be included if they:
  • Have a DSM-IV diagnosis of a bipolar disorder (type I or II) and currently meet criteria for a major depressive episode (SCID 11).
  • Be aged 18-70.
  • Have the persistence of depressive symptoms for at least one month at sufficient severity to warrant a diagnosis of major depressive episode
  • Have a Hamilton Depression Rating Scale Score of \> 20 (moderate - severe depression). Including only a more severely ill group of subjects limits the placebo response rate \[32\]. Moreover, this will allow us to address the application of rTMS methods in the most clinically relevant subgroup of patients (in addition helping to constrain group heterogeneity, a major issue in depression research).
  • Have had no increase or initiation of new antidepressant (or other psychoactive) therapy in the 4 weeks prior to screening.

Exclusion

  • Patients who have an unstable medical condition, neurological disorder or any history of a seizure disorder or are currently pregnant or lactating.
  • In the opinion of the investigator, are a sufficient suicidal risk to require immediate electro-convulsive therapy.
  • Have a current DSM IV diagnosis of substance abuse or dependence disorder, a diagnosis of a personality disorder (SCID II) or another axis 1 disorder.
  • Please note: several of these criteria (e.g. inclusion criteria 1 \& 2, exclusion criteria 3) have been selected to explicitly constrain the heterogeneity of the sample to increase the likely power of the study to detect differences between the groups given the potentially subtle difference between the treatment methods.

Key Trial Info

Start Date :

November 1 2007

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 1 2015

Estimated Enrollment :

51 Patients enrolled

Trial Details

Trial ID

NCT00436020

Start Date

November 1 2007

End Date

June 1 2015

Last Update

October 19 2020

Active Locations (1)

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Page 1 of 1 (1 locations)

1

Alfred Psychiatry Research Centre

Prahran, Victoria, Australia, 3181