Status:

UNKNOWN

Evaluation of the H-Coil Transcranial Magnetic Stimulation (TMS) Device - Safety and Feasibility Study for Treatment of Major Depressive Episode in the Elderly

Lead Sponsor:

Shalvata Mental Health Center

Conditions:

Depression

Eligibility:

All Genders

68+ years

Phase:

PHASE2

Brief Summary

Purpose: To evaluate the safety and anti-depressive response of the H1 Coil TMS Device in elderly patients suffering from major depressive episode. Twenty-seven (27) treatment resistance depressed-pa...

Eligibility Criteria

Inclusion

  • Diagnosed by a senior psychiatrist as suffering from major depression episode according to DSM-IV (either as a part of a unipolar or a bipolar disorder).
  • Rating on HDRS ≥ 20.
  • Age: 68 years and above
  • Treated for the current depressive episode, at least 6 weeks per antidepressant with one antidepressant in accepted dose, without improvement, and/or intolerance to 2 antidepressants, according to medical chart and ATHF (antidepressant treatment history form) instruction guidelines.
  • Gave informed consent for participation in the study.
  • Negative answers on safety screening questionnaire for TMS.
  • If referred by a treating psychiatrist, he or she approves of the subject's participation in the study.

Exclusion

  • Axis 2 diagnosis, which is considered prominent to the current depressive episode.
  • Substantial suicidal risk as judged by the treating psychiatrist or by an independent psychiatrist.
  • Attempted suicide in the past year.
  • Cognitive impermanent - if MMSE \< 24, patient will be further assessed , and may be excluded according to the primary investigator's discretion
  • History of seizure.
  • History of epilepsy or seizure in first degree relatives.
  • Any CNS disorder that may increase risk of seizure significantly
  • History of a significant head injury.
  • History of any metal in the head (outside the mouth).
  • Known history of any metallic particles in the eye, implanted cardiac pacemaker or any intracardiac lines, implanted neurostimulators, surgical clips or any medical pumps.
  • History of frequent or severe headaches.
  • Use of hearing aids for hearing loss.
  • Known history of cochlear implants.
  • History of drug abuse or alcoholism.
  • Serious and unstable medical condition, which is likely to exacerbate or endanger the patient during the treatment period.
  • Inadequate communication with the patient.
  • Under custodial care.
  • Participation in current clinical study or clinical study within 30 days prior to this study.
  • Patients suffering from bipolar disorder, not currently treated by mood stabilizers
  • Patients declared as legally incompetent, with an appointed physical guardian and/or cannot sign informed consent due to cognitive incompetence.

Key Trial Info

Start Date :

January 1 2012

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

Estimated Enrollment :

27 Patients enrolled

Trial Details

Trial ID

NCT01521052

Start Date

January 1 2012

Last Update

January 30 2012

Active Locations (1)

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Shalvata Mental Health Center

Hod HaSharon, Israel