Status:

RECRUITING

Added Value of a Neuroendocrine Test Battery in the Response to Repetitive Transcranial Magnetic Stimulation (rTMS) Treatment

Lead Sponsor:

Centre Hospitalier Rouffach

Conditions:

Major Depression

Eligibility:

All Genders

18-65 years

Phase:

NA

Brief Summary

The primary objective of the study is to determine the predictive value of the neuroendocrine tests TRH-∆∆TSH (thyreoliberin - thyreostimulin) and DST (dexamethasone suppression test) in the subsequen...

Detailed Description

Conduct of research : This is a monocentric, non-randomized, open-label pilot study involving 50 male and female patients aged 18 to 65, hospitalized for major depression and presenting with an indic...

Eligibility Criteria

Inclusion

  • Patient with a characterized depressive episode defined according to DSM-5 (diagnostic and statistical manual of mental disorders) criteria;
  • Patient between the ages of 18 and 65 years;
  • Inpatient with an inadequate response to two prior well-conducted antidepressant treatments (Hamilton 17-item scale \[HAMD-17\] score at inclusion≥ 18) ;
  • Patient with written informed consent to participate in the study;
  • Patient enrolled in or receiving social security benefits.

Exclusion

  • Patient with endocrinopathy ;
  • Patient with a contraindication to neuroendocrine testing (hypersensitivity to the active substance or to one of the excipients);
  • Patient with a contraindication to rTMS:
  • cochlear implant,
  • cardiac pacemaker,
  • metal clips, stents or other electronic implants within one meter of the stimulation coil,
  • intracranial hypertension,
  • poorly balanced comitiality,
  • in the case of well-balanced comitiality, a neurological consultation with electroencephalogram (EEG) is planned before including the patient;
  • Patient previously treated with monoamine oxidase inhibitor (MAOI) antidepressant or lithium salts (within 6 months prior to inclusion);
  • Pregnant or lactating patient;
  • Patient under court protection or deprived of liberty;
  • Patient under guardianship/guardianship.

Key Trial Info

Start Date :

April 1 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

June 30 2029

Estimated Enrollment :

50 Patients enrolled

Trial Details

Trial ID

NCT05964192

Start Date

April 1 2024

End Date

June 30 2029

Last Update

February 14 2024

Active Locations (1)

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Centre Hospitalier Rouffach

Rouffach, Alsace, France, 68250