Status:

RECRUITING

COpenhagen Magnetic Personalized Accelerated Brain Circuit Therapy for Treatment Resistant Depression

Lead Sponsor:

Danish Research Centre for Magnetic Resonance

Collaborating Sponsors:

Center for Neuropsychiatric Depression Research (CNDR), Mental Health Centre Glostrup

Mental Health Center North Zealand

Conditions:

Treatment Resistant Depression

Eligibility:

All Genders

18-95 years

Phase:

NA

Brief Summary

The CoMPACT trial is a randomized double-blinded sham-controlled study aimed at testing a novel accelerated and personalized transcranial Magnetic Stimulation (TMS) treatment for patients with Treatme...

Detailed Description

Repetitive TMS (rTMS) of left DLPFC was approved by the US Food and Drug Administration (FDA) in 2008 as a therapy TRD, and this was extended to the equally effective iTBS protocol in 2018. Dysfuncti...

Eligibility Criteria

Inclusion

  • Age range between 18 and 95 years
  • In- or outpatients with a moderate to severe single episode or periodic MDD according to ICD-10, verified by a M.I.N.I. interview.
  • Major Depression Inventory (self-rapport) score higher than 25.
  • Lacking or insufficient effect of at least two drug trials from two distinct classes, e.g., SSRI, SNRI, TCA, or MAO-inhibitors, used in the current episode, with adequate dose and duration as judged by the investigator.
  • Duration of the current episode must be longer than 2 months but shorter than 4 years, as judged by the investigator

Exclusion

  • History of neurologic disease affecting the brain, including dementia and epilepsy
  • Schizophrenia or any other psychotic disorder except for psychotic depression
  • Suicidal or psychotic symptoms making the transport of participants hazardous
  • Any form of compulsory admission or treatment within the past three months
  • Treatment with ECT in the current depressive episode
  • Current harmful use or dependency of substances according to ICD-10 and interfering with outcome evaluation as judged by investigator's discretion.
  • High risk of non-adherence as judged by investigators discretion.
  • Medical and psychiatric conditions interfering with study outcome and safety as judged by investigator's discretion.
  • Female participants of childbearing age must not be pregnant or breast feeding, and they must use contraception during the trial.
  • One of the prime contra-indications for MRI, including severe claustrophobia
  • One of the prime contra-indications for TMS and persons with electrically, magnetically, or mechanically activated implants or with metal or magnetic pieces in their head
  • Patients who do not wish to be informed about MRI or EEG findings, which may have clinical relevance.

Key Trial Info

Start Date :

January 15 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 1 2028

Estimated Enrollment :

78 Patients enrolled

Trial Details

Trial ID

NCT06895863

Start Date

January 15 2025

End Date

September 1 2028

Last Update

March 26 2025

Active Locations (3)

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Page 1 of 1 (3 locations)

1

Centre of Neuropsychiatric Depression Research

Glostrup Municipality, Denmark, 2600

2

Mental Health Center North Zealand

Hilleroed, Denmark, 3400

3

Danish Research Centre for Magnetic Resonance

Hvidovre, Denmark, 2650