Actively Recruiting

Phase Not Applicable
Age: 18Years - 60Years
All Genders
ID07060066

Bilateral Prefrontal and Insular TMS for Depression in Schizophrenia

Led by The University of Texas Health Science Center, Houston · Updated on 2025-12-17

120

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

Sponsors

T

The University of Texas Health Science Center, Houston

Lead Sponsor

N

National Institute of Mental Health (NIMH)

Collaborating Sponsor

AI-Summary

What this Trial Is About

This research aims to evaluate repetitive transcranial magnetic stimulation (rTMS) treatment for depressive symptoms in patients with schizophrenia spectrum disorder (SSD). Patients with both schizophrenia and depression often experience poorer quality of life, higher suicide risk, and worse clinical outcomes compared to those with schizophrenia alone. The study focuses on using a special H4 coil, which is FDA-cleared for deep TMS, targeting brain areas linked to depression in SSD patients. Participants will be randomly assigned to receive either active or sham rTMS treatment using the H4 coil. Treatments involve up to 20 visits over about 4 weeks, with three rTMS sessions per visit separated by 30-minute breaks. Each session lasts about 3 to 4 minutes. The trial compares the effects of actual magnetic stimulation with a sham procedure to assess its impact on depressive symptoms. During the study, participants will undergo brain scans including functional MRI at baseline, two weeks, and four weeks to measure brain connectivity. They will also have electroencephalography (EEG) tests to assess brain responses and complete depression rating scales. Researchers will monitor safety and treatment effects throughout the visits. The trial includes adults aged 18 to 60 years and continues until June 2030.

CONDITIONS

Brief Title

Bilateral Prefrontal and Insular TMS for Depression in Schizophrenia

Who Can Participate

Age: 18Years - 60Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Male and female between 18 and 60 years old
  • Able to provide written informed consent
  • Diagnosed with schizophrenia-spectrum disorder
  • Calgary depression scale for schizophrenia score of 3 or higher
Not Eligible

You will not qualify if you...

  • Unable to provide informed consent
  • Major medical illnesses affecting brain function, such as stroke, seizures, significant head trauma, CNS infection, brain tumor, or other neurological conditions
  • Significant alcohol or drug use other than nicotine or marijuana dependence
  • Unable to avoid alcohol or marijuana for 24 hours before experiments
  • Pregnancy or potential pregnancy without contraceptive use
  • Inability to undergo MRI due to metal implants or refusal to enter MRI scanner
  • Failed TMS safety questionnaire

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Implementation

Duration - About 4 weeks

Participants receive three rTMS sessions per treatment visit using the H4 coil targeting bilateral prefrontal and insular regions to treat depressive symptoms in schizophrenia.

Up to 20 treatment visits

Trial Site Locations

Total: 1 location

1

The University of Texas Health Science Center at Houston

Houston, Texas, United States, 77030

Actively Recruiting

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Research Team

A

Alina Siatka

X

Xiaoming Du, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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