Actively Recruiting

Phase Not Applicable
Age: 20Years +
All Genders
NCT05671185

rTMS for Depressive, Positive and Negative Symptoms, and Physiological Indices of Schizophrenia Patients

Led by National Taiwan University Hospital · Updated on 2026-01-22

180

Participants Needed

1

Research Sites

313 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Around 40% of schizophrenia patients present depressive symptoms, which are associated with elevated suicide and violence risk and poor prognosis and quality of life. Recent meta-analysis showed the effect size of antidepressants for depressive symptoms of schizophrenia patients was as low as 0.25, so new therapeutic approach is warranted. Repetitive transcranial magnetic stimulation (rTMS) is a non-invasive, anesthesia-free brain stimulation therapy for treatment refractory depression. Currently, rTMS is classified as high-frequency stimulation (\>5Hz, usually 10Hz or 20Hz) and low-frequency inhibition (usually 1Hz). Intermittent theta burst stimulation (iTBS) is a new variant of rTMS, with stimulation frequency as high as 50Hz. Compared with high-frequency rTMS, iTBS has similar therapeutic effect and shorter stimulation duration. Up to now, studies exploring treatment effect of rTMS or iTBS for schizophrenia patients mainly focused on negative symptoms rather than depressive symptoms. Therefore, this study aims to explore treatment effect of rTMS or iTBS of depressive symptoms, negative symptoms, cognitive function and physiological indices for schizophrenia patients.

CONDITIONS

Official Title

rTMS for Depressive, Positive and Negative Symptoms, and Physiological Indices of Schizophrenia Patients

Who Can Participate

Age: 20Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 60 20 years
  • Able to give informed consent
  • Diagnosed with schizophrenia or schizoaffective disorder according to DSM-5
  • Has a score 60 7 on Calgary depression scale for schizophrenia
  • The principal psychotropic agents are not changed within one month of the first session of rTMS
Not Eligible

You will not qualify if you...

  • DSM-5 defined substance use disorder (excluding tobacco) in the past 3 months
  • Have clinically relevant cognitive impairment (e.g., delirium, intellectual disability or MMSE < 15)
  • With electronic and/or magnetic implants (e.g. pacemaker, implantable cardioverter defibrillator [ICD], cerebral shunts, cochlear implant, etc.)
  • With metallic or mechanic fragments (e.g., screws, plates, stents, clips, etc.)
  • Pregnant, or has a pregnancy plan within 3 months
  • With any known or history of neurological conditions including cerebral vascular accidents, epilepsy (or epileptiform waves detected by EEG prior to the first session of rTMS), brain tumor or space occupying lesion
  • Received rTMS or iTBS treatment within 3 months
  • Has a clinically significant abnormality on the screening examination that might affect safety, study participation, or confound interpretation of study results

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Department of Psychiatry, National Taiwan University Hospital Yunlin Branch

Douliu, Yunlin, Taiwan, 640

Actively Recruiting

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Research Team

C

Chia-Hao Ma, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

4

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