Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT05570344

rTMS With and Without Text4Support for the Treatment of Resistant Depression.

Led by University of Alberta · Updated on 2026-04-13

200

Participants Needed

2

Research Sites

204 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This study is a multicenter prospective, parallel design, two-arm, rater-blinded randomized controlled pilot trial. Participants will be randomly assigned to one of two treatment conditions. In the first condition, treatment consists of rTMS sessions combined with Text4Support. The second condition is made up of the treatment as usual (rTMS sessions alone). The recruitment process is scheduled to last 12 months. It will involve active treatment for six weeks and follow-up period observation periods of 1,3, and 6 months for participants in both arms of the study. Participants will be recruited from four different centers for this project. Two centers (the Addiction and Mental Health clinic and the Alberta day hospital) will be from the large, sociodemographic diverse city of Edmonton in Alberta Western Canada. The remaining two centers will be in Halifax and Annapolis Valley in Nova Scotia, Canada.

CONDITIONS

Official Title

rTMS With and Without Text4Support for the Treatment of Resistant Depression.

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Aged 18 years and older
  • Diagnosed with major depressive disorder according to DSM-5 criteria
  • Have failed two or more standard antidepressant treatments during the current episode
  • May be on psychotropic medications including antidepressants, antipsychotics, benzodiazepines, and anticonvulsants
  • Good understanding of the English language
  • Have access to a smartphone and able to receive and read text messages
  • Willing to provide written informed consent
Not Eligible

You will not qualify if you...

  • Under 18 years of age
  • Have neurological disorders such as history of seizures, central nervous system tumors, cerebrovascular disease, stroke, cerebral aneurysm, or movement disorders
  • Have current psychotic disorders including substance-induced psychosis, psychotic disorder due to a medical condition, or MDD with psychotic features
  • Have current personality disorders that affect cognition or ability to participate
  • Have learning disabilities identified through medical history or assessment
  • Participated in any drug or device clinical trial within the last six weeks or plan to participate during this study
  • Are pregnant or breastfeeding
  • Any condition identified by investigators that may interfere with study participation or outcome assessments

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 2 locations

1

Edmonton Mental Health Clinic

Edmonton, Alberta, Canada, T6R 3P5

Actively Recruiting

2

Nova Scotia Health - Abbie J. Lane Memorial Building QEII Health Sciences Centre

Halifax, Nova Scotia, Canada, B3H 2E2

Actively Recruiting

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Research Team

V

Vincent Agyapong, MD, Ph.D

CONTACT

M

Medard K Adu, BEd, MSc

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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