Can a targeted magnetic pulse rewire the depressed brain?
NCT ID NCT05028738
First seen Aug 25, 2026 · Last updated Aug 26, 2026 · Updated 1 time
Summary
This trial is testing two different forms of repetitive transcranial magnetic stimulation (rTMS) to see which might better ease depression and anxiety in people whose symptoms haven't improved with standard treatments. About 100 adults with treatment-resistant depression will receive 30 sessions of either intermittent theta-burst stimulation (iTBS) or low-frequency rTMS over six weeks. The study measures changes in depression severity, anxiety, and suicidal thoughts to compare the two approaches.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Repetitive transcranial magnetic stimulation (rTMS) using two protocols: intermittent theta-burst stimulation (iTBS) and low-frequency repetitive transcranial magnetic stimulation (LFR)
- What this could lead to
- If successful, this could help identify a more effective brain-stimulation approach for people with depression that hasn't improved with medication.
- What could go wrong
- This is a feasibility trial with a relatively small number of participants, so results may not be definitive. The treatment requires daily sessions for six weeks and may cause side effects like scalp discomfort or headache.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2021
- Expected to finish
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Sep 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. are outpatients; 2. are voluntary and competent to consent to treatment; 3. are ≥ 18 years; 4. have a score ≥ 26 on the IDS-30-SR; 5. have had no increase or initiation of any psychotropic medication in the 4 weeks prior to screening; 6. able to adhere to the treatment schedule; 7. pass the TMS adult safety screening (TASS) questionnaire Exclusion Criteria: 1. have active suicidal intent; 2. are pregnant; 3. have a lifetime diagnosis of schizophrenia, bipolar disorder type I, schizophreniform, schizoaffective disorder or presence of psychotic symptoms within last 3 months; 4. have a concomitant major unstable medical illness; 5. have any significant form of dementia or any history of epilepsy; 6. have any intracranial implant (e.g., aneurysm clips, shunts, stimulators, cochlear implants, or electrodes) or any other metal object within or near the head, excluding the mouth, that cannot be safely removed; 7. If participating in psychotherapy, must have been in stable treatment for at least 3 months prior to entry into the study, with no anticipation of change in the frequency of therapeutic sessions, or the therapeutic focus over the duration of the study; 8. If they are taking psychotropic medication, be on a stable dose for 4 weeks before starting treatment, and no initiation of new regular psychotropic medication; 9. have a clinically significant laboratory abnormality, in the opinion of the one of the principal investigators; 10. have a non-correctable clinically significant sensory impairment (i.e., cannot hear well enough to cooperate with interview).
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Non-Invasive Neurostimulation Therapies (NINET) Laboratory, UBC Department of Psychiatry
Vancouver, British Columbia, V6T 2A1, Canada
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