Can magnetic pulses to the brain calm End-of-Life distress?
NCT ID NCT04257227
First seen Aug 03, 2026 · Last updated Aug 04, 2026 · Updated 1 time
Summary
This trial tests whether repetitive transcranial magnetic stimulation (rTMS) can reduce psychological and existential distress in people with advanced, terminal illness. Participants receive rTMS sessions while on a palliative care unit, and researchers measure changes in depression, anxiety, and overall distress. The study also checks if the treatment is practical and acceptable for patients nearing the end of life.
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), a non-invasive brain stimulation device
- What this could lead to
- If effective, rTMS could offer a rapid, non-drug option to relieve psychological and existential distress in patients nearing the end of life, improving their quality of life.
- What could go wrong
- This is an early-phase trial with a small number of participants, so results may not be conclusive. The treatment may not work for everyone, and there are risks like seizures or discomfort, though screening helps reduce these.
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
-
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
-
13 people
The number who actually took part.
- Started
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Nov 2020
- Finished
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Nov 2024
- 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
-
18 years and older
- Sex
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Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * PC unit patients and PC patients in the community with advanced (terminal) illness * \>1 month life expectancy * Experiencing psychological distress, as indicated by a score of 7 or greater on the Depression, Anxiety, or Well-being subscale of the Edmonton Symptom Assessment System (ESAS) * Ability to understand and communicate in English Exclusion Criteria: * Current or previously diagnosed seizure disorder or first-degree relative with current or previously diagnosed seizure disorder * Documented brain lesions * Inability to remain still while sitting up (45 degrees) for the duration of therapy * Known contraindications to rTMS, including: metallic skull plates, clips, or stimulators; pacemakers and other electronic implants; pregnancy; recurrent headaches with no known cause that do not respond to over-the-counter medications; current or previous skull fracture or traumatic brain injury; previous brain surgery; medications that lower seizure threshold
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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
-
Elisabeth Bruyère Hospital
Ottawa, Ontario, K1N5C8, Canada
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