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Study identifier: NCT07026461 Synced from ClinicalTrials.gov · July 28, 2026
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Right-sided 1-Hz Repetitive Transcranial Magnetic Stimulation (rTMS) Versus Left-sided Intermittent Theta Burst Stimulation (iTBS) in Patients With Depression

Condition: Depression - Major Depressive Disorder · Depression Bipolar  ·  Sponsor: Region Örebro County

PhasePhase 4
Planned participants350
Who can joinAll sexes, 18 Years to no upper limit
Healthy volunteersNo

About this study

Aim: The purpose of the study is to establish the non-inferiority of right-sided inhibitory 1 Hz stimulation compared to left-sided intermittent theta burst stimulation (iTBS) in unipolar and bipolar depression. Design: A national, non-inferiority, register-based, randomized trial, unmasked, with two treatment arms. Primary objective: The primary objective is to determine if right-sided inhibitory 1-Hz stimulation to dorsolateral prefrontal cortex (DLPFC) is non inferior to iTBS in treating unipolar and bipolar depression by measuring reduction in Montgomery-Åsberg Depression Rating Scale, self-assessed version (MADRS-S) from baseline to end of treatment. Secondary objectives: Include testing for differences in: * Observer rated response according to Clinical Global Impression Scale-Improvement (≥2 point reduction CGI). * Response to treatment (a decrease of 50% on MADRS-S) * Self-rated global health measured with the EuroQual-group 5 Dimensions Scale Visual Analogue Scale (EQ-5D-VAS). * Drop-out from treatment. * Stimulation site pain measured with the Numerical Rating Scales (NRS). * Adverse events. * Admission and suicides within 6 months. * New treatment course of rTMS or ECT within 6 months * Remission (score \< 11 on the MADRS-S) * Memory impairment measured with the Comprehensive Psychopathological Rating Scale (CPRS). Study population: Patients with unipolar or bipolar depression. Sample size: 350 patients. Inclusion criteria: * At least 18 years of age at the …

This description comes directly from the study's public registry record.

Talk to the study team

Axel Nordenskjöld, MD,PhD  ·  +46196021000  ·  axel.nordenskjold@regionorebrolan.se

Cecilia Vestlund, MD  ·  +46196021000  ·  cecilia.vestlund@regionorebrolan.se

Always discuss trial participation with your own doctor first.

Locations (2)

Unit for BrainstimulationÖrebro, SwedenRecruiting
Unit for BrainstimulationUppsala, SwedenRecruiting

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Source record: clinicaltrials.gov/study/NCT07026461