Accelerated iTBS for Major Depression

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorIstanbul University - Cerrahpasa

About this trial

Major depressive disorder (MDD) is a common and disabling psychiatric condition, and many patients do not achieve adequate response to standard antidepressant treatments. Accelerated intermittent theta burst stimulation (iTBS) is a promising neuromodulation approach that may provide rapid antidepressant effects. This prospective interventional study aims to evaluate the clinical effectiveness of accelerated bilateral dorsomedial prefrontal cortex iTBS in patients with MDD and to investigate treatment-related changes in neurobiological biomarkers, including cortisol, ACTH, BDNF, IL-1β, IL-6, TNF-α, and CRP. Associations between biomarker changes and treatment response will also be examined.

Eligibility criteria

Qualifiers

Age between 18 and 65 years

Diagnosis of Major Depressive Disorder according to DSM-5 criteria

Inadequate response to at least one adequate antidepressant treatment trial

Hamilton Depression Rating Scale (HAM-D) score ≥14 at baseline

Disqualifiers

History of bipolar disorder, schizophrenia, schizoaffective disorder, or psychotic depression

Current substance use disorder

Neurological disorders that may affect brain function (e.g., epilepsy, multiple sclerosis, dementia, Parkinson's disease)

History of epileptic seizures

Trial design

Treatments tested in this trial

  • Accelerated Intermittent Theta Burst Stimulation (iTBS)

Treatment groups

35 Participants
are divided into 1 treatment group