加速iTBS干预抑郁发作患者自杀意念的疗效及机制

注册号:

Registration number:

ChiCTR2300068954 

最近更新日期:

Date of Last Refreshed on:

2023-05-14 20:55:33 

注册时间:

Date of Registration:

2023-03-02 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

加速iTBS干预抑郁发作患者自杀意念的疗效及机制

Public title:

The efficacy and mechanism of accelerated iTBS on suicidal ideation in depressed patients

注册题目简写:

English Acronym:

研究课题的正式科学名称:

加速iTBS干预抑郁发作患者自杀意念的疗效及机制研究:一项随机对照试验

Scientific title:

The efficacy and mechanism of accelerated iTBS on suicidal ideation in depressed patients: a randomised controlled trial

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

贾艳滨 

研究负责人:

贾艳滨 

Applicant:

Jia Yanbin  

Study leader:

Jia Yanbin  

申请注册联系人电话:

Applicant telephone:

+86 130 5954 0908

研究负责人电话:

Study leader's
telephone:

+86 130 5954 0908

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

932860852@qq.com

研究负责人电子邮件:

Study leader's E-mail:

932860852@qq.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

广东省广州市天河区黄埔大道西613号

研究负责人通讯地址:

广东省广州市天河区黄埔大道西613号

Applicant address:

613 Huangpu Avenue West, Tianhe District, Guangzhou, Guangdong

Study leader's address:

613 Huangpu Avenue West, Tianhe District, Guangzhou, Guangdong

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

暨南大学附属第一医院

Applicant's institution:

First Affiliated Hospital of Ji'nan University

研究负责人所在单位:

暨南大学附属第一医院

Affiliation of the Leader:

First Affiliated Hospital of Ji'nan University

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

KY-2023-063

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

暨南大学附属第一医院医学伦理委员会

Name of the ethic committee:

IRB of the First Affiliated Hospital of Ji'nan University

伦理委员会批准日期:

Date of approved by ethic committee:

2023-02-23 00:00:00

伦理委员会联系人:

昌伟

Contact Name of the ethic committee:

Chang Wei

伦理委员会联系地址:

广东省广州市天河区黄埔大道西613号

Contact Address of the ethic committee:

613 Huangpu Avenue West, Tianhe District, Guangzhou, Guangdong

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 20 39688034

伦理委员会联系人邮箱:

Contact email of the ethic committee:

38688034@jnu.edu.cn

研究实施负责(组长)单位:

暨南大学附属第一医院

Primary sponsor:

First Affiliated Hospital of Ji'nan University

研究实施负责(组长)单位地址:

广东省广州市天河区黄埔大道西613号

Primary sponsor's address:

613 Huangpu Avenue West, Tianhe District, Guangzhou, Guangdong

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

广东

市(区县):

广州

Country:

China

Province:

Guangdong

City:

Guangzhou

单位(医院):

暨南大学附属第一医院

具体地址:

天河区黄埔大道西613号

Institution
hospital:

First Affiliated Hospital of Ji'nan University

Address:

613 Huangpu Avenue West, Tianhe District

经费或物资来源:

国家自然科学基金( 82271564)

Source(s) of funding:

National Natural Science Foundation of China [No: 82271564]

研究疾病:

抑郁症;双相情感障碍  

Target disease:

major depressive disoder, bipolar disorder

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

探索性研究/预试验 

Study phase:

0

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

探索加速iTBS(aiTBS)治疗重性抑郁障碍和双相情感障碍抑郁发作患者自杀意念的疗效及安全性和神经生物学机制。  

Objectives of Study:

To explore the efficacy, safety and neurobiological mechanism of accelerated iTBS (aiTBS) in the treatment of suicidal ideation in patients with major depressive disorder and bipolar depressive episode.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1.共病轴I其他精神障碍; 2.既往有精神活性药物滥用、酒精滥用或依赖史患者; 3.合并严重躯体疾病及脑器质性疾病者; 4.起病后接受过电休克治疗或经颅磁刺激治疗; 5.妊娠或哺乳期妇女; 6.不能配合或者有磁共振检查禁忌者(如身体有重金属植入或佩戴假牙或带牙齿矫形器); 7.无法遵循研究方案。

Exclusion criteria:

1. Other mental disorders along the comorbidity axis I; 2. Patients with a history of psychoactive substance abuse, alcohol abuse or dependence; 3. Patients with severe physical diseases and organic brain diseases; 4. Received electroconvulsive therapy or transcranial magnetic stimulation after onset of the disease; 5. Pregnant or lactating patients; 6. Those who cannot cooperate or have magnetic resonance examination taboo (such as heavy metal implants or wearing dentures or orthotics with teeth); 7. Failure to follow the research protocol.

研究实施时间:

Study execute time:

From 2023-03-15 00:00:00 To 2025-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2023-03-15 00:00:00 To 2025-12-31 00:00:00

干预措施:

Interventions:

组别:

A组

样本量:

54

Group:

Group A

Sample size:

干预措施:

真刺激左侧DLPFC+LC治疗

干预措施代码:

Intervention:

True stimulation left DLPFC+LC treatment

Intervention code:

组别:

B组

样本量:

54

Group:

Group B

Sample size:

干预措施:

真刺激左侧DLPFC+假刺激左侧LC治疗

干预措施代码:

Intervention:

True stimulation left DLPFC+false stimulation left LC treatment

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

广东 

市(区县):

广州 

Country:

China

Province:

Guangdong

City:

Guangzhou

单位(医院):

暨南大学附属第一医院 

单位级别:

三甲 

Institution
hospital:

First Affiliated Hospital of Ji'nan University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

贝克自杀意念量表

指标类型:

主要指标

Outcome:

Beck Scale for Suicide Ideation

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

哥伦比亚自杀严重程度量表

指标类型:

主要指标

Outcome:

Columbia Suicide Severity Rating Scale

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

汉密尔顿抑郁量表

指标类型:

次要指标

Outcome:

Hamilton Depression Rating Scale

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

杨氏躁狂量表

指标类型:

次要指标

Outcome:

Young Mania Rating Scale

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

汉密尔顿焦虑量表

指标类型:

次要指标

Outcome:

Hamilton Rating Scale for Anxiety

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

贝克绝望量表

指标类型:

次要指标

Outcome:

Beck Hopelessness Scale

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

患者健康问卷

指标类型:

附加指标

Outcome:

Patient Health Questionnaire-9

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

广泛性焦虑问卷

指标类型:

附加指标

Outcome:

Generalized Anxiety Disorder

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

蒙哥马利抑郁评定量表

指标类型:

次要指标

Outcome:

Montgomery-Asberg Depression Rating Scale

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

不良反应症状量表

指标类型:

副作用指标

Outcome:

Treatment Emergent Symptom Scale

Type:

Adverse events

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

视觉模拟评分法

指标类型:

副作用指标

Outcome:

Visual Analogue Scale

Type:

Adverse events

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

精神分裂症认知功能成套测验共识版

指标类型:

主要指标

Outcome:

MATRICS Consensus Cognitive Battery, MCCB

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

DN:CAS认知评估系统

指标类型:

主要指标

Outcome:

Das-Naglieri: Cognitive Assessment System, DN:CAS

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

前额叶的乙酰天门冬氨酸/肌酸比值

指标类型:

主要指标

Outcome:

NAA/Cr ratios of prefrontal cortex

Type:

Primary indicator

测量时间点:

干预前后

测量方法:

氢质子磁共振波谱成像

Measure time point of outcome:

before and after intervention

Measure method:

proton magnetic resonance spectroscopy, 1H-MRS

指标中文名:

基底节的乙酰天门冬氨酸/肌酸比值

指标类型:

主要指标

Outcome:

NAA/Cr ratios of basal ganglia

Type:

Primary indicator

测量时间点:

干预前后

测量方法:

氢质子磁共振波谱成像

Measure time point of outcome:

before and after intervention

Measure method:

proton magnetic resonance spectroscopy, 1H-MRS

指标中文名:

小脑的乙酰天门冬氨酸/肌酸比值

指标类型:

主要指标

Outcome:

NAA/Cr ratios of cerebellum

Type:

Primary indicator

测量时间点:

干预前后

测量方法:

氢质子磁共振波谱成像

Measure time point of outcome:

before and after intervention

Measure method:

proton magnetic resonance spectroscopy, 1H-MRS

指标中文名:

前额叶的肌醇/肌酸比值

指标类型:

主要指标

Outcome:

mI/Cr ratios of prefrontal cortex

Type:

Primary indicator

测量时间点:

干预前后

测量方法:

氢质子磁共振波谱成像

Measure time point of outcome:

before and after intervention

Measure method:

proton magnetic resonance spectroscopy, 1H-MRS

指标中文名:

基底节的肌醇/肌酸比值

指标类型:

主要指标

Outcome:

mI/Cr ratios of basal ganglia

Type:

Primary indicator

测量时间点:

干预前后

测量方法:

氢质子磁共振波谱成像

Measure time point of outcome:

before and after intervention

Measure method:

proton magnetic resonance spectroscopy, 1H-MRS

指标中文名:

小脑的肌醇/肌酸比值

指标类型:

主要指标

Outcome:

mI/Cr ratios of cerebellum

Type:

Primary indicator

测量时间点:

干预前后

测量方法:

氢质子磁共振波谱成像

Measure time point of outcome:

before and after intervention

Measure method:

proton magnetic resonance spectroscopy, 1H-MRS

指标中文名:

前额叶的胆碱化合物/肌酸比值

指标类型:

主要指标

Outcome:

Cho/Cr ratios of prefrontal cortex

Type:

Primary indicator

测量时间点:

干预前后

测量方法:

氢质子磁共振波谱成像

Measure time point of outcome:

before and after intervention

Measure method:

proton magnetic resonance spectroscopy, 1H-MRS

指标中文名:

基底节的胆碱化合物/肌酸比值

指标类型:

主要指标

Outcome:

Cho/Cr ratios of basal ganglia

Type:

Primary indicator

测量时间点:

干预前后

测量方法:

氢质子磁共振波谱成像

Measure time point of outcome:

before and after intervention

Measure method:

proton magnetic resonance spectroscopy, 1H-MRS

指标中文名:

小脑的胆碱化合物/肌酸比值

指标类型:

主要指标

Outcome:

Cho/Cr ratios of cerebellum

Type:

Primary indicator

测量时间点:

干预前后

测量方法:

氢质子磁共振波谱成像

Measure time point of outcome:

before and after intervention

Measure method:

proton magnetic resonance spectroscopy, 1H-MRS

指标中文名:

脑体积和皮质

指标类型:

主要指标

Outcome:

Brain volume and cortex

Type:

Primary indicator

测量时间点:

干预前后

测量方法:

结构像核磁共振

Measure time point of outcome:

before and after intervention

Measure method:

structural MRI

指标中文名:

脑功能链接

指标类型:

主要指标

Outcome:

Functional connection of brain

Type:

Primary indicator

测量时间点:

干预前后

测量方法:

功能核磁共振

Measure time point of outcome:

before and after intervention

Measure method:

functional MRI

指标中文名:

斯特鲁普色词测验

指标类型:

主要指标

Outcome:

Stroop Color-Word Test

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

威斯康辛卡片分类测验

指标类型:

主要指标

Outcome:

Wsiconsin Card Sorting Test, WCST

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

连线测验B

指标类型:

主要指标

Outcome:

Trail Making Test-part B, TMT-B

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

脑电图

指标类型:

附加指标

Outcome:

EEG

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

近红外光谱

指标类型:

次要指标

Outcome:

Near-infrared spectroscopy

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

血液

组织:

Sample Name:

Blood

Tissue:

人体标本去向

其它  

说明

Fate of sample:

0thers  

Note:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 10 years
最大 Max age 45 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

采用简单随机,借助SPSS统计软件,给定随机种子数,产生随机数字。

Randomization Procedure (please state who generates the random number sequence and by what method):

Respondents were selected using simple random sampling method.Given random seed number, a random number list generated by SPSS software.

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

Blinding:

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

否No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

期刊论文和会议论文 (实验尚未开始)

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

journal article and conference pape

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

通过病例记录表采集记录数据,建立电子数据库管理数据

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Collect record data through case record table and establish electronic database management data

数据与安全监察委员会:

Data and Safety Monitoring Committee:

暂未确定/Not yet

注册人:

Name of Registration:

 2023-03-02 11:09:24