经颅直流电刺激治疗抑郁症患者的大脑皮层神经可塑性机制研究

注册号:

Registration number:

ChiCTR2300069407 

最近更新日期:

Date of Last Refreshed on:

2023-05-26 13:21:16 

注册时间:

Date of Registration:

2023-03-15 00:00:00 

注册号状态:

补注册

Registration Status:

Retrospective registration

注册题目:

经颅直流电刺激治疗抑郁症患者的大脑皮层神经可塑性机制研究

Public title:

Study on the mechanism of cortical neuroplasticity in patients with depression treated by Transcranial Direct Current Stimulation

注册题目简写:

English Acronym:

研究课题的正式科学名称:

tDCS治疗抑郁症患者的大脑皮层神经可塑性机制研究

Scientific title:

Study on the mechanism of cortical neuroplasticity in patients with depression treated with tDCS

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:

王禹博 

研究负责人:

王禹博 

Applicant:

Yubo Wang 

Study leader:

Yubo Wang 

申请注册联系人电话:

Applicant telephone:

+86 18258719253

研究负责人电话:

Study leader's
telephone:

+86 18258719253

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:

dr_wangyubo@163.com

研究负责人电子邮件:

Study leader's E-mail:

dr_wangyubo@163.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

http://www.nbknyy.com/

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

http://www.nbknyy.com/

申请注册联系人通讯地址:

浙江省宁波市镇海区庄俞南路1号,宁波市康宁医院

研究负责人通讯地址:

浙江省宁波市镇海区庄俞南路1号,宁波市康宁医院

Applicant address:

Ningbo Kangning Hospital, 1 Zhuangyu Road South, Zhenhai District, Ningbo, Zhejiang, China

Study leader's address:

Ningbo Kangning Hospital, 1 Zhuangyu Road South, Zhenhai District, Ningbo, Zhejiang, China

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:

宁波市康宁医院

Applicant's institution:

Ningbo Kangning Hospital

研究负责人所在单位:

宁波市康宁医院

Affiliation of the Leader:

Ningbo Kangning Hospital

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:

NBKNYY-2021-LC-55

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:

宁波市康宁医院伦理委员会

Name of the ethic committee:

Ethics Committee of Ningbo Kangning Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2021-12-31 00:00:00

伦理委员会联系人:

张文武

Contact Name of the ethic committee:

Wenwu Zhang

伦理委员会联系地址:

浙江省宁波市镇海区庄俞南路1号,宁波市康宁医院

Contact Address of the ethic committee:

Ningbo Kangning Hospital, 1 Zhuangyu Road South, Zhenhai District, Ningbo, Zhejiang, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

宁波市康宁医院

Primary sponsor:

Ningbo Kangning Hospital

研究实施负责(组长)单位地址:

浙江省宁波市镇海区庄俞南路1号,宁波市康宁医院

Primary sponsor's address:

Ningbo Kangning Hospital, 1 Zhuangyu Road South, Zhenhai District, Ningbo, Zhejiang, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

浙江省

市(区县):

宁波市

Country:

China

Province:

Zhejiang

City:

Ningbo

单位(医院):

宁波市康宁医院

具体地址:

镇海区庄俞南路1号

Institution
hospital:

Ningbo Kangning Hospital

Address:

1 Zhuangyu Road South, Zhenhai District

经费或物资来源:

宁波市康宁医院;宁波市卫生健康委员会

Source(s) of funding:

Ningbo Kangning Hospital; Health Commission of Ningbo

研究疾病:

抑郁症  

Target disease:

Depression

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:

本项目对抑郁症患者进行tDCS治疗,通过神经可塑性指标变化探索tDCS治疗抑郁症的机制,通过神经可塑性评估指标和皮层连接特征及特征性TEPs变化明确tDCS治疗抑郁症的神经可塑性机制,并寻找神经可塑性特征指标,作为预测tDCS治疗抑郁症的生物标志物,为精准治疗提供依据。  

Objectives of Study:

In this project, patients with depression were treated with tDCS, and the mechanism of tDCS treatment of depression was explored through the changes of neuroplasticity indicators. The neuroplasticity mechanism of tDCS treatment of depression was identified through the neuroplasticity evaluation indicators, cortical connectivity characteristics and characteristic TEPs changes, and the characteristic indicators of neuroplasticity were searched. As a biomarker to predict the treatment of depression with tDCS, it provides a basis for accurate treatment.

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:

健康对照组排除标准:
1.严重躯体疾病;
2.智力低下或精神发育迟滞(IQ<90);
3.孕期女性;
4.既往精神障碍史或精神障碍家族史;
5.精神活性物质滥用史。
抑郁症组排除标准:
1.合并躯体疾病及脑器质性疾病者;
2.共病其他精神障碍者;
3.严重自杀倾向患者;
4.妊娠及哺乳期妇女;
5.近2周内曾使用任何抗精神病药物、心境稳定剂及者,近3月内接受电休克治疗者。

Exclusion criteria:

Exclusion criteria of healthy control group:
1. Serious physical disease;
2. Low intelligence or mental retardation (IQ < 90);
3. Pregnant women;
4. Previous history of mental disorders or family history of mental disorders;
5. History of psychoactive substance abuse.
Depression group exclusion criteria:
1. Combined with physical diseases and organic brain diseases;
2. Comorbidities with other mental disorders;
3. Patients with severe suicidal tendencies;
4. Pregnant and lactating women;
5. Patients who have used any antipsychotic drugs or mood stabilizers in the last 2 weeks; Patients who have received electroconvulsive therapy within the last 3 months.

研究实施时间:

Study execute time:

From 2022-01-01 00:00:00 To 2024-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2022-01-01 00:00:00 To 2024-05-31 00:00:00

干预措施:

Interventions:

组别:

试验组

样本量:

45

Group:

Experimental group

Sample size:

干预措施:

tDCS

干预措施代码:

Intervention:

Transcranial Direct Current Stimulation

Intervention code:

组别:

对照组

样本量:

45

Group:

Control group

Sample size:

干预措施:

伪tDCS

干预措施代码:

Intervention:

Pseudo-Transcranial Direct Current Stimulation

Intervention code:

组别:

健康对照组

样本量:

45

Group:

Healthy control group

Sample size:

干预措施:

干预措施代码:

Intervention:

No intervention

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

浙江省 

市(区县):

宁波市 

Country:

China

Province:

Zhejiang

City:

Ningbo

单位(医院):

宁波市康宁医院 

单位级别:

三级甲等 

Institution
hospital:

Ningbo Kangning Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

经颅磁刺激联合肌电监测系统

指标类型:

主要指标

Outcome:

TMS-MEP (Transcranial Magnetic Stimulation Motor Evoked Potentials)

Type:

Primary indicator

测量时间点:

基线,10次,20次

测量方法:

肌电数据采集

Measure time point of outcome:

Baseline, 10 times, 20 times

Measure method:

Electromyography data acquisition

指标中文名:

经颅磁刺激联合脑电采集系统

指标类型:

主要指标

Outcome:

TMS-EEG (Transcranial Magnetic Stimulation Electroencephalogram)

Type:

Primary indicator

测量时间点:

基线,10次,20次

测量方法:

脑电数据指标

Measure time point of outcome:

Baseline, 10 times, 20 times

Measure method:

EEG data acquisition

指标中文名:

汉密尔顿抑郁量表评分

指标类型:

主要指标

Outcome:

HAMD (Hamilton Depression Rating Scale) score

Type:

Primary indicator

测量时间点:

基线,10次,20次

测量方法:

量表评估

Measure time point of outcome:

Baseline, 10 times, 20 times

Measure method:

Assessment

指标中文名:

汉密尔顿焦虑量表评分

指标类型:

次要指标

Outcome:

HAMA (Hamilton Rating Scale Anxiety) score

Type:

Secondary indicator

测量时间点:

基线,10次,20次

测量方法:

量表评估

Measure time point of outcome:

Baseline, 10 times, 20 times

Measure method:

Assessment

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

No

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:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 65 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):

将筛选入组患者按照1:1的比例按照随机数字表法分为试验组或对照组,将随机数字表中对应的随机编码写在纸条上并封存在袋子中,将袋子交由经颅直流电刺激治疗师保存,在第一次治疗前由治疗师抽取编码,将受试者随机分为试验组及对照组。

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

The selected patients were divided into the experimental group or the control group according to the random number table method in a ratio of 1:1. The corresponding random code in the random number table was written on the paper strip and sealed in the bag, and the bag was kept by the transc

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:

随机双盲

Blinding:

Random double blind

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):

临床试验公共管理平台 http://www.medresman.org.cn

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

Clinical Trial Management Public Platform, http://www.medresman.org.cn

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:

本课题组已经建立了epidata数据库,对被试包括人口学信息、临床症状评估及生理指标的检测结果进行系统、标准的数据管理,将由专人负责数据录入,并采用双次录入方法保证原始数据的质量。

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

Our research group has established epidata database to conduct systematic and standard data management on the test results of the subjects, including demographic information, clinical symptom assessment and physiological indicators. Special personnel will be responsible for data entry and double entry method will be adopted to ensure the quality of the original data.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2023-03-15 16:38:17