经颅聚焦超声刺激快速治疗抑郁症伴自杀意念的探索性研究

注册号:

Registration number:

ChiCTR2600120468 

最近更新日期:

Date of Last Refreshed on:

2026-05-06 09:36:04 

注册时间:

Date of Registration:

2026-03-16 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

经颅聚焦超声刺激快速治疗抑郁症伴自杀意念的探索性研究

Public title:

An Exploratory Study of Transcranial Focused Ultrasound Stimulation for the Rapid Treatment of Major Depressive Disorder with Suicidal Ideation

注册题目简写:

English Acronym:

研究课题的正式科学名称:

经颅聚焦超声刺激快速治疗抑郁症伴自杀意念的探索性研究

Scientific title:

An Exploratory Study of Transcranial Focused Ultrasound Stimulation for the Rapid Treatment of Major Depressive Disorder with Suicidal Ideation

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:

周晶晶 

研究负责人:

王刚 

Applicant:

Jingjing Zhou 

Study leader:

Gang Wang 

申请注册联系人电话:

Applicant telephone:

+86 10 58303222

研究负责人电话:

Study leader's
telephone:

+86 10 59303005

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:

fishjj_0907@163.com

研究负责人电子邮件:

Study leader's E-mail:

gangwangdoc@gmail.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:

北京市西城区德胜门外安康胡同5号

研究负责人通讯地址:

北京市西城区德胜门外安康胡同5号

Applicant address:

No. 5, Ankang Hutong, Deshengmenwai, Xicheng District, Beijing

Study leader's address:

No. 5, Ankang Hutong, Deshengmenwai, Xicheng District, Beijing

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:

首都医科大学附属北京安定医院

Applicant's institution:

Beijing Anding Hospital, Capital Medical University

研究负责人所在单位:

首都医科大学附属北京安定医院

Affiliation of the Leader:

Beijing An Ding Hospital, Capital Medical 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:

(2026)科研第(23)号-202661FS-2

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:

首都医科大学附属北京安定医院 伦理委员会

Name of the ethic committee:

Ethics Committee of Beijing Anding Hospital, Capital Medical University

伦理委员会批准日期:

Date of approved by ethic committee:

2026-02-11 00:00:00

伦理委员会联系人:

贾京津

Contact Name of the ethic committee:

Jia Jingjin

伦理委员会联系地址:

北京市西城区德胜门外安康胡同5号

Contact Address of the ethic committee:

No. 5, Ankang Hutong, Deshengmenwai, Xicheng District, Beijing

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 10 58340320

伦理委员会联系人邮箱:

Contact email of the ethic committee:

anding_lunli@sina.com

研究实施负责(组长)单位:

首都医科大学附属北京安定医院

Primary sponsor:

Beijing An Ding Hospital, Capital Medical University

研究实施负责(组长)单位地址:

北京市西城区德胜门外安康胡同5号

Primary sponsor's address:

No. 5, Ankang Hutong, Deshengmenwai, Xicheng District, Beijing

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

北京市

市(区县):

Country:

China

Province:

Beijing

City:

单位(医院):

首都医科大学附属北京安定医院

具体地址:

北京市西城区德胜门外安康胡同5号

Institution
hospital:

Beijing An Ding Hospital, Capital Medical University

Address:

No. 5, Ankang Hutong, Deshengmenwai, Xicheng District, Beijing

经费或物资来源:

脑科学与类脑研究国家科技重大专项

Source(s) of funding:

National Key Technology Project on Brain Science and Brain-like Research

研究疾病:

伴有自杀意念的重性抑郁障碍  

Target disease:

suicidal ideation in major depressive 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:

其它 

Study phase:

N/A

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

1. 探索tFUS快速治疗MDD自杀意念的疗效及安全性; 2. 对比不同干预靶点治疗MDD患者自杀意念的疗效差异,验证深部靶点干预的临床优势; 3. 基于神经影像学数据探索tFUS治疗MDD自杀意念的潜在机制  

Objectives of Study:

1.To investigate the efficacy and safety of transcranial focused ultrasound stimulation (tFUS) for the rapid treatment of suicidal ideation in major depressive disorder (MDD); 2.To compare the therapeutic efficacy of different brain targets for suicidal ideation in MDD patients, and to verify the clinical advantages of deep brain target intervention; 3.To explore the potential mechanisms underlying tFUS-mediated treatment of suicidal ideation in MDD based on neuroimaging data

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.目前或既往患有符合DSM-5除重性抑郁障碍之外的其他主要精神障碍诊断,如神经发育障碍、神经认知障碍、精神分裂症和其他精神病性障碍、双相情感障碍、强迫障碍、惊恐障碍、创伤后应激障碍、酒精(或药物)依赖或滥用者、人格障碍等;
2.继发于某种全身性疾病或某种神经系统疾病所致的器质性精神障碍的抑郁发作,如甲状腺功能减退引起的抑郁;
3.tFUS及磁共振检查禁忌症:体内或颅内声束经过区域有电子或金属植入物(包括起搏器、冠状动脉支架、除颤器或与磁共振不兼容的神经刺激装置);
4.伴有严重的或不稳定的神经系统疾病(如脑部肿瘤、癫痫、颅脑外伤等),或心血管、呼吸、肝脏、肾脏、内分泌、血液系统及其他系统疾病,生命体征不稳定的患者,研究者认为不适合进行此研究;
5.妊娠或哺乳期妇女、在试验期间不能采取适宜的避孕措施的患者;
6.明显的冲动以及不合作的患者;
7.研究前6个月内接受过电休克(ECT/MECT)治疗;
8.近3个月内参加其他临床试验者;
9.研究者认为受试者不适合参加本研究;

Exclusion criteria:

1.Current or past diagnosis of any major psychiatric disorder other than MDD in accordance with the DSM-5, including neurodevelopmental disorders, neurocognitive disorders, schizophrenia and other psychotic disorders, bipolar disorder, obsessive-compulsive disorder, panic disorder, post-traumatic stress disorder, alcohol or substance dependence/abuse, and personality disorders.
2.Depressive episodes secondary to organic psychiatric disorders caused by systemic or neurological diseases;
3.Contraindications to tFUS or magnetic resonance imaging (MRI): presence of electronic or metallic implants within the body or intracranial regions traversed by the acoustic beam (including cardiac pacemakers, coronary stents, defibrillators, or MRI-incompatible neural stimulation devices);
4.Comorbidity with severe or unstable neurological diseases, or severe cardiovascular, respiratory, hepatic, renal, endocrine, hematological or other systemic diseases; patients with unstable vital signs; or any other condition deemed ineligible for the study by the investigators.
5.Pregnant or lactating women; patients unable to adopt appropriate contraceptive measures during the study period.
6.Patients with marked impulsivity or poor treatment cooperation.
7.Receipt of electroconvulsive therapy (ECT/modified ECT) within 6 months prior to study enrollment.
8.Participation in other clinical trials within 3 months prior to study enrollment.
9.Any other circumstance in which the participant is deemed unsuitable for the study by the investigators.

研究实施时间:

Study execute time:

From 2026-01-01 00:00:00 To 2027-06-01 00:00:00  

征募观察对象时间:

Recruiting time:

From 2026-04-24 00:00:00 To 2027-03-01 00:00:00

干预措施:

Interventions:

组别:

深部靶点刺激组

样本量:

10

Group:

Deep brain target stimulation group

Sample size:

干预措施:

深部靶点刺激

干预措施代码:

Intervention:

Deep brain stimulation

Intervention code:

组别:

皮层靶点刺激组

样本量:

10

Group:

Cortical target stimulation group

Sample size:

干预措施:

皮层靶点刺激

干预措施代码:

Intervention:

Cortical target stimulation

Intervention code:

组别:

伪刺激组

样本量:

10

Group:

Sham stimulation group

Sample size:

干预措施:

伪刺激

干预措施代码:

Intervention:

Pseudo-stimulation

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

北京市 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

首都医科大学附属北京安定医院 

单位级别:

三级甲等 

Institution
hospital:

Beijing An Ding Hospital, Capital Medical University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

1周末贝克自杀意念量表(BSSI)分数减分值

指标类型:

主要指标

Outcome:

BSSI score reduction at week 1

Type:

Primary indicator

测量时间点:

1W

测量方法:

采用贝克自杀意念量表(Beck Scale for Suicide Ideation, BSSI),对患者的自杀意念严重程度进行测量

Measure time point of outcome:

1W

Measure method:

The Beck Scale for Suicide Ideation (BSSI) was administered to assess the severity of suicidal ideation in patients.

指标中文名:

1周末治疗有效率

指标类型:

次要指标

Outcome:

Treatment response rate at week 1

Type:

Secondary indicator

测量时间点:

1W

测量方法:

采用 BSSI量表,对患者的自杀意念严重程度进行测量

Measure time point of outcome:

1W

Measure method:

The BSSI was applied to quantify the severity of suicidal ideation among patients.

指标中文名:

1周末治疗缓解率

指标类型:

次要指标

Outcome:

Remission rate at week 1

Type:

Secondary indicator

测量时间点:

1W

测量方法:

采用 BSSI量表,对患者的自杀意念严重程度进行测量

Measure time point of outcome:

1W

Measure method:

The BSSI was applied to quantify the severity of suicidal ideation among patients.

指标中文名:

不良事件

指标类型:

次要指标

Outcome:

Adverse event

Type:

Secondary indicator

测量时间点:

1W、2W、4W

测量方法:

治疗后随访期间,记录不良事件发生情况

Measure time point of outcome:

1W、2W、4W

Measure method:

During the follow-up period after treatment, the occurrence of adverse events was recorded.

指标中文名:

认知功能评估

指标类型:

次要指标

Outcome:

Cognitive function assessment

Type:

Secondary indicator

测量时间点:

0W、1W

测量方法:

经过培训的研究人员对患者的认知分数进行评估

Measure time point of outcome:

0W、1W

Measure method:

Trained researchers assessed cognitive scores in patients.

指标中文名:

脑电图数据

指标类型:

次要指标

Outcome:

Electroencephalography (EEG) data

Type:

Secondary indicator

测量时间点:

0W、1W

测量方法:

使用 64 通道 BrainProducts 的脑电帽,采集患者脑电图(EEG)信号

Measure time point of outcome:

0W、1W

Measure method:

A 64-channel BrainProducts EEG cap was used to record patients' electroencephalography (EEG) signals.

指标中文名:

其他临床症状评估

指标类型:

次要指标

Outcome:

Assessment of other clinical symptoms

Type:

Secondary indicator

测量时间点:

0W、1W、2W、4W

测量方法:

经过培训的研究人员对患者进行量表评估

Measure time point of outcome:

0W、1W、2W、4W

Measure method:

Trained researchers conducted scale assessments on the patients.

指标中文名:

磁共振数据

指标类型:

次要指标

Outcome:

Magnetic resonance imaging (MRI) data

Type:

Secondary indicator

测量时间点:

0W、1W

测量方法:

采用GE3.0T磁共振设备采集受试者的脑影像数据。

Measure time point of outcome:

0W、1W

Measure method:

Brain imaging data were acquired using a GE 3.0 T MRI scanner.

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

None

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 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):

由不直接参与本项目的统计师采用SAS软件产生随机序列

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

Randomization sequences were generated using SAS software by an independent statistician not involved in the study.

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

不公开/Private

盲法:

对研究者和参试者设盲

Blinding:

Blinding for researchers and participants

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):

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

None

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:

CRF

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

CRF

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2026-03-16 09:24:54