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NCT04663841Active, not recruiting

Neural Circuit Biomarkers of Transcranial Magnetic Stimulation Study

Mechanistic Circuit Markers of Transcranial Magnetic Stimulation Outcomes in Pharmacoresistant Depression

Source: ClinicalTrials.gov · Last updated 5 Jan 2026

Brief summary (registry, in English)

This study is currently recruiting Veterans only. The objective of this observational study is to test whether neuroimaging biomarkers of repetitive transcranial magnetic stimulation (TMS) can be prospectively replicated in a large ecologically valid sample. We focus on cognitive network connectivity as a predictive biomarker of the clinical effect of TMS, and as a response biomarker of change with TMS. We address this objective through a pragmatic approach in which we recruit patients undergoing routine clinical care and program evaluation in a Veterans Administration multi-site clinical TMS program.

Status (registry)
Active, not recruiting
Study type
Observational
Enrollment
100 (estimated)
First submitted
27 Nov 2020
Start date
2 Nov 2020
Primary completion date
31 May 2026
Lead sponsor
Stanford University
Diseases
Depression
NCT number
NCT04663841

What you commit to

  • Study type: Observational
  • Planned participants: 100
  • From 2 Nov 2020 to the primary completion date, 31 May 2026
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Other illness

  • History of seizure disorder
  • History of brain surgery
  • History of traumatic brain injury within 60 days of the start of treatment
  • Severe or uncontrolled alcohol or substance use disorders
  • Lifetime history of bipolar I disorder

Other

  • Structural or neurologic abnormalities present or in close proximity to the treatment site
  • Pacemaker or medical infusion device (unless magnetic resonance imaging compatible)
  • Active withdrawal from alcohol or substances
  • Implanted device in the head
  • Metal in the head
  • Severe impediment to vision, hearing and/or hand movement, likely to interfere with ability to complete the assessments, or unable and/or unlikely to follow the study protocols
  • Inability to speak, read or understand English
  • Plans to move out of the area during the study period
  • Clinician and/or Investigator discretion for clinical safety or protocol adherence

Who the study is looking for

  • Ages 18 years and older
  • Meets Diagnostic and Statistical Manual edition 5 (DSM-5) criteria for Major Depressive Disorder (MDD) (as documented by the treating physician)
  • Meet study criteria for pharmacoresistance in accordance with the Clinical transcranial magnetic stimulation (TMS) Program (i.e. failed at least one antidepressant in the current episode)
  • Ability to obtain a motor threshold (MT) prior to the start of treatment
  • Stable medical conditions and ability to maintain stability on current medication regimen for the duration of treatment
  • Ability to participate in a daily treatment regimen
  • Able to read, verbalize understanding, and voluntarily sign the Informed Consent Form prior to participating in any study-specific procedures or assessments

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Stanford University Department of Psychiatry
Coordinator of this site? Confirm its status
StanfordUnited StatesUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.