Treatment of Negative Symptoms of Schizophrenia by rTMS
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: repetitive Transcranial Magnetic Stimulation.
- Кому может быть актуально
- Состояния в реестре: Schizophrenia, Negative Symptoms in Schizophrenia. Базовые параметры: от 18 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Франция
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Treatment of Negative Symptoms of Schizophrenia by Repetitive Transcranial Magnetic Stimulation: A Naturalistic Study
Обзор
The purpose of this study is to assess the effectiveness of rTMS on the negative symptoms of schizophrenia in real conditions. It will also provide a regulatory framework to rTMS treatments under these conditions. 4 types of rTMS protocols are proposed, allowing to adapt to patients and their tolerances.Treatment lasts between 2 and 4 weeks, with a follow-up period of 3 months after treatment to observe relapses.To assess the evolution of negative symptoms between baseline and the end of treatment, investigators use SANS (Scale for the Assessment of Negative Symptoms).
Вмешательства
- Другое repetitive Transcranial Magnetic Stimulation
* Patient is in a chair. * Hearing protection will be implemented. * The corresponding targeting method will be implemented. * The stimulation coil will be set up according to the indications of the targeting method. * A caregiver is present throughout the session. * After the session, the patient is re-assessed clinically for possible adverse effects. * If an adverse reaction is objectified, a doctor on site, is quickly mobilized.
Первичные конечные точки
- Evaluate the efectiveness of rTMS on the negative symptoms of schizophrena, assessed by the SANS ( Scale Assessment Negative Symptoms). [Срок оценки: Baseline (day 1) to end of treatment (2 or 4 weeks)]
Вторичные конечные точки (9)
- Evaluate the impact of this treatment on general psychopathology assessed by PANSS and CGI. [Срок оценки: Baseline (day 1), end of treatment (2 or 4 weeks), 4 weeks, 12 weeks and 24 weeks after the end of treatment.]
- Assess the impact of this treatment on response rate by the SANS [Срок оценки: Baseline (day 1) to end of treatment (2 or 4 weeks)]
- Assess the impact of this treatment on the rate of remission by the number of remission with the SANS [Срок оценки: Baseline (day 1) to end of treatment (2 or 4 weeks)]
- Assess the impact of this treatment on the relapse rate by the number of relapse with SANS [Срок оценки: 4 weeks, 12 weeks and 24 weeks after the end of treatment.]
- Assess the impact of this treatment on cognitive symptoms by MOCA (Montreal Cognitive Assessment) and STROOP [Срок оценки: Baseline (day 1) to end of treatment (2 or 4 weeks)]
- Assess the impact of this treatment on addictive attitudes by MCQ (Marijuana Craving Questionnaire) and CAST (Cannabis Abuse Screening Test) [Срок оценки: Baseline (day 1) to end of treatment (2 or 4 weeks)]
- Assess the impact of this treatment on mood by CDSS (Calgary Depression Scale for Schizophrenia). [Срок оценки: Baseline (day 1) to end of treatment (2 or 4 weeks)]
- Assess the impact of this treatment on quality of life by S-QoL-18 [Срок оценки: Baseline (day 1), end of treatment (2 or 4 weeks), 4 weeks, 12 weeks and 24 weeks after the end of treatment.]
- Assess the impact of this treatment on adverse reactions by the CGI [Срок оценки: Baseline (day 1), end of treatment (2 or 4 weeks), 4 weeks, 12 weeks and 24 weeks after the end of treatment.]
Критерии участия
Критерии включения
- Patient over 18 years of age
- Patient diagnosed with schizophrenia according to the DSM-V criteria (Diagnostic and Statistical Manual of Mental Disorder V5, 2013)
- Stable drug treatment for at least 4 weeks
- Presence or persistence of negative symptoms in the foreground:
Negative PANSS score ⩾21, positive PANSS score ⩽24
- Patient (or legal representative) willing to participate in the study and having signed an informed consent
- Patient fluent in the French language
- Affiliation to a social security scheme
Критерии исключения
- Present a contraindication to TMS: intracranial foreign body, unstabilized epilepsy, cochlear implant, pace-maker
- Presence of an unstabilized medical condition
- Pregnant woman
- Woman of childbearing potential and without effective contraception
- Breastfeeding woman
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Нерандомизированное
- Модель
- Параллельные группы
- Маскирование
- Открытое
- Основная цель
- Другое
Центры проведения
Франция · 1 центр
- Etablissement Public de Santé de Ville-Evrard — Neuilly-sur-Marne
Идентификаторы
NCT: NCT06595654 · 2021-A02710-40