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The main objective of this study is to determine whether biological stress markers (Oxidized Phosphatidylcholines and Oxylipins) in the blood can be used to predict the efficacy of rTMS in the treatment of major depressive disorder (MDD). It is our goal to identify biomarkers that may be used to determine which patients will benefit from rTMS treatment. A second objective of this study is to measure any changes in stress markers that occur across the course of rTMS therapy.
250 patients who have been prescribed repetitive transcranial magnetic stimulation (rTMS) therapy for the treatment of major depressive disorder will be recruited for this study. Prior to undergoing rTMS, patients will give a small blood sample. An additional blood sample will be given upon completion of rTMS treatment. 60 healthy control individuals will also be recruited to provide a one-time blood sample for comparison. Control individuals will not receive rTMS treatment.
Blood samples will be analysed for levels of Oxidized Phosphatidylcholines and Oxylipins. The investigators wish to determine whether there is a difference in the pre-treatment levels of stress markers between individuals who ultimately respond to rTMS and those who do not. Additionally, the investigators wish to determine whether there is a change in stress markers as a result of rTMS treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients | Individuals undergoing Repetitive Transcranial Magnetic Stimulation treatment for major depressive disorder. |
| |
| Controls | Healthy age-, and sex-matched control individuals. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Repetitive Transcranial Magnetic Stimulation | Device | A non-invasive method of brain stimulation. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Oxidized Phosphatidylcholines in plasma | Change in Oxidized Phosphatidylcholine levels in blood plasma pre- and post-repetitive transcranial magnetic stimulation (rTMS) treatment for depression. | 3 weeks |
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Patient Inclusion Criteria:
Patient Exclusion Criteria:
Control Subject Exclusion Criteria:
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250 patients with Major Depressive Disorder who have been deemed eligible for rTMS treatment. Eligible persons will be identified by a psychiatrist from among patients at the outpatient Neuromodulation and Neuropsychiatric Unit at St Boniface Hospital. 60 healthy control individuals.
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| Name | Affiliation | Role |
|---|---|---|
| Mandana Modirrousta, MD PhD FRCPC | University of Manitoba | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St. Boniface Hospital | Winnipeg | Manitoba | R3P2B4 | Canada |
| Type | Date | Date Unknown |
|---|---|---|
| Release | Oct 1, 2021 | |
| Reset | Oct 29, 2021 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Oct 1, 2021 | Oct 29, 2021 |
| ID | Term |
|---|---|
| D050781 | Transcranial Magnetic Stimulation |
| ID | Term |
|---|---|
| D055909 | Magnetic Field Therapy |
| D013812 | Therapeutics |
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10ml of blood will be extracted at each collection. Patients will give two samples. Controls will give one sample. Following collection, blood samples will be spun to separate and extract plasma. The amount of oxidized phosphatidylcholines in the plasma will then be quantified.