Stress Disorders, Post-TraumaticTETT-STIMNCT02584894
Potentiation of Trauma Exposure in Post-traumatic Stress Disorder by Repeated Transcranial Magnetic Stimulation
A study testing rTMS 1Hz, rTMS 10Hz and psychoneurological assessment in people with Stress Disorders, Post-Traumatic, run by University Hospital, Tours.
Trial summary
The aim of this study is to assess the efficacy in PTSD treatment of concomitant voluntary reactivation of personal traumatic memories with neuromodulation of the right dorsolateral prefrontal cortex using 10Hz rTMS, compared to 1Hz rTMS, during 2 weeks. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Stress Disorders, Post-Traumatic
- What is being tested?
- rTMS 1Hz, rTMS 10Hz and psychoneurological assessment
- Type of treatment
- Medical device, Lifestyle or therapy programme
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 39 participants
- Where
- No sites listed yet
- Study dates
- 4 Jan 2016to 17 Apr 2020
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- PCLS score >40
- Able to give his written informed consent
- Not participating another study
- Affiliation to a social security system
- Having a PTSD for 3 months
- No treatment modification for 4 weeks (Psychotropic treatment or structured psychotherapy)
Who cannot join
- Partially deaf with equipment
- people with identified neurological disease
- people with addiction to psychoactive substance
- people who can't conform to tests
- people having a contraindication for rTMS (cochlear implant )
- people suffering from chronicle or acute delusional disorder
- any circumstances making the people unable to understood nature, aim or consequences of the study.
About this study
Official title: Potentiation of Trauma Exposure in Post-traumatic Stress Disorder by Repeated Transcranial Magnetic Stimulation : A Control Randomized Study
The aim of this study is to assess the efficacy in PTSD treatment of concomitant voluntary reactivation of personal traumatic memories with neuromodulation of the right dorsolateral prefrontal cortex using 10Hz rTMS, compared to 1Hz rTMS, during 2 weeks.
Read the detailed description
Post-Traumatic Stress Disorder (PTSD) is characterized by intrusive and persistent memory of past result from an event causing or able to cause death, be a threat of death, a severe injury or constitute a threat for physical integrity. It is a frequent disorder in general population (8%). In France, The most frequent traumatic events causing PTSD are serious accidents, rape, physical assaults, violence, etc. PTSD treatment involves antidepressant and cognitive and behavioural psychotherapy, which encourage exposure to elements that remind the trauma (memories, circumstances), with the objective of reducing the fear associated with the traumatic memories. Innovative therapeutic strategies aim to improve the psychotherapeutic effect with enhancement drugs or using neuromodulatory techniques, such as repeated transcranial magnetic stimulation (rTMS).
The aim of this study is to assess the efficacy in PTSD treatment of concomitant voluntary reactivation of personal traumatic memories with neuromodulation of the right dorsolateral prefrontal cortex using 10Hz rTMS, compared to 1Hz rTMS, during 2 weeks.
- Conditions
- Stress Disorders, Post-Traumatic
- Being tested
- rTMS 1Hz, rTMS 10Hz, psychoneurological assessment, conductivity meter, electrocardiogram
- Keywords
- Stress Disorders, Post-Traumatic, trauma exposure, Repeated transcranial magnetic stimulation
- Medical subject headings
- Stress Disorders, Post-Traumatic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
rTMS 1HzDevice
trauma exposure + repeated transcranial magnetic stimulation at 1Hz
rTMS 10HzDevice
trauma exposure + repeated transcranial magnetic stimulation at 10Hz
psychoneurological assessmentBehavioural
psychoneurological assessment
conductivity meterDevice
electrodermal conductance measure
electrocardiogramDevice
heart rate measure
| Study group | Role | What they receive |
|---|---|---|
| rTMS 1Hz | Placebo comparator | Subjects have 8 session of trauma exposure with repeated transcranial magnetic stimulation (rTMS) at 1Hz on dorsolateral prefrontal cortex (1Hz rTMS is describe in the literature to have no effect on the dorsolateral prefrontal cortex). psychoneurological assessment. Electrodermal conductance measure With conductivity meter . Heart rate measure With electrocardiogram Receives: Device: rTMS 1Hz; Behavioral: psychoneurological assessment; Device: conductivity meter; Device: electrocardiogram |
| rTMS 10Hz | Experimental | Subjects have 8 session of trauma exposure with repeated transcranial magnetic stimulation (rTMS) at 10Hz on dorsolateral prefrontal cortex (10Hz rTMS is describe in the literature to have effect on the dorsolateral prefrontal cortex). psychoneurological assessment. Electrodermal conductance measure With conductivity meter. Heart rate measure with electrocardiogram Receives: Device: rTMS 10Hz; Behavioral: psychoneurological assessment; Device: conductivity meter; Device: electrocardiogram |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from baseline Score at Clinician administered PTSD scale
Score at Clinician administered PTSD scale
Measured: inclusion ; 1 months; 3 months
Secondary outcomes (7)
Change from baseline Score at PTSD Checklist (self-assessment)
Score at PTSD Checklist (self-assessment) for severity of PTSD
Measured: inclusion ; 1 month; 3 months
Change from baseline Score at PTSD Checklist (self-assessment) for different dimensions of PTSD
Score at PTSD Checklist (self-assessment) for severity of different dimensions of PTSD
Measured: inclusion ; 1 month; 3 months
Change from baseline Score at anxiety and depression item on Hamilton Anxiety Rating Scale (HAM-A)
Score at anxiety and depression item on Hamilton Anxiety Rating Scale (HAM-A)
Measured: inclusion ; 1 month; 3 months
Change from baseline Score at depression item on Hamilton Anxiety Rating Scale (HAM-A)
Score at depression item on Hamilton Depression Rating Scale (HAM-D)
Measured: inclusion ; 1 month; 3 months
Change from baseline heart rate
heart rate
Measured: inclusion ; 1day ; 1 month, 3 months
Change from baseline electrodermal conductance
electrodermal conductance measure
Measured: inclusion ; 1day ; 1 month, 3 months
Adverse effect
Adverse effect
Measured: inclusion ; 1day ; 1 month, 3 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Oct 2015 (estimated)
- Study start4 Jan 2016
- Primary completion17 Apr 2020
- Study completion17 Apr 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (6)Papers the sponsor has linked to this study.
- Other trials for Stress Disorders, Post-TraumaticStudies of the same condition, open and under way.
- More trials run by University Hospital, ToursThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 39 participants (actual)
Sponsor and investigators
- Lead sponsor
- University Hospital, Tours
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Wissam EL-HAGE, PhD, Principal investigator, CHRU TOURS
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02584894
- Sponsor's protocol ID
- PHAO 15- WEH / TETT- STIM
- Acronym
- TETT-STIM
- Status last verified
- Jun 2026
- First submitted
- 14 Oct 2015
- Last updated
- 11 Jun 2026
- Results posted
- No
- Data monitoring committee
- No
Publications
Quide Y, Witteveen AB, El-Hage W, Veltman DJ, Olff M. Differences between effects of psychological versus pharmacological treatments on functional and morphological brain alterations in anxiety disorders and major depressive disorder: a systematic review. Neurosci Biobehav Rev. 2012 Jan;36(1):626-44. doi: 10.1016/j.neubiorev.2011.09.004. Epub 2011 Sep 24.
PubMed 21963442Tapia G, Clarys D, Bugaiska A, El-Hage W. Recollection of negative information in posttraumatic stress disorder. J Trauma Stress. 2012 Feb;25(1):120-3. doi: 10.1002/jts.21659. Epub 2012 Jan 25.
PubMed 22278745Landre L, Destrieux C, Andersson F, Barantin L, Quide Y, Tapia G, Jaafari N, Clarys D, Gaillard P, Isingrini M, El-Hage W. Working memory processing of traumatic material in women with posttraumatic stress disorder. J Psychiatry Neurosci. 2012 Feb;37(2):87-94. doi: 10.1503/jpn.100167.
PubMed 21971161Landre L, Destrieux C, Baudry M, Barantin L, Cottier JP, Martineau J, Hommet C, Isingrini M, Belzung C, Gaillard P, Camus V, El Hage W. Preserved subcortical volumes and cortical thickness in women with sexual abuse-related PTSD. Psychiatry Res. 2010 Sep 30;183(3):181-6. doi: 10.1016/j.pscychresns.2010.01.015. Epub 2010 Aug 4.
PubMed 20688488Jaafari N, Rachid F, Rotge JY, Polosan M, El-Hage W, Belin D, Vibert N, Pelissolo A. Safety and efficacy of repetitive transcranial magnetic stimulation in the treatment of obsessive-compulsive disorder: a review. World J Biol Psychiatry. 2012 Mar;13(3):164-77. doi: 10.3109/15622975.2011.575177. Epub 2011 May 30.
PubMed 21623668Thierree S, Raulin-Briot M, Legrand M, Le Gouge A, Vancappel A, Tudorache AC, Brizard B, Clarys D, Caille A, El-Hage W. Combining Trauma Script Exposure With rTMS to Reduce Symptoms of Post-Traumatic Stress Disorder: Randomized Controlled Trial. Neuromodulation. 2022 Jun;25(4):549-557. doi: 10.1111/ner.13505. Epub 2021 Aug 17.
PubMed 35667770
Study at a glance
From the registry record, last updated by the sponsor on 11 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Potentiation of Trauma Exposure in Post-traumatic Stress Disorder by Repeated Transcranial Magnetic Stimulation : A Control Randomized Study
- ClinicalTrials.gov ID
- NCT02584894
- Acronym / sponsor ID
- TETT-STIM / PHAO 15- WEH / TETT- STIM
- Conditions
- Stress Disorders, Post-Traumatic
- Keywords
- Stress Disorders, Post-Traumatic, trauma exposure, Repeated transcranial magnetic stimulation
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 39 participants (actual)
- Lead sponsor
- University Hospital, ToursUniversity, hospital or other
- Study start
- 4 Jan 2016 (actual)
- Primary completion
- 17 Apr 2020 (actual)
- Study completion
- 17 Apr 2020 (actual)
- First posted
- 23 Oct 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The aim of this study is to assess the efficacy in PTSD treatment of concomitant voluntary reactivation of personal traumatic memories with neuromodulation of the right dorsolateral prefrontal cortex using 10Hz rTMS, compared to 1Hz rTMS, during 2 weeks.
Detailed description
Post-Traumatic Stress Disorder (PTSD) is characterized by intrusive and persistent memory of past result from an event causing or able to cause death, be a threat of death, a severe injury or constitute a threat for physical integrity. It is a frequent disorder in general population (8%). In France, The most frequent traumatic events causing PTSD are serious accidents, rape, physical assaults, violence, etc. PTSD treatment involves antidepressant and cognitive and behavioural psychotherapy, which encourage exposure to elements that remind the trauma (memories, circumstances), with the objective of reducing the fear associated with the traumatic memories. Innovative therapeutic strategies aim to improve the psychotherapeutic effect with enhancement drugs or using neuromodulatory techniques, such as repeated transcranial magnetic stimulation (rTMS).
The aim of this study is to assess the efficacy in PTSD treatment of concomitant voluntary reactivation of personal traumatic memories with neuromodulation of the right dorsolateral prefrontal cortex using 10Hz rTMS, compared to 1Hz rTMS, during 2 weeks.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| rTMS 1Hz | Placebo comparator | Device: rTMS 1Hz, Behavioral: psychoneurological assessment, Device: conductivity meter, Device: electrocardiogramSubjects have 8 session of trauma exposure with repeated transcranial magnetic stimulation (rTMS) at 1Hz on dorsolateral prefrontal cortex (1Hz rTMS is describe in the literature to have no effect on the dorsolateral prefrontal cortex). psychoneurological assessment. Electrodermal conductance measure With conductivity meter . Heart rate measure With electrocardiogram |
| rTMS 10Hz | Experimental | Device: rTMS 10Hz, Behavioral: psychoneurological assessment, Device: conductivity meter, Device: electrocardiogramSubjects have 8 session of trauma exposure with repeated transcranial magnetic stimulation (rTMS) at 10Hz on dorsolateral prefrontal cortex (10Hz rTMS is describe in the literature to have effect on the dorsolateral prefrontal cortex). psychoneurological assessment. Electrodermal conductance measure With conductivity meter. Heart rate measure with electrocardiogram |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- PCLS score >40
- Able to give his written informed consent
- Not participating another study
- Affiliation to a social security system
- Having a PTSD for 3 months
Key exclusion criteria (7 listed)
- Partially deaf with equipment
- people with identified neurological disease
- people with addiction to psychoactive substance
- people who can't conform to tests
- people having a contraindication for rTMS (cochlear implant )
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| rTMS 1Hztrauma exposure + repeated transcranial magnetic stimulation at 1Hz | Device | rTMS 1Hz |
| rTMS 10Hztrauma exposure + repeated transcranial magnetic stimulation at 10Hz | Device | rTMS 10Hz |
| psychoneurological assessmentpsychoneurological assessment | Behavioural | rTMS 10Hz, rTMS 1Hz |
| conductivity meterelectrodermal conductance measure | Device | rTMS 10Hz, rTMS 1Hz |
| electrocardiogramheart rate measure | Device | rTMS 10Hz, rTMS 1Hz |
Primary outcome
Change from baseline Score at Clinician administered PTSD scale
Time frame: inclusion ; 1 months; 3 months
Score at Clinician administered PTSD scale
7 secondary outcomes
Change from baseline Score at PTSD Checklist (self-assessment)
Time frame: inclusion ; 1 month; 3 months
Change from baseline Score at PTSD Checklist (self-assessment) for different dimensions of PTSD
Time frame: inclusion ; 1 month; 3 months
Change from baseline Score at anxiety and depression item on Hamilton Anxiety Rating Scale (HAM-A)
Time frame: inclusion ; 1 month; 3 months
Change from baseline Score at depression item on Hamilton Anxiety Rating Scale (HAM-A)
Time frame: inclusion ; 1 month; 3 months
Change from baseline heart rate
Time frame: inclusion ; 1day ; 1 month, 3 months
Change from baseline electrodermal conductance
Time frame: inclusion ; 1day ; 1 month, 3 months
Adverse effect
Time frame: inclusion ; 1day ; 1 month, 3 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Jun 2026.
- Background: PubMed 21963442Quide Y, Witteveen AB, El-Hage W, Veltman DJ, Olff M. Differences between effects of psychological versus pharmacological treatments on functional and morphological brain alterations in anxiety disorders and major depressive disorder: a systematic review. Neurosci Biobehav Rev. 2012 Jan;36(1):626-44. doi: 10.1016/j.neubiorev.2011.09.004. Epub 2011 Sep 24.
- Background: PubMed 22278745Tapia G, Clarys D, Bugaiska A, El-Hage W. Recollection of negative information in posttraumatic stress disorder. J Trauma Stress. 2012 Feb;25(1):120-3. doi: 10.1002/jts.21659. Epub 2012 Jan 25.
- Background: PubMed 21971161Landre L, Destrieux C, Andersson F, Barantin L, Quide Y, Tapia G, Jaafari N, Clarys D, Gaillard P, Isingrini M, El-Hage W. Working memory processing of traumatic material in women with posttraumatic stress disorder. J Psychiatry Neurosci. 2012 Feb;37(2):87-94. doi: 10.1503/jpn.100167.
- Background: PubMed 20688488Landre L, Destrieux C, Baudry M, Barantin L, Cottier JP, Martineau J, Hommet C, Isingrini M, Belzung C, Gaillard P, Camus V, El Hage W. Preserved subcortical volumes and cortical thickness in women with sexual abuse-related PTSD. Psychiatry Res. 2010 Sep 30;183(3):181-6. doi: 10.1016/j.pscychresns.2010.01.015. Epub 2010 Aug 4.
- Background: PubMed 21623668Jaafari N, Rachid F, Rotge JY, Polosan M, El-Hage W, Belin D, Vibert N, Pelissolo A. Safety and efficacy of repetitive transcranial magnetic stimulation in the treatment of obsessive-compulsive disorder: a review. World J Biol Psychiatry. 2012 Mar;13(3):164-77. doi: 10.3109/15622975.2011.575177. Epub 2011 May 30.
- Results publication: PubMed 35667770Thierree S, Raulin-Briot M, Legrand M, Le Gouge A, Vancappel A, Tudorache AC, Brizard B, Clarys D, Caille A, El-Hage W. Combining Trauma Script Exposure With rTMS to Reduce Symptoms of Post-Traumatic Stress Disorder: Randomized Controlled Trial. Neuromodulation. 2022 Jun;25(4):549-557. doi: 10.1111/ner.13505. Epub 2021 Aug 17.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Wissam EL-HAGE, PhD principal investigator
CHRU TOURS
Questions about this trial
What is this clinical trial studying?
A study testing rTMS 1Hz, rTMS 10Hz and psychoneurological assessment in people with Stress Disorders, Post-Traumatic, run by University Hospital, Tours.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 11 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change from baseline Score at Clinician administered PTSD scale (time frame: inclusion ; 1 months; 3 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02584894, which also lists 6 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Jun 2026.