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Depressive DisorderNCT06061653

Augmentation of Interpersonal Psychotherapy With High-Definition Transcranial Direct Current Stimulation for Adolescent Depression

A study testing IPT plus HD-tDCS in people with Depressive Disorder, run by First Affiliated Hospital of Zhejiang University at 1 site in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Depression is among the most prevalent psychiatric disorders, with an upward trend in its manifestation in younger individuals. In contrast to adult depression, adolescent depression often presents with longer attack durations, higher recurrence rates, chronicity, and elevated disability rates. Read more about this study

Who is it for?
Ages 12 to 18 years
Conditions the study is for
Depressive Disorder
What is being tested?
IPT plus HD-tDCS
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
60 participants
Where
1 siteChina
Study dates
1 Oct 2023to 31 Dec 2025
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 12 to 18 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Sign a written informed consent form, willing to participate in the study and accept treatment (patients under 18 years of age need to obtain the consent of their parents or legal guardians);
  • Age between 12 and 18 years;
  • Right-handed;
  • Han ethnicity;
  • Meet the DSM-5 diagnostic criteria for depression;
  • HAMD-24≥20;
  • Understand written language and able to complete questionnaires;
  • First-episode depression patients who have never received any treatment or relapse depression patients, have not taken any psychotropic drugs in the past 2 weeks, have not received systematic psychological or physical therapy.

Who cannot join

  • Exclusion criteria for tDCS: (1) Patients with metal implants in the body; those with metal implants such as titanium or magnetic devices (including aneurysm clips); (2) Patients with implanted devices such as cardiac pacemakers, deep brain stimulators (DBS); (3) Patients with intracranial hypertension, skull defects, or tumors; (4) Patients with unstable vital signs such as severe cardiac or somatic diseases; (5) Patients in the acute phase of cerebrovascular diseases; (6) Patients with adverse reactions to electrical stimulation; (7) Patients with pain sensitivity, injury, or inflammation in the stimulation area.
  • Exclusion criteria for MRI;
  • Patients with severe neurological, cardiac, liver, kidney, endocrine, and blood system diseases, or any other condition that may interfere with the study evaluation;
  • Patients with organic mental disorders and mental retardation;
  • Patients with alcohol or drug dependence;
  • Patients with a high risk of suicide.

Trial locations and contacts

1 site in 1 country.

China1 site, 1 recruiting
  • The First Affiliated Hospital of Zhejiang University

    Hangzhou, Zhejiang, 310009

    Huang Manli, 13957162975, huangmanli@zju.edu.cn

    Recruiting

Other trials in China

About this study

Official title: Effects of Augmentation of Interpersonal Psychotherapy With High-Definition Transcranial Direct Current Stimulation for Adolescent Depression: A Randomized Clinical Trial

Depression is among the most prevalent psychiatric disorders, with an upward trend in its manifestation in younger individuals. In contrast to adult depression, adolescent depression often presents with longer attack durations, higher recurrence rates, chronicity, and elevated disability rates. At present, treatment options for adolescent depression encompass pharmacological, physical, and psychological therapies. However, current evidence suggests that no antidepressant medication is entirely safe for youths, with only fluoxetine and escitalopram being FDA-approved for treating adolescent depression.

Given the weight of interpersonal stressors faced by teenagers, the NICE guidelines recommend interpersonal therapy(IPT) as a first-line treatment. A 2020 meta-analysis in the Journal of the American Academy of Child and Adolescent Psychiatry reported that interpersonal therapy exhibited significantly greater improvements in depression symptoms than cognitive behavioral therapy(CBT), although psychotherapeutic effects were modest, achieving a remission rate of 60%. These results underscore the need for further research to enhance interpersonal therapy's effectiveness in treating adolescent depression.

High-Definition Transcranial Direct Current Stimulation (HD-tDCS)is a highly secure non-invasive brain stimulation technique that produces sustained effects even after stimulation has discontinued, rendering it particularly valuable for therapeutic interventions. The proposed study aims to augment a single IPT treatment with HD-tDCS stimulation for adolescent depression. By enhancing the excitability of the cerebral cortex, HD-tDCS could potentially enhance IPT's therapeutic efficacy in treating adolescent depression while facilitating further investigation of its underlying neural circuit mechanisms.

Being tested
IPT plus HD-tDCS, IPT plus sham HD-tDCS
Medical subject headings
Depressive Disorder

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • IPT plus HD-tDCSCombination product

    psychotherapy plus device

  • IPT plus sham HD-tDCSCombination product

    psychotherapy plus sham device

Study groups in NCT06061653
Study groupRoleWhat they receive
IPT plus HD-tDCSExperimentalNot described
Receives: Combination Product: IPT plus HD-tDCS
IPT plus sham HD-tDCSSham comparatorNot described
Receives: Combination Product: IPT plus sham HD-tDCS

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 24-item Hamilton Depression Rating Scale

    Assessment of depressive symptoms. Score<8: normal; >20: mild or moderate depression; >35: severe depression.

    Measured: Baseline

  2. 24-item Hamilton Depression Rating Scale

    Assessment of depressive symptoms. Score<8: normal; >20: mild or moderate depression; >35: severe depression.

    Measured: 1-month

  3. 24-item Hamilton Depression Rating Scale

    Assessment of depressive symptoms. Score<8: normal; >20: mild or moderate depression; >35: severe depression.

    Measured: 2-month

  4. 24-item Hamilton Depression Rating Scale

    Assessment of depressive symptoms. Score<8: normal; >20: mild or moderate depression; >35: severe depression.

    Measured: 3-month

  5. Child Depression Rating Scale-Revised

    Assessment of depressive symptoms. Score<40: normal; 40~60: mild or moderate depression; >60: severe depression.

    Measured: Baseline

  6. Child Depression Rating Scale-Revised

    Assessment of depressive symptoms. Score<40: normal; 40~60: mild or moderate depression; >60: severe depression.

    Measured: 1-month

  7. Child Depression Rating Scale-Revised

    Assessment of depressive symptoms. Score<40: normal; 40~60: mild or moderate depression; >60: severe depression.

    Measured: 2-month

  8. Child Depression Rating Scale-Revised

    Assessment of depressive symptoms. Score<40: normal; 40~60: mild or moderate depression; >60: severe depression.

    Measured: 3-month

Secondary outcomes (48)
  1. 17-item Hamilton Anxiety Rating Scale

    Score<7:No anxiety; Score≥7:Possibly anxious; Score≥14:Definitely anxious; Score≥21:Definitely significantly anxious; Score≥29:Possibly severely anxious.

    Measured: Baseline

  2. 17-item Hamilton Anxiety Rating Scale

    Score<7:No anxiety; Score≥7:Possibly anxious; Score≥14:Definitely anxious; Score≥21:Definitely significantly anxious; Score≥29:Possibly severely anxious.

    Measured: 1-month

  3. 17-item Hamilton Anxiety Rating Scale

    Score<7:No anxiety; Score≥7:Possibly anxious; Score≥14:Definitely anxious; Score≥21:Definitely significantly anxious; Score≥29:Possibly severely anxious.

    Measured: 2-month

  4. 17-item Hamilton Anxiety Rating Scale

    Score<7:No anxiety; Score≥7:Possibly anxious; Score≥14:Definitely anxious; Score≥21:Definitely significantly anxious; Score≥29:Possibly severely anxious.

    Measured: 3-month

  5. Beck Scale for Suicide Ideation

    Assessment of suicidal ideation. The test taker first completes the initial five questions. If the responses to both the fourth and fifth items are "no," it is considered that there is no suicidal ideation, and the questionnaire concludes. Suicidal risk is evaluated based on items six to nineteen of the scale, which assess the likelihood of actual suicidal behavior among individuals with suicidal ideation. The calculation formula for the total score is [(sum of scores for items six to nineteen) - 9) / 33] * 100, resulting in a score ranging from 0 to 100. A higher score indicates a greater risk of suicide.

    Measured: Baseline

  6. Beck Scale for Suicide Ideation

    Assessment of suicidal ideation. The test taker first completes the initial five questions. If the responses to both the fourth and fifth items are "no," it is considered that there is no suicidal ideation, and the questionnaire concludes. Suicidal risk is evaluated based on items six to nineteen of the scale, which assess the likelihood of actual suicidal behavior among individuals with suicidal ideation. The calculation formula for the total score is [(sum of scores for items six to nineteen) - 9) / 33] * 100, resulting in a score ranging from 0 to 100. A higher score indicates a greater risk of suicide.

    Measured: 1-month

  7. Beck Scale for Suicide Ideation

    Assessment of suicidal ideation. The test taker first completes the initial five questions. If the responses to both the fourth and fifth items are "no," it is considered that there is no suicidal ideation, and the questionnaire concludes. Suicidal risk is evaluated based on items six to nineteen of the scale, which assess the likelihood of actual suicidal behavior among individuals with suicidal ideation. The calculation formula for the total score is [(sum of scores for items six to nineteen) - 9) / 33] * 100, resulting in a score ranging from 0 to 100. A higher score indicates a greater risk of suicide.

    Measured: 2-month

  8. Beck Scale for Suicide Ideation

    Assessment of suicidal ideation. The test taker first completes the initial five questions. If the responses to both the fourth and fifth items are "no," it is considered that there is no suicidal ideation, and the questionnaire concludes. Suicidal risk is evaluated based on items six to nineteen of the scale, which assess the likelihood of actual suicidal behavior among individuals with suicidal ideation. The calculation formula for the total score is [(sum of scores for items six to nineteen) - 9) / 33] * 100, resulting in a score ranging from 0 to 100. A higher score indicates a greater risk of suicide.

    Measured: 3-month

  9. the Chinese version of the Snaith-Hamilton Pleasure Scale

    A total of 14 items, each with a score of 1 to 4, will be used to calculate the total score. The higher the score The higher the score, the more severe the pleasure deficit

    Measured: Baseline

  10. the Chinese version of the Snaith-Hamilton Pleasure Scale

    A total of 14 items, each with a score of 1 to 4, will be used to calculate the total score. The higher the score The higher the score, the more severe the pleasure deficit

    Measured: 1-month

  11. the Chinese version of the Snaith-Hamilton Pleasure Scale

    A total of 14 items, each with a score of 1 to 4, will be used to calculate the total score. The higher the score The higher the score, the more severe the pleasure deficit

    Measured: 2-month

  12. the Chinese version of the Snaith-Hamilton Pleasure Scale

    A total of 14 items, each with a score of 1 to 4, will be used to calculate the total score. The higher the score The higher the score, the more severe the pleasure deficit

    Measured: 3-month

  13. Interpersonal Relationship Scale

    A score of 0-8 indicates that interpersonal relationship is good, a score of 9-14 indicates that there is a certain degree of interpersonal relationship distress, and a score of 15-28 indicates that interpersonal relationship distress is more serious, that is, the lower the score of the comprehensive diagnostic scale of interpersonal relationship, the better the interpersonal relationship.

    Measured: Baseline

  14. Interpersonal Relationship Scale

    A score of 0-8 indicates that interpersonal relationship is good, a score of 9-14 indicates that there is a certain degree of interpersonal relationship distress, and a score of 15-28 indicates that interpersonal relationship distress is more serious, that is, the lower the score of the comprehensive diagnostic scale of interpersonal relationship, the better the interpersonal relationship.

    Measured: 1-month

  15. Interpersonal Relationship Scale

    A score of 0-8 indicates that interpersonal relationship is good, a score of 9-14 indicates that there is a certain degree of interpersonal relationship distress, and a score of 15-28 indicates that interpersonal relationship distress is more serious, that is, the lower the score of the comprehensive diagnostic scale of interpersonal relationship, the better the interpersonal relationship.

    Measured: 2-month

  16. Interpersonal Relationship Scale

    A score of 0-8 indicates that interpersonal relationship is good, a score of 9-14 indicates that there is a certain degree of interpersonal relationship distress, and a score of 15-28 indicates that interpersonal relationship distress is more serious, that is, the lower the score of the comprehensive diagnostic scale of interpersonal relationship, the better the interpersonal relationship.

    Measured: 3-month

  17. Emotion Regulation Questionnaire

    A total of 10 items were scored at 7 points. The higher the score, the higher the frequency of using emotion regulation strategies.

    Measured: Baseline

  18. Emotion Regulation Questionnaire

    A total of 10 items were scored at 7 points. The higher the score, the higher the frequency of using emotion regulation strategies.

    Measured: 1-month

  19. Emotion Regulation Questionnaire

    A total of 10 items were scored at 7 points. The higher the score, the higher the frequency of using emotion regulation strategies.

    Measured: 2-month

  20. Emotion Regulation Questionnaire

    A total of 10 items were scored at 7 points. The higher the score, the higher the frequency of using emotion regulation strategies.

    Measured: 3-month

  21. Toronto Alexithymia Scale-20

    It consists of 3 factors, difficulty identifying feelings (DIF), difficulty describing feelings (DDF), and externally oriented thinking (EOT), which are called F1, F2, and F3 factors, containing 20 items, each scored within a 5-point scale (1: completely disagree to 5: completely agree), 20-100 points, the higher the score, the more pronounced the dysfunction in describing feelings.

    Measured: Baseline

  22. Toronto Alexithymia Scale-20

    It consists of 3 factors, difficulty identifying feelings (DIF), difficulty describing feelings (DDF), and externally oriented thinking (EOT), which are called F1, F2, and F3 factors, containing 20 items, each scored within a 5-point scale (1: completely disagree to 5: completely agree), 20-100 points, the higher the score, the more pronounced the dysfunction in describing feelings.

    Measured: 1-month

  23. Toronto Alexithymia Scale-20

    It consists of 3 factors, difficulty identifying feelings (DIF), difficulty describing feelings (DDF), and externally oriented thinking (EOT), which are called F1, F2, and F3 factors, containing 20 items, each scored within a 5-point scale (1: completely disagree to 5: completely agree), 20-100 points, the higher the score, the more pronounced the dysfunction in describing feelings.

    Measured: 2-month

  24. Toronto Alexithymia Scale-20

    It consists of 3 factors, difficulty identifying feelings (DIF), difficulty describing feelings (DDF), and externally oriented thinking (EOT), which are called F1, F2, and F3 factors, containing 20 items, each scored within a 5-point scale (1: completely disagree to 5: completely agree), 20-100 points, the higher the score, the more pronounced the dysfunction in describing feelings.

    Measured: 3-month

  25. The Reflective Function Questionnaire for Youths

    Assesses the degree of agreement or disagreement with narratives about reflective functioning, with higher scores representing higher levels of reflective functioning.

    Measured: Baseline

  26. The Reflective Function Questionnaire for Youths

    Assesses the degree of agreement or disagreement with narratives about reflective functioning, with higher scores representing higher levels of reflective functioning.

    Measured: 1-month

  27. The Reflective Function Questionnaire for Youths

    Assesses the degree of agreement or disagreement with narratives about reflective functioning, with higher scores representing higher levels of reflective functioning.

    Measured: 2-month

  28. The Reflective Function Questionnaire for Youths

    Assesses the degree of agreement or disagreement with narratives about reflective functioning, with higher scores representing higher levels of reflective functioning.

    Measured: 3-month

  29. Comfort Rating Questionnaire

    Evaluating adverse reactions of tdcs.

    Measured: Baseline

  30. Comfort Rating Questionnaire

    Evaluating adverse reactions of tdcs.

    Measured: 1-month

  31. Comfort Rating Questionnaire

    Evaluating adverse reactions of tdcs.

    Measured: 2-month

  32. Comfort Rating Questionnaire

    Evaluating adverse reactions of tdcs.

    Measured: 3-month

  33. IL-6 level

    Detection of serum IL-6 levels using flow cytometry. The normal value is 0-5.30 pg/ml. There is a goodcorrelation between depression and elevated serum IL-6 levels.

    Measured: Baseline

  34. IL-6 level

    Detection of serum IL-6 levels using flow cytometry. The normal value is 0-5.30 pg/ml. There is a goodcorrelation between depression and elevated serum IL-6 levels.

    Measured: 2-month

  35. MRI data

    Reflecting brain structure and function

    Measured: Baseline

  36. MRI data

    Reflecting brain structure and function

    Measured: 2-month

  37. EEG data

    Reflecting brain function. It will be used for analysing Left-right asymmetry of forehead Alpha wave energy,mapping the brainnetworks.

    Measured: Baseline

  38. EEG data

    Reflecting brain function. It will be used for analysing Left-right asymmetry of forehead Alpha wave energy,mapping the brainnetworks.

    Measured: 2-month

  39. TMS-evoked potentials(TEPs)

    Reflecting cortical excitability. N15, P30, N45, P55, N100, P180 and N280 components were evoked during single-pulse TMS stimulation of motor cortex (M1). Early components of TEPs (N15-P30) reflect cortical excitatory activity, while other components (N45-N100) are associated with cortical inhibitory activity.

    Measured: Baseline

  40. TMS-evoked potentials(TEPs)

    Reflecting cortical excitability. N15, P30, N45, P55, N100, P180 and N280 components were evoked during single-pulse TMS stimulation of motor cortex (M1). Early components of TEPs (N15-P30) reflect cortical excitatory activity, while other components (N45-N100) are associated with cortical inhibitory activity.

    Measured: 2-month

  41. Thinc-integrated Tools(THINC-it)

    THINC-it(https://progress.im/en/)is the first tool to assess cognitive functioning in MDD using both subjective and objective tests and is available as a free download for use on tablets, smartphones or computers. The tool's four objective test sections use recognized cognitive paradigms to assess subjects' performance in the key cognitive domains of attention, working memory, and executive function. The Choice Reaction Time (CRT) focuses on attention and executive function, the 1-Back Memory Task (1-Back) examines memory, attention/concentration, and executive function, the Digit Symbol Substitution Test (DSST) examines processing speed, attention, and executive function, and the Test of Connectivity B (TMT-B) assesses executive function. The 5-item Cognitive Impairment Questionnaire (PDQ⁃5⁃D) is the subjective component of the instrument and can be used to assess patients' performance in attention/concentration, planning/organization, retrospection, and prospective memory.

    Measured: Baseline

  42. Thinc-integrated Tools(THINC-it)

    THINC-it(https://progress.im/en/)is the first tool to assess cognitive functioning in MDD using both subjective and objective tests and is available as a free download for use on tablets, smartphones or computers. The tool's four objective test sections use recognized cognitive paradigms to assess subjects' performance in the key cognitive domains of attention, working memory, and executive function. The Choice Reaction Time (CRT) focuses on attention and executive function, the 1-Back Memory Task (1-Back) examines memory, attention/concentration, and executive function, the Digit Symbol Substitution Test (DSST) examines processing speed, attention, and executive function, and the Test of Connectivity B (TMT-B) assesses executive function. The 5-item Cognitive Impairment Questionnaire (PDQ⁃5⁃D) is the subjective component of the instrument and can be used to assess patients' performance in attention/concentration, planning/organization, retrospection, and prospective memory.

    Measured: 2-month

  43. Perceptual judgment test

    Assess subjects' perception of interpersonal information.

    Measured: Baseline

  44. Perceptual judgment test

    Assess subjects' perception of interpersonal information.

    Measured: 2-month

  45. Distance memory test

    Assessment of Working memory.

    Measured: Baseline

  46. Distance memory test

    Assessment of Working memory.

    Measured: 2-month

  47. ERP experiment

    The participants are instructed to watch the animations,while EEG data is recorded. Event-related Mu-wave will be used for evaluating social interaction ability.

    Measured: Baseline

  48. ERP experiment

    The participants are instructed to watch the animations,while EEG data is recorded. Event-related Mu-wave will be used for evaluating social interaction ability.

    Measured: 2-month

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Sep 2023
  2. Study start1 Oct 2023
  3. Primary completion31 Dec 2024 (estimated)
  4. Study completion31 Dec 2025 (estimated)

Resources

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, Outcomes assessor
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06061653
Sponsor's protocol ID
IIT2023496
Status last verified
May 2023
First submitted
8 Aug 2023
Last updated
31 Oct 2023
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing IPT plus HD-tDCS in people with Depressive Disorder, run by First Affiliated Hospital of Zhejiang University at 1 site in China.

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 8 inclusion and 6 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: status not confirmed, as of the sponsor's last update on 31 Oct 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Manli Huang, M.D (13957162975 ext. 86, huangmanli@zju.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

24-item Hamilton Depression Rating Scale (time frame: Baseline). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 31 Oct 2023.

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