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Completed

NCT Number: NCT00658307

The Effects of Repetitive Transcranial Magnetic Stimulation in Healthy Human Subjects

It has been suggested that the therapeutic effects of repetitive transcranial magnetic stimulation (rTMS) are mediated through changes in cortical inhibition (CI). However, in healthy subjects the effects of rTMS on CI have been inconsistent. The aim of this study is to explore different rTMS - stimulus conditions neurophysiological and molecular mechanisms in the human motor cortex. Fifty-six healthy subjects will be randomized into three different treatment groups and receive 1 active or sham rTMS session (6000 rTMS pulses) at 90% of their motor threshold (MT). Cortical inhibition will be indexed pre and post treatment using short-interval intracortical inhibition (SICI), cortical silent period (CSP) and long-interval cortical inhibition (LICI).

Based on previous studies we hypothesize that:

* Hypothesis 1: rTMS will result in a greater CI (i.e., prolonged CSP, increased LICI but not SICI) compared to sham rTMS. * Hypothesis 2: 20 Hz rTMS will result in a significantly greater CI compared to 1 Hz rTMS. * Hypothesis 3: There will be distinctive transcription profiles associated with increases in CI from rTMS that can be detected with whole-genome microarray analysis of peripheral leukocytes.

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Key information

Conditions

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Centre for Addiction and Mental Health

Toronto, Ontario, M6J 1H4, Canada

About this study

It has been demonstrated that several neurologic and psychiatry disorders are associated with dysfunctional cortical inhibitory mechanisms and alterations in neurotrophins (biological markers involved in neuronal survival and plasticity) and that rTMS therapeutic effects are associated with changes in cortical excitability. CI produced by rTMS can be demonstrated through SICI, CSP and LICI. However it remains unclear which rTMS parameters induce the best CI. Exploring different rTMS stimulus conditions versus sham condition effects in CI of human motor cortex can be the way to identify the best rTMS therapeutic parameters. Also, evaluating the molecular effects produced by rTMS treatment on serum blood levels can help identify the mechanisms through which rTMS exerts its therapeutic effects and ultimately clarify mechanisms through which treatment effects are mediated.

This experiment intends to demonstrate the best rTMS parameters to acquire higher CI. If our hypotheses are correct, these parameters will help to obtain higher therapeutic effects, and consequently, improvement of rTMS treatments.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • are voluntary and competent to consent
  • between the ages of 18-65
  • considered a healthy individual free of psychopathology based on the Personality Assessment Inventory
  • right-handed determined by the TMS-screener and demographic form
  • self-reported non-smoker
  • do not have a self-reported concomitant major medical or neurologic illness
  • women in childbearing years will be recruited only if they are on an effective means of birth control determined through completion of the TMS screener and demographic form.

Exclusion criteria

  • demonstrate a failure to tolerate the procedure
  • develop any significant adverse events (e.g., seizure or seizure-like activity)
  • withdraw consent
  • the principal investigator believes that for safety reasons it is in the best interest of the individual to be withdrawn

Treatment and study plan

Repetitive transcranial magnetic stimulation (rTMS)

Device

1 Hz

The rTMS device is the "MagPro X100 Series" (produced by Magventure A/S, Farum, Denmark)

Other names: MagPro X100 Series

SHAM repetitive transcranial magnetic stimulation (rTMS)

Device

The rTMS device is the "MagPro X100 Series" (produced by Magventure A/S, Farum, Denmark)

Other names: MagPro X100 Series

Primary outcomes

  1. Changes in CI produced by different frequency of stimulus and duration of treatments indicated by LICI, CSP and SICI

    Time frame: intermittent

Sponsors and collaborators

Lead sponsor

Centre for Addiction and Mental Health

Other

Registry information

Important dates

Study start
2008
Primary completion
2014
Study completion
2014
First posted
Apr 15, 2008
Registry last updated
May 2, 2014

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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