Amplitude Titration to Improve ECT Clinical Outcomes

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age50+
SponsorUniversity of New Mexico

About this trial

A randomized controlled trial will compare hippocampal neuroplasticity, antidepressant, and cognitive outcomes between individualized amplitude and fixed 800 mA amplitude ECT in older depressed subjects (n = 25 per group, n = 50 total). Relative to fixed 800 mA ECT:

H1: Individualized amplitude arm will have improved RUL antidepressant outcome (IDS-C30 response rates and reduced BT electrode placement switch at V2).

H2: Individualized amplitude arm will have improved cognitive outcomes (DKEFS-Verbal Fluency

Eligibility criteria

Qualifiers

Diagnosis of major depressive disorder or bipolar II

Clinical indications for ECT with right unilateral electrode placement

Disqualifiers

Defined neurological or neurodegenerative disorder (e.g., traumatic brain injury, epilepsy, Alzheimer's disease)

Other psychiatric conditions (e.g., schizophrenia, bipolar I disorder)

Current drug or alcohol use disorder (except for nicotine)

Contraindications to MRI.

Trial design

Treatments tested in this trial

  • Soterix Medical Incorporated 4x1 adapter
  • Traditional ECT device

Treatment groups

50 Participants
are divided into 2 treatment groups

Sponsors and collaborators

University of New Mexico

Lead sponsor

National Institute of Mental Health (NIMH)

Collaborator