Clinical trial

New Non-invasive Brain-computer Interface: Theory, Technology and Application Demonstration - Studies on and Intervention for Depressed People Based on Non-invasive BCI and Application Verification

Name
2022ZD0208505
Description
Major Depressive Disorder (MDD) is a serious mental illness and public health problem that poses threat to both physical and mental health. According to statistics from WHO, it is estimated that more than 350 million people worldwide suffer from depression, with a prevalence rate of 2.1% in China, which is approximately 30 million people. At present, due to the lack of neurobiological markers for screening and diagnosing depression, the identification and diagnosis of MDD are based on the judgment of professional doctors, and the treatment mostly relies on clinical symptoms. In terms of treatment, medication remains the main stream for MDD. Although current methods have certain therapeutic effects, patients still suffer from various side effects and poor cognitive function.In current clinical practice, relying purely on symptomatic diagnosis and treatment is difficult to meet the needs of clinical practice, so there is an urgent need to search for neurobiological markers in depression and develop targeted non-invasive intervention technologies. This study aims to combine advanced brain imaging technology, digital twin-brain models, multi-source information decoding technology, integrated detection and intervention technology. The target is to create two new types of non-invasive BCI systems that can regulate emotions. One is a intervention BCI system for MDD that is suitable for hospital settings with the purpose of precise physical stimulation, and the other one is an ecological BCI system that regulate emotions and intervene with depression which is suitable for both hospital settings and future family environments. This study will collect a comprehensive collection of physiological and biochemical indicators from patients with depression and from healthy control groups, as well as multimodal information such as head surface electroencephalography, MRI, and eye movements under different brain states, to personalize the available BCI information of depression related brain regions, circuits, and networks. The study also tries to explore emotional-interactive games that can intervene with depression and build a game data base that is dedicated to MDD. Other goals include designing and establishing two new types of emotional regulation systems, which are precise external physical stimulation intervention and ecological intervention, constructing a BCI regulation system, and conducting application verification to evaluate the regulation effect.
Trial arms
Trial start
2023-07-01
Estimated PCD
2027-07-31
Trial end
2027-07-31
Status
Recruiting
Phase
Early phase I
Treatment
SSRI
Patients are not masked from the types of intervention they receive. Assessment will be done before and after each intervention. Each group is independent from other groups.
Arms:
Game-regulation Group, Medication Group, Neuro-Feedback Group, New rTMS Group, Traditional rTMs Group
rTMS
Patients will be treated targeting either the traditional brain region or new region.
Arms:
New rTMS Group, Traditional rTMs Group
Neuro-Feedback
Patients under 18 years old will first be considered this treatment before other methods.
Arms:
Neuro-Feedback Group
Game Regulation
Patients will learn how to play several games that can supposedly regulate or affect negative emotions.
Arms:
Game-regulation Group
Size
400
Primary endpoint
EEG power in alpha band between the depression patient group and healthy controls.
2 weeks
EEG power in beta band between the depression patient group and healthy controls.
2 weeks
MRI imaging of DLPFC between the depression patient group and healthy controls.
2 weeks
HbO in fNIRS between the depression patient group and healthy controls.
2 weeks
Hb in fNIRS between the depression patient group and healthy controls.
2 weeks
EEG power in alpha band between the depression patient group and healthy controls.
4 weeks
EEG power in beta band between the depression patient group and healthy controls.
4 weeks
MRI imaging of DLPFC between the depression patient group and healthy controls.
4 weeks
HbO in fNIRS between the depression patient group and healthy controls.
4 weeks
Hb in fNIRS between the depression patient group and healthy controls.
4 weeks
EEG power in alpha band between the depression patient group and healthy controls.
8 weeks
EEG power in beta band between the depression patient group and healthy controls.
8 weeks
MRI imaging of DLPFC between the depression patient group and healthy controls.
8 weeks
HbO in fNIRS between the depression patient group and healthy controls.
8 weeks
Hb in fNIRS between the depression patient group and healthy controls.
8 weeks
The score of HAMD-17 in depression patient group and healthy controls.
2 weeks
The score of HAMD-17 in depression patient group and healthy controls.
4 weeks
The score of HAMD-17 in depression patient group and healthy controls.
8 weeks
Eligibility criteria
Inclusion Criteria: * ≥ 12 years old, male or female, right-handed, Han ethnicity * Meets the DSM-5 diagnostic criteria for depression, with HAMD-17 scores greater than 17 and YMRS scores less than 6; * Primary school education or above, able to understand the research content, willing to participate in this study and sign an informed consent form Exclusion Criteria: * Concomitant or previous history of organic brain disease or severe traumatic brain injury, personal or family history of epilepsy; * Severe abnormalities in heart, liver, and kidney function; * Patients with severe physical illnesses; * History of substance dependence or abuse (alcohol, cocaine, drugs, etc.); * Patients with mental disorders caused by organic diseases, drug or alcohol induced mental disorders, and other mental disorders; * Pregnancy or lactation period; * Within six months, physical therapy such as MECT and TMS should be used; * Implants of vegetative nerve stimulation; * Individuals who have implanted electronic or metal instruments (such as pacemakers, defibrillators, stents, orthopedic plates, etc.) and undergo ventriculoperitoneal shunt surgery; * Obvious visual and auditory impairment, unable to cooperate in completing neuropsychological and scale assessments.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE4'], 'designInfo': {'allocation': 'NON_RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 400, 'type': 'ESTIMATED'}}
Updated at
2024-05-16

1 organization

1 product

2 indications

Product
SSRI