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Trial registered on ANZCTR
Registration number
ACTRN12609000393257
Ethics application status
Approved
Date submitted
10/05/2009
Date registered
1/06/2009
Date last updated
25/01/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
A comparison of repetitive transcranial magnetic stimulation protocols in healthy volunteers for use in neurological disorders.
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Scientific title
The effects of frequency and amplitude of low frequency repetitive transcranial magnetic stimulation of the motor cortex on motor evoked potentials, simple motor reaction times and strength in healthy human volunteers: a study to improve magnetic brain stimulation as a treatment for neurological disorders, especially stroke.
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Secondary ID [1]
288415
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Neurological conditions, especially stroke
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Condition category
Condition code
Stroke
237238
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0
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Ischaemic
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Repetitive transcranial magnetic stimulation (rTMS) will be performed with a Magstim Rapid2 stimulator using a 70 mm figure of 8 coil over the right motor cortex and will involve stimulation at frequencies of 1, 0.2 or 0.05 Hz and at amplitude of 80% or 110% of resting motor threshold (RMT) lasting 10 minutes.
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Intervention code [1]
236680
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Treatment: Devices
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Comparator / control treatment
Repetitive Transcranial Magnetic Stimulation (rTMS) will be used at 3 frequencies (1, 0.2 and 0.05 Hz) and two amplitudes (Low - 80% of RMT and High - 110% of RMT.
There will be a cross over design with at least one week between treatments.
Arm 1: rTMS at 1 hz and amplitude 80% RMT
Arm 2. rTMS at 1 Hz and amplitude 110% RMT
Arm 3. rTMS at 0.2 Hz and amplitude 80% RMT
Arm 4. rTMS at 0.2 Hz and amplitude 110% RMT
Arm 5. rTMS at 0.05 Hz and amplitude 80% RMT
Arm 6. rTMS at 0.05 Hz and amplitude 110% RMT
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Control group
Dose comparison
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Outcomes
Primary outcome [1]
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Simple motor reaction times; based on pressing a key on a computer keyboard in response to a visual stimulus (green circle), using ePrime software.
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Assessment method [1]
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Timepoint [1]
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Immediately after rTMS, 30 minutes post TMS
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Primary outcome [2]
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Motor evoked potential amplitude using Magstim Rapid2 stimulator at 110% RMT and recording with surface electrodes over the left first dorsal interosseus muscle.
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Assessment method [2]
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Timepoint [2]
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Immediately following rTMS
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Primary outcome [3]
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Cortical silent period, measured as for motor evoked potential amplitude, with participant contracting the first dorsal interosseus at 15% of peak voluntary contraction.
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Assessment method [3]
5868
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Timepoint [3]
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Immediately following rTMS
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Secondary outcome [1]
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Strength: peak contraction as recorded on handgrip and pinchgrip manometers
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Assessment method [1]
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Timepoint [1]
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Immediately after rTMS, 30 minutes post rTMS
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Eligibility
Key inclusion criteria
Healthy volunteers
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Minimum age
45
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Neurological disease
Epilepsy
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Healthy volunteers will be recruited and each will receive 4 out of 6 possible combinations of TMS amplitude and frequency.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Williams design
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
13/05/2009
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Actual
13/05/2009
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Date of last participant enrolment
Anticipated
30/06/2010
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Actual
16/10/2009
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
16
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Accrual to date
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Final
20
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Recruitment outside Australia
Country [1]
1746
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New Zealand
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State/province [1]
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Otago
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Healthcare Otago Charitable Trust
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Address [1]
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Dunedin Hospital
P O Box 1921
Dunedin 9054
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Country [1]
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New Zealand
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Primary sponsor type
Individual
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Name
Graeme Hammond-Tooke
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Address
Department of Medical and Surgical Sciences
University of Otago
PO Box 913
Dunedin 9054
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Country
New Zealand
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Secondary sponsor category [1]
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University
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Name [1]
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University of Otago
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Address [1]
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PO Box 913
Dunedin 9054
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Country [1]
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Lower South Regional Ethics Committee
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Ethics committee address [1]
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P O Box 5849 Dunedin 9054
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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Approval date [1]
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16/04/2009
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Ethics approval number [1]
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LRS/09/03/006
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Summary
Brief summary
Healthy volunteers will be treated with 10 minutes of repetitive transcranial magnetic stimulation of the motor cortex using 3 different (low) frequencies and 2 different amplitudes. Simple motor reaction times and motor evoked potentials will be studied immediately before and after, and after 30 minutes. The aim is to ascertain the optimal protocol for modifying the excitability of the motor cortex in neurological disorders.
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Trial website
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Trial related presentations / publications
The study has not been published. in full. Some of the data was presented at 29th International Congress of Clinical Neurophysiology, Kobe, Japan, November 2010: G.D. Hammond-Tooke, J. Heaton, F. Tallabs Grajeda, K. Endo, P. Herbison, E.A. Franz. Modification of ipsilateral reaction times by 1Hz repetitive transcranial magnetic stimulation of the motor cortex. Clinical Neurophysiology, Volume 121, Supplement 1, October 2010, Page S224. P20-20.
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Graeme Hammond-Tooke
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Address
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Department of Medicine
University of Otago
PO Box 516
Dunedin 9054
New Zealand
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Country
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New Zealand
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Phone
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64 3 474099
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Graeme Hammond-Tooke
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Address
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Department of Medicine
University of Otago
PO Box 516
Dunedin 9054
New Zealand
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Country
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New Zealand
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Phone
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64 3 474 0999
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Fax
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64 3 4709656
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Email
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[email protected]
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Contact person for scientific queries
Name
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Graeme Hammond-Tooke
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Address
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Department of Medicine
University of Otago
PO Box 516
Dunedin 9054
New Zealand
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Country
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New Zealand
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Phone
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64 3 474 0999
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Fax
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64 3 4709656
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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