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Tendler A, Goerigk S, Zibman S, Ouaknine S, Harmelech T, Pell GS, Zangen A, Harvey SA, Grammer G, Stehberg J, Adefolarin O, Muir O, MacMillan C, Ghelber D, Duffy W, Mania I, Faruqui Z, Munasifi F, Antin T, Padberg F, Roth Y. Deep TMS H1 Coil treatment for depression: Results from a large post marketing data analysis. Psychiatry Res 2023; 324:115179. [PMID: 37030054 DOI: 10.1016/j.psychres.2023.115179] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Revised: 03/05/2023] [Accepted: 03/07/2023] [Indexed: 04/10/2023]
Abstract
Phase IV study evaluated Deep TMS for major depression in community settings. Data were aggregated from 1753 patients at 21 sites, who received Deep TMS (high frequency or iTBS) using the H1 coil. Outcome measures varied across subjects and included clinician-based scales (HDRS-21) and self-assessment questionnaires (PHQ-9, BDI-II). 1351 patients were included in the analysis, 202 received iTBS. For participants with data from at least 1 scale, 30 sessions of Deep TMS led to 81.6% response and 65.3% remission rate. 20 sessions led to 73.6% response and 58.1% remission rate. iTBS led to 72.4% response and 69.2% remission. Remission rates were highest when assessed with HDRS (72%). In 84% of responders and 80% of remitters, response and remission was sustained in the subsequent assessment. Median number of sessions (days) for onset of sustained response was 16 (21 days) and for sustained remission 17 (23 days). Higher stimulation intensity was associated with superior clinical outcomes. This study shows that beyond its proven efficacy in RCTs, Deep TMS with the H1 coil is effective for treating depression under naturalistic conditions, and the onset of improvement is usually within 20 sessions. However, initial non-responders and non-remitters benefit from extended treatment.
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Affiliation(s)
- Aron Tendler
- The Department of Life Sciences and the Zlotowski Center for Neuroscience, Ben-Gurion University of the Negev, Beer-Sheva, Israel; BrainsWay Ltd, Israel.
| | - Stephan Goerigk
- Department of Psychiatry and Psychotherapy, LMU University Hospital, Munich, Federal Republic of Germany; Department of Psychological Methodology and Assessment, Ludwig-Maximilians-University, Leopoldstraße 13, Munich 80802, Federal Republic of Germany; Charlotte Fresenius Hochschule, Infanteriestraße 11A, 80797, Munich, Federal Republic of Germany
| | - Samuel Zibman
- The Department of Life Sciences and the Zlotowski Center for Neuroscience, Ben-Gurion University of the Negev, Beer-Sheva, Israel; BrainsWay Ltd, Israel
| | - Salomé Ouaknine
- BrainsWay Ltd, Israel; Mines Paris, PSL University, Paris 75006, France
| | | | - Gaby S Pell
- The Department of Life Sciences and the Zlotowski Center for Neuroscience, Ben-Gurion University of the Negev, Beer-Sheva, Israel; BrainsWay Ltd, Israel
| | - Abraham Zangen
- The Department of Life Sciences and the Zlotowski Center for Neuroscience, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Steven A Harvey
- Greenbrook TMS Neurohealth, 16091 Swingley Ridge Rd. Suite 100, Chesterfield, MO 63017, USA
| | - Geoffrey Grammer
- Greenbrook TMS Neurohealth, 16091 Swingley Ridge Rd. Suite 100, Chesterfield, MO 63017, USA
| | - Jimmy Stehberg
- NeuroMagnetics SA, Chile; Neurobiology Lab Institute of Biomedical Sciences, Faculty of Medicine and Faculty of Life Sciences, Universidad Andres Bello Lab, Chile
| | | | - Owen Muir
- Fermata Health, 58 N 9th St. Suite 13, Brooklyn, NY 11249, USA
| | | | - Diana Ghelber
- Institute for Advanced Psychiatry, 6800 Harris Parkway, Suite 200, Fort Worth, TX 76132, USA
| | - Walter Duffy
- Alivation Health and Alivation Research, 8550 Cuthills Circle, Lincoln, NE 68526, USA
| | - Irakli Mania
- Keystone Health, 110 Chambers Hill Drive, Chambersburg, PA 17201, USA
| | - Zeeshan Faruqui
- Keystone Health, 110 Chambers Hill Drive, Chambersburg, PA 17201, USA
| | - Faisal Munasifi
- Tallahassee Brain Stimulation Center, LLC 1407 MD Lane, Tallahassee, FL 32308, USA
| | - Todd Antin
- PACT Atlanta LLC, 465 Winn Way, Suite 221, Decatur, GA 30030, USA
| | - Frank Padberg
- Department of Psychiatry and Psychotherapy, LMU University Hospital, Munich, Federal Republic of Germany
| | - Yiftach Roth
- The Department of Life Sciences and the Zlotowski Center for Neuroscience, Ben-Gurion University of the Negev, Beer-Sheva, Israel; BrainsWay Ltd, Israel.
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