<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20100615004191N3</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2018-02-06</date_registration>
      <primary_sponsor>Atieh Clinical Neuroscience Center</primary_sponsor>
      <public_title>The study of effectiveness repetitive transcranial magnetic stimulation (rTMS) on anhedonia and rumination in patients with major depression</public_title>
      <acronym></acronym>
      <scientific_title>The study of effectiveness of  repetitive transcranial magnetic stimulation (rTMS) on anhedonia, rumination with their related neural circuits in patients with major depression</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2016-12-21</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>60</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/29173</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Random allocation software was used for random sequence generation. The random allocation process was carried out by a researcher blinded to the random sequence in order to avoid bias in this field. SNOSE technique was used to hide it, Blinding description: In this study, participants and outcome evaluators are blinded to the study groups. The outcome evaluator performs the evaluation without knowing which intervention group the participant belongs to. According to the explanations stated in the informed consent, the participants are told that they are randomly assigned to the intervention groups and, if they are in the control group, after the completion of the test, they will undergo the same number of sessions considered for the other patients. In the control group, the participant will receive the sham TMS. That is, all the parameters are the same as the actual TMS group, except that coil angle is different. Therefore, the participants are blinded to the type of treatment they receive.</study_design>
      <phase>N/A</phase>
      <hc_freetext>major depression disorder.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Repetitive transcranial magnetic stimulation. Intervention 2: Control group: Sham repetitive transcranial magnetic stimulation.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Yes - There is a plan to make this available</results_IPD_plan>
      <results_IPD_description>What will be shared:
The information on the main outcome of the study can be shared.

When:
Access time: one year after the release of the results

To whom:
The researchers working in the academic institutions

Conditions:
The study data is available for writing meta-analysis.

Where to obtain:
To receive the data, the principal researcher of the project must be contacted via email
Reza Kazemi
email:rezakazemi@ut.ac.ir

How to obtain:
After receiving the application for documentation, if the conditions are met, the documentation will be submitted to the applicant by the principal researcher within a week

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Reza Kazemi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No 23, Vali-nezhad St, Above of vanak Sq</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1969713663</zip>
        <telephone>+98 21 8401 2138</telephone>
        <email>rezakazemi@ut.ac.ir</email>
        <affiliation>Atieh Clinical Neuroscience Center</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Reza Kazemi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No 23, Vali-nezhad St, Above of vanak Sq</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1969713663</zip>
        <telephone>+98 21 8401 2138</telephone>
        <email>rezakazemi@ut.ac.ir</email>
        <affiliation>Atieh Clinical Neuroscience Center</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Outpatients male and female with the range of 18-70 years of age
The diagnosis of Major depressive disorder according to DSM-V
Having BDI&gt;14
Having stable symptoms as defined by not requiring a change in medication for at least 4 weeks
Completion of consent form
Being under supervision of a psychiatrist</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>70 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>The history of rTMS treatment for any reason
Cardiac pacemaker
The risk of seizure with any reasons
Pregnancy
High risk of suicide
Intracranial implant and other ferromagnetic materials close to the head
co-morbidity with  disorders in axis I and II</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>F33</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Major depressive disorder, recurrent</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Devices</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Repetitive transcranial magnetic stimulation</i_keyword>
      <i_keyword>Control group: Sham repetitive transcranial magnetic stimulation</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Anhedonia. Timepoint: baseline, ten session. Method of measurement: Snaith-Hamilton Pleasure Scale (SHAPS).</prim_outcome>
      <prim_outcome>Rumination. Timepoint: baseline, ten session. Method of measurement: Ruminative Response Scale (RRS).</prim_outcome>
      <prim_outcome>Anhedonia network. Timepoint: baseline, ten session. Method of measurement: EEG.</prim_outcome>
      <prim_outcome>Default mode network. Timepoint: baseline, ten session. Method of measurement: EEG.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Score of depression. Timepoint: baseline, ten session. Method of measurement: Hamilton Depression Rating Scale.</sec_outcome>
      <sec_outcome>Score of anxiety. Timepoint: baseline, ten session. Method of measurement: Hamilton Anxiety Rating Scale.</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id>NCT03468686</sec_id>
        <issuing_authority>clinicaltrials.gov</issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Atieh Clinical Neuroscience Center</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2018-01-22</approval_date>
        <contact_name>Ethics committee of Iran University of Medical Sciences</contact_name>
        <contact_address>Iran University of Medical Sciences, Shahid Hemmat Highway Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
