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High-Intensity, Low-Frequency Periodic rTMS Over the Right Dorsolateral Prefrontal Cortex on Cardiac Autonomic Regulation in Women With Recurrent Pregnancy Loss and Anxiety
MinorSecondary endpoints: details revised at 1 of 5 entriesv7
MinorPrimary completion pushed from Jun 22, 2026 to Jul 22, 2026
Study description shortened, about 6 words
v6
MinorEnrollment target: 46 to 48
Primary completion date changed from estimate of May 30, 2026 to Jun 22, 2026
Start date: Nov 17, 2025 to Nov 19, 2025
v5
MinorRe-verified, no change to tracked fieldsv4
MinorPrimary completion pushed from Apr 30, 2026 to May 30, 2026v3Show 5 more changesShow less
Study completion pushed from Apr 30, 2026 to Dec 30, 2026
Study sites: 2 to 3
Interventions: Rhythmic repetitive transcranial magnetic stimulation (rTMS) at 120% RMT, 1 Hz, 60-s cycles (Device) to Rhythmic repetitive transcranial magnetic stimulation (rTMS) at 120% RMT, 1 Hz, 60-s cycles (Device), Sham rhythmic repetitive transcranial…
Eligibility criteria expanded, about 82 words
Secondary endpoints revised (5)
NotableTrial status: Not Yet Recruiting to Recruitingv2Show 5 more changesShow less
Study sites: 1 to 2
Primary completion date: Apr 14, 2026 to Apr 30, 2026
Study completion date: Apr 20, 2026 to Apr 30, 2026
Start date changed from estimate of Nov 20, 2025 to Nov 17, 2025
Collaborators shortened, about 14 words
MinorStudy First Submitted
Stopped: an ongoing trial was terminated, suspended or withdrawn.
Notable: the trial’s plan changed such as a big move in its timeline or size, a new primary endpoint, sponsor or phase, or recruiting opened or resumed.
Minor: routine progress and housekeeping, such as sites added or enrollment closed.
The goal of this clinical trial is to determine whether high-intensity, low-frequency periodic repetitive transcranial magnetic stimulation (rTMS) applied to the right dorsolateral prefrontal cortex (DLPFC) can modulate cardiac autonomic regulation in women with recurrent pregnancy loss (RPL) and comorbid anxiety. The main questions it aims to answer are:
Does 120% resting motor threshold (RMT) rhythmic low-frequency rTMS reduce heart rate during stimulation time windows compared with sham stimulation?
Does 120% RMT rTMS alter heart-rate-variability (HRV) spectral power at the target frequency (0.0167 Hz) compared with sham stimulation?
Researchers will compare active rTMS with sham rTMS to determine whether the active intervention produces measurable changes in cardiac autonomic activity.
Participants will:
Undergo a single session of rTMS or sham stimulation consisting of 20 consecutive stimulation time windows (each 60 seconds: 40 seconds of 1-Hz stimulation plus 20 seconds of rest) targeting the right DLPFC;
Have continuous electrocardiography (ECG) recordings collected during the entire stimulation session;
Complete clinical and psychiatric assessments before participation.