Evidence map›Paper›PMID 42225548›Full record

Trial reportNeuropsychopharmacology reports2026

A Preliminary Open-Label Pilot Study of a Pillow-Based ELF-ELME (Extremely Low-Frequency, Extremely Low Magnetic Environment) Intervention for Major Depressive Disorder.

Ibuki Tomita, Masako Tachibana, Yoshihiro Nawa, Mikako Ito, Fumie Kinoshita, Yachiyo Kuwatsuka, Daisuke Mori, Masashi Ikeda, Kinji Ohno, Toshiya Inada

Abstract readClinical Trial
In one paragraph

Trial report in Neuropsychopharmacology reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Ibuki TomitaDepartment of Psychiatry, Nagoya University Graduate School of Medicine, Nagoya-shi, Japan.ORCID https://orcid.org/0009-0008-2924-294X
Masako TachibanaDepartment of Psychiatry, Nagoya University Hospital, Nagoya-shi, Japan.ORCID https://orcid.org/0000-0003-4437-0065
Yoshihiro NawaDepartment of Psychiatry, Nagoya University Hospital, Nagoya-shi, Japan.ORCID https://orcid.org/0000-0003-3164-2519
Mikako ItoDivision of Neurogenetics, Center for Neurological Diseases and Cancer, Nagoya University Graduate School of Medicine, Nagoya-shi, Japan.ORCID https://orcid.org/0000-0002-1351-7602
Fumie KinoshitaDepartment of Advanced Medicine, Nagoya University Hospital, Nagoya-shi, Japan.ORCID https://orcid.org/0000-0002-3008-0748
Yachiyo KuwatsukaDepartment of Advanced Medicine, Nagoya University Hospital, Nagoya-shi, Japan.ORCID https://orcid.org/0000-0001-6092-3948
Daisuke MoriBrain and Mind Research Center, Nagoya University, Nagoya-shi, Japan.ORCID https://orcid.org/0000-0002-9072-2546
Masashi IkedaDepartment of Psychiatry, Nagoya University Graduate School of Medicine, Nagoya-shi, Japan.ORCID https://orcid.org/0000-0001-6237-2449
Kinji OhnoDivision of Neurogenetics, Center for Neurological Diseases and Cancer, Nagoya University Graduate School of Medicine, Nagoya-shi, Japan.ORCID https://orcid.org/0000-0002-1529-2750
Toshiya InadaDepartment of Psychiatry, Nagoya University Graduate School of Medicine, Nagoya-shi, Japan.ORCID https://orcid.org/0000-0002-8427-5639

Funding

Japan Society for the Promotion of Science JP23K06412Japan Society for the Promotion of Science JP23K18273Japan Society for the Promotion of Science JP25K19076Nagoya University Hospital
6 · The paper itself

Abstract

backgroundMitochondrial dysfunction has been implicated in the pathogenesis of depression. Major depressive disorder (MDD) is a prevalent condition with substantial individual and societal burden. A novel approach-exposure to an extremely low-frequency, extremely low magnetic environment (ELF-ELME)-has shown promise. This preliminary study builds on a previous trial using a head-mounted ELF-ELME device and explores the potential efficacy and safety of a pillow-based ELF-ELME device in patients with MDD.

methodsIn this preliminary open-label pilot study, four patients with MDD were treated using a pillow-based ELF-ELME device (10 μTesla, 4 ms, 1-8 Hz/8 s) for 2 h daily over 8 weeks. The primary outcome was change in Montgomery-Åsberg Depression Rating Scale (MADRS) scores from baseline to Week 8. Artificial Intelligence-based MADRS (AI-MADRS) scores were also assessed.

resultsTotal MADRS scores showed a unidirectional decrease from baseline (33.8 ± 7.3) to Week 8 (21.5 ± 8.7; p = 0.050, FDR = 0.067), and no time point reached statistical significance after FDR correction. In contrast, AI-MADRS scores significantly decreased from baseline (34.0 ± 8.3) to Week 8 (19.8 ± 6.8; p = 0.040). No serious adverse events were reported.

conclusionThese preliminary findings suggest that an 8-week course of pillow-based ELF-ELME intervention may have potential to alleviate depressive symptoms in patients with MDD. However, given the small sample size and open-label design, the results should be interpreted with caution. Larger controlled studies are warranted to confirm these findings.

trial registrationjRCT number: jRCTs042240061; https://jrct.mhlw.go.jp/en-latest-detail/jRCTs042240061.

Indexed as

Magnetic Field TherapyMajor Depressive DisorderAdultFemaleHumansMaleMiddle AgedPilot ProjectsPreliminary DataPsychiatric Status Rating ScalesTreatment OutcomeELF‐ELMEmajor depressive disordermitochondrial dysfunctionneuromodulationopen‐label trial

Identifiers

PMID42225548
PMCPMC13238718

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.