TMS FDA Approval Timeline and Key Studies

Key Study: O’Reardon et al., 2007

In a randomized, controlled trial published in Biological Psychiatry, researchers found that patients treated with TMS experienced significantly greater improvement in depression symptoms compared to those receiving a placebo. This study was foundational in the FDA’s decision to approve TMS for depression, as it demonstrated both safety and efficacy with a high response rate in patients who had previously found no relief with medication.

FDA Decision Date: October 2008

The FDA authorized the use of TMS for adult patients with TRD based on evidence showing TMS was safe and well-tolerated, with benefits that extended beyond the treatment period.

Key Study: Levkovitz et al., 2015

This study, published in The World Journal of Biological Psychiatry, tested Deep TMS’s impact on patients with depression and confirmed that the new system was safe and effective. Deep TMS showed promising results, with many patients experiencing a rapid reduction in symptoms, which contributed to its FDA approval.

FDA Decision Date: January 2013

The FDA approved Brainsway’s Deep TMS system for MDD, expanding treatment options
for patients and introducing a new device that could target brain regions more effectively.

Key Study: Carmi et al., 2019

Published in The American Journal of Psychiatry, this study evaluated the effects of Deep TMS on patients with OCD, showing a significant reduction in symptom severity after treatment. Patients treated with TMS experienced improvements that were maintained over time, supporting TMS’s efficacy for OCD.

FDA Decision Date: August 2018

This approval expanded TMS’s use, providing a new treatment option for individuals with OCD who had not found relief from traditional therapies.

Key Study: Dinur-Klein et al., 2014

This early study, published in Biological Psychiatry, demonstrated TMS’s effectiveness in reducing cigarette cravings and consumption in smokers. Patients undergoing TMS therapy were able to maintain reduced smoking rates, and the findings contributed to TMS’s approval as a tool for smoking cessation.

FDA Decision Date: August 2021

The FDA approved TMS as a smoking cessation aid, allowing it to be offered as a treatment for individuals seeking help in quitting smoking, marking another significant milestone in TMS’s medical applications.

Safety and Reliability

Every FDA approval requires strict testing and evidence of safety and efficacy. TMS has consistently met these standards, providing patients with peace of mind.

Non-Invasive and Minimal Side Effects

Unlike medications, TMS does not cause systemic side effects, making it a great option for those who are sensitive to or unable to take antidepressants. Side effects of TMS are generally mild and temporary, including possible headaches or scalp discomfort.

Effective for Treatment-Resistant Conditions

TMS is especially beneficial for people with treatment-resistant depression and OCD. Studies show that TMS can achieve significant symptom relief, even when other treatments have failed.

Ongoing Research and Expanding Approvals

The FDA continues to review and approve new applications for TMS, showing that its benefits may extend even further. Patients can expect TMS technology to advance as research uncovers new ways it can support mental health and wellness.

Is TMS covered by insurance?

Yes, most insurance companies cover TMS for depression, particularly for individuals who have tried multiple antidepressants without success. Coverage varies by provider and condition, so check with your insurance for specific details.

How long does a typical TMS session take?

A typical TMS session lasts around 20-40 minutes. Treatment usually involves daily sessions for several weeks, depending on the individual’s treatment plan.

Are there any serious side effects with TMS?

TMS is generally well-tolerated, with few side effects. Some patients may experience mild headaches or scalp discomfort, but these usually subside after the first few sessions. Serious side effects are extremely rare.

Who qualifies for TMS therapy?

Candidates for TMS therapy include those with major depressive disorder who have not responded to at least one antidepressant. Individuals with OCD or who are looking to quit
smoking may also qualify.