CHAMGAP
APPROVEDReviewed and approved by the Chamgap Editorial Team (2026-08-18). The draft was written by AI, the existence of all 2 cited sources was verified at the original page, and the verdict passed blind grading and adversarial audit. Methodology v0.7.
Verdict No. 2863 · Search date 2026-08-18 · Methodology v0.7

H7-coil deep transcranial magnetic stimulation,
does it really help with Reduced six-week YBOCS score in treatment-resistant obsessive-compulsive disorder?

30-Second Summary
C
Evidence Grade C · 50 · Safety caution
OCD ratings improved, but daily function and durability remain unproven
Headache occurred in 37.5% with active and 35.3% with sham treatment; local, jaw, facial, or neck pain and discomfort may occur. No seizure occurred in the trial, but high-frequency TMS has a rare seizure risk requiring history, medication, and metallic-implant screening.
What the
research shows
The grade is C. In the 99-patient trial, the prespecified six-week YBOCS change favored active H7 dTMS over sham by 2.8 points (P=.01), effect size 0.69. At least 30% response occurred in 38.1% versus 11.1%, an absolute difference of 27.0 points. The primary endpoint was a symptom-rating score, functional disability did not differ significantly, and this was one Brainsway-funded trial under 200 patients and under 12 weeks, giving C with 50 points.
What the
ads claim
rTMS is used mainly for depression in Korea and discussed or offered for OCD, but the National Center for Mental Health lists QZ962 as noncovered at KRW 40,000 per session in 2026. Coverage and H7 OCD authorization therefore require institution-specific verification.
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Useful facts when choosing a product

  • Six-week full response was 16/42 (38.1%) versus 5/45 (11.1%).
  • Sheehan disability improved by 3.8 versus 3.0 points without a significant between-group difference.
  • Headache was 37.5% versus 35.3%; no seizure occurred, but seizure screening remains necessary.
Gap Measurement · Verdict 2863 · C 50
What advertising claims
What independent, higher-quality research supports
△ GAP
01

What the research actually shows

Eleven sites enrolled 100 people and the ITT sample included 99. Allocation used "a stratified randomization scheme using the random number generator in SAS, version 9.4" with a central web code. Sham used identical parameters and scalp sensation, and "Patients, operators, and raters were blind to treatment condition." Defect name: Small study. Listed item: Small study, total under 200. Original evidence that the requirement was met: "The ITT sample included 99 patients." Avoidability: Avoidable - enrollment could have exceeded 200. Defect name: Short study. Listed item: Short study, under 12 weeks. Original evidence that the requirement was met: the primary treatment phase was six weeks. Avoidability: Avoidable - at least 12 weeks of maintenance and functional follow-up could have been prespecified. Brainsway Ltd supported the study, and multiple authors disclosed company grants, roles, or financial interests.

02

Why this is classified as C (50)

YBOCS measures the OCD symptoms targeted by treatment. A moderate effect and response difference are limited by the 99-patient and six-week defects, manufacturer-only funding, and no independent replication, giving C with 50 points.

Counterpoint. Sham blinding was credible and the response signal was substantial. Independent replication and durable functional outcomes are still needed.

Rejudgment record. Direct source verification — Treatment-target OCD symptoms measured by YBOCS, credible sham blinding, moderate effect, 99 patients over six weeks, and one Brainsway-funded trial

Scoring profile behind this grade
EndpointPPatient-reported treatment goal - the symptom is the goal
ReplicationR1Single confirmatory trial
IndependenceI0Evidence comes only from manufacturer studies
Effect sizeE+Meets the clinically important threshold

The scoring table and the verdict agree (C).

Sub-claim grades by effect

This ingredient is marketed for several effects. A single overall grade blends strong and weak claims together, so each effect is graded separately here. The overall grade reflects the strongest disconfirming or core claim.

Effect (sub-claim)GradeBasis
Six-week YBOCS reductionCThe between-group change difference was 2.8 points, effect size 0.69.
Improved daily functioningDThe between-group Sheehan Disability Scale difference was not significant.

Cross-check — Codex and Claude

This verdict was drafted by Codex through literature review and source-existence checks, cross-checked through blind grading and adversarial audit, and settled by reapplying the methodology boundary rules. Cases with split grades were resolved through rejudgment.
03

Evidence Table

StudyDesignSampleFundingEndpointResultWeight
Study 1Eleven-center randomized double-blind sham-controlled trial94Supported by Brainsway Ltd, with company grants, roles, and financial interests disclosedChange in YBOCS score from baseline to the six-week posttreatment assessmentBetween-group change difference 2.8 points (P=.01), effect size 0.69; 30% response 38.1% versus 11.1%, absolute difference 27.0 pointsPositive sham-blinded evidence limited by small short manufacturer-only study and a score endpoint
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Receipt — 2 References

All 2 cited sources were verified for existence at the original page (as of 2026-08-18).

Carmi L, Tendler A, Bystritsky A, et al. Efficacy and Safety of Deep Transcranial Magnetic Stimulation for Obsessive-Compulsive Disorder: A Prospective Multicenter Randomized Double-Blind Placebo-Controlled Trial. Am J Psychiatry. 2019;176(11):931-938. PMID: 31109199. DOI: 10.1176/appi.ajp.2019.18101180.
checked
Reference 2
checked
Draft and rewrite: Codex (AI) · Verification: Codex blind grading and adversarial audit · Final adjudication: Claude
Reviewed and approved: Chamgap Editorial Team · Approval date: 2026-08-18 · Corrections: none

Cite this verdict

H7 Deep Transcranial Magnetic Stimulation Benefits Treatment-Resistant Obsessive-Compulsive Disorder by Reducing YBOCS Scores Evidence Grade C card
[Chamgap] H7 Deep Transcranial Magnetic Stimulation Benefits Treatment-Resistant Obsessive-Compulsive Disorder by Reducing YBOCS Scores — Evidence Grade C·50. 2 cited sources checked. Source: https://chamgap.com/en/verdicts/mood/h7-deep-tms-treatment-resistant-ocd-ybocs/ · CC BY 4.0

CC BY 4.0 — free to use with attribution; do not distort grades, numbers, or verdict meaning.

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