Impulsive BehaviorNCT01805401
tDCS Applied to the OFC: Effects on Decision-Making and Impulse Control
A study testing Transcranial Direct Current Stimulation in people with Impulsive Behavior and Suicidal Impulses, run by Douglas Mental Health University Institute at 1 site in Canada.
Trial summary
In this study the investigators aim to assess whether transcranial direct current stimulation (tDCS; a safe and non-invasive method for modulating the activity of specific brain regions) when applied over the orbitofrontal cortex (OFC) is able to modulate decision-making and impulse control in healthy participants. Read more about this study
- Who is it for?
- Ages 18 to 60 yearsHealthy volunteers can take part
- Conditions the study is for
- Impulsive Behavior, Suicidal Impulses
- What is being tested?
- Transcranial Direct Current Stimulation
- Type of treatment
- Medical device
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 45 participants
- Where
- 1 siteCanada
- Study dates
- Jan 2013to Mar 2014
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 60 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Men or women aged 18 to 60 years
Who cannot join
- Presence any psychiatric and/or neurological illness
- Psychoactive substance abuse/dependence in the past 6 months
- Current use of medication(s) that might influence cognition and/or affective status
- Presence of an uncontrolled medical disease (e.g., cardiovascular, renal)
- Pregnancy and/or lactation
- Specific contraindication for tDCS (e.g., metallic head implant).
Trial locations and contacts
1 site in 1 country.
Canada1 site
Neuromodulation Research Clinic, Douglas Mental Health University Institute
Montreal, Quebec, H4H1R3
About this study
Official title: Modulating Decision-Making and Impulse Control With Transcranial Direct Current Stimulation (tDCS) Over the Orbitofrontal Cortex (OFC): A Randomized and Sham-Controlled Study
In this study the investigators aim to assess whether transcranial direct current stimulation (tDCS; a safe and non-invasive method for modulating the activity of specific brain regions) when applied over the orbitofrontal cortex (OFC) is able to modulate decision-making and impulse control in healthy participants.
Read the detailed description
In this single-blind, three-arm and sham-controlled study, we will assess whether transcranial direct current stimulation (tDCS; a safe and non-invasive method for modulating the activity of specific brain regions) when applied over the orbitofrontal cortex (OFC) is able to modulate decision-making and impulse control in healthy volunteers. We hypothesize that tDCS applied to the OFC, in comparison to sham tDCS, will significantly enhance decision-making and impulse control. For this study we will enroll 45 healthy individuals aged 18-60 years. These individuals will be assessed with a battery of computerized tasks as well as clinician-administered and self-reported questionnaires on depression and anxiety. Assessments will be carried out before and after a single 30-minute tDCS session.
- Conditions
- Impulsive Behavior, Suicidal Impulses
- Being tested
- Transcranial Direct Current Stimulation
- Keywords
- Decision-making, Impulse control, Transcranial direct current stimulation, Brain stimulation, Neuromodulation, tDCS, Iowa Gambling Task, Stroop Word-Color Task
- Medical subject headings
- Impulsive Behavior
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Transcranial Direct Current StimulationDevice
Also called tDCS, Brain Polarization
Anode placed over the OFC or the DLPFC and cathode placed over the occipital region
| Study group | Role | What they receive |
|---|---|---|
| Left OFC Group | Experimental | Anode applied to the left OFC and cathode applied to the right OFC Receives: Device: Transcranial Direct Current Stimulation |
| Right OFC Group | Experimental | Anode applied to the right OFC and cathode applied to the left OFC Receives: Device: Transcranial Direct Current Stimulation |
| Sham tDCS | Sham comparator | Not described Receives: Device: Transcranial Direct Current Stimulation |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in the net score of the Iowa Gambling Task
Measured: Before and after a 30-minute tDCS session
Secondary outcomes (5)
Change in the "average-adjusted number of pumps" in the Balloon Analog Risk Task
Measured: Before and after a 30-minute tDCS session
Change in the number of risky choices in the Game of Dice Task
Measured: Before and after a 30-minute tDCS session
Change in the number of commission errors in the Continuous Performance Task
Measured: Before and after a 30-minute tDCS session
Change in the interference index in the Stroop Color-Word Test
Measured: Before and after a 30-minute tDCS session
Change in the stop-signal reaction time in the Stop-Signal Task
Measured: Before and after a 30-minute tDCS session
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Mar 2013 (estimated)
- Study startJan 2013
- Primary completionMar 2014
- Study completionMar 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Impulsive BehaviorStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 45 participants (actual)
Sponsor and investigators
- Lead sponsor
- Douglas Mental Health University Institute
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, MARCELO T. BERLIM, Douglas Mental Health University Institute
- Investigators
- Marcelo Berlim, MD, MSc, Principal investigator, Neuromodulation Research Clinic, Douglas Institute
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01805401
- Sponsor's protocol ID
- REB-11/42
- Other IDs
- 2012 YIA
- Status last verified
- Oct 2014
- First submitted
- 16 Jan 2013
- Last updated
- 6 Oct 2014
- Results posted
- No
- Data monitoring committee
- No
Publications
Beeli G, Casutt G, Baumgartner T, Jancke L. Modulating presence and impulsiveness by external stimulation of the brain. Behav Brain Funct. 2008 Aug 4;4:33. doi: 10.1186/1744-9081-4-33.
PubMed 18680573Boggio PS, Campanha C, Valasek CA, Fecteau S, Pascual-Leone A, Fregni F. Modulation of decision-making in a gambling task in older adults with transcranial direct current stimulation. Eur J Neurosci. 2010 Feb;31(3):593-7. doi: 10.1111/j.1460-9568.2010.07080.x. Epub 2010 Jan 25.
PubMed 20105234Fecteau S, Pascual-Leone A, Zald DH, Liguori P, Theoret H, Boggio PS, Fregni F. Activation of prefrontal cortex by transcranial direct current stimulation reduces appetite for risk during ambiguous decision making. J Neurosci. 2007 Jun 6;27(23):6212-8. doi: 10.1523/JNEUROSCI.0314-07.2007.
PubMed 17553993Hecht D, Walsh V, Lavidor M. Transcranial direct current stimulation facilitates decision making in a probabilistic guessing task. J Neurosci. 2010 Mar 24;30(12):4241-5. doi: 10.1523/JNEUROSCI.2924-09.2010.
PubMed 20335459Sela T, Kilim A, Lavidor M. Transcranial alternating current stimulation increases risk-taking behavior in the balloon analog risk task. Front Neurosci. 2012 Feb 14;6:22. doi: 10.3389/fnins.2012.00022. eCollection 2012.
PubMed 22347844
Study at a glance
From the registry record, last updated by the sponsor on 6 Oct 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Modulating Decision-Making and Impulse Control With Transcranial Direct Current Stimulation (tDCS) Over the Orbitofrontal Cortex (OFC): A Randomized and Sham-Controlled Study
- ClinicalTrials.gov ID
- NCT01805401
- Acronym / sponsor ID
- REB-11/42
- Conditions
- Impulsive Behavior, Suicidal Impulses
- Keywords
- Decision-making, Impulse control, Transcranial direct current stimulation, Brain stimulation, Neuromodulation, tDCS, Iowa Gambling Task, Stroop Word-Color Task
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 45 participants (actual)
- Lead sponsor
- Douglas Mental Health University InstituteUniversity, hospital or other
- Study start
- Jan 2013
- Primary completion
- Mar 2014 (actual)
- Study completion
- Mar 2014 (actual)
- First posted
- 6 Mar 2013 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
In this study the investigators aim to assess whether transcranial direct current stimulation (tDCS; a safe and non-invasive method for modulating the activity of specific brain regions) when applied over the orbitofrontal cortex (OFC) is able to modulate decision-making and impulse control in healthy participants.
Detailed description
In this single-blind, three-arm and sham-controlled study, we will assess whether transcranial direct current stimulation (tDCS; a safe and non-invasive method for modulating the activity of specific brain regions) when applied over the orbitofrontal cortex (OFC) is able to modulate decision-making and impulse control in healthy volunteers. We hypothesize that tDCS applied to the OFC, in comparison to sham tDCS, will significantly enhance decision-making and impulse control. For this study we will enroll 45 healthy individuals aged 18-60 years. These individuals will be assessed with a battery of computerized tasks as well as clinician-administered and self-reported questionnaires on depression and anxiety. Assessments will be carried out before and after a single 30-minute tDCS session.
Study design
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Left OFC Group | Experimental | Device: Transcranial Direct Current StimulationAnode applied to the left OFC and cathode applied to the right OFC |
| Right OFC Group | Experimental | Device: Transcranial Direct Current StimulationAnode applied to the right OFC and cathode applied to the left OFC |
| Sham tDCS | Sham comparator | Device: Transcranial Direct Current Stimulation |
Who may qualify
- Ages
- 18 to 60 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (1 listed)
- Men or women aged 18 to 60 years
Key exclusion criteria (6 listed)
- Presence any psychiatric and/or neurological illness
- Psychoactive substance abuse/dependence in the past 6 months
- Current use of medication(s) that might influence cognition and/or affective status
- Presence of an uncontrolled medical disease (e.g., cardiovascular, renal)
- Pregnancy and/or lactation
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Transcranial Direct Current StimulationAlso: tDCS, Brain PolarizationAnode placed over the OFC or the DLPFC and cathode placed over the occipital region | Device | Left OFC Group, Right OFC Group, Sham tDCS |
Primary outcome
Change in the net score of the Iowa Gambling Task
Time frame: Before and after a 30-minute tDCS session
5 secondary outcomes
Change in the "average-adjusted number of pumps" in the Balloon Analog Risk Task
Time frame: Before and after a 30-minute tDCS session
Change in the number of risky choices in the Game of Dice Task
Time frame: Before and after a 30-minute tDCS session
Change in the number of commission errors in the Continuous Performance Task
Time frame: Before and after a 30-minute tDCS session
Change in the interference index in the Stroop Color-Word Test
Time frame: Before and after a 30-minute tDCS session
Change in the stop-signal reaction time in the Stop-Signal Task
Time frame: Before and after a 30-minute tDCS session
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Oct 2014.
- Background: PubMed 18680573Beeli G, Casutt G, Baumgartner T, Jancke L. Modulating presence and impulsiveness by external stimulation of the brain. Behav Brain Funct. 2008 Aug 4;4:33. doi: 10.1186/1744-9081-4-33.
- Background: PubMed 20105234Boggio PS, Campanha C, Valasek CA, Fecteau S, Pascual-Leone A, Fregni F. Modulation of decision-making in a gambling task in older adults with transcranial direct current stimulation. Eur J Neurosci. 2010 Feb;31(3):593-7. doi: 10.1111/j.1460-9568.2010.07080.x. Epub 2010 Jan 25.
- Background: PubMed 17553993Fecteau S, Pascual-Leone A, Zald DH, Liguori P, Theoret H, Boggio PS, Fregni F. Activation of prefrontal cortex by transcranial direct current stimulation reduces appetite for risk during ambiguous decision making. J Neurosci. 2007 Jun 6;27(23):6212-8. doi: 10.1523/JNEUROSCI.0314-07.2007.
- Background: PubMed 20335459Hecht D, Walsh V, Lavidor M. Transcranial direct current stimulation facilitates decision making in a probabilistic guessing task. J Neurosci. 2010 Mar 24;30(12):4241-5. doi: 10.1523/JNEUROSCI.2924-09.2010.
- Background: PubMed 22347844Sela T, Kilim A, Lavidor M. Transcranial alternating current stimulation increases risk-taking behavior in the balloon analog risk task. Front Neurosci. 2012 Feb 14;6:22. doi: 10.3389/fnins.2012.00022. eCollection 2012.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Marcelo Berlim, MD, MSc principal investigator
Neuromodulation Research Clinic, Douglas Institute
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Transcranial Direct Current Stimulation in people with Impulsive Behavior and Suicidal Impulses, run by Douglas Mental Health University Institute at 1 site in Canada.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 6 Oct 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in the net score of the Iowa Gambling Task (time frame: Before and after a 30-minute tDCS session). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01805401, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Oct 2014.