Autism Spectrum DisorderNCT03255837
tDCS on Working Memory (WM) in Adults With ASD
A study testing Transcranial direct current stimulation (tDCS) in people with Autism Spectrum Disorder, run by NHS Greater Glasgow and Clyde at 1 site in United Kingdom.
Trial summary
This study will involve an experiment in individuals with Autism Spectrum Disorder (ASD) comparing their performance on a working memory task before, during and after non-invasive brain stimulation (tDCS) compared to a control group in a 3x3 factorial design. Read more about this study
- Who is it for?
- Ages 18 to 35 years, men only
- Conditions the study is for
- Autism Spectrum Disorder
- What is being tested?
- Transcranial direct current stimulation (tDCS)
- Type of treatment
- Medical device
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 50 participants
- Where
- 1 siteUnited Kingdom
- Study dates
- 26 Feb 2018to 21 Dec 2018
- 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 35 years
- Men only
- No healthy volunteers
- Adult
Who may be able to join
- clinical diagnosis of ASD
- right handed
- speaks English fluently
- normal vision or corrected to normal
- passing tDCS safety screening
Who cannot join
- participants who do not understand verbal or written English (i.e would be in need of translators)
- participants that have ever suffered from epilepsy, febrile convulsions in infancy or had recurrent fainting spells
- family history of epilepsy
- has a heart pacemaker, cochlear implant, medication pump, surgical clips
- has drunk more than 3 units of alcohol in the last 24 hours
- suffers from migraines
Show all 12Show fewer
- metal in the head, implanted brain medical devices
- has undergone a neurosurgical procedure
- has had more than one cup of coffee, or other sources of caffeine in the last hour
- taking any unprescribed or prescribed medication that might effect tDCS
- medications or psychoactive drugs that can lower seizure threshold [imipramine, amitriptyline, doxepine, nortriptyline, maprotiline, chlorpromazine, clozapine, foscarnet, ganciclovir, ritonavir, amphetamines, cocaine, (MDMA, ecstasy), phencyclidine (PCP, angel dust), ketamine, gamma-hydroxybutyrate (GHB), alcohol, theophylline]
- withdrawal from alcohol, barbiturates, benzodiazepines, meprobamate, chloral hydrate
Trial locations and contacts
1 site in 1 country.
About this study
Official title: A Single Blind, Randomized Controlled Trial of Anodal Transcranial Direct-current Stimulation (tDCS) Against Cathodal and Sham Stimulation in Adults With High-Functioning Autism
This study will involve an experiment in individuals with Autism Spectrum Disorder (ASD) comparing their performance on a working memory task before, during and after non-invasive brain stimulation (tDCS) compared to a control group in a 3x3 factorial design. How the stimulation affects performance on the task will be assessed, along with the impact of the intervention on the individuals.
Read the detailed description
Many studies have examined working memory in people with autism spectrum disorder as working memory deficits in individuals with autism spectrum disorder leads to multiple difficulties associated with behaviour regulation, cognitive flexibility, abstract thinking, and focusing and sustaining attention. Evidence suggests that transcranial Direct Current Stimulation on the left dorsolateral prefrontal cortex leads to an increase in working memory performance in typically developing individuals. This may have important benefits for people with autism spectrum disorder since autism spectrum disorder is known to be associated with working memory deficiencies. This study will build on a pilot study conducted in 2014, the experiment tested participants working memory scores on an N-back test, after receiving anodal (positive stimulation) stimulation for 15 minutes over the left dorsolateral prefrontal cortex. This task requires the participant to perform multiple cognitive operations, including encoding of new stimuli, updating and maintaining past stimuli, and recognising and responding to whether each new stimulus matches the three-back stimulus. Participants are presented with a random set of ten letters (from A-Z). A different letter will be displayed every 2s, participants will be required to respond (key press 1) if the presented letter was the same as the letter presented three stimuli previously (a target). If it was not a target, participants were required to respond with key press 2. In this test, a total of 30 correct responses are possible. Participants will perform the task three times to reduce variability. Accuracy (number of correct responses), error rate (number of incorrect responses), and reaction time (interval between target presentation and pressing 1 or 2) will be recorded. Based on the findings from the pilot study, a full study will be conducted to investigate the effects of anodal transcranial Direct Current Stimulation on adults with high-functioning autism, as well as test whether the effects of transcranial Direct Current Stimulation on dorsolateral prefrontal cortex is dependent on polarity (anodal versus cathodal (negative stimulation) stimulation).
- Conditions
- Autism Spectrum Disorder
- Being tested
- Transcranial direct current stimulation (tDCS)
- Keywords
- Transcranial Stimulation, Memory
- Medical subject headings
- Autism Spectrum Disorder
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Transcranial direct current stimulation (tDCS)Device
Transcranial Direct Current Stimulation (tDCS, a form of non-invasive brain stimulation) on the left dorsolateral prefrontal cortex (DLPFC)
| Study group | Role | What they receive |
|---|---|---|
| Transcranial direct current stimulation (tDCS) - anodal | Experimental | Transcranial direct current stimulation - anodal (positive) 1.5 millamps for 15 minutes Receives: Device: Transcranial direct current stimulation (tDCS) |
| Transcranial direct current stimulation (tDCS) - cathodal | Experimental | Transcranial direct current stimulation - cathodal (negative) 1.5 millamps for 15 minutes Receives: Device: Transcranial direct current stimulation (tDCS) |
| Transcranial direct current stimulation (tDCS) - sham | Sham comparator | Transcranial direct current stimulation - sham session 15 minutes Receives: Device: Transcranial direct current stimulation (tDCS) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Working memory accuracy score compared to typically developed controls scores.
Result of N-back memory task
Measured: Change from baseline (before stimulation) to after stimulation (1 week)
Secondary outcomes (2)
Difference in working memory accuracy score between adults with ASD and healthy controls
Result of N-back memory task
Measured: Before stimulation
Difference in working memory accuracy score between adults with ASD and healthy controls
Result of N-back memory task
Measured: After stimulation (1 week)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Aug 2017
- Study start26 Feb 2018
- Primary completion21 Dec 2018
- Study completion21 Dec 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Autism Spectrum DisorderStudies 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
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Each participant will receive the same 3 kinds of transcranial stimulation. However, the order in which they receive them will be randomly allocated.
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 50 participants (actual)
Sponsor and investigators
- Lead sponsor
- NHS Greater Glasgow and Clyde
- Sponsor type
- University, hospital or other
- Collaborators
- University of Glasgow
- Responsible party
- Sponsor
- Investigators
- Craig Melville, MD, Study director, University of Glasgo
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03255837
- Sponsor's protocol ID
- GN17MH365
- Status last verified
- Jan 2019
- First submitted
- 16 Aug 2017
- Last updated
- 25 Jan 2019
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 25 Jan 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Single Blind, Randomized Controlled Trial of Anodal Transcranial Direct-current Stimulation (tDCS) Against Cathodal and Sham Stimulation in Adults With High-Functioning Autism
- ClinicalTrials.gov ID
- NCT03255837
- Acronym / sponsor ID
- GN17MH365
- Conditions
- Autism Spectrum Disorder
- Keywords
- Transcranial Stimulation, Memory
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 50 participants (actual)
- Lead sponsor
- NHS Greater Glasgow and ClydeUniversity, hospital or other
- Collaborators
- University of Glasgow
- Study start
- 26 Feb 2018 (actual)
- Primary completion
- 21 Dec 2018 (actual)
- Study completion
- 21 Dec 2018 (actual)
- First posted
- 21 Aug 2017 (actual)
- 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.
This study will involve an experiment in individuals with Autism Spectrum Disorder (ASD) comparing their performance on a working memory task before, during and after non-invasive brain stimulation (tDCS) compared to a control group in a 3x3 factorial design. How the stimulation affects performance on the task will be assessed, along with the impact of the intervention on the individuals.
Detailed description
Many studies have examined working memory in people with autism spectrum disorder as working memory deficits in individuals with autism spectrum disorder leads to multiple difficulties associated with behaviour regulation, cognitive flexibility, abstract thinking, and focusing and sustaining attention. Evidence suggests that transcranial Direct Current Stimulation on the left dorsolateral prefrontal cortex leads to an increase in working memory performance in typically developing individuals. This may have important benefits for people with autism spectrum disorder since autism spectrum disorder is known to be associated with working memory deficiencies. This study will build on a pilot study conducted in 2014, the experiment tested participants working memory scores on an N-back test, after receiving anodal (positive stimulation) stimulation for 15 minutes over the left dorsolateral prefrontal cortex. This task requires the participant to perform multiple cognitive operations, including encoding of new stimuli, updating and maintaining past stimuli, and recognising and responding to whether each new stimulus matches the three-back stimulus. Participants are presented with a random set of ten letters (from A-Z). A different letter will be displayed every 2s, participants will be required to respond (key press 1) if the presented letter was the same as the letter presented three stimuli previously (a target). If it was not a target, participants were required to respond with key press 2. In this test, a total of 30 correct responses are possible. Participants will perform the task three times to reduce variability. Accuracy (number of correct responses), error rate (number of incorrect responses), and reaction time (interval between target presentation and pressing 1 or 2) will be recorded. Based on the findings from the pilot study, a full study will be conducted to investigate the effects of anodal transcranial Direct Current Stimulation on adults with high-functioning autism, as well as test whether the effects of transcranial Direct Current Stimulation on dorsolateral prefrontal cortex is dependent on polarity (anodal versus cathodal (negative stimulation) stimulation).
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 3
- Model description
- Each participant will receive the same 3 kinds of transcranial stimulation. However, the order in which they receive them will be randomly allocated.
| Arm | Type | Receives |
|---|---|---|
| Transcranial direct current stimulation (tDCS) - anodal | Experimental | Device: Transcranial direct current stimulation (tDCS)Transcranial direct current stimulation - anodal (positive) 1.5 millamps for 15 minutes |
| Transcranial direct current stimulation (tDCS) - cathodal | Experimental | Device: Transcranial direct current stimulation (tDCS)Transcranial direct current stimulation - cathodal (negative) 1.5 millamps for 15 minutes |
| Transcranial direct current stimulation (tDCS) - sham | Sham comparator | Device: Transcranial direct current stimulation (tDCS)Transcranial direct current stimulation - sham session 15 minutes |
Who may qualify
- Ages
- 18 to 35 years
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (5 listed)
- clinical diagnosis of ASD
- right handed
- speaks English fluently
- normal vision or corrected to normal
- passing tDCS safety screening
Key exclusion criteria (12 listed)
- participants who do not understand verbal or written English (i.e would be in need of translators)
- participants that have ever suffered from epilepsy, febrile convulsions in infancy or had recurrent fainting spells
- family history of epilepsy
- has a heart pacemaker, cochlear implant, medication pump, surgical clips
- has drunk more than 3 units of alcohol in the last 24 hours
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 stimulation (tDCS)Transcranial Direct Current Stimulation (tDCS, a form of non-invasive brain stimulation) on the left dorsolateral prefrontal cortex (DLPFC) | Device | Transcranial direct current stimulation (tDCS) - anodal, Transcranial direct current stimulation (tDCS) - cathodal, Transcranial direct current stimulation (tDCS) - sham |
Primary outcome
Working memory accuracy score compared to typically developed controls scores.
Time frame: Change from baseline (before stimulation) to after stimulation (1 week)
Result of N-back memory task
2 secondary outcomes
Difference in working memory accuracy score between adults with ASD and healthy controls
Time frame: Before stimulation
Difference in working memory accuracy score between adults with ASD and healthy controls
Time frame: After stimulation (1 week)
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 25 Jan 2019.
- Individual participant dataSharing planned: No
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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.
Craig Melville, MD study director
University of Glasgo
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 (tDCS) in people with Autism Spectrum Disorder, run by NHS Greater Glasgow and Clyde at 1 site in United Kingdom.
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 5 inclusion and 12 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 25 Jan 2019. 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 United Kingdom. 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?
Working memory accuracy score compared to typically developed controls scores. (time frame: Change from baseline (before stimulation) to after stimulation (1 week)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 25 Jan 2019.