Brain FunctionNCT03672747
Modulation of Spontaneous Cortical Activity by tDCS: BRAIN Initiative I
A study testing transcranial direct-current stimulation (tDCS) in people with Brain Function, run by University of Nebraska at 1 site in United States.
Trial summary
This study will determine whether transcranial direct current stimulation (tDCS) can be used alter the amplitude of spontaneous neural activity, and thereby modulate cognitive function in healthy adults Read more about this study
- Who is it for?
- Ages 19 to 72 yearsHealthy volunteers can take part
- Conditions the study is for
- Brain Function
- 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
- 133 participants
- Where
- 1 siteUnited States
- Study dates
- 20 Feb 2019to 31 May 2023
- Phase
- Interventional
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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 19 to 72 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Informed consent obtained from the participant.
- Age: 19-35 years of age at enrollment or 55-72 years of age at enrollment.
- Gender: males and females included.
- Right-handed based on the Edinburgh Handedness Inventory
- Cognitive functioning: Intelligent Quotient (IQ) of 85 - 115 on the Wechsler Adult Intelligence Scale-Revised
- Ability to complete the questionnaires in English, as not all the neuropsychological tests and questionnaires have been validated in other languages.
Who cannot join
- Current use of the following medications: psychotropic medications or other medications with significant CNS effects (e.g., antipsychotics, psychostimulants, anticonvulsants, alpha-agonists, adrenergic blockers, lithium, and sedating antihistamines), or other excluded medication.
- Current psychiatric diagnosis based on the Mini-International Neuropsychiatric Interview (MINI) and/or the adult attention-deficit/hyperactivity disorder (ADHD) diagnostic interview.
- Current substance abuse or substance dependence at any time.
- The presence of a known neurological disorder or any major medical illness or injury impacting neurological/psychiatric function (e.g., diabetes, epilepsy, cerebral palsy, traumatic brain injury, significant environmental/toxic injury, neurodegenerative disorder, past meningitis/encephalitis).
- General medical conditions: any major medical conditions that would interfere with involvement in the study or may affect central nervous system (CNS) function as judged by the investigative team.
- History of clinically-significant head trauma.
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- Pregnancy
- Any other condition that, in the opinion of the investigator, is a contraindication to participation
- The presence of any ferrous metal implant, including orthodontics (e.g., braces), which may interfere with the MEG data acquisition and/or be a MRI safety concern.
- Inability to correct visual acuity to 20/20 with corrective lenses (we can correct from +5 to -6 diopters in .5 diopter steps, separately for each eye, with non-magnetic corrective lenses in the laboratory).
Trial locations and contacts
1 site in 1 country.
United States1 site
University of Nebraska Medical Center
Omaha, Nebraska, 68198
About this study
Official title: The Impact of Spontaneous Cortical Activity on Neural Oscillations and Behavioral Performance: Evidence From High-definition tDCS and MEG
This study will determine whether transcranial direct current stimulation (tDCS) can be used alter the amplitude of spontaneous neural activity, and thereby modulate cognitive function in healthy adults
Read the detailed description
An emerging neurological tool, called transcranial Direct Current Stimulation (tDCS), has recently been shown to safely and effectively enhance cognition in healthy individuals, as well as reduce key symptomatology in disorders such as stroke and depression, with only negligible side effects. tDCS delivers low-amplitude current to the scalp using small electrodes and part of this current passes through the skull and modulates neural activity in the underlying brain region. How this tiny amount of electric current acts to improve cognitive function and reduce symptoms (e.g., motor impairments in stroke patients with a lesion in motor brain areas) is currently unknown, although many investigators across the world are now working on this problem. Magnetoencephalography (MEG) offers a unique view of neural function, as it can delineate changes in active brain regions with excellent temporal resolution (< 1 ms) and high spatial accuracy (2-3 mm). MEG non-invasively measures the magnetic fields that emanate from active neocortical cells. The potential of the MEG technique to precisely monitor the neural effects of tDCS shows extreme promise, but to date the method has been rarely utilized in this area.
Under this protocol, Modulation of Spontaneous Cortical Activity by tDCS: BRAIN Initiative I, approximately 124 participants will provide written informed consent, undergo cognitive and behavioral testing and a structural MRI during a single visit, and then return several weeks later (2-4 weeks) to complete a short tDCS session followed by a MEG recording (i.e., after tDCS). Most participants will return for two more visits, each separated by 2-4 weeks, that include a tDCS session followed by a MEG recording (i.e., 4 total visits). The three tDCS-MEG visits will be identical except that the nature of the stimulation (e.g., location, amplitude, direction/polarity) will be different.
- Conditions
- Brain Function
- Being tested
- transcranial direct-current stimulation (tDCS)
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
Also called Transcranial electrical stimulation
20 minutes duration using high-definition system with center-surround configuration
| Study group | Role | What they receive |
|---|---|---|
| Anodal Brain Stimulation | Active comparator | Participants will receive anodal stimulation using high-definition tDCS Receives: Device: transcranial direct-current stimulation (tDCS) |
| Cathodal Brain Stimulation | Active comparator | Participants will receive cathodal stimulation using high-definition tDCS Receives: Device: transcranial direct-current stimulation (tDCS) |
| Sham Brain Stimulation (Placebo) | Sham comparator | Participants will receive sham stimulation (placebo) using high-definition tDCS Receives: Device: transcranial direct-current stimulation (tDCS) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Behavioral Performance (Accuracy) on Cognitive Tests of Perceptual Processing
Do participants perform better in terms of accuracy following tDCS on behavioral measures of perceptual processing.
Measured: During the 90 minutes following stimulation
Behavioral Performance (Reaction Time) on Cognitive Tests of Perceptual Processing
Do participants perform better in terms of reaction time following tDCS on behavioral measures of perceptual processing.
Measured: During the 90 minutes following stimulation
Secondary outcomes (4)
The Power of Spontaneous Alpha Activity as Quantified by MEG Imaging
Does spontaneous alpha (9-13 Hz) power, as measured by MEG, get stronger following tDCS. Spontaneous activity refers to the level of background neural activity and is typically divided into frequency bands (e.g., alpha, gamma) that reflect the number of cycles per second. The outcome measure unit is nano-amperes square (nA^2) since source-resolved MEG measures reflect electric current strength and not voltage units as in electroencephalography (EEG). The square is necessary since we examined power, which is the square of amplitude in the frequency domain. The unit is also commonly expressed as nAm^2 since the strength of the electric current is over a defined length.
Measured: During the 90 minutes following stimulation
The Power of Oscillatory Alpha Activity as Quantified by MEG Imaging
Does oscillatory alpha neural activity, as measured by MEG, get stronger following tDCS. Oscillatory activity refers band-limited increases or decreases in the power of neural activity, relative to baseline, in response to a stimulus.
Measured: During the 90 minutes following stimulation
The Power of Spontaneous Gamma Activity as Quantified by MEG Imaging
Does spontaneous gamma (45-80 Hz) power, as measured by MEG, get stronger following tDCS. Spontaneous activity refers to the level of background neural activity and is typically divided into frequency bands (e.g., alpha, gamma) that reflect the number of cycles per second. The outcome measure unit is nano-amperes square (nA^2) since source-resolved MEG measures reflect electric current strength and not voltage units as in electroencephalography (EEG). The square is necessary since we examined power, which is the square of amplitude in the frequency domain. The unit is also commonly expressed as nAm^2 since the strength of the electric current is over a defined length.
Measured: During the 90 minutes following stimulation
The Power of Oscillatory Gamma Activity as Quantified by MEG Imaging
Does oscillatory gamma neural activity, as measured by MEG, get stronger following tDCS. Oscillatory activity refers band-limited increases or decreases in the power of neural activity, relative to baseline, in response to a stimulus.
Measured: During the 90 minutes following stimulation
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Sep 2018
- Study start20 Feb 2019
- Primary completion14 Oct 2022
- Study completion31 May 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Brain FunctionStudies of the same condition, open and under way.
- More trials run by University of NebraskaThe sponsor's other registered studies.
- 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
- Crossover
- Model description
- Full crossover; all participants complete all conditions
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 133 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Nebraska
- Sponsor type
- University, hospital or other
- Collaborators
- National Institute of Mental Health (NIMH)
- Responsible party
- Sponsor
- Investigators
- Tony W Wilson, PhD, Principal investigator, University of Nebraska
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03672747
- Sponsor's protocol ID
- 0580-18-FB
- Other IDs
- RF1MH117032
- Status last verified
- Jul 2024
- First submitted
- 15 Aug 2018
- Last updated
- 31 Jul 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
- Individual data sharing
- Yes: Upon completion of the study, de-identified data from this study will be stored in the National Institute of Mental Health's (NIMH) Data Archive.
Study at a glance
From the registry record, last updated by the sponsor on 31 Jul 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Impact of Spontaneous Cortical Activity on Neural Oscillations and Behavioral Performance: Evidence From High-definition tDCS and MEG
- ClinicalTrials.gov ID
- NCT03672747
- Acronym / sponsor ID
- 0580-18-FB
- Conditions
- Brain Function
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 133 participants (actual)
- Lead sponsor
- University of NebraskaUniversity, hospital or other
- Collaborators
- National Institute of Mental Health (NIMH)
- Study start
- 20 Feb 2019 (actual)
- Primary completion
- 14 Oct 2022 (actual)
- Study completion
- 31 May 2023 (actual)
- First posted
- 14 Sep 2018 (actual)
- Results
- Posted 31 Jul 2024
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 determine whether transcranial direct current stimulation (tDCS) can be used alter the amplitude of spontaneous neural activity, and thereby modulate cognitive function in healthy adults
Detailed description
An emerging neurological tool, called transcranial Direct Current Stimulation (tDCS), has recently been shown to safely and effectively enhance cognition in healthy individuals, as well as reduce key symptomatology in disorders such as stroke and depression, with only negligible side effects. tDCS delivers low-amplitude current to the scalp using small electrodes and part of this current passes through the skull and modulates neural activity in the underlying brain region. How this tiny amount of electric current acts to improve cognitive function and reduce symptoms (e.g., motor impairments in stroke patients with a lesion in motor brain areas) is currently unknown, although many investigators across the world are now working on this problem. Magnetoencephalography (MEG) offers a unique view of neural function, as it can delineate changes in active brain regions with excellent temporal resolution (< 1 ms) and high spatial accuracy (2-3 mm). MEG non-invasively measures the magnetic fields that emanate from active neocortical cells. The potential of the MEG technique to precisely monitor the neural effects of tDCS shows extreme promise, but to date the method has been rarely utilized in this area.
Under this protocol, Modulation of Spontaneous Cortical Activity by tDCS: BRAIN Initiative I, approximately 124 participants will provide written informed consent, undergo cognitive and behavioral testing and a structural MRI during a single visit, and then return several weeks later (2-4 weeks) to complete a short tDCS session followed by a MEG recording (i.e., after tDCS). Most participants will return for two more visits, each separated by 2-4 weeks, that include a tDCS session followed by a MEG recording (i.e., 4 total visits). The three tDCS-MEG visits will be identical except that the nature of the stimulation (e.g., location, amplitude, direction/polarity) will be different.
Study design
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
- Model description
- Full crossover; all participants complete all conditions
| Arm | Type | Receives |
|---|---|---|
| Anodal Brain Stimulation | Active comparator | Device: transcranial direct-current stimulation (tDCS)Participants will receive anodal stimulation using high-definition tDCS |
| Cathodal Brain Stimulation | Active comparator | Device: transcranial direct-current stimulation (tDCS)Participants will receive cathodal stimulation using high-definition tDCS |
| Sham Brain Stimulation (Placebo) | Sham comparator | Device: transcranial direct-current stimulation (tDCS)Participants will receive sham stimulation (placebo) using high-definition tDCS |
Who may qualify
- Ages
- 19 to 72 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Informed consent obtained from the participant.
- Age: 19-35 years of age at enrollment or 55-72 years of age at enrollment.
- Gender: males and females included.
- Right-handed based on the Edinburgh Handedness Inventory
- Cognitive functioning: Intelligent Quotient (IQ) of 85 - 115 on the Wechsler Adult Intelligence Scale-Revised
Key exclusion criteria (10 listed)
- Current use of the following medications: psychotropic medications or other medications with significant CNS effects (e.g., antipsychotics, psychostimulants, anticonvulsants, alpha-agonists, adrenergic blockers, lithium, and sedating antihistamines), or other excluded medication.
- Current psychiatric diagnosis based on the Mini-International Neuropsychiatric Interview (MINI) and/or the adult attention-deficit/hyperactivity disorder (ADHD) diagnostic interview.
- Current substance abuse or substance dependence at any time.
- The presence of a known neurological disorder or any major medical illness or injury impacting neurological/psychiatric function (e.g., diabetes, epilepsy, cerebral palsy, traumatic brain injury, significant environmental/toxic injury, neurodegenerative disorder, past meningitis/encephalitis).
- General medical conditions: any major medical conditions that would interfere with involvement in the study or may affect central nervous system (CNS) function as judged by the investigative team.
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)Also: Transcranial electrical stimulation20 minutes duration using high-definition system with center-surround configuration | Device | Anodal Brain Stimulation, Cathodal Brain Stimulation, Sham Brain Stimulation (Placebo) |
Primary outcome
Behavioral Performance (Accuracy) on Cognitive Tests of Perceptual Processing
Time frame: During the 90 minutes following stimulation
Do participants perform better in terms of accuracy following tDCS on behavioral measures of perceptual processing.
Behavioral Performance (Reaction Time) on Cognitive Tests of Perceptual Processing
Time frame: During the 90 minutes following stimulation
Do participants perform better in terms of reaction time following tDCS on behavioral measures of perceptual processing.
4 secondary outcomes
The Power of Spontaneous Alpha Activity as Quantified by MEG Imaging
Time frame: During the 90 minutes following stimulation
The Power of Oscillatory Alpha Activity as Quantified by MEG Imaging
Time frame: During the 90 minutes following stimulation
The Power of Spontaneous Gamma Activity as Quantified by MEG Imaging
Time frame: During the 90 minutes following stimulation
The Power of Oscillatory Gamma Activity as Quantified by MEG Imaging
Time frame: During the 90 minutes following stimulation
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 Jul 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: Yes. Upon completion of the study, de-identified data from this study will be stored in the National Institute of Mental Health's (NIMH) Data Archive.
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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.
Tony W Wilson, PhD principal investigator
University of Nebraska
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 Brain Function, run by University of Nebraska at 1 site in United States.
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 6 inclusion and 10 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 31 Jul 2024. 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 States. 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?
Yes. Results are posted in the registry (first posted 31 Jul 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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?
Behavioral Performance (Accuracy) on Cognitive Tests of Perceptual Processing (time frame: During the 90 minutes following stimulation). The study lists 2 primary outcomes in all. 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 31 Jul 2024.