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TinnitusNCT05437185

Long-term tDCS Tinnitus Treatment

A study testing Transcranial Direct Current Stimulation in people with Tinnitus, run by Charles University, Czech Republic at 1 site in Czechia.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The study was designed to evaluate a therapeutic effect of tDCS in the treatment of tinnitus and its comorbidities (anxiety, depresion) and to evaluate the associated quality of life. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Tinnitus
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
44 participants
Where
1 siteCzechia
Study dates
1 Sep 2019to 28 Feb 2022
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Nonpulsatile tinnitus for at least 6 months
  • 18 and more years of age

Who cannot join

  • Pregnancy
  • Unstable cardiovascular condition
  • History of seizures
  • Intracranial masses
  • Intracranial metalic objects
  • History of alcohol or drug abuse
Show all 10Show fewer
  • Unwillingness to sign the informed consent
  • Inability to pass the follow-up
  • Unstable medication for at least 6 months prior to the enrollment
  • Other stimulation method for at least 6 months prior to the enrollmment

Trial locations and contacts

1 site in 1 country.

Czechia1 site
  • Psychiatric Department, General University Hospital and 1st Faculty of Medicine, Prague

    Prague, Czech Republic, 12000

Other trials in Czechia

About this study

Official title: The Transcranial Direct Current Stimulation Treatment of Tinnitus and Its Psychiatric Comorbidities

The study was designed to evaluate a therapeutic effect of tDCS in the treatment of tinnitus and its comorbidities (anxiety, depresion) and to evaluate the associated quality of life.

In the randomized, double-blinded, sham-controlled trial, 39 participants (active n=19, sham n=20) underwent bilateral dorsolateral prefrontal cortex (DLPFC) tDCS (anode over right DLPFC, cathode left DLPFC, current of 1.5 mA, 20 minutes, 6 sessions in 2 weeks). Tinnitus Functional Index (TFI), Iowa Tinnitus Handicap Questionnaire (ITHQ), Beck Anxiety Inventory (BAI), Zung Self-Rating Depression Scale (SDS), and WHO-Quality of Life-BREF were employed in 4 evaluation points, including the follow-ups of 6 weeks and six months.

Read the detailed description

A prospective, randomized, double-blinded, placebo-controlled, two-arm trial was conducted at the Department of Psychiatry, General University Hospital in Prague, Czechia. The research was conducted in accordance with the Declaration of Helsinki and was approved by the Ethics Committee of General University Hospital in Prague, Czechia, in 2019 under the reference number 531/19 S-IV.

Participants were recruited through the recruitment campaign of the Department of Psychiatry, which was supported by outpatient services of several neurological, psychiatric, internal, and otorhinolaryngological departments in several university hospitals around Prague. All participants were required to sign written consent with the trial, anonymized data, the European Union General Data Protection Regulation (GDPR), and were fully informed about the trial's goals, risks, and requirements. Participation was not associated with any financial reward.

The participation was offered to persons at least 18 years of age (on the day of signing the consent) with a history of tinnitus lasting at least six months. The investigators excluded persons contraindicated to tDCS - such as those with epilepsy, intracranial masses or metallic objects, pregnancy, and heart conditions. The investigators also excluded persons with a history of alcohol and drug abuse, persons unwilling to sign the informed consent or persons who underwent any other tinnitus therapy in the last six months. The investigators intended to discontinue the treatment in any participant developing any severe adverse effect (significant exacerbation of tinnitus, epileptic seizure, severe headache, or any adverse effect deemed severe enough by the participants) and in participants noncompliant or unwilling to participate further with the trial and its follow-ups. The investigators required the participants not to alter their medication at least six months before the trial if any was used.

Conditions
Tinnitus
Being tested
Transcranial Direct Current Stimulation, Sham Transcranial Direct Current Stimulation
Keywords
tDCS, tinnitus, anxiety, depression, neurostimulation
Medical subject headings
Tinnitus, Anxiety Disorders, Depression

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Transcranial Direct Current StimulationDevice

    Transcranial Direct Current Stimulation (tDCS) is a non-invasive neuromodulatory method utilizing weak electrical currents to elicit short and long-term central nervous system changes.

  • Sham Transcranial Direct Current StimulationDevice

    The sham was administered using the same tDCS devices as in the active group with a preprogrammed sham protocol of 20 minutes to be virtually indistinguishable from the active stimulation.

Study groups in NCT05437185
Study groupRoleWhat they receive
Active groupActive comparatorThe investigators aimed for six sessions of anodal stimulation over the right DLPFC (F4 in 10-20 EEG system) with cathode above the left DLPFC (F3) using HDCstim by Newronika S.r.l., Italy. The therapy was administered over two weeks (Mon, Wed, Fri) to ensure a washout period of 48 to 72 hours between applications. The current of 1.5 mA was delivered via silicone electrodes inserted into saline (0.9%) filled cellulose sponges, both 5x5cm (Current Density of 0.6 A/m2), for 20 minutes with 20 seconds of both ramp-up and ramp-down. An International 10-20 EEG system was used to determine the stimulation location, and dedicated EEG caps were used to ensure consistency between applications.
Receives: Device: Transcranial Direct Current Stimulation
Sham groupPlacebo comparatorThe sham (placebo) was administered using the same devices with a preprogrammed sham protocol (using HDCprog by Newronika S.r.l., Italy) of 20 minutes to be virtually indistinguishable from the active stimulation.
Receives: Device: Sham Transcranial Direct Current Stimulation

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Tinnitus Functional Index (TFI) at T1 (baseline)

    A questionaire evaluating 8 subdomains of tinnitus. A total minimal score=0, maximum score=250. Higher score means generally more severe form of tinnitus.

    Measured: The measurement was established as a baseline prior to the stimulation series. (at T1)

  2. Changes in Tinnitus Functional Index (TFI) at T2

    Changes compared to the baseline (T2-T1) were calculated and further statistically compared between the groups. A negative difference to the baseline means an improvement.

    Measured: Measured at T2 (after the 6th stimulation, 2 weeks since T1)

  3. Changes in Tinnitus Functional Index (TFI) at T3

    Changes compared to the baseline (T3-T1) were calculated and further statistically compared between the groups. A negative difference to the baseline means an improvement.

    Measured: Measured at T3 (6 weeks since T1)

  4. Changes in Tinnitus Functional Index (TFI) at T4

    Changes compared to the baseline (T4-T1) were calculated and further statistically compared between the groups. A negative difference to the baseline means an improvement.

    Measured: Measured at T4 (6 months since T1)

  5. Iowa Tinnitus Handicap Questionnaire version 1 (ITHQ) at T1 (baseline)

    A questionnaire evaluating 3 subdomains of tinnitus and its handicap. A total minimal score=0 %, maximum score=100%. Higher score means generally more severe form of tinnitus.

    Measured: The measurement was established as a baseline prior to the stimulation series. (at T1)

  6. Changes in Iowa Tinnitus Handicap Questionnaire version 1 (ITHQ) at T2

    Changes compared to the baseline (T2-T1) were calculated and further statistically compared between the groups. A negative difference to the baseline means an improvement.

    Measured: Measured at T2 (after the 6th stimulation, 2 weeks since T1)

  7. Changes in Iowa Tinnitus Handicap Questionnaire version 1 (ITHQ) at T3

    Changes compared to the baseline (T3-T1) were calculated and further statistically compared between the groups. A negative difference to the baseline means an improvement.

    Measured: Measured at T3 (6 weeks since T1)

  8. Changes in Iowa Tinnitus Handicap Questionnaire version 1 (ITHQ) at T4

    Changes compared to the baseline (T4-T1) were calculated and further statistically compared between the groups. A negative difference to the baseline means an improvement.

    Measured: Measured at T4 (6 months since T1)

  9. Beck Anxiety Inventory (BAI) at T1 (baseline)

    A standardized questionaire to evaluate the symptoms of anxiety. Minimum=0 points, maximum=63 points. A higher score means generally more severe anxiety.

    Measured: The measurement was established as a baseline prior to the stimulation series. (at T1)

  10. Changes in Beck Anxiety Inventory (BAI) at T2

    Changes compared to the baseline (T2-T1) were calculated and further statistically compared between the groups. A negative difference to the baseline means an improvement.

    Measured: Measured at T2 (after the 6th stimulation, 2 weeks since T1)

  11. Changes in Beck Anxiety Inventory (BAI) at T3

    Changes compared to the baseline (T3-T1) were calculated and further statistically compared between the groups. A negative difference to the baseline means an improvement.

    Measured: Measured at T3 (6 weeks since T1)

  12. Changes in Beck Anxiety Inventory (BAI) at T4

    Changes compared to the baseline (T4-T1) were calculated and further statistically compared between the groups. A negative difference to the baseline means an improvement.

    Measured: Measured at T4 (6 months since T1)

  13. Zung Self-Rating Depression Scale (SDS) at T1 (baseline)

    A standardized questionaire focusing on symptoms of depression. The scale calculates SDS index from the raw data - minimal SDS index=25 points; maximal SDS index=100 points. Higher SDS index means generally more severe depression.

    Measured: The measurement was established as a baseline prior to the stimulation series. (at T1)

  14. Changes in Zung Self-Rating Depression Scale (SDS) at T2

    Changes compared to the baseline (T2-T1) were calculated and further statistically compared between the groups. A negative difference to the baseline means an improvement.

    Measured: Measured at T2 (after the 6th stimulation, 2 weeks since T1)

  15. Changes in Zung Self-Rating Depression Scale (SDS) at T3

    Changes compared to the baseline (T3-T1) were calculated and further statistically compared between the groups. A negative difference to the baseline means an improvement.

    Measured: Measured at T3 (6 weeks since T1)

  16. Changes in Zung Self-Rating Depression Scale (SDS) at T4

    Changes compared to the baseline (T4-T1) were calculated and further statistically compared between the groups. A negative difference to the baseline means an improvement.

    Measured: Measured at T4 (6 months since T1)

  17. The World Health Organization Quality Of Life (WHOQOL)-BREF at T1 (baseline)

    An abbreviated version of WHO questionaire evaluating 4 domains of quality of life during the therapy. The outcomes are calculatefd are on a scale ranging between 0-100%. Higher scores mean generally higher perceived quality of life.

    Measured: The measurement was established as a baseline prior to the stimulation series. (at T1)

  18. Changes in The World Health Organization Quality Of Life (WHOQOL)-BREF at 2

    Changes compared to the baseline (T2-T1) were calculated and further statistically compared between the groups. A negative difference to the baseline means an improvement.

    Measured: Measured at T2 (after the 6th stimulation, 2 weeks since T1)

  19. Changes in The World Health Organization Quality Of Life (WHOQOL)-BREF at 3

    Changes compared to the baseline (T3-T1) were calculated and further statistically compared between the groups. A negative difference to the baseline means an improvement.

    Measured: Measured at T3 (6 weeks since T1)

  20. Changes in The World Health Organization Quality Of Life (WHOQOL)-BREF at 4

    Changes compared to the baseline (T4-T1) were calculated and further statistically compared between the groups. A negative difference to the baseline means an improvement.

    Measured: Measured at T4 (6 months since T1)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Jun 2022
  2. Study start1 Sep 2019
  3. Primary completion28 Feb 2022
  4. Study completion28 Feb 2022

Resources

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants were randomly allocated either to the active or sham (placebo) group.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
44 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05437185
Sponsor's protocol ID
531/19 S-IV
Status last verified
Jun 2022
First submitted
20 Jun 2022
Last updated
29 Jun 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: IPD can be shared upon request from a verified researcher.

Publications

  • Mares T, Albrecht J, Buday J, Podgorna G, Le TH, Magyarova E, Poshor K, Halik J, Buna J, Capek V, Kostylkova L, Klasova J, Fabian V, Anders M. Long-term effect of transcranial direct current stimulation in the treatment of chronic tinnitus: A randomized, placebo-controlled trial. Front Psychiatry. 2022 Oct 13;13:969800. doi: 10.3389/fpsyt.2022.969800. eCollection 2022.

    PubMed 36311525

Questions about this trial

What is this clinical trial studying?

A study testing Transcranial Direct Current Stimulation in people with Tinnitus, run by Charles University, Czech Republic at 1 site in Czechia.

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 2 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 29 Jun 2022. 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 Czechia. 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?

Tinnitus Functional Index (TFI) at T1 (baseline) (time frame: The measurement was established as a baseline prior to the stimulation series. (at T1)). The study lists 20 primary outcomes in all. 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 NCT05437185, which also lists 1 linked publication.

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 29 Jun 2022.

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