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Transcranial Direct Current StimulationMODUL-EXENCT05628818

Noninvasive Transcranial Direct Current Stimulation to Improve Executive Functions in Stroke Patients. MODUL-EXE Clinical Trial.

A study testing Transcranial Direct Current Stimulation (tDCS) in people with Transcranial Direct Current Stimulation, run by Fundación Pública Andaluza para la Investigación Biomédica Andalucía Oriental at 1 site in Spain.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This study will examine the possible effects of tDCS (Transcranial Direct Current Stimulation) treatment to the left DLPFC on executive functions in patients with an acute stroke affecting the frontal lobe or the basal ganglia. The study will include 40 acute stroke subjects. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Transcranial Direct Current Stimulation
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
40 participants
Where
1 siteSpain
Study dates
15 Feb 2022to 30 Dec 2024
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 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Clinical and radiological diagnosis, by means of cranial MRI or CT scan, of ischemic/hemorrhagic stroke, involving the frontal cortex or its subcortical connections (basal ganglia), in one or both hemispheres.
  • The stroke occurred during the 3 months prior to inclusion in the study.
  • Cognitive impairment with a dis-executive profile demonstrated by a score > 26 in the Spanish version of the MoCA test, adjusted for the number of years of formal education.
  • Patients with functional independence prior to the stroke, defined as a modified rankin scale score < 3 points.
  • The patient gives informed consent.

Who cannot join

  • Presence of other pathologies that may be a potential cause of disability or cognitive impairment.
  • Moderate or severe aphasia that hinders communication.
  • Severe sensory and/or motor impairments that prevent the completion of the evaluation and/or intervention processes.
  • Presence of extensive vascular leukopathia (leukoaraiosis grade 3, 4).
  • History of epilepsy or seizures.
  • Presence of severe systemic pathology, including cardiac, hepatic or renal failure, active neoplasia.
Show all 13Show fewer
  • Failure to meet any of the inclusion criteria recorded in the Screening for electrical stimulation of the University of Göttingen.
  • Presence of:
  • Pacemaker.
  • Electrical and/or metallic implants.
  • Pregnancy.
  • Anticonvulsant medication.
  • Tattoos in the area of electrode placement.

Trial locations and contacts

1 site in 1 country.

Laura Amaya Pascasio, MD contact

+34 950016860

laura.amaya.pascasio@gmail.com

Spain1 site, 1 recruiting
  • Torrecardenas University Hospital

    Almería, Almeria, 04009

    Laura. Amaya Pascasio, M.D., 605965362, laura.amaya.pascasio@gmail.com

    Patricia Martinez Sanchez, PhD, patrinda@ual.es

    Recruiting

Other trials in Spain

About this study

Official title: Neuromodulation of Executive Dysfunction in Patients With Acute Stroke Using Transcranial Direct Current Stimulation. A Randomized-triple Blinded Controlled Clinical Trial. MODUL-EXE Trial.

This study will examine the possible effects of tDCS (Transcranial Direct Current Stimulation) treatment to the left DLPFC on executive functions in patients with an acute stroke affecting the frontal lobe or the basal ganglia. The study will include 40 acute stroke subjects. Participants will undergo a global cognitive assessment with the MoCA test and a specific assessment of executive functions with the abbreviated Wisconsin test, the five digit test and the digit span evaluation (a subtest from the Wechsler intelligence scale for adults-IV). Participants will then undergo real or sham stimulation with anodal tDCS combined with cognitive training of the main executive functions: working memory, inhibitory control and cognitive flexibility. After a 10-session intervention, a the baseline cognitive assessment will be repeated and subsequently, a follow-up of up to 12 months will be carried out.

Being tested
Transcranial Direct Current Stimulation (tDCS), Sham Transcranial Direct current Stimulation

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

    Real anodal tDCS over the left dorsolateral prefrontal cortex in acute stroke patients to improve dysexecutive syndrome. Intensity: 2 mA. Stimulation period: 20 minutes.

  • Sham Transcranial Direct current StimulationDevice

    Sham anodal tDCS over the left dorsolateral prefrontal cortex: anodal tDCS. Intensity: 2 mA. Stimulation period: 1 minute. Afterwards, the device will automatically shut down but the sham stimulation period will last a total of 20 minutes.

Study groups in NCT05628818
Study groupRoleWhat they receive
Anodal tDCS combined with cognitive training, stroke patientsExperimentalTo stimulate the left DLPFC, the anode electrode will be placed over F3 and the cathode will be placed over the right supraorbital region (Fp2). Each stimulation will be applied for 20 min at 2mA intensity. Stimulation will be continued with the performance of three cognitive training exercises specifically designed to improving working memory, inhibitory control and cognitive flexibility.
Receives: Device: Transcranial Direct Current Stimulation (tDCS)
Sham tDCS combined with cognitive training, stroke patientsSham comparatorTo stimulate the left DLPFC, the anode electrode will be placed over F3 and the cathode will be placed over the right supraorbital region (Fp2). Each stimulation will be applied for 1 min at 2mA intensity (sham stimulation). Stimulation will be continued with the performance of three cognitive training exercises specifically designed to improving working memory, inhibitory control and cognitive flexibility.
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. Montreal cognitive assessment

    Global cognitive assessment test that incorporates the evaluation of executive domains such as working memory, inhibition and others such as verbal fluency, delayed recall and visuospatial capacity. Maximum score: 30. Normal if score > 26.

    Measured: Evaluation immediately post intervention

  2. Montreal cognitive assessment

    Global cognitive assessment test that incorporates the evaluation of executive domains such as working memory, inhibition and others such as verbal fluency, delayed recall and visuospatial capacity

    Measured: Evaluation post intervention: One month after intervention

  3. Montreal cognitive assessment

    Global cognitive assessment test that incorporates the evaluation of executive domains such as working memory, inhibition and others such as verbal fluency, delayed recall and visuospatial capacity

    Measured: Post intervention: Three months after intervention

  4. Montreal cognitive assessment

    Global cognitive assessment test that incorporates the evaluation of executive domains such as working memory, inhibition and others such as verbal fluency, delayed recall and visuospatial capacity

    Measured: Post intervention: Six months after intervention

  5. Digit Span test

    Evaluates working memory. Normal average reference: to have a digit span of 7 items (plus or minus 2), the greater the memory span, the better the result.

    Measured: Evaluation immediately post intervention

  6. Digit Span test

    Evaluates working memory. Normal average reference: to have a digit span of 7 items (plus or minus 2), the greater the memory span, the better the result.

    Measured: Evaluation post intervention: One month after intervention

  7. Digit Span test

    Evaluates working memory. Normal average reference: to have a digit span of 7 items (plus or minus 2), the greater the memory span, the better the result.

    Measured: Post intervention: Three months after intervention

  8. Digit Span test

    Evaluates working memory. Normal average reference: to have a digit span of 7 items (plus or minus 2), the greater the memory span, the better the result.

    Measured: Post intervention: Six months after intervention

  9. Wisconsin Card Sorting Test, Brief version.

    Assess cognitive flexibility. Respondents are required to sort numbered response cards according to different principles and to alter their approach during test administration. The global number of categories achieved will be assesed, the greater, the better the result is.

    Measured: Evaluation immediately post intervention

  10. Wisconsin Card Sorting Test, Brief version.

    Assess cognitive flexibility. Respondents are required to sort numbered response cards according to different principles and to alter their approach during test administration. The global number of categories achieved will be assesed, the greater, the better the result is.

    Measured: Evaluation post intervention: One month after intervention

  11. Wisconsin Card Sorting Test, Brief version.

    Assess cognitive flexibility. Respondents are required to sort numbered response cards according to different principles and to alter their approach during test administration. The global number of categories achieved will be assesed, the greater, the better the result is.

    Measured: Post intervention: Three months after intervention

  12. Wisconsin Card Sorting Test, Brief version.

    Assess cognitive flexibility. Respondents are required to sort numbered response cards according to different principles and to alter their approach during test administration. The global number of categories achieved will be assesed, the greater, the better the result is.

    Measured: Post intervention: Six months after intervention

  13. Five digit test

    Assessing inhibitory control. A numerical task divided into four components. The first component (reading) demands subjects to name numbers from 1 to 5 as fast as they can. On the second component (counting), they need to describe quantities from 1 to 5. The third component (choosing) involves a selective attention trial, where the subjects must not read the numbers, but rather tell how many numbers are present in each stimulus, in an incongruent condition. The last component (shifting) is similar to the choosing trial, but for each of the five stimuli, there is one previously where the subject must read the stimulus numbers. The test total scores will be used as the main measure in this study. Higher scores indicate worse performance.

    Measured: Evaluation immediately post intervention

  14. Five digit test

    Assessing inhibitory control. A numerical task divided into four components. The first component (reading) demands subjects to name numbers from 1 to 5 as fast as they can. On the second component (counting), they need to describe quantities from 1 to 5. The third component (choosing) involves a selective attention trial, where the subjects must not read the numbers, but rather tell how many numbers are present in each stimulus, in an incongruent condition. The last component (shifting) is similar to the choosing trial, but for each of the five stimuli, there is one previously where the subject must read the stimulus numbers. The test total scores will be used as the main measure in this study. Higher scores indicate worse performance.

    Measured: Evaluation post intervention: One month after intervention

  15. Five digit test

    Assessing inhibitory control. A numerical task divided into four components. The first component (reading) demands subjects to name numbers from 1 to 5 as fast as they can. On the second component (counting), they need to describe quantities from 1 to 5. The third component (choosing) involves a selective attention trial, where the subjects must not read the numbers, but rather tell how many numbers are present in each stimulus, in an incongruent condition. The last component (shifting) is similar to the choosing trial, but for each of the five stimuli, there is one previously where the subject must read the stimulus numbers. The test total scores will be used as the main measure in this study. Higher scores indicate worse performance.

    Measured: Post intervention: Three months after intervention

  16. Five digit test

    Assessing inhibitory control. A numerical task divided into four components. The first component (reading) demands subjects to name numbers from 1 to 5 as fast as they can. On the second component (counting), they need to describe quantities from 1 to 5. The third component (choosing) involves a selective attention trial, where the subjects must not read the numbers, but rather tell how many numbers are present in each stimulus, in an incongruent condition. The last component (shifting) is similar to the choosing trial, but for each of the five stimuli, there is one previously where the subject must read the stimulus numbers. The test total scores will be used as the main measure in this study. Higher scores indicate worse performance.

    Measured: Post intervention: Six months after intervention

Secondary outcomes (21)
  1. modified rankin scale

    Functional assessment scale ranging from 0 (independent) to 6 (death)

    Measured: Evaluation immediately post intervention

  2. modified rankin scale

    Functional assessment scale ranging from 0 (independent) to 6 (death)

    Measured: Evaluation post intervention: One month after intervention

  3. modified rankin scale

    Functional assessment scale ranging from 0 (independent) to 6 (death)

    Measured: Post intervention: Three months after intervention

  4. modified rankin scale

    Functional assessment scale ranging from 0 (independent) to 6 (death)

    Measured: Post intervention: Six months after intervention

  5. modified rankin scale

    Functional assessment scale ranging from 0 (independent) to 6 (death)

    Measured: Post intervention: 12 months after intervention

  6. Return to work

    To determine whether the patient has been able to return to the previous job

    Measured: Post intervention: One month after intervention

  7. Return to work

    To determine whether the patient has been able to return to the previous job

    Measured: Post intervention: Three months after intervention

  8. Return to work

    To determine whether the patient has been able to return to the previous job

    Measured: Post intervention: 6 months after intervention

  9. Return to work

    To determine whether the patient has been able to return to the previous job

    Measured: Post intervention: 12 months after intervention

  10. Beck's Depression Inventory

    Evaluation of depression ranging from 0 to 63. A score > 20: significant depression (moderate-severe)

    Measured: Evaluation immediately post intervention

  11. Beck's Depression Inventory

    Evaluation of depression ranging from 0 to 63. A score > 20: significant depression

    Measured: Post intervention: One month after intervention

  12. Beck's Depression Inventory

    Evaluation of depression ranging from 0 to 63. A score > 20: significant depression

    Measured: Post intervention: Three months after intervention

  13. Beck's Depression Inventory

    Evaluation of depression ranging from 0 to 63. A score > 20: significant depression

    Measured: Post intervention: Six months after intervention

  14. Apathy Evaluation Scale

    Evaluation of presence of apathy. Consists of 18 specific items to quantify apathy within a scoring range of 18 to 72. The greater the score, the greater the apathy symptoms.

    Measured: Evaluation immediately post intervention

  15. Apathy Evaluation Scale

    Evaluation of presence of apathy. Consists of 18 specific items to quantify apathy within a scoring range of 18 to 72. The greater the score, the greater the apathy symptoms.

    Measured: Post intervention: One month after intervention

  16. Apathy Evaluation Scale

    Evaluation of presence of apathy. Consists of 18 specific items to quantify apathy within a scoring range of 18 to 72. The greater the score, the greater the apathy symptoms.

    Measured: Post intervention: Three months after intervention

  17. Apathy Evaluation Scale

    Evaluation of presence of apathy. Consists of 18 specific items to quantify apathy within a scoring range of 18 to 72. The greater the score, the greater the apathy symptoms.

    Measured: Post intervention: Six months after intervention

  18. WHOQOL-BREF scale

    Evaluation of quality of life. There are no proposed cut-off points. The higher the score, the higher the quality of life.

    Measured: Evaluation immediately post intervention

  19. WHOQOL-BREF scale

    Evaluation of quality of life. There are no proposed cut-off points. The higher the score, the higher the quality of life.

    Measured: Post intervention: One month after intervention

  20. WHOQOL-BREF scale

    Evaluation of quality of life. There are no proposed cut-off points. The higher the score, the higher the quality of life.

    Measured: Post intervention: Three months after intervention

  21. WHOQOL-BREF scale

    Evaluation of quality of life. There are no proposed cut-off points. The higher the score, the higher the quality of life.

    Measured: Post intervention: Six months after intervention

Timeline

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

  1. First posted29 Nov 2022
  2. Study start15 Feb 2022
  3. Primary completion30 Dec 2023 (estimated)
  4. Study completion30 Dec 2024 (estimated)

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
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
40 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05628818
Sponsor's protocol ID
MODUL-EXE
Acronym
MODUL-EXE
Status last verified
Jan 2023
First submitted
8 Nov 2022
Last updated
18 Jan 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes

Publications

  • Amaya-Pascasio L, Garcia-Pinteno J, Sanchez-Kuhn A, Uceda Sanchez C, Fernandez-Martin P, Leon Domene JJ, Rodriguez-Herrera R, Flores P, Martinez-Sanchez P. Neuromodulation of Executive Dysfunction in Patients with Acute Stroke Using Transcranial Direct Current Stimulation: Study Protocol for a Triple-Blind, Randomized Sham-Controlled Trial. Cerebrovasc Dis. 2024;53(3):335-345. doi: 10.1159/000531860. Epub 2023 Jul 20.

    PubMed 39250901

Questions about this trial

What is this clinical trial studying?

A study testing Transcranial Direct Current Stimulation (tDCS) in people with Transcranial Direct Current Stimulation, run by Fundación Pública Andaluza para la Investigación Biomédica Andalucía Oriental at 1 site in Spain.

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 13 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: status not confirmed, as of the sponsor's last update on 18 Jan 2023. 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 Spain. 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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Laura Amaya Pascasio, MD (+34 950016860, laura.amaya.pascasio@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Montreal cognitive assessment (time frame: Evaluation immediately post intervention). The study lists 16 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 NCT05628818, 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 18 Jan 2023.

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