Threat-related Sensory Cortical (SC) DisinhibitionNCT07079839
A Neurosensory Account of Anxiety and Stress (Study 2)
A study testing Transcranial Alternating Current Stimulation (tACS) and Transcranial Random Noise stimulation (tRNS) in people with Threat-related Sensory Cortical (SC) Disinhibition and Posttraumatic Stress Disorder (PTSD), run by The University of Texas Health Science Center, Houston at 1 site in United States.
Trial summary
This study will take a basic neuroscience approach to investigate pathological mechanisms underlying PTSD. Additionally, the study aims to identify how Transcranial Alternating Current Stimulation (tACS) brain stimulation can modulate and correct neural networks and related emotions of anxious arousal and… Read more about this study
- Who is it for?
- Ages 18 to 50 yearsHealthy volunteers can take part
- Conditions the study is for
- Threat-related Sensory Cortical (SC) Disinhibition, Posttraumatic Stress Disorder (PTSD)
- What is being tested?
- Transcranial Alternating Current Stimulation (tACS) and Transcranial Random Noise stimulation (tRNS)
- Type of treatment
- Medical device
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 160 participants
- Where
- 1 siteUnited States
- Study dates
- 3 Jul 2025to Jun 2027
- Phase
- Interventional
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 50 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Right-handed
- With normal or corrected-to-normal vision and normal olfaction
- Between the ages of 18 and 50 years
- Meeting the tACS screening criteria (see List I below; e.g., lack of a serious head injury or loss of consciousness)
- Patients: Diagnosis of PTSD
- Patients: If taking psychotropic medications, medication stability in the past 2 months
- If having mild substance use disorder (for patients) or occasional substance use, abstention from use 48 hours before the experiment.
Who cannot join
- A history of diagnosis for a major medical illness (e.g., cancer, metabolic syndrome, cardiovascular disease, inflammatory disorders) or a neurological disorder (e.g., seizure, stroke, Parkinson's disease).
- Patients: Concurrent Axis I diagnosis (depression, anxiety, and mild substance use disorder are allowed given their high comorbidity with PTSD).
- Healthy controls: A history of diagnosis for a Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 Axis I disorder or current use of psychoactive medications.
- Severe psychiatric instability or severe situational life crises, including evidence of being actively suicidal or homicidal, or any behavior that poses an immediate danger to self or others.
- History of head trauma with unconsciousness (> 5 minutes)
- Report that they regularly drink 3 or more alcoholic beverages a day.
Show all 11Show fewer
- Report that they are unable to abstain from substance use (including alcohol, nicotine, cannabis, amphetamines, narcotics, solvents, cocaine, hallucinogens, tranquilizers, barbiturates, etc.) or sleep medication for 48 hours before being scanned.
- Are on calcium channel blockers (e.g., verapamil, nifedipine) or alpha-blockers (e.g., prazosin, terazosin) and are unable to stop these medications for a 48-hour period prior to scanning (to exclude the impact of these medications on the interpretation of fMRI/EEG).
- Failed Urine Drug Screening Test: A rapid urine screening test that utilizes monoclonal antibodies to detect elevated levels of specific drugs (including alcohol, amphetamines, benzodiazepines, barbiturates, cocaine, marijuana, opiates, etc.) in urine (iCup)
- Pregnancy based on urine test. The safety of magnetic resonance (MR) systems has not been established for fetuses
- Having electrically, magnetically, or mechanically activated implants (e.g., cardiac pacemakers), because the electromagnetic fields produced by the MR system may interfere with the operation of these devices.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
United States1 site, 1 recruiting
- Recruiting
The University of Texas Health Science Center at Houston
Houston, Texas, 77030
Wen Li, PhD, (713) 486-2700, Wen.Li.1@uth.tmc.edu
Jada Malveaux, MA, (713) 486-2700, Jada.Malveaux@uth.tmc.edu
About this study
Official title: Threat-related Sensory Cortical (SC) Disinhibition and SPA Pathology in Posttraumatic Stress Disorder (PTSD) (Aim 3; Expts. 2&3)
This study will take a basic neuroscience approach to investigate pathological mechanisms underlying PTSD. Additionally, the study aims to identify how Transcranial Alternating Current Stimulation (tACS) brain stimulation can modulate and correct neural networks and related emotions of anxious arousal and hypervigilance, with the goal of assessing tACS brain stimulation technology as a novel intervention for symptoms of anxiety.
Read the detailed description
This study includes experiments 2 \& 3 to address Aim 3--threat-related SC disinhibition and Sensory-Prefrontal-cortex-Amygdala (SPA) pathology in PTSD. The goal of this study is to develop and test a novel pathophysiology of PTSD by integrating sensory cortical (SC) and amygdala-prefrontal cortex (PFC) dysfunctions into a tripartite Sensory-Prefrontal-Cortex-Amygdala (SPA) model. The investigators will recruit 80 healthy subjects and 80 patients with PTSD in a randomized, double-blind, controlled design, where they be randomly assigned to 1) Transcranial Alternating Current Stimulation (tACS) at individual alpha peak frequency (active condition); 2) sham control tACS; or 3) active control, which will be transcranial random noise stimulation (tRNS) (random frequency 1-200 Hz). Simultaneous EEG/fMRI recordings and behavioral responses will be acquired before and after tACS/sham tACS/tRNS stimulation. During tACS/sham tACS/tRNS stimulation, stimulation electrodes will be placed inside the holders of an EEG cap attached to the head of the participant. Experiments 2 \& 3 include a visual search task and an olfactory detection task, respectively, and both experiments include threat and neutral stimuli.
- Being tested
- Transcranial Alternating Current Stimulation (tACS), Sham for Transcranial Alternating Current Stimulation (tACS), Transcranial Random Noise stimulation (tRNS)
- Medical subject headings
- Stress Disorders, Post-Traumatic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Transcranial Alternating Current Stimulation (tACS)Device
A weak electrical current will be passed through the scalp over targeted cortical regions via a transcranial electrical stimulation system (Soterix Medical, Inc), for a span of 10 to 40 minutes at a time. Participants will receive a 2 milliamp (mA) sinusoidal current oscillating at individual participants' baseline peak alpha frequencies (PAF; 7-13 Hz), which will be determined by a 3-min resting state EEG recording during the setup. Current intensities will be modified to address individual participants' subjective reports of discomfort, with a maximum intensity of 2 mA. Stimulation electrodes will be placed within an EEG cap fitted over the participant's head.
Sham for Transcranial Alternating Current Stimulation (tACS)Device
Stimulation electrodes will be placed on the scalp, but no current will be passed. Stimulation electrodes will be placed within an EEG cap fitted over the participant's head.
Transcranial Random Noise stimulation (tRNS)Device
A weak electrical currents will be passed through the scalp over targeted cortical regions via a transcranial electrical stimulation system (Soterix Medical, Inc), for a span of 10 to 40 minutes at a time. Participants will receive a 2 mA sinusoidal current oscillating at random frequency (1-200 Hz). Current intensities will be modified to address individual participants' subjective reports of discomfort, with a maximum intensity of 2 mA. Stimulation electrodes will be placed within an EEG cap fitted over the participant's head.
| Study group | Role | What they receive |
|---|---|---|
| Transcranial Alternating Current Stimulation (tACS) | Experimental | Not described Receives: Device: Transcranial Alternating Current Stimulation (tACS) |
| Sham for Transcranial Alternating Current Stimulation (tACS) | Sham comparator | Not described Receives: Device: Sham for Transcranial Alternating Current Stimulation (tACS) |
| Active Control - Transcranial Random Noise stimulation (tRNS) | Active comparator | Not described Receives: Device: Transcranial Random Noise stimulation (tRNS) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in neural oscillatory activity as assessed by electroencephalogram (EEG) alpha power change
Measured: baseline (pre-stimulation); immediately post-stimulation (about 10 to 40 minutes after start of stimulation)
Change in cortical activity as assessed by functional magnetic resonance imaging (fMRI) blood-oxygen-level-dependent (BOLD) signal change
Measured: baseline (pre-stimulation); immediately post-stimulation (about 10 to 40 minutes after start of stimulation)
Secondary outcomes (5)
Change in visual search as assessed by change in percent accuracy on the visual search experiment
Measured: baseline (pre-stimulation); immediately post-stimulation (about 10 to 40 minutes after start of stimulation)
Change in visual search as assessed by change in reaction time on the visual search experiment
Measured: baseline (pre-stimulation); immediately post-stimulation (about 10 to 40 minutes after start of stimulation)
Change in olfactory detection as assessed by change in percent accuracy on the olfactory detection experiment
Measured: baseline (pre-stimulation); immediately post-stimulation (about 10 to 40 minutes after start of stimulation)
Change in olfactory detection as assessed by change in reaction time on the olfactory detection experiment
Measured: baseline (pre-stimulation); immediately post-stimulation (about 10 to 40 minutes after start of stimulation)
Change in salience detection and vigilance behavior as assessed by skin conductance measured in microsiemens (μS)
Measured: baseline (pre-stimulation); immediately post-stimulation (about 10 to 40 minutes after start of stimulation)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Jul 2025
- Study start3 Jul 2025
- Primary completionJun 2027 (estimated)
- Study completionJun 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Threat-related Sensory Cortical (SC) DisinhibitionStudies 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
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 160 participants (estimated)
Sponsor and investigators
- Lead sponsor
- The University of Texas Health Science Center, Houston
- Sponsor type
- University, hospital or other
- Collaborators
- National Institute of Mental Health (NIMH)
- Responsible party
- Principal investigator, Wen Li, The University of Texas Health Science Center, Houston
- Investigators
- Wen Li, PhD, Principal investigator, The University of Texas Health Science Center, Houston
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07079839
- Sponsor's protocol ID
- HSC-MS-23-1106 (study 2)
- Other IDs
- R01MH132209
- Status last verified
- Sep 2026
- First submitted
- 9 Jul 2025
- Last updated
- 11 Sep 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
- Individual data sharing
- Yes: All IPD that underlie results in a publication.