AzTrials
AzTrials

Generalized Anxiety Disorder (GAD)TIs-GADNCT07909200

Temporal Interference Transcranial Alternating Current Stimulation Targeting the BNST or Amygdala for Generalized Anxiety Disorder

A study testing Temporal Interference transcranial Alternating Current Stimulation (TI-tACS) in people with Generalized Anxiety Disorder (GAD), run by Central South University at 4 sites in China.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

This randomized controlled trial will use a three-arm, parallel-group design to evaluate the efficacy and safety of 5-Hz Temporal Interference transcranial Alternating Current Stimulation (TI-tACS) in adults with generalized anxiety disorder (GAD). Read more about this study

Who is it for?
Ages 18 to 55 years
Conditions the study is for
Generalized Anxiety Disorder (GAD)
What is being tested?
Temporal Interference transcranial Alternating Current Stimulation (TI-tACS)
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
75 participants
Where
4 sitesChina
Study dates
25 Oct 2026to 30 Jun 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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 55 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Aged 18 to 55 years, inclusive, of any sex;
  • Diagnosis of generalized anxiety disorder (GAD) according to DSM-5 criteria, assessed by trained researchers using the Structured Clinical Interview for DSM-5 (SCID), without psychotic features;
  • Hamilton Anxiety Rating Scale (HAMA) total score of 14 or higher at screening;
  • Has completed at least junior high school education and has sufficient hearing, reading, writing, and comprehension abilities to complete study assessments;
  • Is willing and able to provide written informed consent and comply with study visits, treatment procedures, laboratory tests, and other study requirements.

Who cannot join

  • Participants with a current or previous diagnosis of a major psychiatric disorder according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), such as schizophrenia spectrum and other psychotic disorders or bipolar and related disorders;
  • Pregnancy or lactation;
  • Neurologic disorders or serious systemic diseases (e.g., thyroid disease, lupus erythematosus, diabetes, hepatic or renal impairment, active infection, major trauma);
  • History of significant head injury or coma;
  • Received any standardized neuromodulation therapy targeting the nervous system within the past 6 months before enrollment, including but not limited to electroconvulsive therapy (ECT), deep brain stimulation (DBS), transcranial magnetic stimulation (TMS), or vagus nerve stimulation (VNS);
  • Suspected or confirmed history of alcohol or substance dependence;
Show all 11Show fewer
  • Current severe suicidal ideation or recent suicide attempt;
  • Current participation in another clinical trial or recent use of prohibited psychotropic medications;
  • Positive urine drug screening or abnormal thyroid function tests;
  • Contraindications to magnetic resonance imaging (MRI) or electroencephalography (EEG);
  • Inability to provide fully informed consent.

Trial locations and contacts

4 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Xueting Li, PhD Candidate contact

2458261900@qq.com

China4 sites
  • Brain Hospital of Hunan Province (Hunan Second People's Hospital)

    Changsha, Hunan

    Wenwen Ou, 86+15116200923, TIassistant701@163.com

  • Second Xiangya Hospital of Central South University

    Changsha, Hunan

    Hui Liang, 86+13876220412, 1136293417@qq.com

  • Neuropsychiatric Prevention and Treatment Hospital of Fuzhou Second General Hospital

    Fuzhou, Fujian

    Xueting Li, 86+13956590989, 2458261900@qq.com

  • Jiangsu Yangzhou Wutaishan Hospital

    Yangzhou, Jiangsu

    Jinrong Sun, 86+13813176637, 1723487395@qq.com

Other trials in China

About this study

Official title: Temporal Interference Transcranial Alternating Current Stimulation Targeting the BNST or Amygdala for Generalized Anxiety Disorder: A Randomized Controlled Trial

This randomized controlled trial will use a three-arm, parallel-group design to evaluate the efficacy and safety of 5-Hz Temporal Interference transcranial Alternating Current Stimulation (TI-tACS) in adults with generalized anxiety disorder (GAD). A total of 75 participants will be randomized in a 1:1:1 ratio to receive stimulation targeting the right bed nucleus of the stria terminalis (BNST), stimulation targeting the right amygdala, or sham stimulation. Participants will receive three 20-minute sessions per day, with 1-hour intervals between sessions, for 7 consecutive days (21 sessions in total). The primary outcome is the change in Hamilton Anxiety Rating Scale (HAMA) total score from baseline to Week 1. Secondary and exploratory assessments will include clinical symptoms, intolerance of uncertainty and related cognitive characteristics, treatment tolerability, adverse events, and EEG and MRI measures. Follow-up assessments will be conducted at Week 1, Week 4, and Week 8 from baseline to assess the durability of clinical effects and safety.

Read the detailed description

Generalized anxiety disorder (GAD) is characterized by persistent and excessive anxiety and worry. Intolerance of uncertainty is an important cognitive feature associated with pathological worry. The amygdala and bed nucleus of the stria terminalis (BNST) contribute to threat processing, with evidence suggesting differences in their responses to brief and sustained threats. Comparing interventions targeting these regions may help clarify their contributions to anxiety symptoms, intolerance of uncertainty, and persistent worry.

Temporal interference stimulation uses two kilohertz-frequency alternating currents with a small frequency difference to generate an amplitude-modulated electric field envelope at the difference frequency. This study will compare right BNST-targeted and right amygdala-targeted stimulation using a 5-Hz envelope, with sham stimulation as the control.

Individualized head models will be constructed from each participant's T1-weighted magnetic resonance images. Electric field modeling will guide scalp electrode placement for the assigned target. Stimulation intensity will be individually adjusted according to participant tolerability within a range of 1.5-3.5 mA per channel, expressed as zero-to-peak amplitude.

Electroencephalography and magnetic resonance imaging will be used to investigate changes in theta-band activity and functional connectivity within anxiety-related networks. Associations between these changes and improvements in clinical symptoms and cognitive measures will be examined to explore the neural mechanisms of stimulation at the two targets. Peripheral blood samples will be collected at baseline, Week 1, and Week 8 and stored for future exploratory biomarker analyses related to GAD and treatment response.

Being tested
Temporal Interference transcranial Alternating Current Stimulation (TI-tACS), Sham Temporal Interference transcranial Alternating Current Stimulation (TI-tACS)
Keywords
Generalized Anxiety Disorder, Temporal Interference Stimulation, Bed Nucleus of the Stria Terminalis, Intolerance of Uncertainty, Randomized Controlled Trial, Neuromodulation, quadruple-blind, Temporal Interference Transcranial Alternating Current Stimulation
Medical subject headings
Generalized Anxiety Disorder

What participants receive

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

  • Temporal Interference transcranial Alternating Current Stimulation (TI-tACS)Device

    Temporal Interference Transcranial Alternating Current Stimulation (TI-tACS) is a non-invasive neuromodulation technique that generates an envelope field (particularly 5 Hz) in deep brain regions, particularly the right BNST, through the interaction of two currents (2000 Hz, 2005Hz).

  • Temporal Interference transcranial Alternating Current Stimulation (TI-tACS)Device

    Temporal Interference Transcranial Alternating Current Stimulation (TI-tACS) is a non-invasive neuromodulation technique that generates an envelope field (particularly 5 Hz) in deep brain regions, particularly the right Amygdala, through the interaction of two currents (2000 Hz, 2005Hz)

  • Sham Temporal Interference transcranial Alternating Current Stimulation (TI-tACS)Device

    Sham Temporal Interference transcranial Alternating Current Stimulation will mimic the sensory experience of active stimulation without delivering effective current.

Study groups in NCT07909200
Study groupRoleWhat they receive
Right BNST-targeted TI-tACSExperimentalParticipants will receive 5-Hz temporal interference stimulation targeting the right bed nucleus of the stria terminalis (BNST), for 20 minutes per session, three sessions per day with 1-hour intervals, for 7 consecutive days, for a total of 21 sessions.
Receives: Device: Temporal Interference transcranial Alternating Current Stimulation (TI-tACS)
Right Amygdala-targeted TI-tACSExperimentalParticipants will receive 5-Hz temporal interference stimulation targeting the right amygdala, for 20 minutes per session, three sessions per day with 1-hour intervals, for 7 consecutive days, for a total of 21 sessions.
Receives: Device: Temporal Interference transcranial Alternating Current Stimulation (TI-tACS)
Sham TI-tACSSham comparatorParticipants will receive sham temporal interference stimulation, for 20 minutes per session, three sessions per day with 1-hour intervals, for 7 consecutive days, for a total of 21 sessions.
Receives: Device: Sham Temporal Interference transcranial Alternating Current Stimulation (TI-tACS)

What is being measured

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

  1. Change in Hamilton Anxiety Rating Scale (HAMA) Total Score From Baseline to Week 1

    Anxiety severity will be evaluated using the Hamilton Anxiety Rating Scale (HAMA), a clinician-administered instrument comprising 14 items. Total scores range from 0 to 56, with higher scores indicating more severe anxiety symptoms. The outcome is the change in HAMA total score from baseline to Week 1.

    Measured: Baseline and Week 1

Secondary outcomes (8)
  1. Clinical Response Rate

    Clinical response will be assessed using the Hamilton Anxiety Rating Scale (HAMA), a 14-item clinician-administered scale with a total score range of 0 to 56. Higher scores indicate greater anxiety symptom severity, which represents a worse outcome. Clinical response is defined as a reduction of at least 50% in HAMA total score compared with baseline.

    Measured: Week 1, Week 4, and Week 8

  2. Clinical Remission Rate

    Clinical remission will be assessed using the Hamilton Anxiety Rating Scale (HAMA), a 14-item clinician-administered scale with a total score range of 0 to 56. Higher scores indicate greater anxiety symptom severity, which represents a worse outcome. Clinical remission is defined as a HAMA total score of 7 or less at the corresponding assessment time point.

    Measured: Week 1, Week 4, and Week 8

  3. Change in Hamilton Anxiety Rating Scale (HAMA) Total Score

    Anxiety severity will be evaluated using the Hamilton Anxiety Rating Scale (HAMA), a clinician-administered instrument comprising 14 items. Total scores range from 0 to 56, with higher scores indicating more severe anxiety symptoms. The outcome is the change in HAMA total score from baseline to each subsequent assessment time point.

    Measured: Baseline, Week 1, Week 4, and Week 8

  4. Change in 17-item Hamilton Depression Rating Scale (HAMD-17) Total Score

    Depressive symptom severity will be assessed using the 17-item Hamilton Depression Rating Scale (HAMD-17), a clinician-administered scale with a total score range of 0 to 52. Higher scores indicate greater depressive symptom severity, which represents a worse outcome. The outcome will be calculated as the change in HAMD-17 total score from baseline to each post-baseline assessment time point.

    Measured: Baseline, Week 1, Week 4, and Week 8

  5. Change in Generalized Anxiety Disorder-7 (GAD-7) Score

    Anxiety symptom severity will be assessed using the Generalized Anxiety Disorder-7 (GAD-7), a 7-item self-report questionnaire with a total score range of 0 to 21. Higher scores indicate greater anxiety symptom severity, which represents a worse outcome. The outcome will be calculated as the change in GAD-7 score from baseline to each post-baseline assessment time point.

    Measured: Baseline, Week 1, Week 4, and Week 8

  6. Change in Intolerance of Uncertainty Scale (IUS) Score

    Intolerance of uncertainty will be assessed using the Intolerance of Uncertainty Scale (IUS), a 27-item self-report questionnaire with a total score range of 27 to 135. Higher scores indicate greater intolerance of uncertainty, which represents a worse outcome. The outcome will be calculated as the change in IUS total score from baseline to each post-baseline assessment time point.

    Measured: Baseline, Week 1, Week 4, and Week 8

  7. Change in Anxiety and Depression Visual Analogue Scale Scores

    Subjective anxiety and depression severity will be assessed using visual analogue scale ratings for anxiety and depression. Each visual analogue scale score ranges from 0 to 10, with higher scores indicating greater subjective symptom severity, which represents a worse outcome. The outcome will be calculated as the change in visual analogue scale scores from baseline to each post-baseline assessment time point

    Measured: Baseline, Day 1, Week 1, Week 4, and Week 8

  8. Treatment-Emergent Side Effects During the Intervention and Follow-up Period

    Treatment-emergent side effects will be assessed using a physical treatment side-effect assessment that records the presence, type, severity, and relationship to the study intervention of adverse events. This outcome will be summarized as the occurrence and severity of treatment-emergent side effects during the intervention and follow-up period; higher severity indicates a worse safety outcome.

    Measured: Week 1, Week 4, and Week 8

Timeline

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

  1. First posted2 Nov 2026
  2. Study start25 Oct 2026 (estimated)
  3. Primary completion1 Mar 2027 (estimated)
  4. Study completion30 Jun 2027 (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
Model description
Participants will be randomly assigned in a 1:1:1 ratio to three parallel groups: right BNST-targeted 5-Hz temporal interference stimulation, right amygdala-targeted 5-Hz temporal interference stimulation, or sham stimulation. Each participant will receive three 20-minute sessions per day, separated by 1-hour intervals, for 7 consecutive days (21 sessions in total).
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
75 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07909200
Sponsor's protocol ID
FZLL202651
Acronym
TIs-GAD
Status last verified
Oct 2026
First submitted
15 Oct 2026
Last updated
2 Nov 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual participant data will not be shared because the dataset includes sensitive neuroimaging and biological data that may compromise participant confidentiality.

Questions about this trial

What is this clinical trial studying?

A study testing Temporal Interference transcranial Alternating Current Stimulation (TI-tACS) in people with Generalized Anxiety Disorder (GAD), run by Central South University at 4 sites in China.

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 11 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: opening soon, as of the sponsor's last update on 2 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in China. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Yumeng Ju, PhD (86+18100731091, yumeng.ju@csu.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Hamilton Anxiety Rating Scale (HAMA) Total Score From Baseline to Week 1 (time frame: Baseline and Week 1). 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 2 Nov 2026; AzTrials last refreshed its copy on 2 Nov 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in