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Trial registered on ANZCTR
Registration number
ACTRN12612000217808
Ethics application status
Approved
Date submitted
6/02/2012
Date registered
21/02/2012
Date last updated
2/07/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Can Transcranial Electrical Stimulation enhance working memory in schizophrenia and healthy controls?
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Scientific title
Non-invasive brain stimulation and working memory enhancement in schizophrenia and healthy controls: investigating transcranial Direct Current Stimulation (tDCS) and transcranial Alternating Current Stimulation (tACS).
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Secondary ID [1]
279868
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Schizophrenia / Schizoaffective disorder
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Condition category
Condition code
Mental Health
285835
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0
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Schizophrenia
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Anodal transcranial direct current stimulation (tDCS) at 2mA intensity, and anodal transcranial Alternating Current Stimulation (tACS) at 1mA intensity with gamma frequency range of 30-40Hz. This will be applied to the left dorsolateral prefrontal cortex for 20 minutes using a neuroConn GBH/Eldith DC Stimulator. tDCS will be delivered during three sessions (one tDCS, one tACS, and one sham tDCS) that will be one week apart.
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Intervention code [1]
284099
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Treatment: Devices
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Comparator / control treatment
Sham transcranial direct current stimulation (tDCS). This will involve placing the electrodes in the same position as for active tDCS, however stimulation will be ceased after 30 seconds (so as to generate the same initial sensation and ensure blinding is maintained).
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Control group
Placebo
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Outcomes
Primary outcome [1]
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A statistically significant improvement in performance on a working memory task (i.e. N-Back) following application of tDCS/tACS stimulation, both in patients with schizophrenia/ schizoaffective disorder and in healthy controls.
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Assessment method [1]
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Timepoint [1]
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Before and after application of tDCS/tACS stimulation
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Primary outcome [2]
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A statistically significant improvement in performance on the N-Back working memory task following application of anodal tDCS or tACS stimulation, compared with sham stimulation, both in patients with schizophrenia/ schizoaffective disorder and in healthy controls.
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Assessment method [2]
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Timepoint [2]
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Comparison of conditions - Session 1 vs Session 2 vs Session 3.
Participants' performance on the N-Back task will be measured for each session, both during and immediately after tDCS/tACS/sham stimulation. At the end of the trial, a final analysis will be conducted to compare participants' performance on the N-back across the three stimulation conditions.
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Secondary outcome [1]
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Nil
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Assessment method [1]
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Timepoint [1]
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Nil
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Eligibility
Key inclusion criteria
Participants with schizophrenia will be included if they:
- are voluntary and competent to consent
- have a diagnosis of Schizophrenia or Schizoaffective Disorder as confirmed by the Structure Clinical Interview for the DSM-IV (SCID-IV)
Healthy individuals will be included if they:
- have capacity to consent
- have no personal history of psychiatric illness (lifetime) - based on self report.
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients with schizophrenia will be excluded if they:
- have a a DSM-IV history of substance abuse or dependence in the last 6 months
- have a concomitant major and/or unstable medical or neurologic illness
- are currently taking carbamazepine
- are currently pregnant or lactating
- have metal anywhere in the head, except the mouth (this includes metallic objects such as screws and clips from surgical procedures)
Healthy participants will be excluded if they:
- have an unstable medical condition, neurological disorder or are currently pregnant or lactating
- have metal in the cranium, a pacemaker, cochlear implant medication pump or other electronic device
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
This is a double-blind study. Neither the participant nor the researcher conducting the sessions will know what type of stimulation the participant is receiving during each session. The Chief Investigator, who will be unblinded, will provide a unique code to be entered into the tDCS stimulator, which will determine the stimulation condition and settings, thus allowing the second researcher to remain blinded. The stimulation condition will be counterbalanced across participants.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
16/02/2012
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Actual
2/02/2012
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Date of last participant enrolment
Anticipated
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Actual
17/07/2014
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Date of last data collection
Anticipated
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Actual
31/07/2014
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Sample size
Target
40
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Accrual to date
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Final
29
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Accelerator Program Funding, Monash University
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Address [1]
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Monash University
Wellington Rd
Clayton VIC 3800
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Dr. Kate Hoy
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Address
MAPrc, Level 1, Old Baker Building
The Alfred
Melbourne VIC 3004
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
283552
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Country [1]
283552
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Alfred Human Research Ethics Committee
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Ethics committee address [1]
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Ethics Office Ground Floor, Linay Pavilion The Alfred Melbourne VIC 3004
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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07/12/2011
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Ethics approval number [1]
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1/11/0416
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Summary
Brief summary
Working memory difficulties are commonly experienced by individuals with schizophrenia and schizoaffective disorder. These difficulties have been shown to negatively influence patients’ psychosocial functioning. Any technique that may enhance working memory would therefore be very useful. Recent research has suggested that brain stimulation, and in particular transcranial Electrical Stimulation (TES) techniques such as transcranial Direct Current Stimulation (tDCS) and transcranial Alternating Current Stimulation (tACS), may have a role to play in improving cognition. TES techniques have been shown to be a safe and non-invasive way of modulating brain activity, by applying a very weak electrical current (1-2mA) to the cortex via electrodes that are placed on the scalp. While tDCS has been shown to improve working memory in a number of conditions, to date there have been no tDCS or tACS studies looking at the enhancement of working memory in schizophrenia. The current study will investigate whether working memory can be improved using tDCS and tACS in healthy participants and patients with schizophrenia or schizoaffective disorder. Further, the study aims to establish the most effective stimulation parameters for optimal working memory enhancement. Twenty healthy controls and 20 individuals with schizophrenia or schizoaffective disorder will attend 3 sessions at The Alfred hospital, each session involving a different type of TES (1mA tACS, 2ma tDCS, or sham stimulation). Participants' performance on a working memory task will be assessed following application of the stimulation, and brain activity will be monitored throughout the tasks using electroencephalography (EEG).
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Trial website
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Trial related presentations / publications
Hoy KE, Bailey NW, Arnold SL, John J, Daskalakis ZJ, Fitzgerald PB. The effect of gamma-tACS on working memory performance in healthy controls. Brain and Cognition. 101; 51-56, 2015 Hoy KE, Whitty D, Bailey NW, Fitzgerald PB. Preliminary investigation of the effects of gamma-tACS on working memory in schizophrenia. Journal of Neural Transmission, 1-8, 2016
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Kate Hoy
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Address
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MAPrc, Level 4 607 St Kilda Road
Melbourne, VIC 3004
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Country
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Australia
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Phone
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+61 3 90765034
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Ms. Sara Arnold
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Address
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MAPrc, Level 1, Old Baker Building
The Alfred
Melbourne VIC 3004
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Country
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Australia
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Phone
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+61 3 9076 6592
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr. Kate Hoy
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Address
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MAPrc, Level 1, Old Baker Building
The Alfred
Melbourne VIC 3004
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Country
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Australia
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Phone
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+61 3 9076 5034
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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