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Trial registered on ANZCTR
Registration number
ACTRN12613000050752
Ethics application status
Approved
Date submitted
18/12/2012
Date registered
15/01/2013
Date last updated
15/05/2017
Type of registration
Retrospectively registered
Titles & IDs
Public title
Cognitive control training for major depression: application, evaluation and augmentation.
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Scientific title
Can concurrent transcranial direct current stimulation augment the antidepressant efficacy of cognitive control training for major depression?
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Secondary ID [1]
281775
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None
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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:
Major Depression
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Condition category
Condition code
Mental Health
288365
288365
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0
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Depression
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Participants engage in five treatment sessions on consequent week days. Each session comprises cognitive training coupled with active or sham transcranial direct current stimulation (tDCS). Specifically, participants are randomised to one of the following intervention conditions:
a) cognitive control training + anodal tDCS (2mA)
b) cognitive control training + sham tDCS
c) peripheral vision training + anodal tDCS (2mA)
Cognitive control training comprises a set of computerised thinking tasks designed to engage the dorsolateral prefrontal cortex region of the brain. The peripheral vision training comprises a set of computerised thinking tasks designed to engage the visual cortex to a great degree than the dorsolateral prefrontal cortex.
Both types of training will be administered concurrently with active/sham tDCS throughout five 24-minute treatment sessions.
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Intervention code [1]
286231
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Treatment: Other
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Comparator / control treatment
The following two condition's are for comparison purposes:
b) cognitive control training + 24 minutes sham (inactive) tDCS
c) peripheral vision training + 24 minutes anodal tDCS (2mA)
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Control group
Active
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Outcomes
Primary outcome [1]
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Montgomery Asberg Depression Rating Scale
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Assessment method [1]
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Timepoint [1]
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End of treatment session five.
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Secondary outcome [1]
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Affective 2-back task accuracy and reaction time.
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Assessment method [1]
300402
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Timepoint [1]
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End of session five.
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Secondary outcome [2]
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Skin conductance recordings: magnitude of skin conductance response and speed of habituation to affective stimuli.
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Assessment method [2]
300403
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Timepoint [2]
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End of session five.
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Eligibility
Key inclusion criteria
1. Are voluntary and competent to consent,
2. Are currently in the midst of a DSM-IV defined Major Depressive Episode.
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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
1. Have a DSM-IV defined history of bipolar disorder, psychotic illness, obsessive compulsive disorder or substance abuse or dependence in the last 6-months,
2. Have a history of traumatic brain injury or neurologic illness,
3. Are currently taking carbamazepine or benzodiazepines,
4. Are currently pregnant or lactating.
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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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
16/07/2012
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Actual
25/07/2012
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Date of last participant enrolment
Anticipated
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Actual
28/06/2013
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Date of last data collection
Anticipated
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Actual
28/06/2013
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Sample size
Target
45
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Accrual to date
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Final
27
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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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Monash University
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Address [1]
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Wellington Rd
Clayton, VIC
3168
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Monash University
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Address
Monash Alfred Psychiatry Research Centre
607 St Kilda Rd
Prahran
3181 VIC
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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]
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Country [1]
285274
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Alfred Health Human Ethics Committee
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Ethics committee address [1]
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Alfred Health Human Ethics Committee Alfred Hospital Commercial Rd Prahran 3181 VIC
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
288559
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Approval date [1]
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23/12/2011
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Ethics approval number [1]
288559
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475/11
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Summary
Brief summary
Many depressed individuals fail to respond to available pharmacological and psychological therapies and there is a significant need to develop novel antidepressant treatment approaches. Traditionally, both research into and treatment approaches for depression have focused on the emotional disturbance associated with this illness. However, depression also disrupts cognitive processing. There is now considerable evidence indicating that the cognitive and emotional symptoms of depression interact with each other (e.g. causing an individual to remember more negative memories, or to pay more attention to negative thoughts and stimuli), and these interactions directly contribute to the length and severity of depressive episodes. Recently it has been suggested that targeting the cognitive symptoms of depression may also help to improve emotional dysfunction. One way that this could be achieved via cognitive control training (CCT). CCT simply involves a small number of thinking activities that an individual repeatedly practices to improve their ability to sustain and focus their attention and to self-direct their thought processes. The cognitive processes that CCT aims to enhance are largely subsumed by a frontal region of the brain called the dorsolateral prefrontal cortex. Research has shown that a mild form of brain stimulation called transcranial direct current stimulation (tDCS) administered to this brain region can enhance cognitive processing. As such, tDCS may be a useful means of augmenting the efficacy of CCT for depression.
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Trial website
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Trial related presentations / publications
Segrave RA et al. Concurrent cognitive control training augments the antidepressant efficacy of tDCS. A pilot study. Brain Stim, 7(2), 325 -331.
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Public notes
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Contacts
Principal investigator
Name
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Dr Rebecca Segrave
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Address
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Monash Alfred Psychiatry Research Centre
Level 4, 607 St Kilda Rd
Prahran
VIC 3181
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Country
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Australia
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Phone
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+61 3 9076 5030
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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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Sara Arnold
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Address
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Monash Alfred Psychiatry Research Centre
Level 4, 607 St Kilda Rd
Prahran
VIC 3181
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Country
36683
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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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Rebecca Segrave
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Address
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Monash Alfred Psychiatry Research Centre
Level 4, 607 St Kilda Rd
Prahran
VIC 3181
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Country
36684
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Australia
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Phone
36684
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+61 3 9076 5030
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Fax
36684
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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
Source
Title
Year of Publication
DOI
Embase
Leveraging Neuroplasticity to Enhance Adaptive Learning: The Potential for Synergistic Somatic-Behavioral Treatment Combinations to Improve Clinical Outcomes in Depression.
2019
https://dx.doi.org/10.1016/j.biopsych.2018.09.004
N.B. These documents automatically identified may not have been verified by the study sponsor.
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