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Trial registered on ANZCTR
Registration number
ACTRN12615000886583
Ethics application status
Approved
Date submitted
12/08/2015
Date registered
25/08/2015
Date last updated
28/11/2019
Date data sharing statement initially provided
28/11/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Brain stimulation, aging and cognition: Investigating neuroplasticity and cognitive enhancement following brain stimulation in amnestic mild cognitive impairment.
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Scientific title
Effect of transcranial direct current stimulation on neuroplasticity and cognitive performance in adults with amnestic mild cognitive impairment
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Secondary ID [1]
287266
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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:
Amnestic Mild Cognitive Impairment
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Condition category
Condition code
Neurological
296139
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0
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Neurodegenerative diseases
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Neurological
296201
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0
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Alzheimer's disease
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Mental Health
296274
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0
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Studies of normal psychology, cognitive function and behaviour
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Transcranial direct current stimulation (tDCS) involves the application of a weak electric current to the scalp to non-invasively increase cortical excitability. Two surface electrodes are attached to the scalp. The anode is placed on the left dorsolateral prefrontal cortex and the cathode on the right forehead. Participants sit upright in a chair and are awake and alert for the period of stimulation.
Participants will be asked to attend for two sessions, spaced at least one week apart, with each session lasting approximately 2 hours. In each session tDCS will be applied by a trained researcher for two 13 minute blocks with a 20 minute break between. The first block of tDCS will be either active (2mA) or sham stimulation, with the second block active. Sessions will be counterbalanced across participants.
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Intervention code [1]
292567
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Treatment: Devices
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Intervention code [2]
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Treatment: Other
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Comparator / control treatment
Performance will be compared across the sham and active conditions. Sham stimulation will involve an identical set up and duration to active stimulation however no current will be applied.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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N-back task (accuracy and reaction time)
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Assessment method [1]
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Timepoint [1]
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30 minutes post final block of stimulation.
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Primary outcome [2]
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TMS-EEG evoked potential amplitudes which provide an indication of prefrontal cortex activity in response to tDCS.
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Assessment method [2]
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Timepoint [2]
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5 and 20 minutes post the final block of stimulation
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Secondary outcome [1]
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EEG oscillations across the scalp in areas relevant to network activity.
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Assessment method [1]
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Timepoint [1]
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5 and 20 minutes post the final block of stimulation.
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Eligibility
Key inclusion criteria
a) Subjective and objective memory complaints. Objective memory complaints are defined as >1.5SDs below the mean on visual or verbal memory tasks, OR
b) Healthy adults aged between 18 - 35 years OR 56 - 80 years with no cognitive complaints.
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Minimum age
18
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
* History of seizures or neurological disorders
* Current psychiatric diagnoses, alcohol or substance dependence
* Left-handed
* Presence of metal in head
* Women who are currently pregnant or lactating
* Individuals taking benzodiazepines or acetyl cholinesterase inhibitors
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised 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
Not Applicable
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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
1/09/2015
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Actual
6/10/2015
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Date of last participant enrolment
Anticipated
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Actual
30/12/2016
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Date of last data collection
Anticipated
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Actual
6/01/2017
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Sample size
Target
30
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Accrual to date
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Final
25
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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 3800
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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
Wellington Rd
Clayton
VIC 3800
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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]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Alfred Hospital Ethics Committee
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Ethics committee address [1]
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Alfred Hospital 55 Commercial Rd, 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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16/07/2014
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Ethics approval number [1]
293344
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Summary
Brief summary
Amnestic mild cognitive impairment (a-MCI) is believed to represent a transition period between normal aging and Alzheimer's disease. People with a-MCI experience problems with their memory without it impacting on their daily functioning. As a-MCI represents a stage prior to irreversible neurodegeneration, it is important from a therapeutic perspective that neural changes occurring in a-MCI are determined in order to see if there remains potential for response to treatment. Neuroplasticity refers to the brains ability to re-organize its function in response to the environment. One aspect of this is known as long-term potentiation (LTP), which is imperative in learning and memory. LTP-like plasticity can be induced through brain stimulation techniques including transcranial direct current stimulation (tDCS). Application of tDCS through a gentle electrical current can increase brain activity as measured through electroencephalography (EEG) and behavioural outcomes. When transcranial magnetic stimulation (TMS) is applied in combination with EEG, the cortical excitability of the stimulated and surrounding brain regions can be determined. This provides information about the LTP-like plasticity that is present. Recent evidence has shown that spaced application of tDCS may be more beneficial in enhancing cognitive performance and neural plasticity compared to only a single session. Therefore the aim of our study is to investigate whether LTP can be induced in a-MCI and if there are differences in LTP-like plasticity and cognitive performance with spaced application of tDCS compared to a single active tDCS condition.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Ms Melanie Emonson
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Address
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Monash Alfred Psychiatry Research Centre
Level 4
607 St Kilda Rd
Melbourne
VIC 3004
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Country
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Australia
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Phone
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+613 9076 9823
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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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Melanie Emonson
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Address
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Monash Alfred Psychiatry Research Centre
Level 4
607 St Kilda Rd
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 9823
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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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Melanie Emonson
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Address
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Monash Alfred Psychiatry Research Centre
Level 4
607 St Kilda Rd
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 9823
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Not approved in ethical protocol
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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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