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Trial registered on ANZCTR
Registration number
ACTRN12615000720516
Ethics application status
Approved
Date submitted
29/06/2015
Date registered
13/07/2015
Date last updated
27/05/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Non-Invasive Brain Stimulation: the Influence of Gender and Menstrual Phase
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Scientific title
An Investigation of the Impact of Gender and the Menstrual Cycle on the Effects of tDCS and rTMS on Cortical Excitability in Healthy Controls.
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Secondary ID [1]
286985
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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:
Healthy human volunteers
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Condition category
Condition code
Mental Health
295693
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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
Participants will either take part in the transcranial direct current stimulation (tDCS) or repetitive transcranial magnetic stimulation (rTMS) rTMS arms of the study. They will not be required to engage in both.
tDCS study arm: 1 mA tDCS. The anodal stimulation will be applied to the left dorsolateral prefrontal cortex and the cathode over the right orbit. Stimulation will be delivered for for 15 minutes using a neuroConn GBH/Eldith DC stimulator.
rTMS study arm: Fifty trains of 10 Hz rTMS delivered at 120% of resting motor threshold. rTMS will be delivered using the MagPro R30 to the left DLPFC. Trains will be 4.5 second in duration with a 20.5 second inter-train interval (2250 pulses over 20.8 minutes).
Males will take part in one testing session only. Females will take part in two testing sessions: once during an early phase of the menstrual cycle when endogenous estrogen is low, and once more during a later phase when endogenous estrogen level are high.
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Intervention code [1]
292198
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Treatment: Devices
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Comparator / control treatment
The study is a comparison of cortical excitability between male and female adults, and within the female cohort of high and low estrogen phases of the menstrual cycle.
Changes in cortical excitability will be compared within the TMS and tDCS arms of the study, but not between the two techniques.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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For both arms of the study, the amplitude of pre vs post stimulation cortical evoked potentials measured from the DLPFC.
Single pulse TMS/EEG will be used to measure cortical evoked potentials.
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Assessment method [1]
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Timepoint [1]
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Cortical evoked potential amplitude 20-minutes following stimulation, relative to pre-stimulation.
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Secondary outcome [1]
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For both arms of the study, the amplitude of pre vs post stimulation cortical evoked potentials measured from the DLPFC.
Single pulse TMS/EEG will be used to measure cortical evoked potentials.
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Assessment method [1]
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Timepoint [1]
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Cortical evoked potential amplitude immediately following stimulation, relative to pre-stimulation.
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Eligibility
Key inclusion criteria
1. Are voluntary and competent to consent,
2. Are right handed ,
3. Have no history of endocrine disorder, traumatic brain injury or neurological or mental illness.
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Minimum age
18
Years
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Maximum age
40
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
General Exclusion Criteria:
1. Are a professional driver,
2. Have epilepsy or a history of seizure,
3. Currently taking any psychoactive medications,
4. Have metal anywhere in the head, except the mouth. This includes metallic objects such as screws and slips from surgical procedures.
Female Specific Exclusion Criteria
1. Are currently pregnant or lactating,
2. Currently taking the oral contraceptive pill,
3. Have an irregular menstrual cycle.
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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
1/04/2015
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Actual
1/04/2015
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Date of last participant enrolment
Anticipated
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Actual
3/03/2016
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
60
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Accrual to date
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Final
58
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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
Wellington Rd
Clayton, VIC
3168
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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 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]
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Approval date [1]
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26/05/2014
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Ethics approval number [1]
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129/14
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Summary
Brief summary
Non-invasive brain stimulation is emerging as a therapeutic tool for many brain related conditions. There are numerous non-invasive brain stimulation techniques that apply electrical or electromagnetic stimulation to the brain in different ways to alter neural activity. The most researched, and consequently best developed, of these are transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS). Both TMS and tDCS has been shown to have varying degrees of therapeutic efficacy for major depression. Research efforts are currently focused on identifying factors that modulate individual differences in the way the brain response to TMS which could lead to development of optimised protocols for stimulation delivery. There is evidence that sex hormones may modulate the effect of TMS and tDCS. However very few studies have investigated this and none have focused on the dorsolateral prefrontal cortex, the site that both methods are most often applied in a clinical context. The current project is an investigation of the impact of gender, and within female gender of menstrual phases associated with high and low estrogen, on the effect of TMS and tDCS to the dorsolateral prefrontal cortex.
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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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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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Cassandra Thomson
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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 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
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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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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
The influence of endogenous estrogen on transcranial direct current stimulation: A preliminary study.
2018
https://dx.doi.org/10.1111/ejn.14085
N.B. These documents automatically identified may not have been verified by the study sponsor.
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