NCT03039387

Brief Summary

Deficient cognitive control (CC) and the use of dysfunctional emotion regulation strategies (ERS) are both central characteristics of major depression. Both are associated with reduced activity of the dorsolateral prefrontal cortex (dlPFC). Transcranial direct current stimulation (tDCS) is a safe, simple and effective non-invasive method to modulate the cortical excitability. The goal of this randomized, sham-controlled, double blind clinical trial is to examine the effect of transcranial direct current stimulation (tDCS) on the CC and ERS in depressed patients compared to healthy subjects. Overall, the study will include 44 participants (22 depressed Patients and 22 healthy subjects). Each participant will complete a CC task while receiving sham tDCS in one session and anodal tDCS in the other session (counterbalanced). Afterwards the ERS 'rumination' will be measured during a resting phase by means of a questionnaire and psychophysiological measures (heart rate variability). The investigators hypothesize (a) an amelioration of CC by anodal tDCS and (b) a reduced use of the dysfunctional emotion regulation strategy 'rumination' after anodal tDCS. Overall this experiment will provide new and reliable data for the development of new treatment methods.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
44

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Sep 2016

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 1, 2016

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

October 28, 2016

Completed
3 months until next milestone

First Posted

Study publicly available on registry

February 1, 2017

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2017

Completed
Last Updated

February 1, 2017

Status Verified

August 1, 2016

Enrollment Period

7 months

First QC Date

October 28, 2016

Last Update Submit

January 30, 2017

Conditions

Outcome Measures

Primary Outcomes (4)

  • Interstimulusintervall and number of correct trials in the PASAT

    To measure the performance in the PASAT the number of correct trials as well as the mean Interstimulusintervall will be assessed.

    Assessment during stimulation/ sham stimulation in two sessions through study completion, on average 10 days.

  • Change of positive and negative affect

    Change of positive and negative affect after, compared to before performing the PASAT and also change of the affect during the resting phase.

    The positive and negative affect is assessed (a) right before and after the PASAT in two sessions through study completion, on average 10 days. And (b) also after the resting phase in two sessions through study completion, on average 10 days.

  • Heart rate variability

    The Heart Rate Variability will be measured during the resting phase right after the measurement of the affect.

    in two sessions through study completion, on average 10 days

  • Score in state rumination questionnaire

    The state rumination will be measured after the resting phase

    in two sessions through study completion, on average 10 days

Study Arms (2)

anodal tDCS

ACTIVE COMPARATOR

transcranial direct current stimulation of the left dlPFC with 1mA

Device: anodal transcranial direct current stimulation

Sham stimulation

PLACEBO COMPARATOR

Double blind sham stimulation (stimulation will be ramped down after 30 sec.)

Device: transcranial direct current stimulation (sham)

Interventions

Also known as: anodal tDCS
anodal tDCS

for the placebo control condition, the transcranial direct current stimulation will only last for 30 seconds and will then be ramped down.

Also known as: sham tDCS
Sham stimulation

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • diagnosed major depression (DSM-V)
  • stable medication for four weeks
  • right handedness

You may not qualify if:

  • history of seizures
  • metal device throughout the body
  • pregnancy
  • use of von antipsychotics / mood stabilizer
  • diagnosed bipolar disorder
  • current substance abuse (nicotine excluded)
  • diagnosed psychotic diseases
  • diagnosed anorexia nervosa
  • diagnosed personality disorders: cluster A, antisocial personality disorder, borderline personality disorder
  • history of affective disorders or current affective disorder

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University Hospital Tuebingen

Tübingen, Baden-Wurttemberg, 72076, Germany

RECRUITING

MeSH Terms

Conditions

Depressive Disorder, MajorEmotional Regulation

Interventions

Transcranial Direct Current Stimulation

Condition Hierarchy (Ancestors)

Depressive DisorderMood DisordersMental DisordersSelf-ControlSocial BehaviorBehavior

Intervention Hierarchy (Ancestors)

Electric Stimulation TherapyTherapeuticsConvulsive TherapyPsychiatric Somatic TherapiesBehavioral Disciplines and ActivitiesElectroshockPsychological Techniques

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
BASIC SCIENCE
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 28, 2016

First Posted

February 1, 2017

Study Start

September 1, 2016

Primary Completion

April 1, 2017

Study Completion

April 1, 2017

Last Updated

February 1, 2017

Record last verified: 2016-08

Data Sharing

IPD Sharing
Will not share

Locations