NCT03440840

Brief Summary

This study investigates the effectiveness of computer-based cognitive training with or without transcranial direct current stimulation (tDCS) in improving the functioning of older individuals with HIV-related cognitive dysfunction.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
46

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jan 2018

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

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

First Submitted

Initial submission to the registry

November 8, 2017

Completed
2 months until next milestone

Study Start

First participant enrolled

January 16, 2018

Completed
1 month until next milestone

First Posted

Study publicly available on registry

February 22, 2018

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 6, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 6, 2019

Completed
3.9 years until next milestone

Results Posted

Study results publicly available

September 18, 2023

Completed
Last Updated

September 18, 2023

Status Verified

November 1, 2022

Enrollment Period

1.8 years

First QC Date

November 8, 2017

Results QC Date

April 7, 2022

Last Update Submit

November 22, 2022

Conditions

Outcome Measures

Primary Outcomes (1)

  • Psychomotor Speed

    Ability of the participant to attend to and use complex stimuli while making a motor response. The Coding subtest of the Wechsler Adult Intelligence Scale, 4th ed. (WAIS-IV) asks that the person assessed insert small geometric drawings with pencil on paper according to a key at the top of the page. One figure corresponds to the numeral 1, another to 2, and so on. The persons is asked to work as quickly as they can, and given a specific period in which to complete the task. Raw scores are the number of boxes correctly filled in during the time allowed and can range from 0 to 155, with higher scores indicating a better performance.

    3 weeks

Secondary Outcomes (3)

  • Functional Status

    3 weeks

  • Participant Assessment of Own Functioning (PAOF)

    3 weeks

  • Center for Epidemiological Studies Depression Scale (CES-D)

    3 weeks

Study Arms (3)

Computer Training with active tDCS

EXPERIMENTAL

Participants randomized to this arm will receive computer-based cognitive training using a car racing game with active transcranial direct current stimulation (tDCS).

Procedure: Transcranial Direct Current Stimulation (tDCS)Behavioral: Computer-based Cognitive Training

Computer Training with sham tDCS

ACTIVE COMPARATOR

Participants randomized to this arm will receive computer-based cognitive training using a car racing game with sham transcranial direct current stimulation (tDCS).

Behavioral: Computer-based Cognitive Training

Computer Training with or without tDCS

PLACEBO COMPARATOR

Participants in this arm will watch educational videos as a comparator to computer training with the car racing game (watching educational videos).

Procedure: Transcranial Direct Current Stimulation (tDCS)Behavioral: Watching Educational Videos

Interventions

Application of a small electrical current (1-2 mA) across the head.

Also known as: tDCS
Computer Training with active tDCSComputer Training with or without tDCS

Use of computer-delivered games or exercises with the goal of improving cognitive performance.

Also known as: Cognitive Training
Computer Training with active tDCSComputer Training with sham tDCS

Watching educational videos and answering questions about them

Computer Training with or without tDCS

Eligibility Criteria

Age50 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Treated with antiretroviral medication for at least one month
  • Meet criteria for Mild Neurocognitive Disorder

You may not qualify if:

  • Seizure disorder
  • Recent head injury or surgery
  • Personal or family history of bipolar disorder;
  • Some medications
  • Left handedness
  • HIV Dementia

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

NSU Psychiatry Research Office

Fort Lauderdale, Florida, 33328, United States

Location

Related Publications (2)

  • Ownby RL, Acevedo A. A pilot study of cognitive training with and without transcranial direct current stimulation to improve cognition in older persons with HIV-related cognitive impairment. Neuropsychiatr Dis Treat. 2016 Oct 25;12:2745-2754. doi: 10.2147/NDT.S120282. eCollection 2016.

    PMID: 27822047BACKGROUND
  • Ownby RL, Kim J. Computer-Delivered Cognitive Training and Transcranial Direct Current Stimulation in Patients With HIV-Associated Neurocognitive Disorder: A Randomized Trial. Front Aging Neurosci. 2021 Nov 15;13:766311. doi: 10.3389/fnagi.2021.766311. eCollection 2021.

MeSH Terms

Interventions

Transcranial Direct Current StimulationCognitive Training

Intervention Hierarchy (Ancestors)

Electric Stimulation TherapyTherapeuticsConvulsive TherapyPsychiatric Somatic TherapiesBehavioral Disciplines and ActivitiesElectroshockPsychological TechniquesNeurological RehabilitationRehabilitationAftercareContinuity of Patient CarePatient CareHealth ServicesHealth Care Facilities Workforce and Services

Limitations and Caveats

In this trial, we were only able to recruit 46 participants, of whom 44 completed the study. The original plan was to recruit 120 individuals, of whom 90 would complete the study. The sample size is thus substantially smaller than planned.

Results Point of Contact

Title
Raymond L Ownby, MD, PhD
Organization
Nova Southeastern University

Study Officials

  • Raymond L Ownby, MD, PhD

    Nova Southeastern University

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Masking Details
Individuals will receive either active or sham tDCS. The outcomes assessor will be blind to treatment group assignment.
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Randomized parallel group
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor and Chair

Study Record Dates

First Submitted

November 8, 2017

First Posted

February 22, 2018

Study Start

January 16, 2018

Primary Completion

November 6, 2019

Study Completion

November 6, 2019

Last Updated

September 18, 2023

Results First Posted

September 18, 2023

Record last verified: 2022-11

Data Sharing

IPD Sharing
Will share

After the conclusion of the study, de-identified study data will be shared by the study principal investigator with interested individuals.

Shared Documents
STUDY PROTOCOL
Time Frame
After study conclusion.
Access Criteria
Researchers who indicate an interest in using the data for legitimate purposes.

Locations