NCT04108663

Brief Summary

Cognitive control (CC) is an important prerequisite for goal-directed behaviour and often associated with dysfunctional prefrontal activity within the cortex. This can be ameliorated by non-invasive brain stimulation. In this randomised single-blind study we compare effects of transcranial direct current stimulation (tDCS) on CC in healthy subjects. The study includes 162 subjects who undergo a two-week (six sessions) training of cognitive control (adaptive paced auditory serial addition task, PASAT) supported by tDCS. Subjects are randomised to receive either concurrent anodal, cathodal, or sham tDCS with an intensity of 1 mA or 2 mA of their left (F3) or right (F4) PFC, resulting in eight stimulation groups. Stimulation effects on performance changes are compared to a sham control group.Changes in Affective state are measured by the positive and negative affect schedule (PANAS), possible transfer effects are assessed by the Eriksen Flanker task. Stability of effects is measured up to three months after the last intervention.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
173

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Apr 2016

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

Study Start

First participant enrolled

April 15, 2016

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 26, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 26, 2018

Completed
1.5 years until next milestone

First Submitted

Initial submission to the registry

September 17, 2019

Completed
13 days until next milestone

First Posted

Study publicly available on registry

September 30, 2019

Completed
Last Updated

September 30, 2019

Status Verified

September 1, 2019

Enrollment Period

1.9 years

First QC Date

September 17, 2019

Last Update Submit

September 27, 2019

Conditions

Keywords

Brain stimulationCognitive trainingCognitionCognitive enhancementTranscranial direct current stimulation

Outcome Measures

Primary Outcomes (1)

  • Cognitive performance

    Changes in performance in the PASAT (as assessed by number of correct trials within each PASAT session) due to the various tDCS interventions. All eight interventions will be compared to the sham group. Cognitive performance is modified by tDCS, which is applied through a multi-channel stimulator (DC-Stimulator MC, NeuroConn GmbH, Ilmenau, Germany; software version 1.3.8; two rectangular rubber electrodes (5 x 7 cm)).

    2 to 14 weeks

Secondary Outcomes (2)

  • Affective state

    2 weeks

  • Transfer effect

    3 weeks

Study Arms (9)

Sham

SHAM COMPARATOR

Sham tDCS (ramp up and ramp down of electrical current before as well as after task performance to elicit physical sensations similar to verum tDCS)

Behavioral: Effect of tDCS on cognitive control task performance

L1A

ACTIVE COMPARATOR

Active tDCS * laterality: left PFC (F3; second electrode placed on deltoid muscle of the opposing arm) * intensity: of 1 mA * polarity: anodal

Behavioral: Effect of tDCS on cognitive control task performance

R1A

ACTIVE COMPARATOR

Active tDCS * laterality: right PFC (F4; second electrode placed on deltoid muscle of the opposing arm) * intensity: of 1 mA * polarity: anodal

Behavioral: Effect of tDCS on cognitive control task performance

L2A

ACTIVE COMPARATOR

Active tDCS * laterality: left PFC (F3; second electrode placed on deltoid muscle of the opposing arm) * intensity: of 2 mA * polarity: anodal

Behavioral: Effect of tDCS on cognitive control task performance

R2A

ACTIVE COMPARATOR

Active tDCS * laterality: right PFC (F4; second electrode placed on deltoid muscle of the opposing arm) * intensity: of 2 mA * polarity: anodal

Behavioral: Effect of tDCS on cognitive control task performance

L1C

ACTIVE COMPARATOR

Active tDCS * laterality: left PFC (F3; second electrode placed on deltoid muscle of the opposing arm) * intensity: of 1 mA * polarity: cathodal

Behavioral: Effect of tDCS on cognitive control task performance

R1C

ACTIVE COMPARATOR

Active tDCS * laterality: right PFC (F4; second electrode placed on deltoid muscle of the opposing arm) * intensity: of 1 mA * polarity: cathodal

Behavioral: Effect of tDCS on cognitive control task performance

L2C

ACTIVE COMPARATOR

Active tDCS * laterality: left PFC (F3; second electrode placed on deltoid muscle of the opposing arm) * intensity: of 2 mA * polarity: cathodal

Behavioral: Effect of tDCS on cognitive control task performance

R2C

ACTIVE COMPARATOR

Active tDCS * laterality: right PFC (F4; second electrode placed on deltoid muscle of the opposing arm) * intensity: of 2 mA * polarity: cathodal

Behavioral: Effect of tDCS on cognitive control task performance

Interventions

Added verum or sham tDCS while working on a cognitive control task.

L1AL1CL2AL2CR1AR1CR2AR2CSham

Eligibility Criteria

Age18 Years - 40 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Healthy subjects
  • Right-handed (assessed by Edinburgh Handedness Inventory)
  • No other concurrent brain stimulation during participation
  • Proficient in German (min. CEFR level B)
  • Ability to strictly adhere to study timeline

You may not qualify if:

  • Diagnosed neurological illnesses
  • Diagnosed psychiatric disorders
  • Achromatopsia
  • Metallic implants / tattoos on or near electrode sites
  • Consumption of tobacco to an equivalent of ten or more cigarettes per day
  • Prior participation in experiments involving the PASAT

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Tübingen, Department of Psychiatry and Psychotherapy

Tübingen, 72074, Germany

Location

Related Publications (2)

  • Weller S, Derntl B, Plewnia C. Sex matters for the enhancement of cognitive training with transcranial direct current stimulation (tDCS). Biol Sex Differ. 2023 Nov 2;14(1):78. doi: 10.1186/s13293-023-00561-4.

  • Weller S, Nitsche MA, Plewnia C. Enhancing cognitive control training with transcranial direct current stimulation: a systematic parameter study. Brain Stimul. 2020 Sep-Oct;13(5):1358-1369. doi: 10.1016/j.brs.2020.07.006. Epub 2020 Jul 18.

Study Officials

  • Christian Plewnia, MD

    University of Tübingen, Department of Psychiatry and Psychotherapy

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Doctor of Psychiatry and Psychotherapy

Study Record Dates

First Submitted

September 17, 2019

First Posted

September 30, 2019

Study Start

April 15, 2016

Primary Completion

March 26, 2018

Study Completion

March 26, 2018

Last Updated

September 30, 2019

Record last verified: 2019-09

Locations