NCT04682197

Brief Summary

The purpose of this study is to evaluate the use of Cereset Research to improve the symptoms of stress in healthcare workers in an open label, waitlist controlled pilot clinical trial, during the period of COVID-19.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
144

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Dec 2021

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

December 16, 2020

Completed
7 days until next milestone

First Posted

Study publicly available on registry

December 23, 2020

Completed
12 months until next milestone

Study Start

First participant enrolled

December 14, 2021

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 23, 2023

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

October 10, 2023

Completed
11 months until next milestone

Results Posted

Study results publicly available

August 29, 2024

Completed
Last Updated

September 19, 2024

Status Verified

July 1, 2024

Enrollment Period

1.7 years

First QC Date

December 16, 2020

Results QC Date

August 7, 2024

Last Update Submit

August 29, 2024

Conditions

Keywords

AnxietyStressInsomniaCereset ResearchHyperarousalBrain electrical activityAutonomic DysregulationNeurotechnologyHIRREMCOVID-19CoronavirusAllostasisneuromodulationacoustic stimulationCOVIDhealthcare worker

Outcome Measures

Primary Outcomes (1)

  • Change in Perceived Stress Scale (PSS)

    The Perceived Stress Scale is a ten-item psychological instrument for measuring the perception of stress. It is a measure of the degree to which situations in one's life are appraised as stressful. The scale, with answers rated from 0-4, yields scores ranging from 0-40. Higher scores suggest increase perceived stress.

    Collected from baseline visit (V1) through completion of the primary data collection visit (V3), 4-7 weeks after completion of the intervention

Secondary Outcomes (2)

  • Change in Insomnia Severity Index (ISI)

    Collected from baseline visit (V1) through completion of the primary data collection visit (V3), 4-7 weeks after completion of the intervention

  • Change in Generalized Anxiety Disorder-7 (GAD-7)

    Collected from baseline visit (V1) through completion of the primary data collection visit (V3), 4-7 weeks after completion of the intervention

Other Outcomes (9)

  • Change in Center for Epidemiologic Studies Depression Scale (CES-D)

    Collected from baseline visit (V1) through completion of the primary data collection visit (V3), 4-7 weeks after completion of the intervention

  • Change in Posttraumatic Stress Disorder (PTSD) Checklist for Civilians (PCL-C)

    Collected from baseline visit (V1) through completion of the primary data collection visit (V3), 4-7 weeks after completion of the intervention

  • Change in Fatigue Severity Scale (FSS)

    Collected from baseline visit (V1) through completion of the primary data collection visit (V3), 4-7 weeks after completion of the intervention

  • +6 more other outcomes

Study Arms (2)

Cereset Research

ACTIVE COMPARATOR

For this single arm, open label, exploratory trial this will be the intervention arm using 4 CR sessions.

Device: Cereset Research

Continued Current Care

OTHER

Participants will continue their current care.

Device: Cereset Research

Interventions

The upgraded platform for medical research using the HIRREM technology has been rebranded as Cereset Research® (CR). This system uses the same core technology and algorithms to echo brainwaves in real-time using audible tones, as with HIRREM. The CR system also includes 64-bit processing architecture for faster feedback, the use of 4 sensors, and the use of standard protocols (with flexibility regarding the length and sequencing of the standard protocols), all done with eyes closed. Four sensors are applied to the scalp at a time. However, only two sensors are actively echoing feedback. The software automatically switches from one sensor pair to the other when needed. This reduces the number of sensor placement changes needed, resulting in shorter session time and fewer interruptions.

Cereset ResearchContinued Current Care

Eligibility Criteria

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

You may qualify if:

  • Employed Healthcare workers aged 18 years and older.
  • Ability to comply with basic instructions and be able to sit still, comfortably during sessions.
  • Subjects experiencing symptoms of stress who meet threshold scores the Perceived Stress Index (PSS, ≥ 14).

You may not qualify if:

  • Unable, unwilling, or incompetent to provide informed consent/assent.
  • Physically unable to come to the study visits, or to sit still, comfortably in a chair for up to 1 hour.
  • Severe hearing impairment (because the subject will be using ear buds during CR).
  • Weight is over the chair limit (400 pounds).
  • Currently enrolled in another active intervention research study.
  • Prior use of: HIRREM, HIRREM-SOP, Brainwave Optimization (BWO), Cereset, Cereset Home, or a wearable configuration of the same (B2, or B2v2).
  • Prior use of: electroconvulsive therapy (ECT), prior use of transcranial magnetic stimulation (TMS), transcranial direct current stimulation (TDCS), alpha stimulation, Eye movement desensitization and reprocessing (EMDR), brain spotting, neurofeedback, biofeedback, or deep brain stimulation (DBS) within one month before enrollment.
  • Known seizure disorder.
  • Thoughts of suicide within the last 3 months.
  • Current, significant symptoms of long-COVID.
  • Current medical student.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Wake Forest Baptist Health

Winston-Salem, North Carolina, 27104, United States

Location

Related Publications (68)

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MeSH Terms

Conditions

Anxiety DisordersSleep Initiation and Maintenance DisordersCoronavirus InfectionsCOVID-19Primary Dysautonomias

Condition Hierarchy (Ancestors)

Mental DisordersSleep Disorders, IntrinsicDyssomniasSleep Wake DisordersNervous System DiseasesCoronaviridae InfectionsNidovirales InfectionsRNA Virus InfectionsVirus DiseasesInfectionsPneumonia, ViralPneumoniaRespiratory Tract InfectionsLung DiseasesRespiratory Tract DiseasesAutonomic Nervous System Diseases

Results Point of Contact

Title
Dr. Charles H. Tegeler
Organization
Atrium Wake Forest Baptist Health

Study Officials

  • Charles H Tegeler, MD

    Wake Forest University Health Sciences

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
SINGLE GROUP
Model Details: This will be a single site, open label, randomized, waitlist controlled pilot clinical trial, enrolling healthcare workers aged 18 or older, who have self-reported symptoms of stress or anxiety, and meet a threshold score on self-reported inventories. Up to 166 participants will be enrolled in order to have at least 138 to complete the study. Participants will be randomly assigned to either an Early Intervention (EI) group which will receive 4 CR sessions of audible tones echoing current brainwave activity, following enrollment, or a Delayed Intervention (DI) group which will continue current care only, and will serve as a control group. Participants in both groups will continue their other current care throughout the study.
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 16, 2020

First Posted

December 23, 2020

Study Start

December 14, 2021

Primary Completion

August 23, 2023

Study Completion

October 10, 2023

Last Updated

September 19, 2024

Results First Posted

August 29, 2024

Record last verified: 2024-07

Data Sharing

IPD Sharing
Will not share

Locations