NCT04752800

Brief Summary

A randomized, double-blind, sham-controlled clinical trial will be conducted with 30 people with stroke, recruited at a referral hospital in João Pessoa. After recruitment they will be randomized into two groups: Group 1 - active stimulation and group - 2 sham stimulation. Participants will receive 10 sessions of ETCC, for 20 minutes, on alternate days (3 times a week), where the electrodes will be positioned over the primary motor cortex. 3 minutes of EEG at rest will be taken from each participant, and they will be instructed not to be actively involved in any cognitive or mental activity. In the first and last meetings, evaluations will be carried out, the outcomes evaluated will be: motor function, quality of life and functional connectivity.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
60

participants targeted

Target at P50-P75 for not_applicable stroke

Timeline
Completed

Started May 2022

Shorter than P25 for not_applicable stroke

Status
unknown

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

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 10, 2021

Completed
2 days until next milestone

First Posted

Study publicly available on registry

February 12, 2021

Completed
1.2 years until next milestone

Study Start

First participant enrolled

May 1, 2022

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2022

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2022

Completed
Last Updated

May 9, 2022

Status Verified

May 1, 2022

Enrollment Period

4 months

First QC Date

February 10, 2021

Last Update Submit

May 3, 2022

Conditions

Keywords

StrokeTranscranial direct current stimulationFunctional ConnectivityMotor functionQuality of life

Outcome Measures

Primary Outcomes (1)

  • Motor function

    For the analysis of the primary outcome, the fulgl-Meyer evaluation scale will be used. The scale consists of a cumulative numerical scoring system that assesses aspects related to range of motion, pain, sensitivity, motor function of the upper and lower extremities, in addition to coordination and speed.

    Baseline and after 3 weeks

Secondary Outcomes (2)

  • Change in quality of life

    Baseline and after 3 weeks

  • Functional Connectivity

    Baseline and after 3 weeks

Study Arms (2)

active tDCS

EXPERIMENTAL

Participants will receive 10 ETCC sessions, for 20 minutes, on alternate days (3 times a week). The electrodes will be positioned on the primary motor cortex (position C3 or C4 according to the international electroencephalogram system - EEG 10/20), with the anode positioned on the affected hemisphere and the cathode on the supraorbital region in the hemisphere contralateral to the injury. The electrodes will be wrapped with sponges of 5 x 7 cm and moistened with saline (NaCl 0.9%). The current intensity will be 2mA.

Device: Direct Current Transcranial Stimulation - tDCS

Sham tDCS

SHAM COMPARATOR

The protocol for placebo stimulation will be identical, but the device will stop emitting current 30 seconds after the start of stimulation.

Device: Sham Intervention

Interventions

Intervenção Ativa

active tDCS

Direct Current Transcranial Stimulation - Sham Intervention

Sham tDCS

Eligibility Criteria

Age18 Years - 100 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Have had a single episode of unilateral, ischemic stroke, in middle cerebral artery proven by means of magnetic resonance imaging or computed tomography;
  • Young adult individuals, over 18 years old;
  • Both sexes;
  • Patients in late subacute stage. Late sub-acute stage will be considered for patients between 3 and 6 months after stroke;
  • Mild to moderate patients with a Fugl-Meyer score \>85 points;
  • Patients with mild to moderate degree of injury severity (NIHHS \<17 points);
  • Presentation of up to 4 points on the Rankin scale.

You may not qualify if:

  • Use of drugs that modulate the activity of the Central Nervous System;
  • Carriers of implanted metallic or electronic devices; cardiac pacemaker;
  • habitual use of drugs or alcohol;
  • Epilepsy history report; gestation; people with traumatic brain injury or tumors.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Stroke

Interventions

Transcranial Direct Current Stimulation

Condition Hierarchy (Ancestors)

Cerebrovascular DisordersBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesVascular DiseasesCardiovascular Diseases

Intervention Hierarchy (Ancestors)

Electric Stimulation TherapyTherapeuticsConvulsive TherapyPsychiatric Somatic TherapiesBehavioral Disciplines and ActivitiesElectroshockPsychological Techniques

Study Officials

  • Suellen Andrade

    Federal University of Paraiba

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Masking Details
Participants will be divided into 02 groups: Active - participants who will receive real current; Sham - participants who will receive simulated stimulation. Participants will be included in the study using the eligibility criteria and will be randomly allocated, in 1: 1 blocks, where a random number generator will be used through an online randomization program (www.random.org). All researchers responsible for the evaluation before and after consultations will be blind to the type of treatment that the patient will receive (active stimulation or sham stimulation). The effectiveness of the masking mechanism will be assessed at the time of the last interview with the patients, when they will be asked about their opinions as to whether the electric current producing system was on or off.
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: A randomized, double-blind, sham-controlled clinical trial will be carried out involving patients with ischemic stroke in the initial subacute stage, submitted to transcranial direct current stimulation sessions. This study will obey the SPIRIT guidelines, which is considered a guideline composed of minimum contents of a clinical trial protocol
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Researcher and Professor

Study Record Dates

First Submitted

February 10, 2021

First Posted

February 12, 2021

Study Start

May 1, 2022

Primary Completion

September 1, 2022

Study Completion

December 1, 2022

Last Updated

May 9, 2022

Record last verified: 2022-05