NCT05350033

Brief Summary

The research in neuroscience of the last 20 years is defined, in addition to continuing to advance in the field of behavioral and pharmacological therapy, by the birth and development of a new therapeutic category, called neuromodulation. Neuromodulation offers the possibility of producing changes in the Nervous System (SN) and therefore, in behavior, in addition to lasting over time. One of the most used non-invasive neuromodulation techniques is transcranial direct current stimulation (tDCS). The benefits of tDCS are promising and varied, so it is a potential neurorehabilitation tool, which has also shown its greatest effectiveness when accompanied by complementary rehabilitation treatment. The present study focuses on the effect of tDCS on addiction. Specifically, there is a great problem with the high rates of relapse presented by those individuals who try to abandon addictive behavior. Therefore, the maintenance of the abstinence period is the central theme of addiction research and the main challenge of rehabilitation at present. For that aim, the intervention will be carried out in a sample in the intermediate phase (internal) in the NOESSO (No EstáS Sólo) therapeutic community (Almería, Spain), between day 15 after arrival and the first day to leave on leave (day 45-60). The research will be made up of a previous period of selection and collection of data related to addiction, together with two phases or moments of correlative intervention and evaluation. Users will receive a bilateral (F3/F4) and repeated stimulation of 2 mA intensity for 20 min each, that is, every 24h for 5 consecutive days in each phase. Through this procedure, the aim is to seek to increase adherence to treatment in the early intervention phase and decrease the dropout rate due to the enhancement of inhibitory control. On the other hand, in the second phase, advanced intervention is sought to reduce craving, through an improvement in inhibitory and emotional control at the time of returning to the context of real consumption. In order to increase the knowledge about intra-individual differences in the effect of tDCS, researchers will compare the early intervention (Phase 1, at the begging of the rehabilitation process) with the advanced intervention (Phase 2, right before the first leave).

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
200

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Apr 2021

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

April 5, 2021

Completed
11 months until next milestone

First Submitted

Initial submission to the registry

March 14, 2022

Completed
1 month until next milestone

First Posted

Study publicly available on registry

April 27, 2022

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 15, 2022

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2022

Completed
Last Updated

April 27, 2022

Status Verified

April 1, 2022

Enrollment Period

1.3 years

First QC Date

March 14, 2022

Last Update Submit

April 26, 2022

Conditions

Keywords

substance abusetranscraneal electrical stimulationtDCSinhibitory controldrug cravingtreatment adherence

Outcome Measures

Primary Outcomes (3)

  • Dropouts phase 1: participants that abandon the treatment phase

    Number of participants that abandon the treatment phase before the first free weekend outside the center

    45-60 days

  • Dropouts phase 2: participants that abandon the treatment after the first free weekend outside the center

    Number of participants that abandon the treatment after the first free weekend outside the center

    47-62 days

  • Relapses:

    Number of relapses on drug comsuption during the first free weekend outside the center

    41-62 days

Secondary Outcomes (9)

  • VAS - Craving

    Daily during the total ten days of intervention

  • VAS - Fatigue

    For each interventional phase: first and fifth day

  • STAI-E/R

    For each interventional phase: first and fifth day

  • WHOQOL-BREF

    For each interventional phase: first and fifth day

  • Beck BDI-BECK

    For each interventional phase: first and fifth day

  • +4 more secondary outcomes

Study Arms (4)

Active-Active

EXPERIMENTAL

Participants will receive active-tDCS stimulation (anode F4 / cathode F3) at 2 mA during 20 min in Phase 1 (5 sessions, intersession time-24h) and in Phase 2 (5 sessions, intersession time-24h).

Device: tDCS - tDCS

Active-Sham

EXPERIMENTAL

Participants will receive active-tDCS stimulation (anode F4 / cathode F3) at 2 mA during 20 min in Phase 1 (5 sessions, intersession time-24h), and sham-tDCS at 2 mA (active-stimulation lasting for 1 min) in Phase 2 (5 sessions, intersession time-24h).

Device: tDCS - Sham

Sham-Active

EXPERIMENTAL

Participants will receive sham-tDCS stimulation (anode F4 / cathode F3) at 2 mA (active-stimulation lasting for 1 min) in Phase 1 (5 sessions, intersession time-24h), and active-tDCS at 2 mA during 20 min in Phase 2 (5 sessions, intersession time-24h).

Device: Sham - tDCS

Sham-Sham

SHAM COMPARATOR

Participants will receive sham-tDCS stimulation (anode F4 / cathode F3) at 2 mA (active-stimulation lasting for 1 min) in Phase 1 (5 sessions, intersession time-24h), and sham-tDCS at 2 mA (active-stimulation lasting for 1 min) in Phase 2 (5 sessions, intersession time-24h).

Device: Sham - Sham

Interventions

active-tDCS administered during 10 sessions, in Phase 1 and Phase 2

Active-Active

active-tDCS administered during 5 sessions, in Phase 1

Active-Sham

active-tDCS administered during 5 sessions, in Phase 2

Sham-Active

sham-tDCS administered during 10 sessions, in Phase 1 and Phase 2

Sham-Sham

Eligibility Criteria

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

You may qualify if:

  • Substance abuse
  • Under clinical treatment at the Noesso Addiction Rehabilitation Center La Quinta, Laujar de Andarax, Spain
  • Participation approved by the clinical team
  • Participation approved by the experimental team by means of the Göttingen screening questionnaire
  • Signed informed consent
  • At least 26 points in the Montreal Cognitive Assessment (MOCA) evaluation

You may not qualify if:

  • Epilepsy or history of epilepsy (convulsions due compsumtion not included)
  • Cardiopathy or cardiac electronic devices
  • Skin reaction or high sensitivity to tDCS
  • Head metallic implant
  • Serious mental disease

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Psychobiology Lab

Almería, 04120, Spain

Location

Related Publications (66)

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MeSH Terms

Conditions

Substance-Related DisordersTreatment Adherence and Compliance

Interventions

Transcranial Direct Current Stimulation

Condition Hierarchy (Ancestors)

Chemically-Induced DisordersMental DisordersHealth BehaviorBehavior

Intervention Hierarchy (Ancestors)

Electric Stimulation TherapyTherapeuticsConvulsive TherapyPsychiatric Somatic TherapiesBehavioral Disciplines and ActivitiesElectroshockPsychological Techniques

Study Officials

  • Fernando Sánchez-Santed, PhD

    Universidad de Almeria

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
Care providers communicate to the PI for participants' availability each week. PI assigns an anonymization code that serves to activate the stimulation device in active or sham-mode, blinded to investigators or participants.
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: * Group 1: Active-stimulation in Phase 1 and Phase 2 * Group 2: Active-stimulation in Phase 1 and Sham-stimulation in Phase 2 * Group 3: Sham-stimulation in Phase 1 and Active-stimulation in Phase 2 * Group 4: Sham-stimulation in Phase 1 and Phase 2
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

March 14, 2022

First Posted

April 27, 2022

Study Start

April 5, 2021

Primary Completion

July 15, 2022

Study Completion

December 31, 2022

Last Updated

April 27, 2022

Record last verified: 2022-04

Data Sharing

IPD Sharing
Will share

All collected Individual Participants Data (IPD) will be shared in .csv files together with readme.txt files describing data processing

Shared Documents
STUDY PROTOCOL, SAP, CSR
Time Frame
Data will be available between six and twelve months after each potential publication
Access Criteria
No restrictions will be applied

Locations