Depression and Transcranial Direct Current Stimulation (tDCS)
Recruitment status was Recruiting
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Purpose
Transcranial direct current stimulation (tDCS)is a non invasive technique which uses a very weak current to change excitability in targeted regions of the brain. Early studies suggest that it has antidepressant properties. This study will test the safety and efficacy of tDCS as a treatment for depression.
| Condition | Intervention | Phase |
|---|---|---|
|
Depression |
Device: Transcranial Direct Current Stimulation |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double-Blind Primary Purpose: Treatment |
| Official Title: | The Treatment of Depression Using Transcranial Direct Current Stimulation (tDCS): a Pilot Study. |
- All measures at baseline and after each 5 treatments:
- Montgomery& Asberg Depression Rating Scale
- Hamilton Psychiatric Rating Scale for Depression
- Clinical Global Impression-Severity
- Beck Depression Inventory
- Patient Global Impression-Severity
- Neuropsychological assessment at baseline and after each 5 treatments:
- Rey Auditory Verbal Learning Task
- Digit span
- Trail Making Test
- Controlled Oral Word Association
| Estimated Enrollment: | 20 |
| Study Start Date: | February 2006 |
Transcranial direct current stimulation (tDCS) applies a weak direct current across the scalp that can produce sub-threshold changes in the excitability of targeted cortical regions, in a polarity-specific manner. This technique has been used in humans to alter motor and visual cortex excitability, during stimulation, and for a period after the stimulation has ceased. It has therefore been suggested as a possible treatment for depression (Lippold & Redfearn, 1964; Nitsche, 2002). Studies have been launched recently to examine the effect of tDCS in depressed subjects and a sham-controlled pilot study (in USA, in press) has reported promising antidepressant effects with tDCS.
We wish to examine this in an investigation of 20 subjects, and hypothesise that tDCS will have an antidepressant effect and produce no neuropsychological impairment. Subjects will receive anodal DC stimulation or sham stimulation over the left prefrontal cortex in a double-blind, placebo-controlled design over 5 days, and then have daily stimulation up to a maximum of 10 active sessions in total. Outcomes will be formally evaluated by depression rating scales and neuropsychological tests.
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- DSM-IV Major Depressive Episode of less than or equal to 3 years
- Montgomery-Asberg Depression Rating Scale score of 25 or more
- Aged 18-65
- May or may not be taking antidepressant medication
Exclusion Criteria:
- Not able to give written informed consent
- Failure to respond to ECT in current or past episodes of depression
- On antipsychotic, anticonvulsant or benzodiazepine medication which cannot be withdrawn.
- Significant other Axis I psychiatric disorder e.g schizophrenia, bipolar
- In imminent physical or psychological danger and needs a rapid clinical response due to inanition, psychosis or high suicidality
- Drug or alcohol dependence or abuse currently or in the last 12 months
- History of neurological illness e.g epilepsy; neurosurgical procedure
- Metal in the cranium, pacemaker, cochlear implant, medication or other electronic device in the body
- Woman of child-bearing age in whom pregnancy cannot be ruled out by B HCG
Contacts and Locations| Contact: Colleen K Loo, FRANZCP, MD | 02 9382 3721 | colleen.loo@unsw.edu.au |
| Contact: Perminder P Sachdev, FRANZCP PhD | 02 9382 3763 | p.sachdev@unsw.edu.au |
| Australia, New South Wales | |
| Black Dog Institute Building, School of Psychiatry, University of NSW | Recruiting |
| Sydney, New South Wales, Australia, 2031 | |
| Contact: Melissa Pigot, BSc 02 9382 3720 m.pigot@unsw.edu.au | |
| Principal Investigator: | Perminder P Sachdev, FRANZCP PhD | University of NSW |
| Principal Investigator: | Colleen K Loo, FRANZCP, MD | University of NSW |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00256438 History of Changes |
| Other Study ID Numbers: | 05125 |
| Study First Received: | November 17, 2005 |
| Last Updated: | July 6, 2006 |
| Health Authority: | Australia: Department of Health and Ageing Therapeutic Goods Administration |
Keywords provided by The University of New South Wales:
|
Depression Transcranial Direct Current Stimulation |
Additional relevant MeSH terms:
|
Depression Depressive Disorder Behavioral Symptoms Mood Disorders Mental Disorders |
ClinicalTrials.gov processed this record on May 22, 2013