Non-invasive Brain Stimulation Using Tdcs of the Third (of Many) Visual Pathways

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-55
SponsorNathan Kline Institute for Psychiatric Research

About this trial

This study investigates the ability of transcranial direct current stimulation (tDCS) applied over the motion processing area of the brain (area MT) to improve face emotion recognition (FER) ability. tDCS is a type of non-invasive brain stimulation in which low level currents are applied over the scalp to influence underlying brain function. In schizophrenia, impaired ability to detect facial motion has been shown to contribute to impaired FER, which, in turn, leads to difficulties in social cognition and poor social outcome. The study will use both fMRI and EEG to measure brain function while participants view moving dot and dynamic face stimuli. Analyses will compare changes in fMRI and EEG activity in individuals receiving active vs. sham stimulation.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Male or female subject, age 18-55

Competent and willing to sign informed consent

No more than moderately ill

SCID DSM-5 diagnosis of Sz/SzAff

Disqualifiers

Significant neurological illness or history of significant head trauma

Unstable physical illness or significant auditory/visual deficits that might interfer

Contraindication to MRI (e.g. metal implants, claustrophobia, pregnancy)

Contraindications to tDCS including metal implant, pacemaker, history of seizure, traumatic brain injury or stroke

Trial design

Design model

Parallel

Treatments tested in this trial

  • transcranial direct current stimulation

    Device

    tDCS will be applied over cortical region MT+

  • Sham stimulation

    Device

    Ramp up/ramp down to simulate scalp sensation associated with tDCS. No sustained current flow

Treatment groups

120 Participants
are divided into 2 treatment groups
Group A: Active tDCSExperimental treatment 1 intervention
Group B: Sham tDCSSham comparator 1 intervention

Trial outcomes

Primary outcomes

1

MT+ activation as determined using fMRI

Magnitude of activation in area MT+ during random dot kinematogram (RDK) stimulation measured by the beta weight of the BOLD fMRI signal, expressed in units of percentage signal change

Time frame
Simultaneously with the administration of the active or sham tDCS intervention during study day 10
2

MT+ activation as determined using event-related potentials (ERP)

Amplitude of the ERP response to random dot kinematogram (RDK) stimulation, measured in microvolts

Time frame
Simultaneously with the administration of the active or sham tDCS intervention during study day 3

Secondary outcomes

1

Activation of the third visual pathway (regions pSTS/mSTS) during a dynamic face emotion recognition (FER) task, as measured using fMRI

Magnitude of activation in areas pSTS and mSTS during the dynamic FER task as measured by the beta weight of the BOLD fMRI signal, expressed in units of percentage signal change

Time frame
Simultaneously with the administration of the active or sham tDCS intervention during study day 10
2

Fractional occupancy (FO) of the TVP CAP state

Fractional occupancy of the TVP CAP state during the NV-fMRI stimuli (Despicable me, Sherlock), as measured in percentage units

Time frame
Simultaneously with the administration of the active or sham tDCS intervention during study day 10
3

Activation of the third visual pathway (regions pSTS/mSTS) during a dynamic face emotion recognition (FER) task, as measured using ERP

Amplitude of the ERP response to dynamic emotional face stimuli, measured in microvolts

Time frame
Simultaneously with the administration of the active or sham tDCS intervention during study day 3
4

Motion discrimination threshold

% motion of the random dot kinetamatogram (RDK) stimuli needed for detection of motion, measured in percent

Time frame
Simultaneously with the administration of the active or sham tDCS intervention during study day 3

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Nathan Kline Institute for Psychiatric Research

Lead sponsor

National Institute of Mental Health (NIMH)

Collaborator

Columbia University

Collaborator

Research Foundation for Mental Hygiene, Inc.

Collaborator