Non-invasive Stimulation of Deep Brain Structures to Modulate Working Memory

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age60-80
SponsorMasaryk University

About this trial

A study investigating the effects of non-invasive electrical stimulation of deep brain structures on working memory, attention, and executive functions involved in everyday activities. Currently, there is no effective treatment for impairments in these functions. The study will evaluate the effects of non-invasive electrical stimulation in both healthy older adults and individuals with mild impairment of these functions.

The study combines magnetic resonance imaging (MRI) with non-invasive brain stimulation targeting deep brain structures. Its aim is to improve understanding of the neural mechanisms underlying these cognitive functions and their impairments, as well as to explore the mechanisms of non-invasive brain stimulation for potential future therapeutic applications.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

normal cognitive performance as assessed by a cognitive screening for healthy subjects

possible or probable MCI-LB or with PD-MCI, collectively called MCI-LBD, described as: presence of PD , and level II criteria for MCI (i.e. based on comprehensive neuropsychological examination), or the level II criteria for MCI , and at least two of four core DLB features including parkinsonism, visual hallucinations, attention/cognitive function fluctuation, and REM sleep behavioral disorder, or at least 1 core clinical feature and 1 indicative biomarker (probable MCI-LB).

Disqualifiers

Psychiatric disorders including major depression, major vascular lesions, or other brain pathologies that might present with cognitive decline.

Trial design

Design model

Crossover

Treatments tested in this trial

  • Non-invasive deep brain stimulation of striatum via transcranial temporal interference stimulation (20 Hz)

    Other intervention

    Striatum will be targeted by using at least two pairs of high-frequency tES with a low-frequency (20 Hz) offset, creating an interference hotspot targeting the deep brain structure (deep-tES).

  • Control striatal stimulation

    Other intervention

    A high-frequency tES without low-frequency offset. It will consist of two oscillatory high-frequency currents without any frequency shifts, which induces similar skin sensations as deep-tES and will be applied just for a ramp-up/ramp-down phases at the beginning of the stimulation and afterwards will be switched off.

  • Non-invasive deep brain stimulation of striatum via transcranial temporal interference stimulation (60 Hz)

    Other intervention

    Striatum will be targeted by using at least two pairs of high-frequency tES with a low-frequency (60 Hz) offset, creating an interference hotspot targeting the deep brain structure (deep-tES).

Treatment groups

70 Participants
are divided into 3 treatment groups
Group A: 20 Hz striatal stimulationExperimental treatment 1 intervention
Group B: 60 Hz striatal stimulationExperimental treatment 1 intervention
Group C: Sham striatal stimulationSham comparator 1 intervention

Trial outcomes

Primary outcomes

1

The neural underpinning of NIBS-induced changes quantified by task-fMRI activations

Time frame
During intervention ( approximately 10 minutes)
2

The neural underpinning of NIBS-induced changes quantified by network-based analytical approaches.

Time frame
During intervention ( approximately 10 minutes)

Secondary outcomes

1

Working memory performance - Reaction times

Reaction times of an N-back task between the real and sham stimulation condition in a cross-over design.

Time frame
During intervention (approx 10 minutes)
2

Working memory parformance - Accuracy

Accuracy (measured as D-prime) of an N-back task between the real and sham stimulation condition in a cross-over design.

Time frame
During intervention ( approximately 10 minutes)

Other outcomes

Sponsors and contacts

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