Safety and Feasibility of Temporal Interference Brain Stimulation for Treatment in Psychiatric Disorders

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age20-65
SponsorTaipei Veterans General Hospital, Taiwan

About this trial

The goal of this clinical trial is to validate if temporal interference brain stimulation (TIBS) is safe in healthy volunteers aged 20 to 65. The main questions it aims to answer are:

* Is it safe to apply TIBS intervention to the left hippocampus in healthy participants? * Is it safe to apply TIBS intervention to the left insula in healthy participants? * Is it safe to apply TIBS intervention to the left anterior cingulate cortex in healthy participants? * Is it safe to apply TIBS intervention to the right inferior frontal cortex in healthy participants?

Participants will:

* Be Randomly allocated to either sham-first group or treat first-group, stratified by stimulated brain region, following a crossover-controlled experimental design * Complete baseline cognitive evaluations and mental status assessments, and undergo a baseline MRI scan on the same day * Receive stimulation for 5 consecutive days, followed by a 2-days washout period, then complete the remaining 5 days of stimulation. * Complete post-intervention cognitive evaluations and mental status assessments, and undergo a post-intervention MRI scan on the same day

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Healthy adults from the community

Age between 20 and 65 years old

No diagnosis of severe psychiatric disorders

No family history of psychiatric diseases

Disqualifiers

Age below 20 years old or above 65 years old

Currently prescribed any medication

Diagnosis of psychiatric disorders (e.g., Major Depressive Disorder, Bipolar Disorder, Schizophrenia)

Diagnosis of neurological disorders (e.g., Dementia, Stroke, Parkinson's disease)

Trial design

Design model

Crossover

Treatments tested in this trial

  • Temporal Interference Stimulation - Treatment first

    Device

    Receive treatment stimulation for 5 consecutive days, followed by a 2-days washout period, then complete the remaining 5 days of sham stimulation

  • Temporal Interference Stimulation - Sham first

    Device

    Receive sham stimulation for 5 consecutive days, followed by a 2-days washout period, then undergo 5 days of treatment stimulation

Treatment groups

80 Participants
are divided into 8 treatment groups

8

Treatment groups

See each treatment group below.

Group A: Hippocampus - Treatment firstExperimental treatment 1 intervention
Group B: Hippocampus - Sham firstSham comparator 1 intervention
Group C: Insula - Treatment firstExperimental treatment 1 intervention
Group D: Insula - Sham firstSham comparator 1 intervention
Group E: Anterior cingulate cortex - Treatment firstExperimental treatment 1 intervention
Group F: Anterior cingulate cortex - Sham firstSham comparator 1 intervention
Group G: Inferior frontal cortex - Treatment firstExperimental treatment 1 intervention
Group H: Inferior frontal cortex - Sham firstSham comparator 1 intervention

Trial outcomes

Primary outcomes

1

Changes in NRS related to intervention

Numeric rating scale (NRS) will be used to evaluate the side effects, pain intensity, and other adverse events potentially related to the intervention, at baseline, during stimulation, immediately after each session, and at follow-up.

Time frame
Baseline (before each stimulation session), midpoint during each session, immediately after each stimulation for 10 sessions (approximately 2 weeks), and 1 month after completion of all sessions.
2

Changes in VAS related to intervention

Visual analog scale (VAS) will be used to evaluate the side effects, pain intensity, and other adverse events potentially related to the intervention, at baseline, during stimulation, immediately after each session, and at follow-up.

Time frame
Baseline (before each stimulation session), midpoint during each session, immediately after each stimulation for 10 sessions (approximately 2 weeks), and 1 month after completion of all sessions.
3

Changes in MMSE from baseline to post-intervention

Mini-Mental State Examination (MMSE) will be administered to evaluate cognitive function approximately 1 week before the first intervention and 1 week after the last intervention. Cognitive function will be considered normal if the MMSE score is greater than 24.

Time frame
Approximately 1 week prior to the first stimulation session and approximately 1 week following the last stimulation session
4

Changes in BAI from baseline to post-intervention

Beck Anxiety Inventory (BAI) will be administered to evaluate the mental status approximately 1 week before the first intervention and 1 week after the last intervention. Mental status will be considered stable if both BAI and BDI are less than 13.

Time frame
Approximately 1 week prior to the first stimulation session and approximately 1 week following the last stimulation

Secondary outcomes

1

Changes in WCST score from baseline to post-intervention

Wisconsin Card Sorting Test (WCST) will be administered to evaluate cognitive function approximately 1 week before the first intervention and 1 week after the last intervention.

Time frame
Approximately 1 week prior to the first stimulation session and approximately 1 week following the last stimulation session
2

Changes in verbal fluency test from baseline to post-intervention

Verbal fluency test will be administered to evaluate cognitive function approximately 1 week before the first intervention and 1 week after the last intervention.

Time frame
Approximately 1 week prior to the first stimulation session and approximately 1 week following the last stimulation session

Other outcomes

Sponsors and contacts

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