Transcranial Direct Current Stimulation for Depression

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age22+
SponsorSoterix Medical

About this trial

This study will test the efficacy of transcranial direct current stimulation (tDCS) combined with mindfulness, remotely-delivered using a telemedicine protocol in 25 adults with unipolar depression.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Clinically stable patients that meet criteria for diagnosis of MDD according to DSM-V-TR and confirmed with the Mini International Neuropsychiatric interview

Currently experiencing a major depressive episode of at least 4 week's duration as part of a unipolar depression

QIDS-SR score >11 on all three days of screening week (Days 1,3, 7)

Scored at least 17 (inclusive) on the HDRS-17 at trial entry

Disqualifiers

Failure to respond to at least 2 antidepressant medications

Drug or alcohol abuse or dependence in the preceding 3 months

Concurrent benzodiazepine medication

High suicide risk assessed during clinician screening at baseline interview.

Trial design

Design model

Parallel

Treatments tested in this trial

  • transcranial direct current stimulation (tDCS) and mindfulness instruction

    Device

    tDCS together with audio providing mindfulness instruction and music

  • Sham tDCS and Mindfulness

    Device

    Placebo electrical sitmulation and audio-guided mindfulness instruction

Treatment groups

25 Participants
are divided into 2 treatment groups
Group A: Active tDCS and MindfulnessExperimental treatment 1 intervention
Group B: Sham tDCS and MindfulnessSham comparator 1 intervention

Trial outcomes

Primary outcomes

1

Hamilton Depression Rating Scale (HDRS)

Change in HDRS score from Baseline

Time frame
Week 4 and Week 7
2

Blinding Integrity

Participants will be asked to guess whether they received active or sham treatment, providing a third option of "don't know"

Time frame
Week 7

Secondary outcomes

1

Response and Remission rates defined by HDRS

Response rate, defined as a reduction in the HDRS score by 50% or more, and the remission rate, defined as an HDRS score ≤7.

Time frame
Week4, Week 7, Week 10, and Week 13
2

Quick Inventory of Depressive Symptomatology- Self Report (QIDS-SR)

Safety outcome will be tested using the QIDS-SR through a web portal

Time frame
Baseline, Week 1, Week 2, Week 3, Week 4, Week 5, Week 6, Week 7, Week 8, Week 9, Week 10, Week 11, Week 12, and Week 13
3

Quality of Life Enjoyment and Satisfaction Questionnaire Short Form (Q-LES-Q-SF

Participants will enter responses to the Q-LES-Q-SF questionnaire through the web interface

Time frame
Baseline, Week 1, Week 2, Week 3, Week 4, Week 5, Week 6, Week 7, Week 8, Week 9, Week 10, Week 11, Week 12, and Week 13
4

Clinical Global Impression severity (CGI-S) and improvement (CGI-I) subscales

Participants will enter responses to the CGI-S and CGI-I questionnaires through the web interface

Time frame
Baseline, Week 1, Week 2, Week 3, Week 4, Week 5, Week 6, Week 7, Week 8, Week 9, Week 10, Week 11, Week 12, and Week 13

Other outcomes

1

Adverse Event Questionnaire

Participants will report any side effects experienced, their severity (mild, moderate, severe), pain scores based on the Wong-Baker pain scale, and temporal relationship with the tDCS session (before, during, after)

Time frame
5 times per week for 7 weeks
2

Current Mood Score

Participants will enter a daily mood score on a scale of 0-10 (0= feeling normal and not depressed at all and 10= feeling as depressed as they possibly could be) on the web interface

Time frame
5 times per week for 7 weeks

Sponsors and contacts

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