SchizophreniaPhase 1/2NCT02451371
Treatment of Refractory Auditory Verbal Hallucinations With tDCS in Schizophrenia
A Phase 1/2 study testing tDCS in people with Schizophrenia, run by Seoul National University Hospital at 1 site in South Korea.
Trial summary
The purpose of this study is to exploratively evaluate the efficacy and safety of transcranial direct current stimulation (tDCS) in patients with schizophrenia who experience persistent auditory verbal hallucinations after adequate antipsychotics therapy for over three months. Read more about this study
- Who is it for?
- Ages 19 to 50 years
- Conditions the study is for
- Schizophrenia
- What is being tested?
- tDCS
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 10 participants
- Where
- 1 siteSouth Korea
- Study dates
- Aug 2016to Dec 2016
- Phase
- Phase 1/2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 19 to 50 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Patients with schizophrenia by the Diagnostic and Statistical Manual of Mental Disorders, Fourth edition, Text Revision (DSM-IV-TR)
- Presence of auditory hallucination after three months' trial of antipsychotics of adequate dose
- The Hamilton Program for Schizophrenia Voices Questionnaire (HPSVQ) score is at least 8
Who cannot join
- Significant brain pathology including head trauma, seizure, meningitis
- Intellectual disability (IQ < 70)
- Severe personality disorder
- Substance use disorder (except nicotine)
- Severe medical illness
- Disability in the sensory organs
- Pregnancy
Trial locations and contacts
1 site in 1 country.
About this study
Official title: A Pilot Study for the Treatment of Refractory Auditory Verbal Hallucinations With Transcranial Direct Current Stimulation(tDCS) in Patients With Schizophrenia
The purpose of this study is to exploratively evaluate the efficacy and safety of transcranial direct current stimulation (tDCS) in patients with schizophrenia who experience persistent auditory verbal hallucinations after adequate antipsychotics therapy for over three months.
- Conditions
- Schizophrenia
- Being tested
- tDCS
- Keywords
- Schizophrenia, Refractory auditory hallucination, tDCS
- Medical subject headings
- Schizophrenia, Hallucinations
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
tDCSDevice
Also called YDT-201N
2mA direct current, 20 minutes per session, 2 sessions per day with at least 3hours interval between sessions, a total of 10 tDCS sessions
| Study group | Role | What they receive |
|---|---|---|
| tDCS | Experimental | Patients with schizophrenia to receive tDCS treatment Receives: Device: tDCS |
What is being measured
The primary outcome is the main question the study is designed to answer.
Auditory hallucination change by changes in The Psychotic Symptom Rating Scales (PSYRATs) Auditory hallucinations subscale score
Auditory hallucination change by changes in the auditory hallucinations subscale from the Psychotic Symptom Rating Scales
Measured: approximately 2 weeks
Secondary outcomes (19)
Electroencephalography - resting
- change in lagged phase synchronization value
- change in microstate connectivity value
Measured: approximately 2 weeks
Electroencephalography - P300 peak
- change in P300 peak amplitude during auditory oddball task
- change in P300 peak latency during auditory oddball task
Measured: approximately 2 weeks
Electroencephalography - P300 source
- change in P300 source strength during auditory oddball task
- change in P300 source location during auditory oddball task
Measured: approximately 2 weeks
Electroencephalography - P50
- change in T/C ratio (testing stimulus/conditioning stimulus) during paired click test
- change in T/C difference (conditioning stimulus-testing stimulus) during paired click test
- change in T/C difference (testing stimulus - conditioning stimulus) during paired click test
Measured: approximately 2 weeks
Electroencephalography - ERN (error-related negativity) peak
- change in ERN peak amplitude during flanker task
- change in ERN peak latency during flanker task
Measured: approximately 2 weeks
Electroencephalography - ERN (error-related negativity) source
- change in ERN source strength during flanker task
- change in ERN source location during flanker task
Measured: approximately 2 weeks
Electroencephalography - ERN (error-related negativity) frequency activity
- change in ERN beta band activity during flanker task
- change in ERN theta band activity during flanker task
- change in ERN delta band activity during flanker task
Measured: approximately 2 weeks
Brain Magnetic Resonance Image (MRI) - T1 Image grey matter thickness
change in grey matter thickness
Measured: approximately 2 weeks
Brain Magnetic Resonance Image (MRI) - T1 Image grey matter volume
change in grey matter volume
Measured: approximately 2 weeks
Brain MRI - functional MRI
change in Pearson's correlation coefficient of BOLD signals
Measured: approximately 2 weeks
Brain MRI - Diffusion Tensor Image (DTI) functional anisotropy
change in fractional anisotropy
Measured: approximately 2 weeks
Brain MRI - Diffusion Tensor Image (DTI) mean diffusivity
change in mean diffusivity
Measured: approximately 2 weeks
Brain MRI - Diffusion Tensor Image (DTI) radial diffusivity
change in radial diffusivity
Measured: approximately 2 weeks
Brain MRI - Diffusion Tensor Image (DTI) axial diffusivity
change in axial diffusivity
Measured: approximately 2 weeks
Brain MRI - myelin image
change in myelin imaging intensity value
Measured: approximately 2 weeks
Kicer values change with treatment in striatum assessed by 18F-DOPA Positron Emission Tomography (PET)
- Kicer values change with treatment in striatum
Measured: approximately 2 weeks
Magnetic Resonance Spectroscopy (MRS)
- N-Acetyl Aspartate, Creatin, Choline, Myoinositol, Glutamate, Glutamine, GABA metabolite concentration change with treatment
Measured: approximately 2 weeks
Auditory hallucination change by changes in the Auditory Hallucination Rating Scale (AHRS) score
Auditory hallucination change by changes in the Auditory Hallucination Rating Scale score
Measured: approximately 2 weeks
Auditory hallucination change by changes in the Korean Version of Hamilton Program for Schizophrenia Voices Questionnaire (HPSVQ) score
Auditory hallucination change by changes in the Korean Version of Hamilton Program for Schizophrenia Voices Questionnaire score
Measured: approximately 2 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 May 2015 (estimated)
- Study startAug 2016
- Primary completionDec 2016
- Study completionDec 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for SchizophreniaStudies of the same condition, open and under way.
- More trials run by Seoul National University HospitalThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1/2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 10 participants (actual)
Sponsor and investigators
- Lead sponsor
- Seoul National University Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Jun Soo Kwon, MD, PhD, Principal investigator, Seoul National University Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02451371
- Sponsor's protocol ID
- 1501-022-638
- Status last verified
- Aug 2016
- First submitted
- 27 Apr 2015
- Last updated
- 30 Dec 2016
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 30 Dec 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Pilot Study for the Treatment of Refractory Auditory Verbal Hallucinations With Transcranial Direct Current Stimulation(tDCS) in Patients With Schizophrenia
- ClinicalTrials.gov ID
- NCT02451371
- Acronym / sponsor ID
- 1501-022-638
- Conditions
- Schizophrenia
- Keywords
- Schizophrenia, Refractory auditory hallucination, tDCS
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 10 participants (actual)
- Lead sponsor
- Seoul National University HospitalUniversity, hospital or other
- Study start
- Aug 2016
- Primary completion
- Dec 2016 (actual)
- Study completion
- Dec 2016 (actual)
- First posted
- 22 May 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to exploratively evaluate the efficacy and safety of transcranial direct current stimulation (tDCS) in patients with schizophrenia who experience persistent auditory verbal hallucinations after adequate antipsychotics therapy for over three months.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| tDCS | Experimental | Device: tDCSPatients with schizophrenia to receive tDCS treatment |
Who may qualify
- Ages
- 19 to 50 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (3 listed)
- Patients with schizophrenia by the Diagnostic and Statistical Manual of Mental Disorders, Fourth edition, Text Revision (DSM-IV-TR)
- Presence of auditory hallucination after three months' trial of antipsychotics of adequate dose
- The Hamilton Program for Schizophrenia Voices Questionnaire (HPSVQ) score is at least 8
Key exclusion criteria (7 listed)
- Significant brain pathology including head trauma, seizure, meningitis
- Intellectual disability (IQ < 70)
- Severe personality disorder
- Substance use disorder (except nicotine)
- Severe medical illness
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| tDCSAlso: YDT-201N2mA direct current, 20 minutes per session, 2 sessions per day with at least 3hours interval between sessions, a total of 10 tDCS sessions | Device | tDCS |
Primary outcome
Auditory hallucination change by changes in The Psychotic Symptom Rating Scales (PSYRATs) Auditory hallucinations subscale score
Time frame: approximately 2 weeks
Auditory hallucination change by changes in the auditory hallucinations subscale from the Psychotic Symptom Rating Scales
19 secondary outcomes
Electroencephalography - resting
Time frame: approximately 2 weeks
Electroencephalography - P300 peak
Time frame: approximately 2 weeks
Electroencephalography - P300 source
Time frame: approximately 2 weeks
Electroencephalography - P50
Time frame: approximately 2 weeks
Electroencephalography - ERN (error-related negativity) peak
Time frame: approximately 2 weeks
Electroencephalography - ERN (error-related negativity) source
Time frame: approximately 2 weeks
Electroencephalography - ERN (error-related negativity) frequency activity
Time frame: approximately 2 weeks
Brain Magnetic Resonance Image (MRI) - T1 Image grey matter thickness
Time frame: approximately 2 weeks
Brain Magnetic Resonance Image (MRI) - T1 Image grey matter volume
Time frame: approximately 2 weeks
Brain MRI - functional MRI
Time frame: approximately 2 weeks
Brain MRI - Diffusion Tensor Image (DTI) functional anisotropy
Time frame: approximately 2 weeks
Brain MRI - Diffusion Tensor Image (DTI) mean diffusivity
Time frame: approximately 2 weeks
Brain MRI - Diffusion Tensor Image (DTI) radial diffusivity
Time frame: approximately 2 weeks
Brain MRI - Diffusion Tensor Image (DTI) axial diffusivity
Time frame: approximately 2 weeks
Brain MRI - myelin image
Time frame: approximately 2 weeks
Kicer values change with treatment in striatum assessed by 18F-DOPA Positron Emission Tomography (PET)
Time frame: approximately 2 weeks
Magnetic Resonance Spectroscopy (MRS)
Time frame: approximately 2 weeks
Auditory hallucination change by changes in the Auditory Hallucination Rating Scale (AHRS) score
Time frame: approximately 2 weeks
Auditory hallucination change by changes in the Korean Version of Hamilton Program for Schizophrenia Voices Questionnaire (HPSVQ) score
Time frame: approximately 2 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Dec 2016.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Jun Soo Kwon, MD, PhD principal investigator
Seoul National University Hospital
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing tDCS in people with Schizophrenia, run by Seoul National University Hospital at 1 site in South Korea.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 30 Dec 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Auditory hallucination change by changes in The Psychotic Symptom Rating Scales (PSYRATs) Auditory hallucinations subscale score (time frame: approximately 2 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Dec 2016.