Trial Outcomes & Findings for Brain Stimulation and Cognitive Training - Efficacy (NCT NCT05111548)

NCT ID: NCT05111548

Last Updated: 2024-05-09

Results Overview

MCCB letter-number span total raw score. Letter-number span is a subtest of the standardized MCCB and a measure of verbal working memory. Examinees must reorder sequences of numbers and letters spoken out loud by the examiner. Correct responses are counted to create a total score (0-24, where higher scores indicate better performance). For change scores, a positive value indicates improvement (i.e., higher total score).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

19 participants

Primary outcome timeframe

Baseline to post-treatment (up to 4 weeks)

Results posted on

2024-05-09

Participant Flow

Two participants did not meet the inclusion criteria and were excluded from further participation (i.e., screen failures). Two participants withdrew from the study after enrollment and prior to randomization. Therefore, 19 participants were enrolled and 15 were assigned.

Participant milestones

Participant milestones
Measure
Active Stimulation + Cognitive Training
Participants receive 10 sessions of 'active' non-invasive brain stimulation (tDCS) with concurrent cognitive training (BrainHQ). tDCS (Active): tDCS is a non-invasive procedure in which electrodes are attached to the scalp and send a small direct current to stimulate brain function. Participants in the experimental arm will receive a steady current delivery through the device. BrainHQ: BrainHQ is a web-based, commercially available cognitive training program that includes exercises to enhance working memory
Inactive Stimulation + Cognitive Training
Participants receive 10 sessions of 'inactive' non-invasive brain stimulation (tDCS) with concurrent cognitive training (BrainHQ). BrainHQ: BrainHQ is a web-based, commercially available cognitive training program that includes exercises to enhance working memory tDCS (Inactive): tDCS is a non-invasive procedure in which electrodes are attached to the scalp and send a small direct current to stimulate brain function. Participants in the sham arm will wear the device but will not receive a steady current delivery.
Overall Study
STARTED
8
7
Overall Study
COMPLETED
5
6
Overall Study
NOT COMPLETED
3
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Active Stimulation + Cognitive Training
Participants receive 10 sessions of 'active' non-invasive brain stimulation (tDCS) with concurrent cognitive training (BrainHQ). tDCS (Active): tDCS is a non-invasive procedure in which electrodes are attached to the scalp and send a small direct current to stimulate brain function. Participants in the experimental arm will receive a steady current delivery through the device. BrainHQ: BrainHQ is a web-based, commercially available cognitive training program that includes exercises to enhance working memory
Inactive Stimulation + Cognitive Training
Participants receive 10 sessions of 'inactive' non-invasive brain stimulation (tDCS) with concurrent cognitive training (BrainHQ). BrainHQ: BrainHQ is a web-based, commercially available cognitive training program that includes exercises to enhance working memory tDCS (Inactive): tDCS is a non-invasive procedure in which electrodes are attached to the scalp and send a small direct current to stimulate brain function. Participants in the sham arm will wear the device but will not receive a steady current delivery.
Overall Study
Withdrawal by Subject
2
1
Overall Study
Adverse Event
1
0

Baseline Characteristics

Brain Stimulation and Cognitive Training - Efficacy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Active Stimulation + Cognitive Training
n=8 Participants
Participants receive 10 sessions of 'active' non-invasive brain stimulation (tDCS) with concurrent cognitive training (BrainHQ). tDCS (Active): tDCS is a non-invasive procedure in which electrodes are attached to the scalp and send a small direct current to stimulate brain function. Participants in the experimental arm will receive a steady current delivery through the device. BrainHQ: BrainHQ is a web-based, commercially available cognitive training program that includes exercises to enhance working memory
Inactive Stimulation + Cognitive Training
n=7 Participants
Participants receive 10 sessions of 'inactive' non-invasive brain stimulation (tDCS) with concurrent cognitive training (BrainHQ). BrainHQ: BrainHQ is a web-based, commercially available cognitive training program that includes exercises to enhance working memory tDCS (Inactive): tDCS is a non-invasive procedure in which electrodes are attached to the scalp and send a small direct current to stimulate brain function. Participants in the sham arm will wear the device but will not receive a steady current delivery.
Total
n=15 Participants
Total of all reporting groups
Age, Continuous
31.63 years
STANDARD_DEVIATION 8.43 • n=39 Participants
34.71 years
STANDARD_DEVIATION 11.43 • n=41 Participants
33.07 years
STANDARD_DEVIATION 9.70 • n=35 Participants
Sex/Gender, Customized
Woman
4 Participants
n=39 Participants
5 Participants
n=41 Participants
9 Participants
n=35 Participants
Sex/Gender, Customized
Man
3 Participants
n=39 Participants
2 Participants
n=41 Participants
5 Participants
n=35 Participants
Sex/Gender, Customized
Non-binary
1 Participants
n=39 Participants
0 Participants
n=41 Participants
1 Participants
n=35 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=39 Participants
0 Participants
n=41 Participants
1 Participants
n=35 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants
n=39 Participants
7 Participants
n=41 Participants
14 Participants
n=35 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Race (NIH/OMB)
Asian
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=39 Participants
1 Participants
n=41 Participants
2 Participants
n=35 Participants
Race (NIH/OMB)
White
7 Participants
n=39 Participants
6 Participants
n=41 Participants
13 Participants
n=35 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Region of Enrollment
United States
8 Participants
n=39 Participants
7 Participants
n=41 Participants
15 Participants
n=35 Participants
MCCB spatial span total score
17.25 points on a scale
STANDARD_DEVIATION 2.87 • n=39 Participants
15.57 points on a scale
STANDARD_DEVIATION 4.65 • n=41 Participants
16.47 points on a scale
STANDARD_DEVIATION 3.76 • n=35 Participants
MCCB letter-number span total score
15.38 points on a scale
STANDARD_DEVIATION 3.38 • n=39 Participants
15.43 points on a scale
STANDARD_DEVIATION 3.60 • n=41 Participants
15.40 points on a scale
STANDARD_DEVIATION 3.36 • n=35 Participants
MCCB Trail Making Test, part A
22.50 seconds
STANDARD_DEVIATION 6.09 • n=39 Participants
23.14 seconds
STANDARD_DEVIATION 4.98 • n=41 Participants
22.80 seconds
STANDARD_DEVIATION 5.41 • n=35 Participants
Trail Making Test, part B
60.50 seconds
STANDARD_DEVIATION 11.67 • n=39 Participants
72.71 seconds
STANDARD_DEVIATION 24.94 • n=41 Participants
66.20 seconds
STANDARD_DEVIATION 19.35 • n=35 Participants

PRIMARY outcome

Timeframe: Baseline to post-treatment (up to 4 weeks)

Population: Four participants withdrew from the study before post-treatment assessment and were not included in the analyses.

MCCB letter-number span total raw score. Letter-number span is a subtest of the standardized MCCB and a measure of verbal working memory. Examinees must reorder sequences of numbers and letters spoken out loud by the examiner. Correct responses are counted to create a total score (0-24, where higher scores indicate better performance). For change scores, a positive value indicates improvement (i.e., higher total score).

Outcome measures

Outcome measures
Measure
Active Stimulation + Cognitive Training
n=5 Participants
Participants receive 10 sessions of 'active' non-invasive brain stimulation (tDCS) with concurrent cognitive training (BrainHQ). tDCS (Active): tDCS is a non-invasive procedure in which electrodes are attached to the scalp and send a small direct current to stimulate brain function. Participants in the experimental arm will receive a steady current delivery through the device. BrainHQ: BrainHQ is a web-based, commercially available cognitive training program that includes exercises to enhance working memory
Inactive Stimulation + Cognitive Training
n=6 Participants
Participants receive 10 sessions of 'inactive' non-invasive brain stimulation (tDCS) with concurrent cognitive training (BrainHQ). BrainHQ: BrainHQ is a web-based, commercially available cognitive training program that includes exercises to enhance working memory tDCS (Inactive): tDCS is a non-invasive procedure in which electrodes are attached to the scalp and send a small direct current to stimulate brain function. Participants in the sham arm will wear the device but will not receive a steady current delivery.
Change in Working Memory Performance - Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) Consensus Cognitive Battery (MCCB) Letter-number Span Total Score
0.40 score on a scale
Standard Deviation 1.67
0.50 score on a scale
Standard Deviation 1.64

PRIMARY outcome

Timeframe: Baseline to post-treatment (up to 4 weeks)

Population: Four participants withdrew from the study before post-treatment assessment and were not included in the analyses.

MCCB spatial span total raw score. Spatial span is a subtest of the standardized MCCB and a measure of visual working memory. Examinees must tap sequences of blocks in the same order as the examiner then in reverse. Correct responses are summed for the forward and backward condition to create a total raw score (0-32, where higher scores indicate better performance).For change scores, a positive value indicates improvement (i.e., higher total score).

Outcome measures

Outcome measures
Measure
Active Stimulation + Cognitive Training
n=5 Participants
Participants receive 10 sessions of 'active' non-invasive brain stimulation (tDCS) with concurrent cognitive training (BrainHQ). tDCS (Active): tDCS is a non-invasive procedure in which electrodes are attached to the scalp and send a small direct current to stimulate brain function. Participants in the experimental arm will receive a steady current delivery through the device. BrainHQ: BrainHQ is a web-based, commercially available cognitive training program that includes exercises to enhance working memory
Inactive Stimulation + Cognitive Training
n=6 Participants
Participants receive 10 sessions of 'inactive' non-invasive brain stimulation (tDCS) with concurrent cognitive training (BrainHQ). BrainHQ: BrainHQ is a web-based, commercially available cognitive training program that includes exercises to enhance working memory tDCS (Inactive): tDCS is a non-invasive procedure in which electrodes are attached to the scalp and send a small direct current to stimulate brain function. Participants in the sham arm will wear the device but will not receive a steady current delivery.
Change in Working Memory Performance - Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) Consensus Cognitive Battery (MCCB) Spatial Span Total Score
1.60 score on a scale
Standard Deviation 0.89
0.17 score on a scale
Standard Deviation 1.60

SECONDARY outcome

Timeframe: Baseline to post-treatment (up to 4 weeks)

Population: Four participants withdrew from the study before post-treatment assessment and were not included in the analyses.

The Trail Making Test, part A is a subtest of the standardized MCCB and a measure of visuomotor processing/sequencing speed. Examinees must draw a line connecting numbers in ascending order as quickly as possible. Completion time in seconds is recorded (0-120, where lower scores represent better performance). For change scores, a positive value indicates improvement (i.e., faster completion time).

Outcome measures

Outcome measures
Measure
Active Stimulation + Cognitive Training
n=5 Participants
Participants receive 10 sessions of 'active' non-invasive brain stimulation (tDCS) with concurrent cognitive training (BrainHQ). tDCS (Active): tDCS is a non-invasive procedure in which electrodes are attached to the scalp and send a small direct current to stimulate brain function. Participants in the experimental arm will receive a steady current delivery through the device. BrainHQ: BrainHQ is a web-based, commercially available cognitive training program that includes exercises to enhance working memory
Inactive Stimulation + Cognitive Training
n=6 Participants
Participants receive 10 sessions of 'inactive' non-invasive brain stimulation (tDCS) with concurrent cognitive training (BrainHQ). BrainHQ: BrainHQ is a web-based, commercially available cognitive training program that includes exercises to enhance working memory tDCS (Inactive): tDCS is a non-invasive procedure in which electrodes are attached to the scalp and send a small direct current to stimulate brain function. Participants in the sham arm will wear the device but will not receive a steady current delivery.
Change in Non-Working Memory Comparison Measures - MCCB Trail Making Test, Part A
1.40 seconds
Standard Deviation 5.55
2.33 seconds
Standard Deviation 7.17

SECONDARY outcome

Timeframe: Baseline to post-treatment (up to 4 weeks)

Population: Four participants withdrew from the study before post-treatment assessment and were not included in the analyses.

Trail Making Test, part B is not part of the standardized MCCB, but is commonly administered alongside part A as a measure of speeded visuomotor switching/flexibility. Examinees must draw a line connecting numbers and letters in alternating order (e.g., 1-A-2-B). Completion time in seconds is recorded (0-300, where lower scores represent better performance). For change scores, a positive value indicates improvement (i.e., faster completion time).

Outcome measures

Outcome measures
Measure
Active Stimulation + Cognitive Training
n=5 Participants
Participants receive 10 sessions of 'active' non-invasive brain stimulation (tDCS) with concurrent cognitive training (BrainHQ). tDCS (Active): tDCS is a non-invasive procedure in which electrodes are attached to the scalp and send a small direct current to stimulate brain function. Participants in the experimental arm will receive a steady current delivery through the device. BrainHQ: BrainHQ is a web-based, commercially available cognitive training program that includes exercises to enhance working memory
Inactive Stimulation + Cognitive Training
n=6 Participants
Participants receive 10 sessions of 'inactive' non-invasive brain stimulation (tDCS) with concurrent cognitive training (BrainHQ). BrainHQ: BrainHQ is a web-based, commercially available cognitive training program that includes exercises to enhance working memory tDCS (Inactive): tDCS is a non-invasive procedure in which electrodes are attached to the scalp and send a small direct current to stimulate brain function. Participants in the sham arm will wear the device but will not receive a steady current delivery.
Change in Non-Working Memory Comparison Measures - Trail Making Test, Part B
3.60 seconds
Standard Deviation 12.82
19.50 seconds
Standard Deviation 17.76

Adverse Events

Active Stimulation + Cognitive Training

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Inactive Stimulation + Cognitive Training

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Active Stimulation + Cognitive Training
n=8 participants at risk
Participants receive 10 sessions of 'active' non-invasive brain stimulation (tDCS) with concurrent cognitive training (BrainHQ). tDCS (Active): tDCS is a non-invasive procedure in which electrodes are attached to the scalp and send a small direct current to stimulate brain function. Participants in the experimental arm will receive a steady current delivery through the device. BrainHQ: BrainHQ is a web-based, commercially available cognitive training program that includes exercises to enhance working memory
Inactive Stimulation + Cognitive Training
n=7 participants at risk
Participants receive 10 sessions of 'inactive' non-invasive brain stimulation (tDCS) with concurrent cognitive training (BrainHQ). BrainHQ: BrainHQ is a web-based, commercially available cognitive training program that includes exercises to enhance working memory tDCS (Inactive): tDCS is a non-invasive procedure in which electrodes are attached to the scalp and send a small direct current to stimulate brain function. Participants in the sham arm will wear the device but will not receive a steady current delivery.
Injury, poisoning and procedural complications
Intense discomfort at stimulation site
12.5%
1/8 • Number of events 1 • Duration of participation in the study (i.e., up to 8 weeks).
0.00%
0/7 • Duration of participation in the study (i.e., up to 8 weeks).

Additional Information

Dr. Cynthia Burton

University of Michigan

Phone: 734-615-9821

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place