Trial Outcomes & Findings for Neurobiological Principles Applied to the Rehabilitation of Stroke Patients (NCT NCT00715520)

NCT ID: NCT00715520

Last Updated: 2017-10-16

Results Overview

Motor evoked potential (MEP) amplitudes were measured prior to treatment (baseline), immediately after the treatment (post-training 1), 30 minutes after the treatment (post-training 2), and 60 minutes after the treatment (post-training 3).The MEP is elicited by transcranial magnetic stimulation (TMS) at increased intensity. Its amplitude is measured from peak to peak and expressed in millivolts (mV). Measured MEP amplitudes were plotted against the intensity to create a stimulus response curve (SRC). SRCs were modeled by a 3- parameter sigmoid function and MEPmax was extracted. Long-lasting increases in MEP amplitude indicate increases in motor cortex excitability and are associated with motor learning.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

33 participants

Primary outcome timeframe

Baseline, Post-Training 1 (Immediately), Post-Training 2 (30 Minutes), Post-Training 3 (60 Minutes)

Results posted on

2017-10-16

Participant Flow

Participants were recruited between April 2007 and August 2013.

Participant milestones

Participant milestones
Measure
Aim 1
Healthy adult female and male subjects received study drugs and TMS to measure M1 excitability.
Aim 2
Healthy adult female and male subjects received TMS prior to measuring wrist extension movements.
Aim 3
Female and male subjects who have experienced a cerebral ischemic infarction will receive study drugs and TMS to measure M1 excitability.
Overall Study
STARTED
20
10
3
Overall Study
COMPLETED
10
9
1
Overall Study
NOT COMPLETED
10
1
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Aim 1
Healthy adult female and male subjects received study drugs and TMS to measure M1 excitability.
Aim 2
Healthy adult female and male subjects received TMS prior to measuring wrist extension movements.
Aim 3
Female and male subjects who have experienced a cerebral ischemic infarction will receive study drugs and TMS to measure M1 excitability.
Overall Study
Screen failure
8
1
1
Overall Study
Withdrawal by Subject
2
0
1

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Aim 1
n=10 Participants
Healthy adult female and male subjects received study drugs and TMS to measure M1 excitability.
Aim 2
n=9 Participants
Healthy adult female and male subjects received TMS prior to measuring wrist extension movements.
Aim 3
n=1 Participants
Female and male subjects who have experienced a cerebral ischemic infarction will receive study drugs and TMS to measure M1 excitability.
Total
n=20 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=10 Participants
0 Participants
n=9 Participants
0 Participants
n=1 Participants
0 Participants
n=20 Participants
Age, Categorical
Between 18 and 65 years
7 Participants
n=10 Participants
7 Participants
n=9 Participants
1 Participants
n=1 Participants
15 Participants
n=20 Participants
Age, Categorical
>=65 years
3 Participants
n=10 Participants
2 Participants
n=9 Participants
0 Participants
n=1 Participants
5 Participants
n=20 Participants
Sex: Female, Male
Female
5 Participants
n=10 Participants
6 Participants
n=9 Participants
1 Participants
n=1 Participants
12 Participants
n=20 Participants
Sex: Female, Male
Male
5 Participants
n=10 Participants
3 Participants
n=9 Participants
0 Participants
n=1 Participants
8 Participants
n=20 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
10 Participants
n=10 Participants
9 Participants
n=9 Participants
1 Participants
n=1 Participants
20 Participants
n=20 Participants

PRIMARY outcome

Timeframe: Baseline, Post-Training 1 (Immediately), Post-Training 2 (30 Minutes), Post-Training 3 (60 Minutes)

Population: Analysis was completed in Aim 1 participants per protocol for the placebo condition. One subject was not included in the analysis due to corrupt data.

Motor evoked potential (MEP) amplitudes were measured prior to treatment (baseline), immediately after the treatment (post-training 1), 30 minutes after the treatment (post-training 2), and 60 minutes after the treatment (post-training 3).The MEP is elicited by transcranial magnetic stimulation (TMS) at increased intensity. Its amplitude is measured from peak to peak and expressed in millivolts (mV). Measured MEP amplitudes were plotted against the intensity to create a stimulus response curve (SRC). SRCs were modeled by a 3- parameter sigmoid function and MEPmax was extracted. Long-lasting increases in MEP amplitude indicate increases in motor cortex excitability and are associated with motor learning.

Outcome measures

Outcome measures
Measure
Aim 1
n=9 Participants
Healthy adult female and male subjects received study drugs and TMS to measure M1 excitability.
Aim 1: Mean Parameter Estimate for Maximal Motor Evoked Potential (MEPmax) Derived From Stimulus Response Curves (SRC)
Baseline Placebo - MEPmax
1.01 mV
Standard Error .13
Aim 1: Mean Parameter Estimate for Maximal Motor Evoked Potential (MEPmax) Derived From Stimulus Response Curves (SRC)
Post-Training 1 Placebo - MEPmax
1.63 mV
Standard Error .33
Aim 1: Mean Parameter Estimate for Maximal Motor Evoked Potential (MEPmax) Derived From Stimulus Response Curves (SRC)
Post-Training 2 Placebo - MEPmax
1.29 mV
Standard Error .05
Aim 1: Mean Parameter Estimate for Maximal Motor Evoked Potential (MEPmax) Derived From Stimulus Response Curves (SRC)
Baseline - Amphetamine Sulfate - MEPmax
.73 mV
Standard Error .10
Aim 1: Mean Parameter Estimate for Maximal Motor Evoked Potential (MEPmax) Derived From Stimulus Response Curves (SRC)
Post-Training 1 Ampletamine Sulfate - MEPmax
1.22 mV
Standard Error .26
Aim 1: Mean Parameter Estimate for Maximal Motor Evoked Potential (MEPmax) Derived From Stimulus Response Curves (SRC)
Post-Training 2 Amphetamine Sulfate - MEPmax
1.08 mV
Standard Error .04
Aim 1: Mean Parameter Estimate for Maximal Motor Evoked Potential (MEPmax) Derived From Stimulus Response Curves (SRC)
Baseline Methylphenidate - MEPmax
1.04 mV
Standard Error .13
Aim 1: Mean Parameter Estimate for Maximal Motor Evoked Potential (MEPmax) Derived From Stimulus Response Curves (SRC)
Post-Training 1 Methylphenidate - MEPmax
1.10 mV
Standard Error .12
Aim 1: Mean Parameter Estimate for Maximal Motor Evoked Potential (MEPmax) Derived From Stimulus Response Curves (SRC)
Post-Training 2 Methylphenidate - MEPmax
1.22 mV
Standard Error .06
Aim 1: Mean Parameter Estimate for Maximal Motor Evoked Potential (MEPmax) Derived From Stimulus Response Curves (SRC)
Baseline Carbidopa-Levodopa - MEPmax
1.81 mV
Standard Error .62
Aim 1: Mean Parameter Estimate for Maximal Motor Evoked Potential (MEPmax) Derived From Stimulus Response Curves (SRC)
Post-Training 1 Carbidopa-Levodopa - MEPmax
1.41 mV
Standard Error .26
Aim 1: Mean Parameter Estimate for Maximal Motor Evoked Potential (MEPmax) Derived From Stimulus Response Curves (SRC)
Post-Training 2 Carbidopa-Levodopa - MEPmax
1.53 mV
Standard Error .13

PRIMARY outcome

Timeframe: Baseline, Post-Training 1 (Immediately), Post-Training 2 (30 Minutes), Post-Training 3 (60 Minutes)

Population: Analysis was completed in Aim 1 participants per protocol. One subject was not included in the analysis due to corrupt data.

Mean peak acceleration was measured across study drug conditions prior to treatment (baseline), immediately after the treatment (post-training 1), 30 minutes after the treatment (post-training 2) and 60 minutes after the treatment (post-training 3). Increases in the mean peak acceleration of the trained wrist extension movements indicate motor learning. Acceleration was measured in g; a symbol for the average acceleration produced by gravity at the Earth's surface.

Outcome measures

Outcome measures
Measure
Aim 1
n=9 Participants
Healthy adult female and male subjects received study drugs and TMS to measure M1 excitability.
Aim 1: Mean Peak Acceleration of Wrist Extension Movements
Baseline - Placebo
1.32 g
Standard Deviation .35
Aim 1: Mean Peak Acceleration of Wrist Extension Movements
Post-Training 1 - Placebo
1.33 g
Standard Deviation .21
Aim 1: Mean Peak Acceleration of Wrist Extension Movements
Post-Training 2 - Placebo
1.24 g
Standard Deviation .30
Aim 1: Mean Peak Acceleration of Wrist Extension Movements
Baseline - Amphetamine Sulfate
1.24 g
Standard Deviation .33
Aim 1: Mean Peak Acceleration of Wrist Extension Movements
Post-Training 1 - Amphetamine Sulfate
1.28 g
Standard Deviation .31
Aim 1: Mean Peak Acceleration of Wrist Extension Movements
Post-Training 2 - Amphetamine Sulfate
1.29 g
Standard Deviation .39
Aim 1: Mean Peak Acceleration of Wrist Extension Movements
Baseline - Methylphenidate
1.35 g
Standard Deviation .30
Aim 1: Mean Peak Acceleration of Wrist Extension Movements
Post-Training 1 - Methylphenidate
1.27 g
Standard Deviation .16
Aim 1: Mean Peak Acceleration of Wrist Extension Movements
Post-Training 2 - Methylphenidate
1.22 g
Standard Deviation .25
Aim 1: Mean Peak Acceleration of Wrist Extension Movements
Baseline - Carbidopa-Levodopa
1.22 g
Standard Deviation .39
Aim 1: Mean Peak Acceleration of Wrist Extension Movements
Post-Training 1 - Carbidopa-Levodopa
1.23 g
Standard Deviation .27
Aim 1: Mean Peak Acceleration of Wrist Extension Movements
Post-Training 2 - Carbidopa-Levodopa
1.37 g
Standard Deviation .38

SECONDARY outcome

Timeframe: Baseline, Post-Training 1(Immediately), Post-Training 2 (30 Minutes), Post-Training 3 (60 Minutes)

Population: Analysis was completed in Aim 2 participants per protocol.

Mean sum of normalized MEP for repeated TMS (rTMS) conditions with respect to the pulse (-100, +300, placebo, zero) prior to treatment (baseline), immediately after the treatment (post-training 1), 30 minutes after the treatment (post-training 2) and 60 minutes after the treatment (post-training 3). Its amplitude is measured from peak to peak and expressed in mV. Long- lasting increases in MEP amplitude indicate increases in motor cortex excitability and are associated with motor learning.

Outcome measures

Outcome measures
Measure
Aim 1
n=9 Participants
Healthy adult female and male subjects received study drugs and TMS to measure M1 excitability.
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) With Respect to Pulse
Baseline - Pulse (+300)
.38 millivolts
Standard Deviation .38
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) With Respect to Pulse
Post-Training 1 - Pulse (+300)
.54 millivolts
Standard Deviation .51
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) With Respect to Pulse
Baseline - Pulse (zero)
.39 millivolts
Standard Deviation .36
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) With Respect to Pulse
Post-Training 1 - Pulse (zero)
.66 millivolts
Standard Deviation .74
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) With Respect to Pulse
Post-Training 2 - Pulse (zero)
.63 millivolts
Standard Deviation .63
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) With Respect to Pulse
Post-Training 3 - Pulse (zero)
.69 millivolts
Standard Deviation .76
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) With Respect to Pulse
Baseline - Pulse (placebo)
.40 millivolts
Standard Deviation .38
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) With Respect to Pulse
Post-Training 1 - Pulse (placebo)
.54 millivolts
Standard Deviation .57
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) With Respect to Pulse
Post-Training 2 - Pulse (placebo)
.51 millivolts
Standard Deviation .59
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) With Respect to Pulse
Post-Training 3 - Pulse (placebo)
.52 millivolts
Standard Deviation .59
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) With Respect to Pulse
Baseline - Pulse (-100)
.39 millivolts
Standard Deviation .37
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) With Respect to Pulse
Post-Training 1 - Pulse (-100)
.56 millivolts
Standard Deviation .54
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) With Respect to Pulse
Post-Training 2 - Pulse (-100)
.60 millivolts
Standard Deviation .67
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) With Respect to Pulse
Post-Training 3 - Pulse (-100)
.61 millivolts
Standard Deviation .63
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) With Respect to Pulse
Post-Training 2 - Pulse (+300)
.48 millivolts
Standard Deviation .45
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) With Respect to Pulse
Post-Training 3 - Pulse (+300)
.51 millivolts
Standard Deviation .50

SECONDARY outcome

Timeframe: Baseline, Post-Training 1(Immediately), Post-Training 2 (30 Minutes), Post-Training 3 (60 Minutes)

Population: Analysis was completed in Aim 2 participants per protocol.

Mean peak acceleration of wrist movements for repeated TMS (rTMS) conditions with respect of the TMS pulse (-100, +300, placebo, zero) prior to treatment (baseline), immediately after the treatment (post-training 1), 30 minutes after the treatment (post-training 2) and 60 minutes after the treatment (post-training 3). Increases in the mean peak acceleration of the trained wrist extension movements indicate motor learning. Acceleration was measured in g; a symbol for the average acceleration produced by gravity at the Earth's surface.

Outcome measures

Outcome measures
Measure
Aim 1
n=9 Participants
Healthy adult female and male subjects received study drugs and TMS to measure M1 excitability.
Aim 2: Mean Peak Acceleration of Wrist Extension Movements With Respect to Pulse
Baseline - Pulse (zero)
1.33 g
Standard Deviation .31
Aim 2: Mean Peak Acceleration of Wrist Extension Movements With Respect to Pulse
Post-Training 1 - Pulse (zero)
1.43 g
Standard Deviation .30
Aim 2: Mean Peak Acceleration of Wrist Extension Movements With Respect to Pulse
Post-Training 2 - Pulse (zero)
1.51 g
Standard Deviation .34
Aim 2: Mean Peak Acceleration of Wrist Extension Movements With Respect to Pulse
Post-Training 3 - Pulse (zero)
1.53 g
Standard Deviation .37
Aim 2: Mean Peak Acceleration of Wrist Extension Movements With Respect to Pulse
Baseline - Pulse (placebo)
1.44 g
Standard Deviation .25
Aim 2: Mean Peak Acceleration of Wrist Extension Movements With Respect to Pulse
Post-Training 1 - Pulse (placebo)
1.36 g
Standard Deviation .24
Aim 2: Mean Peak Acceleration of Wrist Extension Movements With Respect to Pulse
Post-Training 2 - Pulse (placebo)
1.35 g
Standard Deviation .24
Aim 2: Mean Peak Acceleration of Wrist Extension Movements With Respect to Pulse
Post-Training 3 - Pulse (placebo)
1.33 g
Standard Deviation .30
Aim 2: Mean Peak Acceleration of Wrist Extension Movements With Respect to Pulse
Baseline - Pulse (-100)
1.51 g
Standard Deviation .34
Aim 2: Mean Peak Acceleration of Wrist Extension Movements With Respect to Pulse
Post-Training 1 - Pulse (-100)
1.5 g
Standard Deviation .30
Aim 2: Mean Peak Acceleration of Wrist Extension Movements With Respect to Pulse
Post-Training 2 - Pulse (-100)
1.46 g
Standard Deviation .34
Aim 2: Mean Peak Acceleration of Wrist Extension Movements With Respect to Pulse
Post-Training 3 - Pulse (-100)
1.47 g
Standard Deviation .27
Aim 2: Mean Peak Acceleration of Wrist Extension Movements With Respect to Pulse
Baseline - Pulse (+300)
1.40 g
Standard Deviation .34
Aim 2: Mean Peak Acceleration of Wrist Extension Movements With Respect to Pulse
Post-Training 1 - Pulse (+300)
1.32 g
Standard Deviation .35
Aim 2: Mean Peak Acceleration of Wrist Extension Movements With Respect to Pulse
Post-Training 2 - Pulse (+300)
1.38 g
Standard Deviation .40
Aim 2: Mean Peak Acceleration of Wrist Extension Movements With Respect to Pulse
Post-Training 3 - Pulse (+300)
1.40 g
Standard Deviation .43

SECONDARY outcome

Timeframe: Baseline, Post-Training 1(Immediately), Post-Training 2 (30 Minutes), Post-Training 3 (60 Minutes)

Population: Analysis was completed in Aim 2 participants per protocol.

Mean sum of normalized MEP for the different frequencies of rTMS treatment (placebo at 0.1 Hz, 0.1 Hz, 0.25 Hz, 0.5 Hz) prior to treatment (baseline), immediately after the treatment (post-training 1), 30 minutes after the treatment (post-training 2) and 60 minutes after the treatment (post-training 3). Increases in the mean peak acceleration of the trained wrist extension movements indicate motor learning.

Outcome measures

Outcome measures
Measure
Aim 1
n=9 Participants
Healthy adult female and male subjects received study drugs and TMS to measure M1 excitability.
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) for rTMS Treatment With Respect to Frequency
Baseline - Placebo
.67 millivolts
Standard Deviation .79
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) for rTMS Treatment With Respect to Frequency
Post-Training 1 - Placebo
.93 millivolts
Standard Deviation 1.00
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) for rTMS Treatment With Respect to Frequency
Post-Training 2 - Placebo
.94 millivolts
Standard Deviation 1.09
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) for rTMS Treatment With Respect to Frequency
Post-Training 3 - Placebo
1.02 millivolts
Standard Deviation 1.19
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) for rTMS Treatment With Respect to Frequency
Baseline - .1 Hz
.71 millivolts
Standard Deviation .83
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) for rTMS Treatment With Respect to Frequency
Post-Training 1 - .1 Hz
1.06 millivolts
Standard Deviation 1.15
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) for rTMS Treatment With Respect to Frequency
Post-Training 2 - .1 Hz
1.06 millivolts
Standard Deviation 1.23
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) for rTMS Treatment With Respect to Frequency
Post-Training 3 - .1 Hz
1.14 millivolts
Standard Deviation 1.24
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) for rTMS Treatment With Respect to Frequency
Baseline - .25 Hz
.67 millivolts
Standard Deviation .84
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) for rTMS Treatment With Respect to Frequency
Post-Training 1 - .25 Hz
.90 millivolts
Standard Deviation 1.03
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) for rTMS Treatment With Respect to Frequency
Post-Training 2 - .25 Hz
.90 millivolts
Standard Deviation 1.08
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) for rTMS Treatment With Respect to Frequency
Post-Training 3 - .25 Hz
.98 millivolts
Standard Deviation 1.15
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) for rTMS Treatment With Respect to Frequency
Baseline - .5 Hz
.64 millivolts
Standard Deviation .74
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) for rTMS Treatment With Respect to Frequency
Post-Training 1 - .5 Hz
.92 millivolts
Standard Deviation 1.11
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) for rTMS Treatment With Respect to Frequency
Post-Training 2 - .5 Hz
.90 millivolts
Standard Deviation .99
Aim 2: Mean Sum of Normalized Motor Evoked Potentials (MEPs) for rTMS Treatment With Respect to Frequency
Post-Training 3 - .5 Hz
.84 millivolts
Standard Deviation 1.00

SECONDARY outcome

Timeframe: Baseline, Post-Training 1(Immediately), Post-Training 2 (30 Minutes), Post-Training 3 (60 Minutes)

Population: Analysis was completed in Aim 2 participants per protocol.

Mean peak acceleration for the different frequencies of rTMS treatment (placebo, 0.1 Hz, 0.25 Hz, 0.5 Hz) prior to treatment (baseline), immediately after the treatment (post-training 1), 30 minutes after the treatment (post-training 2) and 60 minutes after the treatment (post-training 3). Increases in the mean peak acceleration of the trained wrist extension movements indicate motor learning. Acceleration was measured in g; a symbol for the average acceleration produced by gravity at the Earth's surface.

Outcome measures

Outcome measures
Measure
Aim 1
n=9 Participants
Healthy adult female and male subjects received study drugs and TMS to measure M1 excitability.
Aim 2: Mean Peak Acceleration for rTMS Treatment With Respect to Frequency
Baseline - Placebo
1.44 g
Standard Deviation .25
Aim 2: Mean Peak Acceleration for rTMS Treatment With Respect to Frequency
Post-Training 1 - Placebo
1.36 g
Standard Deviation .24
Aim 2: Mean Peak Acceleration for rTMS Treatment With Respect to Frequency
Post-Training 2 - Placebo
1.35 g
Standard Deviation .24
Aim 2: Mean Peak Acceleration for rTMS Treatment With Respect to Frequency
Post-Training 3 - Placebo
1.33 g
Standard Deviation .30
Aim 2: Mean Peak Acceleration for rTMS Treatment With Respect to Frequency
Baseline - .1 Hz
1.33 g
Standard Deviation .31
Aim 2: Mean Peak Acceleration for rTMS Treatment With Respect to Frequency
Post-Training 1 - .1 Hz
1.43 g
Standard Deviation .30
Aim 2: Mean Peak Acceleration for rTMS Treatment With Respect to Frequency
Post-Training 2 - .1 Hz
1.50 g
Standard Deviation .34
Aim 2: Mean Peak Acceleration for rTMS Treatment With Respect to Frequency
Post-Training 3 - .1 Hz
1.53 g
Standard Deviation .37
Aim 2: Mean Peak Acceleration for rTMS Treatment With Respect to Frequency
Baseline - .25 Hz
1.38 g
Standard Deviation .26
Aim 2: Mean Peak Acceleration for rTMS Treatment With Respect to Frequency
Post-Training 1 - .25 Hz
1.35 g
Standard Deviation .44
Aim 2: Mean Peak Acceleration for rTMS Treatment With Respect to Frequency
Post-Training 2 - .25 Hz
1.40 g
Standard Deviation .37
Aim 2: Mean Peak Acceleration for rTMS Treatment With Respect to Frequency
Post-Training 3 - .25 Hz
1.34 g
Standard Deviation .47
Aim 2: Mean Peak Acceleration for rTMS Treatment With Respect to Frequency
Baseline - .5 Hz
1.32 g
Standard Deviation .23
Aim 2: Mean Peak Acceleration for rTMS Treatment With Respect to Frequency
Post-Training 1 - .5 Hz
1.29 g
Standard Deviation .30
Aim 2: Mean Peak Acceleration for rTMS Treatment With Respect to Frequency
Post-Training 2 - .5 Hz
1.25 g
Standard Deviation .29
Aim 2: Mean Peak Acceleration for rTMS Treatment With Respect to Frequency
Post-Training 3 - .5 Hz
1.29 g
Standard Deviation .31

SECONDARY outcome

Timeframe: Baseline, Post-Training 1(Immediately), Post-Training 2 (30 Minutes), Post-Training 3 (60 Minutes)

Population: No sufficient data collected.

Motor evoked potential (MEP) amplitudes were measured prior to treatment (baseline), immediately after the treatment (post-training 1), 30 minutes after the treatment (post-training 2), and 60 minutes after the treatment (post-training 3).The MEP is elicited by transcranial magnetic stimulation (TMS) at increased intensity. Its amplitude is measured from peak to peak and expressed in millivolts (mV). Measured MEP amplitudes were plotted against the intensity to create a stimulus response curve (SRC). SRCs were modeled by a 3- parameter sigmoid function and MEPmax was extracted. Long-lasting increases in MEP amplitude indicate increases in motor cortex excitability and are associated with motor learning.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline, Post-Training 1(Immediately), Post-Training 2 (30 Minutes), Post-Training 3 (60 Minutes)

Population: No sufficient data collected.

Mean peak acceleration was measured across study drug conditions prior to treatment (baseline), immediately after the treatment (post-training 1), 30 minutes after the treatment (post-training 2) and 60 minutes after the treatment (post-training 3). Increases in the mean peak acceleration of the trained wrist extension movements indicate motor learning. Acceleration was measured in g; a symbol for the average acceleration produced by gravity at the Earth's surface.

Outcome measures

Outcome data not reported

Adverse Events

Aim 1

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Aim 2

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

Aim 3

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Aim 1
n=10 participants at risk
Healthy adult female and male subjects received study drugs and TMS to measure M1 excitability.
Aim 2
n=9 participants at risk
Healthy adult female and male subjects received TMS prior to measuring wrist extension movements.
Aim 3
n=1 participants at risk
Female and male subjects who have experienced a cerebral ischemic infarction will receive study drugs and TMS to measure M1 excitability.
Ear and labyrinth disorders
Vertio
10.0%
1/10 • Number of events 1 • Adverse events were collected throughout the duration of the study (6 years, 6 months).
0.00%
0/9 • Adverse events were collected throughout the duration of the study (6 years, 6 months).
0.00%
0/1 • Adverse events were collected throughout the duration of the study (6 years, 6 months).
Vascular disorders
Increased Blood Pressure
10.0%
1/10 • Number of events 1 • Adverse events were collected throughout the duration of the study (6 years, 6 months).
0.00%
0/9 • Adverse events were collected throughout the duration of the study (6 years, 6 months).
0.00%
0/1 • Adverse events were collected throughout the duration of the study (6 years, 6 months).
Nervous system disorders
Dizziness
30.0%
3/10 • Number of events 3 • Adverse events were collected throughout the duration of the study (6 years, 6 months).
0.00%
0/9 • Adverse events were collected throughout the duration of the study (6 years, 6 months).
0.00%
0/1 • Adverse events were collected throughout the duration of the study (6 years, 6 months).
Gastrointestinal disorders
Dry Mouth
10.0%
1/10 • Number of events 1 • Adverse events were collected throughout the duration of the study (6 years, 6 months).
0.00%
0/9 • Adverse events were collected throughout the duration of the study (6 years, 6 months).
0.00%
0/1 • Adverse events were collected throughout the duration of the study (6 years, 6 months).
Nervous system disorders
Parathesis
10.0%
1/10 • Number of events 1 • Adverse events were collected throughout the duration of the study (6 years, 6 months).
0.00%
0/9 • Adverse events were collected throughout the duration of the study (6 years, 6 months).
0.00%
0/1 • Adverse events were collected throughout the duration of the study (6 years, 6 months).
Gastrointestinal disorders
Nausea
20.0%
2/10 • Number of events 2 • Adverse events were collected throughout the duration of the study (6 years, 6 months).
0.00%
0/9 • Adverse events were collected throughout the duration of the study (6 years, 6 months).
0.00%
0/1 • Adverse events were collected throughout the duration of the study (6 years, 6 months).
Nervous system disorders
Somnolence
50.0%
5/10 • Number of events 5 • Adverse events were collected throughout the duration of the study (6 years, 6 months).
0.00%
0/9 • Adverse events were collected throughout the duration of the study (6 years, 6 months).
0.00%
0/1 • Adverse events were collected throughout the duration of the study (6 years, 6 months).
Nervous system disorders
Dysarthria
0.00%
0/10 • Adverse events were collected throughout the duration of the study (6 years, 6 months).
0.00%
0/9 • Adverse events were collected throughout the duration of the study (6 years, 6 months).
100.0%
1/1 • Number of events 1 • Adverse events were collected throughout the duration of the study (6 years, 6 months).
General disorders
Facial Edema
0.00%
0/10 • Adverse events were collected throughout the duration of the study (6 years, 6 months).
0.00%
0/9 • Adverse events were collected throughout the duration of the study (6 years, 6 months).
100.0%
1/1 • Number of events 1 • Adverse events were collected throughout the duration of the study (6 years, 6 months).

Additional Information

Dr. Cathrin Buetefisch

Emory University

Phone: 4047121894

Results disclosure agreements

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