Transcranial Direct Current Stimulation (tDCS) for the Treatment of Tinnitus

NCT ID: NCT01575496

Last Updated: 2012-08-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-04-30

Brief Summary

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The purpose of this study is to determine if repeated sessions of transcranial direct current stimulation (tDCS) are effective for treating chronic subjective tinnitus. Previous studies have reported brief improvements in tinnitus after safe and noninvasive stimulation of the auditory cortex or limbic system. The investigators hypothesize that a greater improvement in tinnitus will be achieved following repeated sessions of tDCS that target both auditory and limbic systems.

Detailed Description

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Subjective tinnitus is a distressing condition characterized by the sensation of sound or noise in the absence of internal or external stimuli. Research indicates that tinnitus may develop due to maladaptive plastic changes in the auditory cortex and limbic system. These changes can be targeted using safe and noninvasive brain stimulation techniques like transcranial direct current stimulation (tDCS). TDCS alters the excitability of the cortex using a weak direct current and may lead to long-term plastic changes, making it a potential therapeutic tool for the treatment of tinnitus.

Transient improvements in tinnitus have been reported after inhibitory stimulation of the auditory cortex and after excitatory stimulation of the prefrontal cortex, however the effects of a combined stimulation paradigm remain unknown. The investigators hypothesize that a cumulative effect will be observed following repeated sessions of tDCS by modulating both the excitability of the auditory cortex and prefrontal cortex.

Conditions

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Tinnitus

Keywords

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Tinnitus Transcranial direct current stimulation Transcranial magnetic stimulation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Active tDCS

Subjects will receive 20 minutes of active tDCS.

Group Type ACTIVE_COMPARATOR

BrainSTIM Transcranial Stimulator

Intervention Type DEVICE

Cathodal stimulation of the auditory cortex with an anode (reference electrode) over the prefrontal cortex. Stimulation will be applied for 20 minutes at 2 mA.

Sham tDCS

Subjects will receive 20 minutes of sham tDCS.

Group Type SHAM_COMPARATOR

BrainSTIM Transcranial Stimulator

Intervention Type DEVICE

Sham tDCS sessions will last 20 minutes.

Interventions

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BrainSTIM Transcranial Stimulator

Cathodal stimulation of the auditory cortex with an anode (reference electrode) over the prefrontal cortex. Stimulation will be applied for 20 minutes at 2 mA.

Intervention Type DEVICE

BrainSTIM Transcranial Stimulator

Sham tDCS sessions will last 20 minutes.

Intervention Type DEVICE

Other Intervention Names

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Cathodal tDCS Bilateral tDCS Direct current stimulator Transcranial stimulator Sham stimulation Direct current stimulator Transcranial stimulator

Eligibility Criteria

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Inclusion Criteria

* Age of at least 18 years
* Chronic tinnitus for at least 1 year
* Diagnosis of chronic subjective non-pulsatile tinnitus
* Age-adjusted normal (sensorineural) hearing
* Score of 25 or above on the Mini-mental state examination (MMSE)
* Must comply with use of contraceptives during interventions

Exclusion Criteria

* Objective tinnitus
* Concurrent treatment for tinnitus
* Prior exposure to transcranial direct current stimulation (tDCS)
* Electronic implants or metallic objects in body, including cardiac pacemakers, cochlear implants, implanted medical pump, metal plate in skull, metal implant in the skull or eyes (other than dental appliances or fillings)
* Skin conditions where electrodes will be applied
* Major neurological co-morbidities
* History of epilepsy and/or seizures
* Pregnancy and/or lactation
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier Universitaire Vaudois

OTHER

Sponsor Role lead

Responsible Party

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David Benninger, MD

Principal Investigator, Head of Neurophysiology Laboratory

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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David Benninger, MD

Role: PRINCIPAL_INVESTIGATOR

Centre Hospitalier Universitaire Vaudois

Locations

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Department of Neurology, Centre Hospitalier Universitaire Vaudois

Lausanne, Canton of Vaud, Switzerland

Site Status

Countries

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Switzerland

Other Identifiers

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CIV-12-02-004761

Identifier Type: -

Identifier Source: org_study_id