Trial Outcomes & Findings for The Effects of Cranial Electrotherapy Stimulation (CES) on Brain Function, Brain Chemistry and Mood (NCT NCT01860677)

NCT ID: NCT01860677

Last Updated: 2017-06-14

Results Overview

Quantitative changes in neural activation patterns during task performance as measured by BOLD functional MRI from 20 minutes of CES compared to pre-treatment. The coupling ratio is defined as the percent change in the cerebral blood flow divided by the percent change in the cerebral metabolic rate of oxygen consumption.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

8 participants

Primary outcome timeframe

within 30 minutes after CES treatment concluded; pre-treatment is at least 20 minutes before end of treatment

Results posted on

2017-06-14

Participant Flow

Participant milestones

Participant milestones
Measure
Active First, Then Sham
Active treatment first, then Sham Active: The Fisher Wallace Cranial Electrostimulation device generates micro currents of electricity using a patented series of radio frequencies. The device has been designated by the FDA to be minimally invasive and has FDA approval to be used to reduce symptoms associated with anxiety, depression, pain and insomnia. The unit is locked at the factory to deliver a maximal output of 4 mA of current and has a timer that prevents it from staying on longer than 20 minutes. Current will be limited to a maximum of 2 mA. Fisher Wallace Cranial Stimulator Sham: Participants are outfitted with a device that is identical to the Fisher Wallace Cranial Stimulator in appearance but does not deliver any current. Fisher Wallace Cranial Stimulator: The Fisher Wallace Cranial Stimulator device generates micro currents of electricity using a patented series of radio frequencies.
Sham First, Then Active
Sham first, then Active treatment Active: The Fisher Wallace Cranial Electrostimulation device generates micro currents of electricity using a patented series of radio frequencies. The device has been designated by the FDA to be minimally invasive and has FDA approval to be used to reduce symptoms associated with anxiety, depression, pain and insomnia. The unit is locked at the factory to deliver a maximal output of 4 mA of current and has a timer that prevents it from staying on longer than 20 minutes. Current will be limited to a maximum of 2 mA. Fisher Wallace Cranial Stimulator Sham: Participants are outfitted with a device that is identical to the Fisher Wallace Cranial Stimulator in appearance but does not deliver any current. Fisher Wallace Cranial Stimulator: The Fisher Wallace Cranial Stimulator device generates micro currents of electricity using a patented series of radio frequencies.
First Intervention (1 Day)
STARTED
8
0
First Intervention (1 Day)
COMPLETED
8
0
First Intervention (1 Day)
NOT COMPLETED
0
0
Second Intervention (1 Day)
STARTED
8
0
Second Intervention (1 Day)
COMPLETED
1
0
Second Intervention (1 Day)
NOT COMPLETED
7
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Active First, Then Sham
Active treatment first, then Sham Active: The Fisher Wallace Cranial Electrostimulation device generates micro currents of electricity using a patented series of radio frequencies. The device has been designated by the FDA to be minimally invasive and has FDA approval to be used to reduce symptoms associated with anxiety, depression, pain and insomnia. The unit is locked at the factory to deliver a maximal output of 4 mA of current and has a timer that prevents it from staying on longer than 20 minutes. Current will be limited to a maximum of 2 mA. Fisher Wallace Cranial Stimulator Sham: Participants are outfitted with a device that is identical to the Fisher Wallace Cranial Stimulator in appearance but does not deliver any current. Fisher Wallace Cranial Stimulator: The Fisher Wallace Cranial Stimulator device generates micro currents of electricity using a patented series of radio frequencies.
Sham First, Then Active
Sham first, then Active treatment Active: The Fisher Wallace Cranial Electrostimulation device generates micro currents of electricity using a patented series of radio frequencies. The device has been designated by the FDA to be minimally invasive and has FDA approval to be used to reduce symptoms associated with anxiety, depression, pain and insomnia. The unit is locked at the factory to deliver a maximal output of 4 mA of current and has a timer that prevents it from staying on longer than 20 minutes. Current will be limited to a maximum of 2 mA. Fisher Wallace Cranial Stimulator Sham: Participants are outfitted with a device that is identical to the Fisher Wallace Cranial Stimulator in appearance but does not deliver any current. Fisher Wallace Cranial Stimulator: The Fisher Wallace Cranial Stimulator device generates micro currents of electricity using a patented series of radio frequencies.
Second Intervention (1 Day)
Lost to Follow-up
7
0

Baseline Characteristics

The Effects of Cranial Electrotherapy Stimulation (CES) on Brain Function, Brain Chemistry and Mood

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Study Participants
n=8 Participants
All of the study participants
Age, Continuous
25.4 years
STANDARD_DEVIATION 4.5 • n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=5 Participants
Race (NIH/OMB)
White
4 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
8 participants
n=5 Participants
Caffeine consumption
5.2 caffeinated beverages/week
STANDARD_DEVIATION 6.1 • n=5 Participants
Alcohol consumption
2.1 alcoolic drinks/week
STANDARD_DEVIATION 2.1 • n=5 Participants
Marihuana use (spelling with 'h' used by DEA and FDA)
3.5 lifetime uses
STANDARD_DEVIATION 6.9 • n=5 Participants
Body Mass Index (BMI)
24.35 kg/m^2
STANDARD_DEVIATION 4.76 • n=5 Participants

PRIMARY outcome

Timeframe: within 30 minutes after CES treatment concluded; pre-treatment is at least 20 minutes before end of treatment

Population: Data were not collected

Quantitative changes in neural activation patterns during task performance as measured by BOLD functional MRI from 20 minutes of CES compared to pre-treatment. The coupling ratio is defined as the percent change in the cerebral blood flow divided by the percent change in the cerebral metabolic rate of oxygen consumption.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: within 30 minutes after CES treatment concluded; pre-treatment is at least 20 minutes before end of treatment

Population: Data were not collected for Sham intervention; Outcome pre-specified to be assessed for Active Arm only

Quantitative changes in neural activation patterns during task performance as measured by BOLD functional MRI from 20 minutes of CES compared to pre-treatment. The coupling ratio is defined as the percent change in the cerebral blood flow divided by the percent change in the cerebral metabolic rate of oxygen consumption.

Outcome measures

Outcome measures
Measure
Active Stimulation
n=8 Participants
The Fisher Wallace Cranial Stimulator device generates micro currents of electricity using a patented series of radio frequencies. The device has been designated by the FDA to be minimally invasive and has FDA approval to be used to reduce symptoms associated with anxiety, depression, pain and insomnia. The unit is locked at the factory to deliver a maximal output of 4 mA of current and has a timer that prevents it from staying on longer than 20 minutes. Current will be limited to a maximum of 2 mA. Fisher Wallace Cranial Stimulator: The Fisher Wallace Cranial Stimulator device generates micro currents of electricity using a patented series of radio frequencies.
Sham Stimulation
Participants are outfitted with a device that is identical to the Fisher Wallace Cranial Stimulator in appearance but does not deliver any current. Fisher Wallace Cranial Stimulator: The Fisher Wallace Cranial Stimulator device generates micro currents of electricity using a patented series of radio frequencies.
BOLD fMRI (Neural Activation Patterns/Brain Function) in Active Stimulation Arm Only
0.2 coupling ratio
Standard Deviation 0.5

SECONDARY outcome

Timeframe: within 30 minutes after CES treatment concluded; pre-treatment is at least 20 minutes before end of treatment

Population: Participants in the active stimulation arm. Data were not collected for Sham intervention; Outcome pre-specified to be assessed for Active Arm only.

Positive and Negative Affect Schedule (PANAS), as defined by Watson et al. (1988), range between 10 and 50 points. Anchors of "not at all" (10) to "most ever" (50) were used to rank each measure. Change compares post-treatment to pre-treatment. Positive Affects included the following terms: Attentive, Active, Alert, Excited, Enthusiastic, Determined, Inspired, Proud, Interested, and Strong. Negative Affects included the following terms: Hostile, Irritable, Ashamed, Guilty, Distressed, Upset, Scared, Afraid, Jittery, and Nervous. Higher positive affect scores indicated a better outcome, while lower negative affect scores indicated a better outcome.

Outcome measures

Outcome measures
Measure
Active Stimulation
n=8 Participants
The Fisher Wallace Cranial Stimulator device generates micro currents of electricity using a patented series of radio frequencies. The device has been designated by the FDA to be minimally invasive and has FDA approval to be used to reduce symptoms associated with anxiety, depression, pain and insomnia. The unit is locked at the factory to deliver a maximal output of 4 mA of current and has a timer that prevents it from staying on longer than 20 minutes. Current will be limited to a maximum of 2 mA. Fisher Wallace Cranial Stimulator: The Fisher Wallace Cranial Stimulator device generates micro currents of electricity using a patented series of radio frequencies.
Sham Stimulation
Participants are outfitted with a device that is identical to the Fisher Wallace Cranial Stimulator in appearance but does not deliver any current. Fisher Wallace Cranial Stimulator: The Fisher Wallace Cranial Stimulator device generates micro currents of electricity using a patented series of radio frequencies.
Change in Positive and Negative Affect Schedule (PANAS) in Active Stimulation Arm
PANAS Positive Affect
1.88 units on a scale
Standard Deviation 3.60
Change in Positive and Negative Affect Schedule (PANAS) in Active Stimulation Arm
PANAS Negative Affect
-0.63 units on a scale
Standard Deviation 0.74

SECONDARY outcome

Timeframe: within 30 minutes after 1-day CES treatment concluded; pre-treatment is at least 20 minutes before end of treatment

Population: Data were not collected for Sham intervention; Outcome pre-specified to be assessed for Active Arm only. 3 participants were missing data on these measures.

Visual Analogue Scale (VAS) ranges from 0-100. Anchors of "not at all" (0) to "most ever" (100) were used to rank the following: anxious, sleepy, dizzy, relaxed, physical symptoms, confused, sluggish, energetic, fatigued, and stressed. Change compares post-treatment to pre-treatment.

Outcome measures

Outcome measures
Measure
Active Stimulation
n=5 Participants
The Fisher Wallace Cranial Stimulator device generates micro currents of electricity using a patented series of radio frequencies. The device has been designated by the FDA to be minimally invasive and has FDA approval to be used to reduce symptoms associated with anxiety, depression, pain and insomnia. The unit is locked at the factory to deliver a maximal output of 4 mA of current and has a timer that prevents it from staying on longer than 20 minutes. Current will be limited to a maximum of 2 mA. Fisher Wallace Cranial Stimulator: The Fisher Wallace Cranial Stimulator device generates micro currents of electricity using a patented series of radio frequencies.
Sham Stimulation
Participants are outfitted with a device that is identical to the Fisher Wallace Cranial Stimulator in appearance but does not deliver any current. Fisher Wallace Cranial Stimulator: The Fisher Wallace Cranial Stimulator device generates micro currents of electricity using a patented series of radio frequencies.
Change in Visual Analogue Scale (VAS) in Active Stimulation Arm
Anxiety
-2.90 units on a scale
Standard Deviation 5.85
Change in Visual Analogue Scale (VAS) in Active Stimulation Arm
Sleepy
5.80 units on a scale
Standard Deviation 21.06
Change in Visual Analogue Scale (VAS) in Active Stimulation Arm
Dizzy
1.10 units on a scale
Standard Deviation 6.42
Change in Visual Analogue Scale (VAS) in Active Stimulation Arm
Relaxed
-2.60 units on a scale
Standard Deviation 12.77
Change in Visual Analogue Scale (VAS) in Active Stimulation Arm
Physical symptoms
2.30 units on a scale
Standard Deviation 2.71
Change in Visual Analogue Scale (VAS) in Active Stimulation Arm
Confused
0.80 units on a scale
Standard Deviation 1.89
Change in Visual Analogue Scale (VAS) in Active Stimulation Arm
Sluggish
-1.80 units on a scale
Standard Deviation 18.70
Change in Visual Analogue Scale (VAS) in Active Stimulation Arm
Energetic
0.00 units on a scale
Standard Deviation 9.56
Change in Visual Analogue Scale (VAS) in Active Stimulation Arm
Fatigued
3.80 units on a scale
Standard Deviation 6.52
Change in Visual Analogue Scale (VAS) in Active Stimulation Arm
Stressed
-3.40 units on a scale
Standard Deviation 5.67

Adverse Events

Active Stimulation

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

Sham Stimulation

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Scott E. Lukas, Ph.D.

McLean Imaging Center, McLean Hospital

Phone: 617-855-2767

Results disclosure agreements

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