Trial Outcomes & Findings for Effect of CES on Parasympathetic Tone (NCT NCT02163967)

NCT ID: NCT02163967

Last Updated: 2019-10-11

Results Overview

High frequency heart rate variability (HRV) will be calculated over successive 5 minute intervals from continuous ECG recordings and reported on a log scale with a minimum of 0 and a maximum of 10. Higher scores represent more heart rate variability.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

21 participants

Primary outcome timeframe

Mean HRV is calculated for the 15 minutes of baseline, for the 20 minutes of stimulation and for the 15 minutes post stimulation

Results posted on

2019-10-11

Participant Flow

Participant milestones

Participant milestones
Measure
Dose Sequence: Sham, Low, High
Cranial Electrical Stimulation Fisher-Wallace Stimulator (Model FW100): for 20 minutes on 3 separate days. Day 1 - Sham stimulation, Day 2 - 1milliamp stimulation intensity, Day 3 - 2 milliamp stimulation intensity
Dose Sequence: Sham, High, Low
Cranial Electrical Stimulation Fisher-Wallace Stimulator (Model FW100): for 20 minutes on 3 separate days. Day 1 - Sham stimulation, Day 2 - 2 milliamp stimulation intensity, Day 3 - 1 milliamp stimulation intensity
Dose Sequence: Low, Sham, High
Cranial Electrical Stimulation Fisher-Wallace Stimulator (Model FW100): for 20 minutes on 3 separate days. Day 1 - 1 milliamp stimulation intensity , Day 2 - Sham stimulation, Day 3 - 2 milliamp stimulation intensity
Dose Sequence; Low, High, Sham
Cranial Electrical Stimulation Fisher-Wallace Stimulator (Model FW100): for 20 minutes on 3 separate days. Day 1 - 1 milliamp stimulation intensity , Day 2 - 2 milliamp stimulation intensity, Day 3 - Sham stimulation
Dose Sequence: High, Sham, Low
Cranial Electrical Stimulation Fisher-Wallace Stimulator (Model FW100): for 20 minutes on 3 separate days. Day 1 - 2 milliamp stimulation intensity , Day 2 - Sham stimulation, Day 3 - 1 milliamp stimulation intensity
Dose Sequence: High, Low, Sham
Cranial Electrical Stimulation Fisher-Wallace Stimulator (Model FW100): for 20 minutes on 3 separate days. Day 1 - 2 milliamp stimulation intensity , Day 2 - 1 milliamp stimulation intensity, Day 3 - Sham stimulation
First Intervention/ Day 1
STARTED
4
4
3
4
3
3
First Intervention/ Day 1
COMPLETED
4
4
3
4
3
3
First Intervention/ Day 1
NOT COMPLETED
0
0
0
0
0
0
Second Intevention/Day 2
STARTED
3
4
2
4
3
3
Second Intevention/Day 2
COMPLETED
3
4
2
4
3
3
Second Intevention/Day 2
NOT COMPLETED
0
0
0
0
0
0
Third Intervention/Day 3
STARTED
3
3
2
4
3
3
Third Intervention/Day 3
COMPLETED
3
3
2
4
3
3
Third Intervention/Day 3
NOT COMPLETED
0
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Effect of CES on Parasympathetic Tone

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Study Participants
n=18 Participants
Cranial Electrical Stimulation Fisher-Wallace Stimulator (Model FW100): low voltage alternating current transcranial electrical stimulation, stimulation for 20 minutes on 3 separate days. Subjects were randomized to order of stimulation dose on the 3 days.
Age, Continuous
47 years
STANDARD_DEVIATION 17 • n=5 Participants
Sex: Female, Male
Female
14 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
17 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
2 Participants
n=5 Participants
Race (NIH/OMB)
White
16 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

PRIMARY outcome

Timeframe: Mean HRV is calculated for the 15 minutes of baseline, for the 20 minutes of stimulation and for the 15 minutes post stimulation

Population: 3 subjects who did not complete testing sessions at all 3 stimulation doses we not included in the final analysis

High frequency heart rate variability (HRV) will be calculated over successive 5 minute intervals from continuous ECG recordings and reported on a log scale with a minimum of 0 and a maximum of 10. Higher scores represent more heart rate variability.

Outcome measures

Outcome measures
Measure
Sham Stimulation
n=18 Participants
Cranial Electrical Stimulation Fisher-Wallace Stimulator (Model FW100): sham stimulation for 20 minutes
Low Dose
n=18 Participants
Cranial Electrical Stimulation Fisher-Wallace Stimulator (Model FW100): for 20 minutes at 1 milliamp stimulation dose
High Dose
n=18 Participants
Cranial Electrical Stimulation Fisher-Wallace Stimulator (Model FW100): for 20 minutes at 2 milliamp stimulation dose
Change in High Frequency Heart Rate Variability
Baseline
5.10 Units on a Log Scale
Standard Error 0.40
5.14 Units on a Log Scale
Standard Error 0.36
5.00 Units on a Log Scale
Standard Error 0.43
Change in High Frequency Heart Rate Variability
Stimulation
5.12 Units on a Log Scale
Standard Error .25
5.36 Units on a Log Scale
Standard Error .23
5.44 Units on a Log Scale
Standard Error .27
Change in High Frequency Heart Rate Variability
Post Stimulation
5.12 Units on a Log Scale
Standard Error .36
5.40 Units on a Log Scale
Standard Error .34
5.46 Units on a Log Scale
Standard Error .35

SECONDARY outcome

Timeframe: one hour

Population: All 21 subjects who completed at least one of the stimulation study visits are included in this analysis

Subjects were asked to report any side effects of the stimulation. Of all side effects reported by subjects, only light flickering in peripheral vision was endorsed by enough subjects to allow statistical analysis

Outcome measures

Outcome measures
Measure
Sham Stimulation
n=20 Participants
Cranial Electrical Stimulation Fisher-Wallace Stimulator (Model FW100): sham stimulation for 20 minutes
Low Dose
n=19 Participants
Cranial Electrical Stimulation Fisher-Wallace Stimulator (Model FW100): for 20 minutes at 1 milliamp stimulation dose
High Dose
n=18 Participants
Cranial Electrical Stimulation Fisher-Wallace Stimulator (Model FW100): for 20 minutes at 2 milliamp stimulation dose
Number of Subjects Reporting Light Flickering in Peripheral Vision Side Effect
0 participants
8 participants
12 participants

SECONDARY outcome

Timeframe: Mean heart rate is calculated for the 15 minutes of baseline, for the 20 minutes of stimulation and for the 15 minutes post stimulation

Population: 3 subjects who did not complete all 3 stimulation sessions were not included in the analysis

Heart rate will be calculated over successive 5 minute intervals from continuous ECG recordings. Higher scores represent faster heart rate

Outcome measures

Outcome measures
Measure
Sham Stimulation
n=18 Participants
Cranial Electrical Stimulation Fisher-Wallace Stimulator (Model FW100): sham stimulation for 20 minutes
Low Dose
n=18 Participants
Cranial Electrical Stimulation Fisher-Wallace Stimulator (Model FW100): for 20 minutes at 1 milliamp stimulation dose
High Dose
n=18 Participants
Cranial Electrical Stimulation Fisher-Wallace Stimulator (Model FW100): for 20 minutes at 2 milliamp stimulation dose
Change in Heart Rate
Baseline
70.4 beats per minute
Standard Error 1.4
71.8 beats per minute
Standard Error 2.1
73.6 beats per minute
Standard Error 1.8
Change in Heart Rate
Stimulation
69.4 beats per minute
Standard Error 1.3
70.1 beats per minute
Standard Error 2.0
71.4 beats per minute
Standard Error 2.1
Change in Heart Rate
Post Stimulation
68.3 beats per minute
Standard Error 1.2
69.1 beats per minute
Standard Error 1.8
70.7 beats per minute
Standard Error 1.8

SECONDARY outcome

Timeframe: Low frequency heart rate variability is calculated for the 15 minutes of baseline, for the 20 minutes of stimulation and for the 15 minutes post stimulation

Population: 3 enrolled subjects who did not complete all 3 stimulation sessions were not included in the analysis.

Low frequency heart rate variability will be calculated over successive 5 minute intervals from continuous ECG recordings and reported on a log scale with a minimum of 0 and a maximum of 10. Higher scores represent more heart rate variability.

Outcome measures

Outcome measures
Measure
Sham Stimulation
n=18 Participants
Cranial Electrical Stimulation Fisher-Wallace Stimulator (Model FW100): sham stimulation for 20 minutes
Low Dose
n=18 Participants
Cranial Electrical Stimulation Fisher-Wallace Stimulator (Model FW100): for 20 minutes at 1 milliamp stimulation dose
High Dose
n=18 Participants
Cranial Electrical Stimulation Fisher-Wallace Stimulator (Model FW100): for 20 minutes at 2 milliamp stimulation dose
Change in Low Frequency Heart Rate Variability
Stimulation
5.34 Units on a Log Scale
Standard Error 0.21
5.29 Units on a Log Scale
Standard Error 0.32
5.18 Units on a Log Scale
Standard Error 0.32
Change in Low Frequency Heart Rate Variability
Baseline
5.21 Units on a Log Scale
Standard Error 0.21
5.29 Units on a Log Scale
Standard Error 0.33
5.01 Units on a Log Scale
Standard Error 0.34
Change in Low Frequency Heart Rate Variability
Post-stimulation
5.56 Units on a Log Scale
Standard Error 0.21
5.43 Units on a Log Scale
Standard Error 0.30
5.17 Units on a Log Scale
Standard Error 0.29

Adverse Events

Sham

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

Low Dose

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

High Dose

Serious events: 0 serious events
Other events: 12 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Sham
n=20 participants at risk
Cranial Electrical Stimulation Fisher-Wallace Stimulator (Model FW100) sham stimulation for 20 minutes, once Cranial Electrical Stimulation Fisher-Wallace Stimulator (Model FW100): low voltage alternating current transcranial electrical stimulation
Low Dose
n=19 participants at risk
Cranial Electrical Stimulation Fisher-Wallace Stimulator (Model FW100) 1mAmp stimulation for 20 mintues, once Cranial Electrical Stimulation Fisher-Wallace Stimulator (Model FW100): low voltage alternating current transcranial electrical stimulation
High Dose
n=18 participants at risk
Cranial Electrical Stimulation Fisher-Wallace Stimulator (Model FW100) 2mAmp stimulation for 20 minutes, once Cranial Electrical Stimulation Fisher-Wallace Stimulator (Model FW100): low voltage alternating current transcranial electrical stimulation
Nervous system disorders
light flickering
0.00%
0/20 • 1 hour
Of the 21 subjects enrolled, 20 participated in the sham stimulation session, 19 participated in the low dose stimulation session and 18 participated in the high dose stimulation session.
42.1%
8/19 • Number of events 8 • 1 hour
Of the 21 subjects enrolled, 20 participated in the sham stimulation session, 19 participated in the low dose stimulation session and 18 participated in the high dose stimulation session.
66.7%
12/18 • Number of events 12 • 1 hour
Of the 21 subjects enrolled, 20 participated in the sham stimulation session, 19 participated in the low dose stimulation session and 18 participated in the high dose stimulation session.
Nervous system disorders
itching or tingling of scalp
5.0%
1/20 • Number of events 1 • 1 hour
Of the 21 subjects enrolled, 20 participated in the sham stimulation session, 19 participated in the low dose stimulation session and 18 participated in the high dose stimulation session.
26.3%
5/19 • Number of events 5 • 1 hour
Of the 21 subjects enrolled, 20 participated in the sham stimulation session, 19 participated in the low dose stimulation session and 18 participated in the high dose stimulation session.
16.7%
3/18 • Number of events 3 • 1 hour
Of the 21 subjects enrolled, 20 participated in the sham stimulation session, 19 participated in the low dose stimulation session and 18 participated in the high dose stimulation session.

Additional Information

Margaret Altemus

Weill Cornell Medical College

Phone: 646-209-6277

Results disclosure agreements

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