Trial Outcomes & Findings for Targeting Auditory Hallucinations With Alternating Current Stimulation (NCT NCT03221270)

NCT ID: NCT03221270

Last Updated: 2022-02-16

Results Overview

The Auditory Hallucination Rating Scale (AHRS) measures the severity of auditory hallucinations in the past week. The scale assess frequency, duration, location, loudness, belief of origin of voices, negative content, distress, disruption to life, and control over voices. All items are measured on a scale of 0 to 4, with a total possible score of 44. Higher scores indicate higher severity of auditory hallucinations.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

25 participants

Primary outcome timeframe

Baseline, immediately after five days of stimulation, and immediately after the 8th week of maintenance stimulation.

Results posted on

2022-02-16

Participant Flow

Participant milestones

Participant milestones
Measure
tACS Treatment & tACS Maintenance
10 Hz (alpha) transcranial alternating current stimulation (tACS) with a peak-to-peak amplitude of 2 mA for 20 minutes twice daily during 5 consecutive days of stimulation. 10 Hz (alpha) tACS with a peak-to-peak amplitude of 2 mA for 40 minutes once weekly for 8 weeks of maintenance stimulation. tACS treatment week: 10 Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 20 minutes twice for 5 consecutive days. Maintenance tACS: 10 Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 40 minutes once a weekly for 8 weeks.
Sham tACS Treatment & Sham tACS Maintenance
10 seconds of ramp in to 1 minute of 10 Hz (alpha) tACS with a ramp out of 10 seconds for a total of 80 seconds of stimulation twice daily during 5 consecutive days of stimulation. 10 seconds of ramp in to 1 minute of 10 Hz (alpha) tACS with a ramp out of 10 seconds for a total of 80 seconds of stimulation once weekly for 8 weeks of maintenance stimulation. tACS sham week: 10Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 10 seconds twice a day for 5 consecutive days. Maintenance Sham tACS: 10Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 10 seconds once a week for 8 weeks.
Sham tACS Treatment & tACS Maintenance
10 seconds of ramp in to 1 minute of 10 Hz (alpha) tACS with a ramp out of 10 seconds for a total of 80 seconds of stimulation twice daily during 5 consecutive days of stimulation. 10 Hz (alpha) tACS with a peak-to-peak amplitude of 2 mA for 40 minutes once weekly for 8 weeks of maintenance stimulation. tACS sham week: 10Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 10 seconds twice a day for 5 consecutive days. Maintenance tACS: 10 Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 40 minutes once a weekly for 8 weeks.
tACS Treatment & Sham tACS Maintenance
10 Hz (alpha) tACS with a peak-to-peak amplitude of 2 mA for 20 minutes twice daily during 5 consecutive days of stimulation. 10 seconds of ramp in to 1 minute of 10 Hz (alpha) tACS with a ramp out of 10 seconds for a total of 80 seconds of stimulation once weekly for 8 weeks of maintenance stimulation. tACS treatment week: 10 Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 20 minutes twice for 5 consecutive days. Maintenance Sham tACS: 10Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 10 seconds once a week for 8 weeks.
Overall Study
STARTED
8
6
5
6
Overall Study
Completed 5-Day Treatment
8
6
5
6
Overall Study
Completed 8-Week Maintenance
4
6
5
5
Overall Study
COMPLETED
4
6
5
5
Overall Study
NOT COMPLETED
4
0
0
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Targeting Auditory Hallucinations With Alternating Current Stimulation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
tACS Treatment & tACS Maintenance
n=8 Participants
10 Hz (alpha) tACS with a peak-to-peak amplitude of 2 mA for 20 minutes twice daily during 5 consecutive days of stimulation. 10 Hz (alpha) tACS with a peak-to-peak amplitude of 2 mA for 40 minutes once weekly for 8 weeks of maintenance stimulation. tACS treatment week: 10 Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 20 minutes twice for 5 consecutive days. Maintenance tACS: 10 Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 40 minutes once a weekly for 8 weeks.
Sham tACS Treatment & Sham tACS Maintenance
n=6 Participants
10 seconds of ramp in to 1 minute of 10 Hz (alpha) tACS with a ramp out of 10 seconds for a total of 80 seconds of stimulation twice daily during 5 consecutive days of stimulation. 10 seconds of ramp in to 1 minute of 10 Hz (alpha) tACS with a ramp out of 10 seconds for a total of 80 seconds of stimulation once weekly for 8 weeks of maintenance stimulation. tACS sham week: 10Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 10 seconds twice a day for 5 consecutive days. Maintenance Sham tACS: 10Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 10 seconds once a week for 8 weeks.
Sham tACS Treatment & tACS Maintenance
n=5 Participants
10 seconds of ramp in to 1 minute of 10 Hz (alpha) tACS with a ramp out of 10 seconds for a total of 80 seconds of stimulation twice daily during 5 consecutive days of stimulation. 10 Hz (alpha) tACS with a peak-to-peak amplitude of 2 mA for 40 minutes once weekly for 8 weeks of maintenance stimulation. tACS sham week: 10Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 10 seconds twice a day for 5 consecutive days. Maintenance tACS: 10 Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 40 minutes once a weekly for 8 weeks.
tACS Treatment & Sham tACS Maintenance
n=6 Participants
10 Hz (alpha) tACS with a peak-to-peak amplitude of 2 mA for 20 minutes twice daily during 5 consecutive days of stimulation. 10 seconds of ramp in to 1 minute of 10 Hz (alpha) tACS with a ramp out of 10 seconds for a total of 80 seconds of stimulation once weekly for 8 weeks of maintenance stimulation. tACS treatment week: 10 Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 20 minutes twice for 5 consecutive days. Maintenance Sham tACS: 10Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 10 seconds once a week for 8 weeks.
Total
n=25 Participants
Total of all reporting groups
Age, Continuous
37.4 years
STANDARD_DEVIATION 12.5 • n=5 Participants
45.0 years
STANDARD_DEVIATION 9.6 • n=7 Participants
34.2 years
STANDARD_DEVIATION 10.1 • n=5 Participants
40.4 years
STANDARD_DEVIATION 11.7 • n=4 Participants
39.2 years
STANDARD_DEVIATION 11.8 • n=21 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
9 Participants
n=21 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
4 Participants
n=7 Participants
3 Participants
n=5 Participants
4 Participants
n=4 Participants
16 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
2 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
5 Participants
n=5 Participants
6 Participants
n=7 Participants
4 Participants
n=5 Participants
5 Participants
n=4 Participants
20 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
3 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
3 Participants
n=4 Participants
12 Participants
n=21 Participants
Race (NIH/OMB)
White
4 Participants
n=5 Participants
3 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
9 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
3 Participants
n=21 Participants
Region of Enrollment
United States
8 Participants
n=5 Participants
6 Participants
n=7 Participants
5 Participants
n=5 Participants
6 Participants
n=4 Participants
25 Participants
n=21 Participants

PRIMARY outcome

Timeframe: Baseline, immediately after five days of stimulation, and immediately after the 8th week of maintenance stimulation.

Population: Data for missing sessions was carried forward by replacing with the most recently completed session values.

The Auditory Hallucination Rating Scale (AHRS) measures the severity of auditory hallucinations in the past week. The scale assess frequency, duration, location, loudness, belief of origin of voices, negative content, distress, disruption to life, and control over voices. All items are measured on a scale of 0 to 4, with a total possible score of 44. Higher scores indicate higher severity of auditory hallucinations.

Outcome measures

Outcome measures
Measure
tACS Treatment & tACS Maintenance
n=8 Participants
10 Hz (alpha) tACS with a peak-to-peak amplitude of 2 mA for 20 minutes twice daily during 5 consecutive days of stimulation. 10 Hz (alpha) tACS with a peak-to-peak amplitude of 2 mA for 40 minutes once weekly for 8 weeks of maintenance stimulation. tACS treatment week: 10 Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 20 minutes twice for 5 consecutive days. Maintenance tACS: 10 Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 40 minutes once a weekly for 8 weeks.
Sham tACS Treatment & Sham tACS Maintenance
n=6 Participants
10 seconds of ramp in to 1 minute of 10 Hz (alpha) tACS with a ramp out of 10 seconds for a total of 80 seconds of stimulation twice daily during 5 consecutive days of stimulation. 10 seconds of ramp in to 1 minute of 10 Hz (alpha) tACS with a ramp out of 10 seconds for a total of 80 seconds of stimulation once weekly for 8 weeks of maintenance stimulation. tACS sham week: 10Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 10 seconds twice a day for 5 consecutive days. Maintenance Sham tACS: 10Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 10 seconds once a week for 8 weeks.
Sham tACS Treatment & tACS Maintenance
n=5 Participants
10 seconds of ramp in to 1 minute of 10 Hz (alpha) tACS with a ramp out of 10 seconds for a total of 80 seconds of stimulation twice daily during 5 consecutive days of stimulation. 10 Hz (alpha) tACS with a peak-to-peak amplitude of 2 mA for 40 minutes once weekly for 8 weeks of maintenance stimulation. tACS sham week: 10Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 10 seconds twice a day for 5 consecutive days. Maintenance tACS: 10 Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 40 minutes once a weekly for 8 weeks.
tACS Treatment & Sham tACS Maintenance
n=6 Participants
10 Hz (alpha) tACS with a peak-to-peak amplitude of 2 mA for 20 minutes twice daily during 5 consecutive days of stimulation. 10 seconds of ramp in to 1 minute of 10 Hz (alpha) tACS with a ramp out of 10 seconds for a total of 80 seconds of stimulation once weekly for 8 weeks of maintenance stimulation. tACS treatment week: 10 Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 20 minutes twice for 5 consecutive days. Maintenance Sham tACS: 10Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 10 seconds once a week for 8 weeks.
Mean Auditory Hallucination Rating Scale (AHRS) Score
Baseline (T1)
25.00 score on a scale
Standard Deviation 7.37
23.17 score on a scale
Standard Deviation 7.03
23.40 score on a scale
Standard Deviation 6.54
19.00 score on a scale
Standard Deviation 6.75
Mean Auditory Hallucination Rating Scale (AHRS) Score
End of 5-Day Treatment Week
25.13 score on a scale
Standard Deviation 8.01
21.00 score on a scale
Standard Deviation 5.93
25.60 score on a scale
Standard Deviation 6.84
19.83 score on a scale
Standard Deviation 5.08
Mean Auditory Hallucination Rating Scale (AHRS) Score
End of Maintenance
23.94 score on a scale
Standard Deviation 9.63
17.58 score on a scale
Standard Deviation 7.10
26.40 score on a scale
Standard Deviation 6.82
15.67 score on a scale
Standard Deviation 4.97

SECONDARY outcome

Timeframe: Change from baseline to immediately after five days of stimulation, and immediately after the 8th week of maintenance stimulation.

Population: Data for missing sessions was carried forward by replacing with the most recently completed session values.

Eyes-open but at rest EEG data was sampled using a 128-channel Geodesic EEG system. Alpha power spectral density was estimated using the Welch's method (in 2s Hamming windows with 0.5s overlap and 0.1 Hz spectral resolution). Aperiodic components were removed before extracting the individual alpha frequency (IAF; peak with the highest power density between 7 to 12 Hz, with consistent presence during the eyes-open blocks across all sessions). All spectra were visually inspected to confirm IAF choice. We computed the percent signal change of alpha power for each session relative to the baseline session:% change\_n=(P\_baseline-P\_n)/P\_baseline where P\_n is the alpha power in the n-th session, and P\_baseline is the alpha power in the baseline session.

Outcome measures

Outcome measures
Measure
tACS Treatment & tACS Maintenance
n=8 Participants
10 Hz (alpha) tACS with a peak-to-peak amplitude of 2 mA for 20 minutes twice daily during 5 consecutive days of stimulation. 10 Hz (alpha) tACS with a peak-to-peak amplitude of 2 mA for 40 minutes once weekly for 8 weeks of maintenance stimulation. tACS treatment week: 10 Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 20 minutes twice for 5 consecutive days. Maintenance tACS: 10 Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 40 minutes once a weekly for 8 weeks.
Sham tACS Treatment & Sham tACS Maintenance
n=6 Participants
10 seconds of ramp in to 1 minute of 10 Hz (alpha) tACS with a ramp out of 10 seconds for a total of 80 seconds of stimulation twice daily during 5 consecutive days of stimulation. 10 seconds of ramp in to 1 minute of 10 Hz (alpha) tACS with a ramp out of 10 seconds for a total of 80 seconds of stimulation once weekly for 8 weeks of maintenance stimulation. tACS sham week: 10Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 10 seconds twice a day for 5 consecutive days. Maintenance Sham tACS: 10Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 10 seconds once a week for 8 weeks.
Sham tACS Treatment & tACS Maintenance
n=5 Participants
10 seconds of ramp in to 1 minute of 10 Hz (alpha) tACS with a ramp out of 10 seconds for a total of 80 seconds of stimulation twice daily during 5 consecutive days of stimulation. 10 Hz (alpha) tACS with a peak-to-peak amplitude of 2 mA for 40 minutes once weekly for 8 weeks of maintenance stimulation. tACS sham week: 10Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 10 seconds twice a day for 5 consecutive days. Maintenance tACS: 10 Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 40 minutes once a weekly for 8 weeks.
tACS Treatment & Sham tACS Maintenance
n=6 Participants
10 Hz (alpha) tACS with a peak-to-peak amplitude of 2 mA for 20 minutes twice daily during 5 consecutive days of stimulation. 10 seconds of ramp in to 1 minute of 10 Hz (alpha) tACS with a ramp out of 10 seconds for a total of 80 seconds of stimulation once weekly for 8 weeks of maintenance stimulation. tACS treatment week: 10 Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 20 minutes twice for 5 consecutive days. Maintenance Sham tACS: 10Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 10 seconds once a week for 8 weeks.
Percentage of Signal Change in the Average Alpha Oscillation Power From Eyes-Open Resting State Electroencephalogram (EEG)
Average alpha power change from baseline to after 5 days of consecutive stimulation.
1.64 percentage of signal change
Standard Deviation 22.77
4.48 percentage of signal change
Standard Deviation 41.82
-11.64 percentage of signal change
Standard Deviation 21.00
18.62 percentage of signal change
Standard Deviation 35.98
Percentage of Signal Change in the Average Alpha Oscillation Power From Eyes-Open Resting State Electroencephalogram (EEG)
Average alpha power change from baseline to after the final stimulation session at week 8.
31.35 percentage of signal change
Standard Deviation 57.06
4.40 percentage of signal change
Standard Deviation 24.94
-22.21 percentage of signal change
Standard Deviation 14.70
40.96 percentage of signal change
Standard Deviation 50.40

SECONDARY outcome

Timeframe: Baseline, immediately after five days of stimulation, and immediately after the 8th week of maintenance stimulation.

Population: Data for missing sessions was carried forward by replacing with the most recently completed session values.

The Positive and Negative Syndrome Scale (PANSS) is a 30-item clinician-administered scale. Each item is scored on a seven point scale, representing increasing levels of psychopathology (1=absent, 2=minimal, 3=mild, 4=moderate, 5=moderate severe, 6=severe, 7=extreme). Each item is rated in consultation with the definitions and criteria provided in the manual. Seven items constitute the positive scale, seven items make up the negative scale, and the remaining sixteen make up a general psychopathology scale. Therefore, the potential ranges are 7 to 49 for both positive and negative scales, and 16 to 112 for the General Psychopathology Scale.

Outcome measures

Outcome measures
Measure
tACS Treatment & tACS Maintenance
n=8 Participants
10 Hz (alpha) tACS with a peak-to-peak amplitude of 2 mA for 20 minutes twice daily during 5 consecutive days of stimulation. 10 Hz (alpha) tACS with a peak-to-peak amplitude of 2 mA for 40 minutes once weekly for 8 weeks of maintenance stimulation. tACS treatment week: 10 Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 20 minutes twice for 5 consecutive days. Maintenance tACS: 10 Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 40 minutes once a weekly for 8 weeks.
Sham tACS Treatment & Sham tACS Maintenance
n=6 Participants
10 seconds of ramp in to 1 minute of 10 Hz (alpha) tACS with a ramp out of 10 seconds for a total of 80 seconds of stimulation twice daily during 5 consecutive days of stimulation. 10 seconds of ramp in to 1 minute of 10 Hz (alpha) tACS with a ramp out of 10 seconds for a total of 80 seconds of stimulation once weekly for 8 weeks of maintenance stimulation. tACS sham week: 10Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 10 seconds twice a day for 5 consecutive days. Maintenance Sham tACS: 10Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 10 seconds once a week for 8 weeks.
Sham tACS Treatment & tACS Maintenance
n=5 Participants
10 seconds of ramp in to 1 minute of 10 Hz (alpha) tACS with a ramp out of 10 seconds for a total of 80 seconds of stimulation twice daily during 5 consecutive days of stimulation. 10 Hz (alpha) tACS with a peak-to-peak amplitude of 2 mA for 40 minutes once weekly for 8 weeks of maintenance stimulation. tACS sham week: 10Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 10 seconds twice a day for 5 consecutive days. Maintenance tACS: 10 Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 40 minutes once a weekly for 8 weeks.
tACS Treatment & Sham tACS Maintenance
n=6 Participants
10 Hz (alpha) tACS with a peak-to-peak amplitude of 2 mA for 20 minutes twice daily during 5 consecutive days of stimulation. 10 seconds of ramp in to 1 minute of 10 Hz (alpha) tACS with a ramp out of 10 seconds for a total of 80 seconds of stimulation once weekly for 8 weeks of maintenance stimulation. tACS treatment week: 10 Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 20 minutes twice for 5 consecutive days. Maintenance Sham tACS: 10Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 10 seconds once a week for 8 weeks.
Average Score on the Positive and Negative Syndrome Scales (PANSS)
Mean Positive Symptoms Scale at Baseline
19.5 score on a scale
Standard Deviation 4.4
16.8 score on a scale
Standard Deviation 5.4
18.0 score on a scale
Standard Deviation 2.7
19.0 score on a scale
Standard Deviation 6.8
Average Score on the Positive and Negative Syndrome Scales (PANSS)
Mean Negative Symptoms Scale at Baseline
16.1 score on a scale
Standard Deviation 6.3
18.2 score on a scale
Standard Deviation 5.3
16.8 score on a scale
Standard Deviation 4.2
13.8 score on a scale
Standard Deviation 5.7
Average Score on the Positive and Negative Syndrome Scales (PANSS)
Mean General Psychopathology Symptoms Scale at Baseline
36.5 score on a scale
Standard Deviation 11.5
31.0 score on a scale
Standard Deviation 11.6
33.0 score on a scale
Standard Deviation 5.0
27.7 score on a scale
Standard Deviation 7.1
Average Score on the Positive and Negative Syndrome Scales (PANSS)
Mean Positive Symptoms Scale after 5 days of stimulation
18.6 score on a scale
Standard Deviation 4.0
17.3 score on a scale
Standard Deviation 5.2
16.6 score on a scale
Standard Deviation 3.4
17.2 score on a scale
Standard Deviation 4.7
Average Score on the Positive and Negative Syndrome Scales (PANSS)
Mean Negative Symptoms Scale after 5 days of stimulation
15.5 score on a scale
Standard Deviation 5.1
17.7 score on a scale
Standard Deviation 3.5
17.6 score on a scale
Standard Deviation 6.5
15.0 score on a scale
Standard Deviation 7.0
Average Score on the Positive and Negative Syndrome Scales (PANSS)
Mean General Psychopathology Symptoms Scale after 5 days of stimulation
32.0 score on a scale
Standard Deviation 8.4
29.7 score on a scale
Standard Deviation 10.3
22.6 score on a scale
Standard Deviation 2.4
26.0 score on a scale
Standard Deviation 5.7
Average Score on the Positive and Negative Syndrome Scales (PANSS)
Mean Positive Symptoms Scale after 8 weeks of stimulation
18.3 score on a scale
Standard Deviation 3.9
15.7 score on a scale
Standard Deviation 5.2
17.2 score on a scale
Standard Deviation 2.17
17.0 score on a scale
Standard Deviation 3.2
Average Score on the Positive and Negative Syndrome Scales (PANSS)
Mean Negative Symptoms Scale after 8 weeks of stimulation
16.3 score on a scale
Standard Deviation 5.3
15.5 score on a scale
Standard Deviation 5.0
16.8 score on a scale
Standard Deviation 4.4
15.7 score on a scale
Standard Deviation 6.8
Average Score on the Positive and Negative Syndrome Scales (PANSS)
Mean General Psychopathology Symptoms Scale after 8 weeks of stimulation
32.5 score on a scale
Standard Deviation 5.8
28.8 score on a scale
Standard Deviation 11.0
31.20 score on a scale
Standard Deviation 2.5
25.3 score on a scale
Standard Deviation 5.4

SECONDARY outcome

Timeframe: Baseline, immediately after five days of stimulation, and immediately after the 8th week of maintenance stimulation.

Population: Data for missing sessions was carried forward by replacing with the most recently completed session values.

The Brief Assessment of Cognition in Schizophrenia (BACS) is a clinically administered pen- and -paper battery of neurocognitive tests. The tasks administered in person included verbal memory, digit sequencing, token motor task, semantic fluency, letter fluency, symbol coding, and the tower of London task. The scores on each subtest were not normalized or scaled, values from each test were summed. In this sample the total summed scores ranged 112-296 with a standard deviation of 39.61. Higher values represent greater cognitive performance.

Outcome measures

Outcome measures
Measure
tACS Treatment & tACS Maintenance
n=8 Participants
10 Hz (alpha) tACS with a peak-to-peak amplitude of 2 mA for 20 minutes twice daily during 5 consecutive days of stimulation. 10 Hz (alpha) tACS with a peak-to-peak amplitude of 2 mA for 40 minutes once weekly for 8 weeks of maintenance stimulation. tACS treatment week: 10 Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 20 minutes twice for 5 consecutive days. Maintenance tACS: 10 Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 40 minutes once a weekly for 8 weeks.
Sham tACS Treatment & Sham tACS Maintenance
n=6 Participants
10 seconds of ramp in to 1 minute of 10 Hz (alpha) tACS with a ramp out of 10 seconds for a total of 80 seconds of stimulation twice daily during 5 consecutive days of stimulation. 10 seconds of ramp in to 1 minute of 10 Hz (alpha) tACS with a ramp out of 10 seconds for a total of 80 seconds of stimulation once weekly for 8 weeks of maintenance stimulation. tACS sham week: 10Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 10 seconds twice a day for 5 consecutive days. Maintenance Sham tACS: 10Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 10 seconds once a week for 8 weeks.
Sham tACS Treatment & tACS Maintenance
n=5 Participants
10 seconds of ramp in to 1 minute of 10 Hz (alpha) tACS with a ramp out of 10 seconds for a total of 80 seconds of stimulation twice daily during 5 consecutive days of stimulation. 10 Hz (alpha) tACS with a peak-to-peak amplitude of 2 mA for 40 minutes once weekly for 8 weeks of maintenance stimulation. tACS sham week: 10Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 10 seconds twice a day for 5 consecutive days. Maintenance tACS: 10 Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 40 minutes once a weekly for 8 weeks.
tACS Treatment & Sham tACS Maintenance
n=6 Participants
10 Hz (alpha) tACS with a peak-to-peak amplitude of 2 mA for 20 minutes twice daily during 5 consecutive days of stimulation. 10 seconds of ramp in to 1 minute of 10 Hz (alpha) tACS with a ramp out of 10 seconds for a total of 80 seconds of stimulation once weekly for 8 weeks of maintenance stimulation. tACS treatment week: 10 Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 20 minutes twice for 5 consecutive days. Maintenance Sham tACS: 10Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 10 seconds once a week for 8 weeks.
Brief Assessment Cognition in Schizophrenia (BACS)
Mean BACS at Baseline
194.63 units on a scale
Standard Deviation 34.45
184.00 units on a scale
Standard Deviation 31.82
220.40 units on a scale
Standard Deviation 39.51
215.00 units on a scale
Standard Deviation 25.91
Brief Assessment Cognition in Schizophrenia (BACS)
Mean BACS after five days of stimulation
208.38 units on a scale
Standard Deviation 44.75
188.17 units on a scale
Standard Deviation 22.14
243.20 units on a scale
Standard Deviation 45.10
208.33 units on a scale
Standard Deviation 48.70
Brief Assessment Cognition in Schizophrenia (BACS)
Mean BACS after 8 weeks of stimulation
210.00 units on a scale
Standard Deviation 52.21
194.83 units on a scale
Standard Deviation 24.20
235.40 units on a scale
Standard Deviation 49.20
220.17 units on a scale
Standard Deviation 30.93

OTHER_PRE_SPECIFIED outcome

Timeframe: Change across time from baseline measurement to final maintenance stimulation

The investigators will compare alpha oscillation power from resting state EEG recordings on the first and last day of stimulation. The investigators will also collect EEG recordings data at the 1st, 3rd, and final maintenance stimulation visits.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Change from Baseline AHRS at final maintenance stimulation session.

The investigators will compare the AHRS scores from baseline across the 8 weeks of maintenance stimulation sessions as an outcome measure.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Change from Baseline PANSS at final maintenance stimulation session.

The investigators will compare the PANSS scores from baseline across the 8 weeks of maintenance stimulation sessions as an outcome measure.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Change from Baseline BACS at final maintenance stimulation session.

The investigators will compare the BACS scores from baseline across the 8 weeks of maintenance stimulation sessions as an outcome measure.

Outcome measures

Outcome data not reported

Adverse Events

tACS Treatment & tACS Maintenance

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Sham tACS Treatment & Sham tACS Maintenance

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

Sham tACS Treatment & tACS Maintenance

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

tACS Treatment & Sham tACS Maintenance

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
tACS Treatment & tACS Maintenance
n=8 participants at risk
10 Hz (alpha) tACS with a peak-to-peak amplitude of 2 mA for 20 minutes twice daily during 5 consecutive days of stimulation. 10 Hz (alpha) tACS with a peak-to-peak amplitude of 2 mA for 40 minutes once weekly for 8 weeks of maintenance stimulation. tACS treatment week: 10 Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 20 minutes twice for 5 consecutive days. Maintenance tACS: 10 Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 40 minutes once a weekly for 8 weeks.
Sham tACS Treatment & Sham tACS Maintenance
n=6 participants at risk
10 seconds of ramp in to 1 minute of 10 Hz (alpha) tACS with a ramp out of 10 seconds for a total of 80 seconds of stimulation twice daily during 5 consecutive days of stimulation. 10 seconds of ramp in to 1 minute of 10 Hz (alpha) tACS with a ramp out of 10 seconds for a total of 80 seconds of stimulation once weekly for 8 weeks of maintenance stimulation. tACS sham week: 10Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 10 seconds twice a day for 5 consecutive days. Maintenance Sham tACS: 10Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 10 seconds once a week for 8 weeks.
Sham tACS Treatment & tACS Maintenance
n=5 participants at risk
10 seconds of ramp in to 1 minute of 10 Hz (alpha) tACS with a ramp out of 10 seconds for a total of 80 seconds of stimulation twice daily during 5 consecutive days of stimulation. 10 Hz (alpha) tACS with a peak-to-peak amplitude of 2 mA for 40 minutes once weekly for 8 weeks of maintenance stimulation. tACS sham week: 10Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 10 seconds twice a day for 5 consecutive days. Maintenance tACS: 10 Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 40 minutes once a weekly for 8 weeks.
tACS Treatment & Sham tACS Maintenance
n=6 participants at risk
10 Hz (alpha) tACS with a peak-to-peak amplitude of 2 mA for 20 minutes twice daily during 5 consecutive days of stimulation. 10 seconds of ramp in to 1 minute of 10 Hz (alpha) tACS with a ramp out of 10 seconds for a total of 80 seconds of stimulation once weekly for 8 weeks of maintenance stimulation. tACS treatment week: 10 Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 20 minutes twice for 5 consecutive days. Maintenance Sham tACS: 10Hz sine wave stimulation with a peak-to-peak amplitude of 2 mA for 10 seconds once a week for 8 weeks.
Gastrointestinal disorders
Diarrhea
12.5%
1/8 • Number of events 1 • Adverse events were assessed at each visit during the 5-day treatment and the 8-week maintenance over an approximate 9-week period using a stimulation side effects questionnaire provided to participants after every presentation of each intervention. Data were not collected beyond the eighth maintenance treatment week.
0.00%
0/6 • Adverse events were assessed at each visit during the 5-day treatment and the 8-week maintenance over an approximate 9-week period using a stimulation side effects questionnaire provided to participants after every presentation of each intervention. Data were not collected beyond the eighth maintenance treatment week.
0.00%
0/5 • Adverse events were assessed at each visit during the 5-day treatment and the 8-week maintenance over an approximate 9-week period using a stimulation side effects questionnaire provided to participants after every presentation of each intervention. Data were not collected beyond the eighth maintenance treatment week.
0.00%
0/6 • Adverse events were assessed at each visit during the 5-day treatment and the 8-week maintenance over an approximate 9-week period using a stimulation side effects questionnaire provided to participants after every presentation of each intervention. Data were not collected beyond the eighth maintenance treatment week.
Skin and subcutaneous tissue disorders
Burning Sensation on Scalp
25.0%
2/8 • Number of events 2 • Adverse events were assessed at each visit during the 5-day treatment and the 8-week maintenance over an approximate 9-week period using a stimulation side effects questionnaire provided to participants after every presentation of each intervention. Data were not collected beyond the eighth maintenance treatment week.
0.00%
0/6 • Adverse events were assessed at each visit during the 5-day treatment and the 8-week maintenance over an approximate 9-week period using a stimulation side effects questionnaire provided to participants after every presentation of each intervention. Data were not collected beyond the eighth maintenance treatment week.
0.00%
0/5 • Adverse events were assessed at each visit during the 5-day treatment and the 8-week maintenance over an approximate 9-week period using a stimulation side effects questionnaire provided to participants after every presentation of each intervention. Data were not collected beyond the eighth maintenance treatment week.
0.00%
0/6 • Adverse events were assessed at each visit during the 5-day treatment and the 8-week maintenance over an approximate 9-week period using a stimulation side effects questionnaire provided to participants after every presentation of each intervention. Data were not collected beyond the eighth maintenance treatment week.
Musculoskeletal and connective tissue disorders
Muscular Pain
12.5%
1/8 • Number of events 1 • Adverse events were assessed at each visit during the 5-day treatment and the 8-week maintenance over an approximate 9-week period using a stimulation side effects questionnaire provided to participants after every presentation of each intervention. Data were not collected beyond the eighth maintenance treatment week.
0.00%
0/6 • Adverse events were assessed at each visit during the 5-day treatment and the 8-week maintenance over an approximate 9-week period using a stimulation side effects questionnaire provided to participants after every presentation of each intervention. Data were not collected beyond the eighth maintenance treatment week.
20.0%
1/5 • Number of events 1 • Adverse events were assessed at each visit during the 5-day treatment and the 8-week maintenance over an approximate 9-week period using a stimulation side effects questionnaire provided to participants after every presentation of each intervention. Data were not collected beyond the eighth maintenance treatment week.
0.00%
0/6 • Adverse events were assessed at each visit during the 5-day treatment and the 8-week maintenance over an approximate 9-week period using a stimulation side effects questionnaire provided to participants after every presentation of each intervention. Data were not collected beyond the eighth maintenance treatment week.

Additional Information

Rachel Force, PhD

University of North Carolina at Chapel Hill

Phone: 984-974-6239

Results disclosure agreements

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