Trial Outcomes & Findings for Noninvasive Brain Stimulation on Memory in Individuals With Mild Cognitive Impairment and History of Brain Injury (NCT NCT04504630)

NCT ID: NCT04504630

Last Updated: 2026-01-13

Results Overview

Episodic verbal memory will be assessed with the Hopkins Verbal Learning Test-Revised (HVLT-R). The HVLT-R is a verbal episodic memory task where a list of 12 words is read aloud for 3 consecutive trials followed by a 20 minute delayed recall trial. The number of items recalled immediately after each trial are summed to create a total learning score, ranging from 0-36. Also, the number of items recalled for the delayed trial are recorded as a delayed recall score, ranging from 0-12. Scores were converted to standardized scores (T-scores) using normative data, ranging from 2-86. Higher scores reflect better episodic memory performance.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

26 participants

Primary outcome timeframe

Baseline, immediately following last HD-tDCS session, and again at 3-month follow-up

Results posted on

2026-01-13

Participant Flow

Participant milestones

Participant milestones
Measure
Active HD-tDCS
Participants will receive 10 sessions of active stimulation (1 mA anodal HD-tDCS targeting dorsal anterior cingulate region for 20 minutes) across 2 weeks.
Sham HD-tDCS
Participants will receive 10 sessions of sham stimulation across 2 weeks.
Assigned to Treatment
STARTED
18
8
Assigned to Treatment
COMPLETED
16
8
Assigned to Treatment
NOT COMPLETED
2
0
Started Treatment
STARTED
16
8
Started Treatment
COMPLETED
16
8
Started Treatment
NOT COMPLETED
0
0
Follow-Up at 3 Months
STARTED
16
8
Follow-Up at 3 Months
COMPLETED
13
7
Follow-Up at 3 Months
NOT COMPLETED
3
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Active HD-tDCS
Participants will receive 10 sessions of active stimulation (1 mA anodal HD-tDCS targeting dorsal anterior cingulate region for 20 minutes) across 2 weeks.
Sham HD-tDCS
Participants will receive 10 sessions of sham stimulation across 2 weeks.
Assigned to Treatment
Withdrawal by Subject
2
0
Follow-Up at 3 Months
Lost to Follow-up
3
1

Baseline Characteristics

Noninvasive Brain Stimulation on Memory in Individuals With Mild Cognitive Impairment and History of Brain Injury

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Active HD-tDCS
n=16 Participants
Participants will receive 10 sessions of active stimulation (1 mA anodal HD-tDCS targeting dorsal anterior cingulate region for 20 minutes) across 2 weeks.
Sham HD-tDCS
n=8 Participants
Participants will receive 10 sessions of sham stimulation across 2 weeks.
Total
n=24 Participants
Total of all reporting groups
Age, Continuous
70.3 years
STANDARD_DEVIATION 5.6 • n=210 Participants
72.5 years
STANDARD_DEVIATION 8.1 • n=19 Participants
71.0 years
STANDARD_DEVIATION 6.4 • n=123 Participants
Sex: Female, Male
Female
6 Participants
n=210 Participants
2 Participants
n=19 Participants
8 Participants
n=123 Participants
Sex: Female, Male
Male
10 Participants
n=210 Participants
6 Participants
n=19 Participants
16 Participants
n=123 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=210 Participants
0 Participants
n=19 Participants
1 Participants
n=123 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
15 Participants
n=210 Participants
8 Participants
n=19 Participants
23 Participants
n=123 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=210 Participants
0 Participants
n=19 Participants
0 Participants
n=123 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=210 Participants
0 Participants
n=19 Participants
0 Participants
n=123 Participants
Race (NIH/OMB)
Asian
0 Participants
n=210 Participants
0 Participants
n=19 Participants
0 Participants
n=123 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=210 Participants
0 Participants
n=19 Participants
0 Participants
n=123 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=210 Participants
0 Participants
n=19 Participants
0 Participants
n=123 Participants
Race (NIH/OMB)
White
16 Participants
n=210 Participants
8 Participants
n=19 Participants
24 Participants
n=123 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=210 Participants
0 Participants
n=19 Participants
0 Participants
n=123 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=210 Participants
0 Participants
n=19 Participants
0 Participants
n=123 Participants
Region of Enrollment
United States
16 participants
n=210 Participants
8 participants
n=19 Participants
24 participants
n=123 Participants
Time since diagnosis
2.2 years
STANDARD_DEVIATION 1.8 • n=210 Participants
1.5 years
STANDARD_DEVIATION 1.4 • n=19 Participants
2.0 years
STANDARD_DEVIATION 1.7 • n=123 Participants
Education
17.0 years
STANDARD_DEVIATION 2.2 • n=210 Participants
17.4 years
STANDARD_DEVIATION 1.6 • n=19 Participants
17.1 years
STANDARD_DEVIATION 2.0 • n=123 Participants

PRIMARY outcome

Timeframe: Baseline, immediately following last HD-tDCS session, and again at 3-month follow-up

Population: 4 participants were lost to follow-up

Episodic verbal memory will be assessed with the Hopkins Verbal Learning Test-Revised (HVLT-R). The HVLT-R is a verbal episodic memory task where a list of 12 words is read aloud for 3 consecutive trials followed by a 20 minute delayed recall trial. The number of items recalled immediately after each trial are summed to create a total learning score, ranging from 0-36. Also, the number of items recalled for the delayed trial are recorded as a delayed recall score, ranging from 0-12. Scores were converted to standardized scores (T-scores) using normative data, ranging from 2-86. Higher scores reflect better episodic memory performance.

Outcome measures

Outcome measures
Measure
Active HD-tDCS
n=16 Participants
Participants will receive 10 sessions of active stimulation (1 mA anodal HD-tDCS targeting dorsal anterior cingulate region for 20 minutes) across 2 weeks.
Sham HD-tDCS
n=8 Participants
Participants will receive 10 sessions of sham stimulation across 2 weeks.
Hopkins Verbal Learning Test-Revised Total Learning
Baseline
35.8 T-score on a scale
Standard Deviation 10.4
35.9 T-score on a scale
Standard Deviation 8.0
Hopkins Verbal Learning Test-Revised Total Learning
Immediate Post-treatment
34.2 T-score on a scale
Standard Deviation 9.6
31.6 T-score on a scale
Standard Deviation 4.4
Hopkins Verbal Learning Test-Revised Total Learning
3 Month Follow-up
32.7 T-score on a scale
Standard Deviation 8.8
37.1 T-score on a scale
Standard Deviation 17.2

PRIMARY outcome

Timeframe: Baseline, immediately following the last HD-tDCS session, and a 3-month follow-up

Population: 4 participants lost to follow-up

Episodic verbal memory will be assessed with the Hopkins Verbal Learning Test-Revised (HVLT-R). The HVLT-R is a verbal episodic memory task where a list of 12 words is read aloud for 3 consecutive trials followed by a 20 minute delayed recall trial. The number of items recalled immediately after each trial are summed to create a total learning score, ranging from 0-36. Also, the number of items recalled for the delayed trial are recorded as a delayed recall score, ranging from 0-12. Scores were converted to standardized scores (T-scores) using normative data, ranging from 2-86. Higher scores reflect better episodic memory performance.

Outcome measures

Outcome measures
Measure
Active HD-tDCS
n=16 Participants
Participants will receive 10 sessions of active stimulation (1 mA anodal HD-tDCS targeting dorsal anterior cingulate region for 20 minutes) across 2 weeks.
Sham HD-tDCS
n=8 Participants
Participants will receive 10 sessions of sham stimulation across 2 weeks.
Hopkins Verbal Learning Test-Revised Delayed Recall
Baseline
30.1 T-score on a scale
Standard Deviation 12.8
31.0 T-score on a scale
Standard Deviation 14.1
Hopkins Verbal Learning Test-Revised Delayed Recall
Immediate Post-treatment
27.7 T-score on a scale
Standard Deviation 11.4
26.9 T-score on a scale
Standard Deviation 8.2
Hopkins Verbal Learning Test-Revised Delayed Recall
3-Month Follow-up
26.9 T-score on a scale
Standard Deviation 10.5
32.4 T-score on a scale
Standard Deviation 17.9

PRIMARY outcome

Timeframe: Baseline, immediately post-treatment, and a 3 -month follow-up

Population: 1 participant in active HD-tDCS group did not complete the BVMT-R immediately post-treatment. 4 participants were lost to follow-up.

Episodic verbal memory will be assessed with the Brief Visuospatial Memory Test-Revised (BVMT-R). The BVMT-R is a visual episodic memory task where where an array of 6 simple geometric visual designs are presented in a 2 x 3 matrix for 10 seconds for 3 trials. The number of items recalled immediately after each trial are summed for accuracy and placement to create a total learning score, ranging from 0-36. Also, the number of items recalled for the delayed trial are recorded as a delayed recall score, ranging from 0-12. Scores were converted to standardized scores (T-scores) using normative data, ranging from 2-86. Higher scores reflect better episodic memory performance.

Outcome measures

Outcome measures
Measure
Active HD-tDCS
n=16 Participants
Participants will receive 10 sessions of active stimulation (1 mA anodal HD-tDCS targeting dorsal anterior cingulate region for 20 minutes) across 2 weeks.
Sham HD-tDCS
n=8 Participants
Participants will receive 10 sessions of sham stimulation across 2 weeks.
Brief Visuospatial Memory Test-Revised (BVMT-R) Total Learning
Baseline
33.0 T-score on a scale
Standard Deviation 10.0
29.1 T-score on a scale
Standard Deviation 8.9
Brief Visuospatial Memory Test-Revised (BVMT-R) Total Learning
Immediate Post-treatment
32.3 T-score on a scale
Standard Deviation 10.4
33.3 T-score on a scale
Standard Deviation 7.0
Brief Visuospatial Memory Test-Revised (BVMT-R) Total Learning
3-Month Follow-up
33.8 T-score on a scale
Standard Deviation 8.1
34.1 T-score on a scale
Standard Deviation 12.0

PRIMARY outcome

Timeframe: Baseline, immediately post-treatment, and a 3-month follow-up

Population: 1 participant in active HD-tDCS group did not complete the BVMT-R immediately post-treatment. 4 participants were lost to follow-up.

Episodic verbal memory will be assessed with the Brief Visuospatial Memory Test-Revised (BVMT-R). The BVMT-R is a visual episodic memory task where where an array of 6 simple geometric visual designs are presented in a 2 x 3 matrix for 10 seconds for 3 trials. The number of items recalled immediately after each trial are summed for accuracy and placement to create a total learning score, ranging from 0-36. Also, the number of items recalled for the delayed trial are recorded as a delayed recall score, ranging from 0-12. Scores were converted to standardized scores (T-scores) using normative data, ranging from 2-86. Higher scores reflect better episodic memory performance.

Outcome measures

Outcome measures
Measure
Active HD-tDCS
n=16 Participants
Participants will receive 10 sessions of active stimulation (1 mA anodal HD-tDCS targeting dorsal anterior cingulate region for 20 minutes) across 2 weeks.
Sham HD-tDCS
n=8 Participants
Participants will receive 10 sessions of sham stimulation across 2 weeks.
Brief Visuospatial Memory Test-Revised Delayed Recall
Baseline
32.6 T-score on a scale
Standard Deviation 9.8
32.4 T-score on a scale
Standard Deviation 9.4
Brief Visuospatial Memory Test-Revised Delayed Recall
Immediate Post-treatment
32.4 T-score on a scale
Standard Deviation 11.9
32.0 T-score on a scale
Standard Deviation 8.6
Brief Visuospatial Memory Test-Revised Delayed Recall
3-Month Follow-up
31.6 T-score on a scale
Standard Deviation 12.9
32.4 T-score on a scale
Standard Deviation 11.1

SECONDARY outcome

Timeframe: Baseline, immediately post-treatment, and a 3-month follow-up

Population: 4 participants were lost to follow-up.

The phonemic verbal fluency task is a measure of language. The subject is required to name as many words as possible that begin with specified letters within 1 minute. Three different letter trials are completed. The outcome measure for this task is the total number of correct responses across the trials, ranging from 0-90. Scores were converted to standardized scores (T-scores) using normative data, ranging from 2-86. Higher scores reflect better performance.

Outcome measures

Outcome measures
Measure
Active HD-tDCS
n=16 Participants
Participants will receive 10 sessions of active stimulation (1 mA anodal HD-tDCS targeting dorsal anterior cingulate region for 20 minutes) across 2 weeks.
Sham HD-tDCS
n=8 Participants
Participants will receive 10 sessions of sham stimulation across 2 weeks.
Phonemic Fluency
Baseline
45.8 T-score on a scale
Standard Deviation 9.1
49.1 T-score on a scale
Standard Deviation 13.9
Phonemic Fluency
Immediately Post-treatment
46.3 T-score on a scale
Standard Deviation 5.8
53.0 T-score on a scale
Standard Deviation 14.1
Phonemic Fluency
3-Month Follow-up
49.1 T-score on a scale
Standard Deviation 8.1
54.6 T-score on a scale
Standard Deviation 13.9

SECONDARY outcome

Timeframe: Baseline, immediate post-treatment, and a 3-month follow-up

Population: 4 participants were lost to follow-up.

The semantic verbal fluency task is a measure of language and involves 3 conditions. The subject is required to name as many animals as possible within 1 minute. The outcome measure for this task is the total number of correct responses, ranging from 0-90. Scores were converted to standardized scores (T-scores) using normative data, ranging from 2-86. Higher scores reflect better performance.

Outcome measures

Outcome measures
Measure
Active HD-tDCS
n=16 Participants
Participants will receive 10 sessions of active stimulation (1 mA anodal HD-tDCS targeting dorsal anterior cingulate region for 20 minutes) across 2 weeks.
Sham HD-tDCS
n=8 Participants
Participants will receive 10 sessions of sham stimulation across 2 weeks.
Semantic Fluency
Baseline
38.4 T-score on a scale
Standard Deviation 14.7
37.4 T-score on a scale
Standard Deviation 15.4
Semantic Fluency
Immediate Post-treatment
38.6 T-score on a scale
Standard Deviation 16.3
42.2 T-score on a scale
Standard Deviation 17.8
Semantic Fluency
3-Month Follow-up
37.3 T-score on a scale
Standard Deviation 13.8
38.4 T-score on a scale
Standard Deviation 18.2

SECONDARY outcome

Timeframe: Baseline, immediate post-treatment, and a 3-month follow-up

Population: 4 participants were lost to follow-up

The Trail Making Test is a measure of cognitive flexibility and executive functions. The task requires the subject to as quickly as possible complete two conditions, involving number sequencing and then number-letter switching. The outcome measure for this task is the time in seconds to complete the number-letter switching condition, ranging from 15-300. Scores were converted to standardized scores (T-scores) using normative data, ranging from 2-86. Higher scores reflect better performance

Outcome measures

Outcome measures
Measure
Active HD-tDCS
n=16 Participants
Participants will receive 10 sessions of active stimulation (1 mA anodal HD-tDCS targeting dorsal anterior cingulate region for 20 minutes) across 2 weeks.
Sham HD-tDCS
n=8 Participants
Participants will receive 10 sessions of sham stimulation across 2 weeks.
Trail Making Test
Baseline
41.6 T-score on a scale
Standard Deviation 15.9
41.9 T-score on a scale
Standard Deviation 13.3
Trail Making Test
Immediate Post-treatment
45.7 T-score on a scale
Standard Deviation 10.2
44.1 T-score on a scale
Standard Deviation 16.4
Trail Making Test
3-Month Follow-up
47.8 T-score on a scale
Standard Deviation 17.6
39.1 T-score on a scale
Standard Deviation 20.1

SECONDARY outcome

Timeframe: Baseline, immediate post-treatment, and a 3-month follow-up

Population: 4 participants were lost to follow-up

The Stroop Color and Word Test is a measure of information processing speed and complex attention. The task requires the subject to as quickly as possible complete 3 conditions, involving word reading, color naming, and response inhibition. The outcome measure for this task was the response inhibition trial, which is scored as the total correct items completed in the administration time of 45 seconds, ranging from 0-100. Scores were converted to standardized scores (T-scores) using normative data, ranging from 2-86. Higher scores reflect better performance.

Outcome measures

Outcome measures
Measure
Active HD-tDCS
n=16 Participants
Participants will receive 10 sessions of active stimulation (1 mA anodal HD-tDCS targeting dorsal anterior cingulate region for 20 minutes) across 2 weeks.
Sham HD-tDCS
n=8 Participants
Participants will receive 10 sessions of sham stimulation across 2 weeks.
Stroop Color and Word Test
Baseline
38.8 T-score on a scale
Standard Deviation 6.9
39.1 T-score on a scale
Standard Deviation 10.3
Stroop Color and Word Test
Immediate Post-treatment
41.6 T-score on a scale
Standard Deviation 9.8
40.0 T-score on a scale
Standard Deviation 9.6
Stroop Color and Word Test
3-Month Follow-up
39.9 T-score on a scale
Standard Deviation 12.4
37.9 T-score on a scale
Standard Deviation 11.8

SECONDARY outcome

Timeframe: Baseline, immediate post-treatment, and a 3-month follow-up

Population: 1 participant did not complete the Digit Span Test in the active HD-tDCS group at the 3-month follow-up. 4 participants were lost to follow-up.

The Wechsler Adult Intelligence Scale-4 Digit Span Test measures simple attention and working memory. The examiner reads aloud a series of numbers of increasing length, and individuals are required to repeat each series across 3 separate conditions, involving forwards, backwards, and in sequence. Each trial is scored as incorrect (0) or correct (1), and the total number of correct trials across the 3 conditions are summed, ranging from 0-48. Scores were converted to standardized scores (scaled-scores) using normative data, ranging from 1-19. Higher scores reflect better episodic memory performance

Outcome measures

Outcome measures
Measure
Active HD-tDCS
n=16 Participants
Participants will receive 10 sessions of active stimulation (1 mA anodal HD-tDCS targeting dorsal anterior cingulate region for 20 minutes) across 2 weeks.
Sham HD-tDCS
n=8 Participants
Participants will receive 10 sessions of sham stimulation across 2 weeks.
Digit Span Test
Baseline
10.8 Scaled score on a scale
Standard Deviation 2.0
9.8 Scaled score on a scale
Standard Deviation 1.8
Digit Span Test
Immediate Post-treatment
10.6 Scaled score on a scale
Standard Deviation 1.7
10.4 Scaled score on a scale
Standard Deviation 1.8
Digit Span Test
3-Month Follow-up
10.8 Scaled score on a scale
Standard Deviation 2.0
9.4 Scaled score on a scale
Standard Deviation 2.1

Adverse Events

Active HD-tDCS

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

Sham HD-tDCS

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
Active HD-tDCS
n=16 participants at risk
Participants will receive 10 sessions of active stimulation (1 mA anodal HD-tDCS targeting dorsal anterior cingulate region for 20 minutes) across 2 weeks.
Sham HD-tDCS
n=8 participants at risk
Participants will receive 10 sessions of sham stimulation across 2 weeks.
Gastrointestinal disorders
Nausea and Vomiting
0.00%
0/16 • Adverse events were monitored from the start of assigned treatments (1 mA and sham) through study completion. This involved collection of information about adverse effects daily at the beginning and end of each treatment session and then again at the 3-month follow-up visit.
12.5%
1/8 • Number of events 1 • Adverse events were monitored from the start of assigned treatments (1 mA and sham) through study completion. This involved collection of information about adverse effects daily at the beginning and end of each treatment session and then again at the 3-month follow-up visit.

Additional Information

Christian LoBue, PhD

UT Southwestern Medical Center

Phone: 2146484658

Results disclosure agreements

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