Trial Outcomes & Findings for Home-based tDCS for Apathy in Alzheimer's Disease (NCT NCT04855643)

NCT ID: NCT04855643

Last Updated: 2024-04-23

Results Overview

The feasibility will be assessed based on the recruitment rate (per month), randomization success, blind success, retention, and attrition rates.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

3 participants

Primary outcome timeframe

through study completion (about 12 weeks)

Results posted on

2024-04-23

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment
home-based active tDCS: Anode and cathode electrodes will be placed over the left and right dorsolateral prefrontal cortexes, respectively, with the use of the Omni-Lateral-Electrode system. Caregivers will set up and administer tDCS for participants with ADRD at home. tDCS will be applied for 30 min at an intensity of 2mA, with 30 s ramping up and down. All sessions will be remotely supervised by trained research staff.
Control Group
home-based sham tDCS: For sham stimulation, electric current will be applied only in the first 30s tDCS. All sessions will be remotely supervised by trained research staff.
Overall Study
STARTED
1
2
Overall Study
COMPLETED
1
2
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Home-based tDCS for Apathy in Alzheimer's Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment
n=1 Participants
home-based active tDCS: Anode and cathode electrodes will be placed over the left and right dorsolateral prefrontal cortexes, respectively, with the use of the Omni-Lateral-Electrode system. Caregivers will set up and administer tDCS for participants with ADRD at home. tDCS will be applied for 30 min at an intensity of 2mA, with 30 s ramping up and down. All sessions will be remotely supervised by trained research staff.
Control Group
n=2 Participants
home-based sham tDCS: For sham stimulation, electric current will be applied only in the first 30s tDCS. All sessions will be remotely supervised by trained research staff.
Total
n=3 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Age, Continuous
79 years
STANDARD_DEVIATION 0 • n=5 Participants
82 years
STANDARD_DEVIATION 5 • n=7 Participants
81 years
STANDARD_DEVIATION 4.32 • n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 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
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
White
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
1 participants
n=5 Participants
2 participants
n=7 Participants
3 participants
n=5 Participants
Comorbidities
Dyslipidemia
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Comorbidities
Hypertension
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Comorbidities
Glaucoma
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Comorbidities
Osteoarthritis
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Medications in use
Aspirin
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Medications in use
Atorvastatin
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Medications in use
Tamsulosin
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Medications in use
Citalopram
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Medications in use
Hydrochlorothiazide
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Medications in use
Vitamin B12
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Medications in use
Vitamin D
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Medications in use
Donapezil
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Medications in use
Memantine
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Medications in use
Pregabalin
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Medications in use
Sertraline
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Medications in use
Amlodipine
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Medications in use
Rosuvastatin
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Medications in use
Cilostasol
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Medications in use
Duloxetine
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Medications in use
Carvedilol
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Medications in use
Clopidogrel
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Medications in use
Eliquis
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Time Since Diagnosis
3 years
STANDARD_DEVIATION 0 • n=5 Participants
3.5 years
STANDARD_DEVIATION 1.5 • n=7 Participants
3.33 years
STANDARD_DEVIATION 1.5 • n=5 Participants

PRIMARY outcome

Timeframe: through study completion (about 12 weeks)

The feasibility will be assessed based on the recruitment rate (per month), randomization success, blind success, retention, and attrition rates.

Outcome measures

Outcome measures
Measure
Treatment
n=1 Participants
home-based active tDCS: Anode and cathode electrodes will be placed over the left and right dorsolateral prefrontal cortexes, respectively, with the use of the Omni-Lateral-Electrode system. Caregivers will set up and administer tDCS for participants with ADRD at home. tDCS will be applied for 30 min at an intensity of 2mA, with 30 s ramping up and down. All sessions will be remotely supervised by trained research staff.
Control Group
n=2 Participants
home-based sham tDCS: For sham stimulation, electric current will be applied only in the first 30s tDCS. All sessions will be remotely supervised by trained research staff.
Number of Participants Included and Who Successfully Completed the Protocol
1 Participants
2 Participants

PRIMARY outcome

Timeframe: Baseline

Population: Data were not collected for this outcome measure.

Acceptability will be measured using a Likert scale composed by 10 questions, each one ranging from 0 (strongly disagree) to 10 (strongly agree). The 10 prompts are as followed: 1. It was easy to prepare the device and accessories 2. The device was unnecessarily complex 3. The device was easy to use 4. I felt the video conferences with a technical person were helpful 5. I would imagine that most people would learn to use this device quickly 6. The device was cumbersome to use 7. I felt confident using the device 8. I needed to learn a lot of things before I could get going with this device 9. The effectiveness of the treatment increased over the course of treatment 10. Overall, I felt that transcranial electrical stimulation treatment benefited me

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: 2 weeks of treatment

Acceptability will be measured using a Likert scale composed by 10 questions, each one ranging from 0 (strongly disagree) to 10 (strongly agree). The 10 prompts are as followed: 1. It was easy to prepare the device and accessories 2. The device was unnecessarily complex 3. The device was easy to use 4. I felt the video conferences with a technical person were helpful 5. I would imagine that most people would learn to use this device quickly 6. The device was cumbersome to use 7. I felt confident using the device 8. I needed to learn a lot of things before I could get going with this device 9. The effectiveness of the treatment increased over the course of treatment 10. Overall, I felt that transcranial electrical stimulation treatment benefited me

Outcome measures

Outcome measures
Measure
Treatment
n=1 Participants
home-based active tDCS: Anode and cathode electrodes will be placed over the left and right dorsolateral prefrontal cortexes, respectively, with the use of the Omni-Lateral-Electrode system. Caregivers will set up and administer tDCS for participants with ADRD at home. tDCS will be applied for 30 min at an intensity of 2mA, with 30 s ramping up and down. All sessions will be remotely supervised by trained research staff.
Control Group
n=2 Participants
home-based sham tDCS: For sham stimulation, electric current will be applied only in the first 30s tDCS. All sessions will be remotely supervised by trained research staff.
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
It was easy to prepare the device and accessories
2 score on a scale
Standard Deviation 0
10 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
The device was unnecessarily complex
2 score on a scale
Standard Deviation 0
0 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
The device was easy to use
2 score on a scale
Standard Deviation 0
10 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
I felt the video conferences with a technical person were helpful
8 score on a scale
Standard Deviation 0
10 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
I would imagine that most people would learn to use this device quickly
8 score on a scale
Standard Deviation 0
10 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
The device was cumbersome to use
1 score on a scale
Standard Deviation 0
0 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
I felt confident using the device
8 score on a scale
Standard Deviation 0
10 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
I needed to learn a lot of things before I could get going with this device
5 score on a scale
Standard Deviation 0
0 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
The effectiveness of the treatment increased over the course of treatment
2 score on a scale
Standard Deviation 0
5 score on a scale
Standard Deviation 7.07
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
Overall, I felt that transcranial electrical stimulation treatment benefited me
1 score on a scale
Standard Deviation 0
5.5 score on a scale
Standard Deviation 6.36

PRIMARY outcome

Timeframe: 4 weeks of treatment

Acceptability will be measured using a Likert scale composed by 10 questions, each one ranging from 0 (strongly disagree) to 10 (strongly agree). The 10 prompts are as followed: 1. It was easy to prepare the device and accessories 2. The device was unnecessarily complex 3. The device was easy to use 4. I felt the video conferences with a technical person were helpful 5. I would imagine that most people would learn to use this device quickly 6. The device was cumbersome to use 7. I felt confident using the device 8. I needed to learn a lot of things before I could get going with this device 9. The effectiveness of the treatment increased over the course of treatment 10. Overall, I felt that transcranial electrical stimulation treatment benefited me

Outcome measures

Outcome measures
Measure
Treatment
n=1 Participants
home-based active tDCS: Anode and cathode electrodes will be placed over the left and right dorsolateral prefrontal cortexes, respectively, with the use of the Omni-Lateral-Electrode system. Caregivers will set up and administer tDCS for participants with ADRD at home. tDCS will be applied for 30 min at an intensity of 2mA, with 30 s ramping up and down. All sessions will be remotely supervised by trained research staff.
Control Group
n=2 Participants
home-based sham tDCS: For sham stimulation, electric current will be applied only in the first 30s tDCS. All sessions will be remotely supervised by trained research staff.
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
It was easy to prepare the device and accessories
10 score on a scale
Standard Deviation 0
10 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
The device was unnecessarily complex
0 score on a scale
Standard Deviation 0
0 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
The device was easy to use
9 score on a scale
Standard Deviation 0
10 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
I felt the video conferences with a technical person were helpful
8 score on a scale
Standard Deviation 0
10 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
I would imagine that most people would learn to use this device quickly
8 score on a scale
Standard Deviation 0
10 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
The device was cumbersome to use
9 score on a scale
Standard Deviation 0
0 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
I felt confident using the device
10 score on a scale
Standard Deviation 0
10 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
I needed to learn a lot of things before I could get going with this device
1 score on a scale
Standard Deviation 0
0 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
The effectiveness of the treatment increased over the course of treatment
0 score on a scale
Standard Deviation 0
7 score on a scale
Standard Deviation 4.24
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
Overall, I felt that transcranial electrical stimulation treatment benefited me
0 score on a scale
Standard Deviation 0
7 score on a scale
Standard Deviation 4.24

PRIMARY outcome

Timeframe: 6 weeks of treatment

Acceptability will be measured using a Likert scale composed by 10 questions, each one ranging from 0 (strongly disagree) to 10 (strongly agree). The 10 prompts are as followed: 1. It was easy to prepare the device and accessories 2. The device was unnecessarily complex 3. The device was easy to use 4. I felt the video conferences with a technical person were helpful 5. I would imagine that most people would learn to use this device quickly 6. The device was cumbersome to use 7. I felt confident using the device 8. I needed to learn a lot of things before I could get going with this device 9. The effectiveness of the treatment increased over the course of treatment 10. Overall, I felt that transcranial electrical stimulation treatment benefited me

Outcome measures

Outcome measures
Measure
Treatment
n=1 Participants
home-based active tDCS: Anode and cathode electrodes will be placed over the left and right dorsolateral prefrontal cortexes, respectively, with the use of the Omni-Lateral-Electrode system. Caregivers will set up and administer tDCS for participants with ADRD at home. tDCS will be applied for 30 min at an intensity of 2mA, with 30 s ramping up and down. All sessions will be remotely supervised by trained research staff.
Control Group
n=2 Participants
home-based sham tDCS: For sham stimulation, electric current will be applied only in the first 30s tDCS. All sessions will be remotely supervised by trained research staff.
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
It was easy to prepare the device and accessories
9 score on a scale
Standard Deviation 0
10 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
The device was unnecessarily complex
0 score on a scale
Standard Deviation 0
0 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
The device was easy to use
9 score on a scale
Standard Deviation 0
10 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
I felt the video conferences with a technical person were helpful
10 score on a scale
Standard Deviation 0
10 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
I would imagine that most people would learn to use this device quickly
8 score on a scale
Standard Deviation 0
10 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
The device was cumbersome to use
7 score on a scale
Standard Deviation 0
0 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
I felt confident using the device
10 score on a scale
Standard Deviation 0
10 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
I needed to learn a lot of things before I could get going with this device
9 score on a scale
Standard Deviation 0
0 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
The effectiveness of the treatment increased over the course of treatment
0 score on a scale
Standard Deviation 0
1.5 score on a scale
Standard Deviation 2.12
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
Overall, I felt that transcranial electrical stimulation treatment benefited me
0 score on a scale
Standard Deviation 0
1.5 score on a scale
Standard Deviation 2.12

PRIMARY outcome

Timeframe: 6 weeks post-treatment (12 weeks from baseline)

Acceptability will be measured using a Likert scale composed by 10 questions, each one ranging from 0 (strongly disagree) to 10 (strongly agree). The 10 prompts are as followed: 1. It was easy to prepare the device and accessories 2. The device was unnecessarily complex 3. The device was easy to use 4. I felt the video conferences with a technical person were helpful 5. I would imagine that most people would learn to use this device quickly 6. The device was cumbersome to use 7. I felt confident using the device 8. I needed to learn a lot of things before I could get going with this device 9. The effectiveness of the treatment increased over the course of treatment 10. Overall, I felt that transcranial electrical stimulation treatment benefited me

Outcome measures

Outcome measures
Measure
Treatment
n=1 Participants
home-based active tDCS: Anode and cathode electrodes will be placed over the left and right dorsolateral prefrontal cortexes, respectively, with the use of the Omni-Lateral-Electrode system. Caregivers will set up and administer tDCS for participants with ADRD at home. tDCS will be applied for 30 min at an intensity of 2mA, with 30 s ramping up and down. All sessions will be remotely supervised by trained research staff.
Control Group
n=2 Participants
home-based sham tDCS: For sham stimulation, electric current will be applied only in the first 30s tDCS. All sessions will be remotely supervised by trained research staff.
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
It was easy to prepare the device and accessories
10 score on a scale
Standard Deviation 0
10 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
The device was unnecessarily complex
0 score on a scale
Standard Deviation 0
0 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
The device was easy to use
10 score on a scale
Standard Deviation 0
10 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
I felt the video conferences with a technical person were helpful
2 score on a scale
Standard Deviation 0
10 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
I would imagine that most people would learn to use this device quickly
3 score on a scale
Standard Deviation 0
10 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
The device was cumbersome to use
1 score on a scale
Standard Deviation 0
0 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
I felt confident using the device
10 score on a scale
Standard Deviation 0
10 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
I needed to learn a lot of things before I could get going with this device
1 score on a scale
Standard Deviation 0
0 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
The effectiveness of the treatment increased over the course of treatment
10 score on a scale
Standard Deviation 0
5 score on a scale
Standard Deviation 0
How Satisfied the Participant Was With the Treatment as Measured by the tDCS Experience Questionnaire
Overall, I felt that transcranial electrical stimulation treatment benefited me
0 score on a scale
Standard Deviation 0
5 score on a scale
Standard Deviation 0

PRIMARY outcome

Timeframe: From baseline to week 12

Safety will be assessed with a questionnaire about side effects that include itching, burning, headache, fatigue, and dizziness.

Outcome measures

Outcome measures
Measure
Treatment
n=1 Participants
home-based active tDCS: Anode and cathode electrodes will be placed over the left and right dorsolateral prefrontal cortexes, respectively, with the use of the Omni-Lateral-Electrode system. Caregivers will set up and administer tDCS for participants with ADRD at home. tDCS will be applied for 30 min at an intensity of 2mA, with 30 s ramping up and down. All sessions will be remotely supervised by trained research staff.
Control Group
n=2 Participants
home-based sham tDCS: For sham stimulation, electric current will be applied only in the first 30s tDCS. All sessions will be remotely supervised by trained research staff.
Safety of Home-based tDCS Treatment as Assessed by Side Effects
Fatigue
0 Participants
1 Participants
Safety of Home-based tDCS Treatment as Assessed by Side Effects
Tingling at site of contact with electrodes
1 Participants
0 Participants
Safety of Home-based tDCS Treatment as Assessed by Side Effects
Burning sensation at site of contact with electrodes
1 Participants
0 Participants
Safety of Home-based tDCS Treatment as Assessed by Side Effects
Difficulty concentrating
0 Participants
1 Participants
Safety of Home-based tDCS Treatment as Assessed by Side Effects
Mood change
0 Participants
1 Participants
Safety of Home-based tDCS Treatment as Assessed by Side Effects
Itching at site of contact with electrodes
0 Participants
1 Participants

SECONDARY outcome

Timeframe: Baseline, treatment week 2 (2 weeks from baseline), treatment week 4 (4 weeks from baseline), treatment week 6 (6 weeks from baseline), and 6 weeks post-treatment (12 weeks from baseline)

This scale consists of 9 questions each one scored from 0 (almost always) to 3 (hardly ever). Total scores are reported by summing all of the item's scores, with a minimum of 0 and a maximum of 27. A high score indicates a worse outcome.

Outcome measures

Outcome measures
Measure
Treatment
n=1 Participants
home-based active tDCS: Anode and cathode electrodes will be placed over the left and right dorsolateral prefrontal cortexes, respectively, with the use of the Omni-Lateral-Electrode system. Caregivers will set up and administer tDCS for participants with ADRD at home. tDCS will be applied for 30 min at an intensity of 2mA, with 30 s ramping up and down. All sessions will be remotely supervised by trained research staff.
Control Group
n=2 Participants
home-based sham tDCS: For sham stimulation, electric current will be applied only in the first 30s tDCS. All sessions will be remotely supervised by trained research staff.
Apathy as Assessed by the Brief Dimensional Apathy Scale (b-DAS)
Baseline
18 score on a scale
Standard Deviation 0
21 score on a scale
Standard Deviation 0
Apathy as Assessed by the Brief Dimensional Apathy Scale (b-DAS)
Treatment Week 2 (2 weeks from baseline)
21 score on a scale
Standard Deviation 0
17.5 score on a scale
Standard Deviation 1.5
Apathy as Assessed by the Brief Dimensional Apathy Scale (b-DAS)
Treatment Week 4 (4 weeks from baseline)
23 score on a scale
Standard Deviation 0
13 score on a scale
Standard Deviation 5
Apathy as Assessed by the Brief Dimensional Apathy Scale (b-DAS)
Treatment Week 6 (6 weeks from baseline)
21 score on a scale
Standard Deviation 0
17 score on a scale
Standard Deviation 2
Apathy as Assessed by the Brief Dimensional Apathy Scale (b-DAS)
6 weeks post-treatment (12 weeks from baseline)
24 score on a scale
Standard Deviation 0
15.5 score on a scale
Standard Deviation 5.5

SECONDARY outcome

Timeframe: Baseline, treatment week 2 (2 weeks from baseline), treatment week 4 (4 weeks from baseline), treatment week 6 (6 weeks from baseline), and 6 weeks post-treatment (12 weeks from baseline)

NPI-Q evaluates 12 discrete neuropsychiatric symptoms considering their severity and the related caregiver distress. The severity score ranges from 0 to 36. A high score indicates a worse outcome.

Outcome measures

Outcome measures
Measure
Treatment
n=1 Participants
home-based active tDCS: Anode and cathode electrodes will be placed over the left and right dorsolateral prefrontal cortexes, respectively, with the use of the Omni-Lateral-Electrode system. Caregivers will set up and administer tDCS for participants with ADRD at home. tDCS will be applied for 30 min at an intensity of 2mA, with 30 s ramping up and down. All sessions will be remotely supervised by trained research staff.
Control Group
n=2 Participants
home-based sham tDCS: For sham stimulation, electric current will be applied only in the first 30s tDCS. All sessions will be remotely supervised by trained research staff.
Dementia-related Behavioral Symptoms as Assessed by the Neuropsychiatric Inventory (NPI-Q) Scale (Severity Score)
Baseline
9 score on a scale
Standard Deviation 0
12.5 score on a scale
Standard Deviation 7.5
Dementia-related Behavioral Symptoms as Assessed by the Neuropsychiatric Inventory (NPI-Q) Scale (Severity Score)
treatment week 2 (2 weeks from baseline)
5 score on a scale
Standard Deviation 0
14 score on a scale
Standard Deviation 12
Dementia-related Behavioral Symptoms as Assessed by the Neuropsychiatric Inventory (NPI-Q) Scale (Severity Score)
treatment week 4 (4 weeks from baseline)
6 score on a scale
Standard Deviation 0
9.5 score on a scale
Standard Deviation 6.5
Dementia-related Behavioral Symptoms as Assessed by the Neuropsychiatric Inventory (NPI-Q) Scale (Severity Score)
treatment week 6 (6 weeks from baseline)
10 score on a scale
Standard Deviation 0
10 score on a scale
Standard Deviation 6
Dementia-related Behavioral Symptoms as Assessed by the Neuropsychiatric Inventory (NPI-Q) Scale (Severity Score)
6 weeks post-treatment (12 weeks from baseline)
10 score on a scale
Standard Deviation 0
8.5 score on a scale
Standard Deviation 8.5

SECONDARY outcome

Timeframe: Baseline, treatment week 2 (2 weeks from baseline), treatment week 4 (4 weeks from baseline), treatment week 6 (6 weeks from baseline), and 6 weeks post-treatment (12 weeks from baseline)

NPI-Q evaluates 12 discrete neuropsychiatric symptoms considering their severity and the related caregiver distress.The caregiver distress score ranges from 0 to 60. A high score indicates a worse outcome.

Outcome measures

Outcome measures
Measure
Treatment
n=1 Participants
home-based active tDCS: Anode and cathode electrodes will be placed over the left and right dorsolateral prefrontal cortexes, respectively, with the use of the Omni-Lateral-Electrode system. Caregivers will set up and administer tDCS for participants with ADRD at home. tDCS will be applied for 30 min at an intensity of 2mA, with 30 s ramping up and down. All sessions will be remotely supervised by trained research staff.
Control Group
n=2 Participants
home-based sham tDCS: For sham stimulation, electric current will be applied only in the first 30s tDCS. All sessions will be remotely supervised by trained research staff.
Dementia-related Behavioral Symptoms as Assessed by the Neuropsychiatric Inventory (NPI-Q) Scale (Caregiver Distress Score)
Baseline
3 score on a scale
Standard Deviation 0
13 score on a scale
Standard Deviation 6
Dementia-related Behavioral Symptoms as Assessed by the Neuropsychiatric Inventory (NPI-Q) Scale (Caregiver Distress Score)
Treatment Week 2 (2 weeks from baseline)
5 score on a scale
Standard Deviation 0
11.5 score on a scale
Standard Deviation 9.5
Dementia-related Behavioral Symptoms as Assessed by the Neuropsychiatric Inventory (NPI-Q) Scale (Caregiver Distress Score)
Treatment Week 4 (4 weeks from baseline)
5 score on a scale
Standard Deviation 0
6 score on a scale
Standard Deviation 3
Dementia-related Behavioral Symptoms as Assessed by the Neuropsychiatric Inventory (NPI-Q) Scale (Caregiver Distress Score)
Treatment Week 6 (6 weeks from baseline)
6 score on a scale
Standard Deviation 0
7 score on a scale
Standard Deviation 5
Dementia-related Behavioral Symptoms as Assessed by the Neuropsychiatric Inventory (NPI-Q) Scale (Caregiver Distress Score)
6 weeks Post-Treatment (12 weeks from baseline)
6 score on a scale
Standard Deviation 0
10.5 score on a scale
Standard Deviation 10.5

SECONDARY outcome

Timeframe: Baseline, treatment week 6 (6 weeks from baseline), and 6 weeks post-treatment (12 weeks from baseline)

This scale assess depressive symptoms and consists of 19 questions. Each question is scored on a 2-point severity scale: 0 = absent; 1 = mild or intermittent; 2 = severe. Total score range is 0 to 38, with a higher score indicating a worse outcome.

Outcome measures

Outcome measures
Measure
Treatment
n=1 Participants
home-based active tDCS: Anode and cathode electrodes will be placed over the left and right dorsolateral prefrontal cortexes, respectively, with the use of the Omni-Lateral-Electrode system. Caregivers will set up and administer tDCS for participants with ADRD at home. tDCS will be applied for 30 min at an intensity of 2mA, with 30 s ramping up and down. All sessions will be remotely supervised by trained research staff.
Control Group
n=2 Participants
home-based sham tDCS: For sham stimulation, electric current will be applied only in the first 30s tDCS. All sessions will be remotely supervised by trained research staff.
Depressive Symptoms as Assessed by the Cornell Scale for Depression in Dementia
Baseline
13 score on a scale
Standard Deviation 0
12 score on a scale
Standard Deviation 3
Depressive Symptoms as Assessed by the Cornell Scale for Depression in Dementia
treatment week 6 (6 weeks from baseline)
9 score on a scale
Standard Deviation 0
8.5 score on a scale
Standard Deviation 3.5
Depressive Symptoms as Assessed by the Cornell Scale for Depression in Dementia
6 weeks post-treatment (12 weeks from baseline)
9 score on a scale
Standard Deviation 0
9 score on a scale
Standard Deviation 3

SECONDARY outcome

Timeframe: Baseline, treatment week 6 (6 weeks from baseline), and 6 weeks post-treatment(12 weeks from baseline)

The Mini-Mental State Examination (MMSE) includes memory, language, praxis and orientation tasks, yielding a global cognition score ranging from 0 to 30, with a higher score indicating better performance.

Outcome measures

Outcome measures
Measure
Treatment
n=1 Participants
home-based active tDCS: Anode and cathode electrodes will be placed over the left and right dorsolateral prefrontal cortexes, respectively, with the use of the Omni-Lateral-Electrode system. Caregivers will set up and administer tDCS for participants with ADRD at home. tDCS will be applied for 30 min at an intensity of 2mA, with 30 s ramping up and down. All sessions will be remotely supervised by trained research staff.
Control Group
n=2 Participants
home-based sham tDCS: For sham stimulation, electric current will be applied only in the first 30s tDCS. All sessions will be remotely supervised by trained research staff.
Cognition as Evaluated by the Mini-Mental State Examination (MMSE)
Baseline
26 score on a scale
Standard Deviation 0
23.5 score on a scale
Standard Deviation 2.5
Cognition as Evaluated by the Mini-Mental State Examination (MMSE)
Treatment Week 6 (6 weeks from baseline)
23 score on a scale
Standard Deviation 0
25 score on a scale
Standard Deviation 1
Cognition as Evaluated by the Mini-Mental State Examination (MMSE)
Treatment Week 12 (12 weeks from baseline)
28 score on a scale
Standard Deviation 0
24 score on a scale
Standard Deviation 4

SECONDARY outcome

Timeframe: Baseline, treatment week 2 (2 weeks from baseline), treatment week 4 (4 weeks from baseline), treatment week 6 (6 weeks from baseline), and 6 weeks post-treatment (12 weeks from baseline)

The Apathy Evaluation Scale (AES) consists of 18 items phrased as questions that are to be answered by the caregiver on a four-point Likert scale (1-4), with a higher score indicating greater severity of apathy. The score ranges from a minimum of 18 to a maximum of 72

Outcome measures

Outcome measures
Measure
Treatment
n=1 Participants
home-based active tDCS: Anode and cathode electrodes will be placed over the left and right dorsolateral prefrontal cortexes, respectively, with the use of the Omni-Lateral-Electrode system. Caregivers will set up and administer tDCS for participants with ADRD at home. tDCS will be applied for 30 min at an intensity of 2mA, with 30 s ramping up and down. All sessions will be remotely supervised by trained research staff.
Control Group
n=2 Participants
home-based sham tDCS: For sham stimulation, electric current will be applied only in the first 30s tDCS. All sessions will be remotely supervised by trained research staff.
Apathy as Measured by the Apathy Evaluation Scale (AES)
Baseline
32 score on a scale
Standard Deviation 0
41 score on a scale
Standard Deviation 4
Apathy as Measured by the Apathy Evaluation Scale (AES)
Treatment Week 2 (2 weeks from baseline)
38 score on a scale
Standard Deviation 0
42 score on a scale
Standard Deviation 4
Apathy as Measured by the Apathy Evaluation Scale (AES)
Treatment Week 4 (4 weeks from baseline)
43 score on a scale
Standard Deviation 0
45 score on a scale
Standard Deviation 3
Apathy as Measured by the Apathy Evaluation Scale (AES)
Treatment Week 6 (6 weeks from baseline)
41 score on a scale
Standard Deviation 0
46 score on a scale
Standard Deviation 2
Apathy as Measured by the Apathy Evaluation Scale (AES)
6 Weeks Post-Treatment (12 weeks from baseline)
40 score on a scale
Standard Deviation 0
47 score on a scale
Standard Deviation 8

Adverse Events

Treatment

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

Control Group

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Treatment
n=1 participants at risk
home-based active tDCS: Anode and cathode electrodes will be placed over the left and right dorsolateral prefrontal cortexes, respectively, with the use of the Omni-Lateral-Electrode system. Caregivers will set up and administer tDCS for participants with ADRD at home. tDCS will be applied for 30 min at an intensity of 2mA, with 30 s ramping up and down. All sessions will be remotely supervised by trained research staff.
Control Group
n=2 participants at risk
home-based sham tDCS: For sham stimulation, electric current will be applied only in the first 30s tDCS. All sessions will be remotely supervised by trained research staff.
General disorders
Itching at site of contact with electrodes
0.00%
0/1 • 6 weeks post treatment (12 weeks from baseline)
50.0%
1/2 • 6 weeks post treatment (12 weeks from baseline)
General disorders
Tingling at site of contact with electrodes
100.0%
1/1 • 6 weeks post treatment (12 weeks from baseline)
0.00%
0/2 • 6 weeks post treatment (12 weeks from baseline)
General disorders
Burning sensation at site of contact with electrodes
100.0%
1/1 • 6 weeks post treatment (12 weeks from baseline)
0.00%
0/2 • 6 weeks post treatment (12 weeks from baseline)
General disorders
Fatigue
0.00%
0/1 • 6 weeks post treatment (12 weeks from baseline)
50.0%
1/2 • 6 weeks post treatment (12 weeks from baseline)
General disorders
Difficulty concentrating
0.00%
0/1 • 6 weeks post treatment (12 weeks from baseline)
50.0%
1/2 • 6 weeks post treatment (12 weeks from baseline)
General disorders
Mood Change
0.00%
0/1 • 6 weeks post treatment (12 weeks from baseline)
50.0%
1/2 • 6 weeks post treatment (12 weeks from baseline)

Additional Information

Antonio L. Teixeira, MD, PhD, MSc

The University of Texas Health Science Center at Houston

Phone: 713-486-2555

Results disclosure agreements

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