Alpha-Stim AID and Major Depressive Disorder

NCT ID: NCT04963907

Last Updated: 2021-07-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

230 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-01-05

Study Completion Date

2022-12-31

Brief Summary

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The study will be a multi-centre parallel group, double blind, non-commercial, randomised controlled superiority trial. Study participants will be referred from Primary Care GP practices via their GP and randomised into active Alpha-Stim AID Cranial Electrotherapy Stimulations (CES) or sham Alpha-Stim AID CES.

Detailed Description

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Conditions

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Depressive Disorder, Major

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The study is a multi-centre parallel group, double blind, non-commercial, randomised controlled trial (RCT).
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
Devices are programmed by the manufacturer prior to shipping to investigator. Active devices are programmed at 100 uA for 60 minutes, which is subsensory. Sham devices will display 100 uA and count down from 60 minutes, but will not emit a current. Neither the investigators nor the participants will know which devices are active and which are sham.

Study Groups

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Active CES Therapy

Participants will be asked to use Alpha-Stim 60 minutes daily for 8 weeks. Active devices are programmed to emit a current intensity of 100 uA at 0.5 Hz and will be programmed to run for 60 minutes. Participants will not be able to adjust the settings on the devices.

Group Type ACTIVE_COMPARATOR

Active Alpha-Stim CES

Intervention Type DEVICE

Active Alpha-Stim devices will be randomly assigned to participants for use daily for 8 weeks.

Sham CES Therapy

Participants will be asked to use Alpha-Stim 60 minutes daily for 8 weeks. Sham devices are programmed to display a current intensity of 100 uA at 0.5 Hz and will be programmed to run for 60 minutes, but no current will be emitted from the device. Participants will not be able to adjust the settings on the devices.

Group Type SHAM_COMPARATOR

Sham Alpha-Stim CES

Intervention Type DEVICE

Sham Alpha-Stim devices will be randomly assigned to participants for use daily for 8 weeks.

Interventions

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Active Alpha-Stim CES

Active Alpha-Stim devices will be randomly assigned to participants for use daily for 8 weeks.

Intervention Type DEVICE

Sham Alpha-Stim CES

Sham Alpha-Stim devices will be randomly assigned to participants for use daily for 8 weeks.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Aged 16 years and above. There is no maximum age limit.
* Diagnosis of current Major Depressive Episode (MDE). This will be confirmed using the research version of the Structured Clinical Interview for DSM-5 (SCID-5-RV) at baseline.
* A Score of ≥10 to 19 on 9-item self-rated Personal Health Questionnaire (PHQ-9).
* Have either been offered the option of antidepressant medication or have been prescribed antidepressant medication for a minimum of 6 weeks in the last 3 months.
* Capable of giving oral and written informed consent to the study.
* Agrees to return Alpha-Stim equipment at the end of the study and not to purchase this equipment privately during the study.

Exclusion Criteria

* A score of ≥20 on the PHQ-9.
* Neurological conditions e.g. brain neoplasm, cerebrovascular events, epilepsy, neurodegenerative disorders, and prior brain surgery
* Requires urgent clinical care such as having persistent suicidal ideation, self-harm or suicidal intent.
* Known to be pregnant.
* Implantation with a pace maker, cochlear implant or an implantable cardioverter device (ICD).
* Major unstable medical illness requiring further investigation or treatment.
* A diagnosis of current substance use disorder or dependence, dementia, eating disorder, bipolar disorder or non-affective psychosis because the use of CES treatment would otherwise require additional supervision or is associated with additional risk e.g. of mania in bipolar disorder. Determination of these conditions will be confirmed using a diagnostic clinical interview (SCID-5-RV).
* Completed and benefitted from/responded to psychological treatment for depression in the last 3 months or planning to commence psychological treatment in the next 6 months.
* Involved with any other clinical trial at the time of consent or 6 months prior.
Minimum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Nottingham

OTHER

Sponsor Role collaborator

Electromedical Products International, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Richard Morriss, MD

Role: PRINCIPAL_INVESTIGATOR

University of Nottingham Research and Innovation

Locations

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University of Nottingham

Nottingham, , United Kingdom

Site Status RECRUITING

Countries

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United Kingdom

Central Contacts

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Richard Morriss, MD

Role: CONTACT

0115 8230427

Shireen Patel

Role: CONTACT

Facility Contacts

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Shireen Patel

Role: primary

Catherine Kaylor-Hughes

Role: backup

Other Identifiers

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UK-MDDNHS

Identifier Type: -

Identifier Source: org_study_id

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