Trial Outcomes & Findings for Transcranial Direct Current Stimulation Therapy for Bipolar Depression (NCT NCT05436613)

NCT ID: NCT05436613

Last Updated: 2025-08-14

Results Overview

As measured by clinician-rated Montgomery Asberg Depression Rating Scale (MADRS) score improvement of 50% or more from baseline following the course of tDCS treatment.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

44 participants

Primary outcome timeframe

6 weeks

Results posted on

2025-08-14

Participant Flow

Participant milestones

Participant milestones
Measure
Device: Transcranial Direct Current Stimulation
6-week course of active tDCS treatment, consisting of 5 sessions per week for the first 3 weeks followed by 2 sessions per week for 3 weeks, for a total of 21 tDCS sessions. The duration of each session is 30 minutes. Transcranial Direct Current Stimulation: tDCS at 2mA in 30 minute sessions for 5 sessions per week for 3 weeks and then 2 sessions per week for 3 weeks.
Overall Study
STARTED
44
Overall Study
COMPLETED
32
Overall Study
NOT COMPLETED
12

Reasons for withdrawal

Reasons for withdrawal
Measure
Device: Transcranial Direct Current Stimulation
6-week course of active tDCS treatment, consisting of 5 sessions per week for the first 3 weeks followed by 2 sessions per week for 3 weeks, for a total of 21 tDCS sessions. The duration of each session is 30 minutes. Transcranial Direct Current Stimulation: tDCS at 2mA in 30 minute sessions for 5 sessions per week for 3 weeks and then 2 sessions per week for 3 weeks.
Overall Study
Lost to Follow-up
9
Overall Study
Withdrawal by Subject
3

Baseline Characteristics

Transcranial Direct Current Stimulation Therapy for Bipolar Depression

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Device: Transcranial Direct Current Stimulation
n=44 Participants
6-week course of active tDCS treatment, consisting of 5 sessions per week for the first 3 weeks followed by 2 sessions per week for 3 weeks, for a total of 21 tDCS sessions. The duration of each session is 30 minutes. Transcranial Direct Current Stimulation: tDCS at 2mA in 30 minute sessions for 5 sessions per week for 3 weeks and then 2 sessions per week for 3 weeks.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
41 Participants
n=5 Participants
Age, Categorical
>=65 years
3 Participants
n=5 Participants
Age, Continuous
47.27 years
STANDARD_DEVIATION 12.89 • n=5 Participants
Sex: Female, Male
Female
31 Participants
n=5 Participants
Sex: Female, Male
Male
13 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
3 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
40 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United Kingdom
44 participants
n=5 Participants
Ammons Quick Test (measure of IQ)
100.66 units on a scale
STANDARD_DEVIATION 9.29 • n=5 Participants
MADRS: Montgomery-Åsberg Depression Rating Scale
24.59 units on a scale
STANDARD_DEVIATION 2.64 • n=5 Participants
HDRS-17: Hamilton Depression Rating Scale
19.98 units on a scale
STANDARD_DEVIATION 2.62 • n=5 Participants
HAMA: Hamilton Anxiety Rating Scale
16.55 units on a scale
STANDARD_DEVIATION 5.26 • n=5 Participants
YMRS: Young Mania Rating Scale
2.20 units on a scale
STANDARD_DEVIATION 1.49 • n=5 Participants
PHQ-9: Patient Health Questionnaire-9
16.80 units on a scale
STANDARD_DEVIATION 4.94 • n=5 Participants
SDS: Sheehan Disability Scale
20.77 units on a scale
STANDARD_DEVIATION 5.87 • n=5 Participants

PRIMARY outcome

Timeframe: 6 weeks

Population: Intention to Treat analysis including all participants who enrolled

As measured by clinician-rated Montgomery Asberg Depression Rating Scale (MADRS) score improvement of 50% or more from baseline following the course of tDCS treatment.

Outcome measures

Outcome measures
Measure
Device: Transcranial Direct Current Stimulation
n=44 Participants
6-week course of active tDCS treatment, consisting of 5 sessions per week for the first 3 weeks followed by 2 sessions per week for 3 weeks, for a total of 21 tDCS sessions. The duration of each session is 30 minutes. Transcranial Direct Current Stimulation: tDCS at 2mA in 30 minute sessions for 5 sessions per week for 3 weeks and then 2 sessions per week for 3 weeks.
Number of Participants With Clinical Response [ Time Frame: At 6 Weeks Following Course of tDCS Treatment ]
34 Participants

SECONDARY outcome

Timeframe: 6 weeks (visit 21)

The number of participants who have completed a minimum of 15 tDCS sessions

Outcome measures

Outcome measures
Measure
Device: Transcranial Direct Current Stimulation
n=44 Participants
6-week course of active tDCS treatment, consisting of 5 sessions per week for the first 3 weeks followed by 2 sessions per week for 3 weeks, for a total of 21 tDCS sessions. The duration of each session is 30 minutes. Transcranial Direct Current Stimulation: tDCS at 2mA in 30 minute sessions for 5 sessions per week for 3 weeks and then 2 sessions per week for 3 weeks.
Participant Retention at the End of the Treatment
41 Participants

SECONDARY outcome

Timeframe: Week 6 (Visit 21)

Participants were asked how acceptable they found the tDCS treatment after the 6-week course of treatment. They were given responses on a 7-point Likert style scale. The number of participants who rated the tDCS treatment as acceptable on the Treatment Acceptability Questionnaire (Likert responses 5, 6 or 7) are reported.

Outcome measures

Outcome measures
Measure
Device: Transcranial Direct Current Stimulation
n=41 Participants
6-week course of active tDCS treatment, consisting of 5 sessions per week for the first 3 weeks followed by 2 sessions per week for 3 weeks, for a total of 21 tDCS sessions. The duration of each session is 30 minutes. Transcranial Direct Current Stimulation: tDCS at 2mA in 30 minute sessions for 5 sessions per week for 3 weeks and then 2 sessions per week for 3 weeks.
Participant Acceptability Questionnaire Scales
41 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 6 weeks (Visit 21)

Trained rater measure of depressive symptoms: Montgomery-Åsberg Depression Rating Scale (MADRS) remission rate: a score of less than 10 following the course of tDCS

Outcome measures

Outcome measures
Measure
Device: Transcranial Direct Current Stimulation
n=44 Participants
6-week course of active tDCS treatment, consisting of 5 sessions per week for the first 3 weeks followed by 2 sessions per week for 3 weeks, for a total of 21 tDCS sessions. The duration of each session is 30 minutes. Transcranial Direct Current Stimulation: tDCS at 2mA in 30 minute sessions for 5 sessions per week for 3 weeks and then 2 sessions per week for 3 weeks.
MADRS Remission Rate
21 Participants

Adverse Events

Device: Transcranial Direct Current Stimulation

Serious events: 1 serious events
Other events: 43 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Device: Transcranial Direct Current Stimulation
n=44 participants at risk
6-week course of active tDCS treatment, consisting of 5 sessions per week for the first 3 weeks followed by 2 sessions per week for 3 weeks, for a total of 21 tDCS sessions. The duration of each session is 30 minutes. Transcranial Direct Current Stimulation: tDCS at 2mA in 30 minute sessions for 5 sessions per week for 3 weeks and then 2 sessions per week for 3 weeks.
Immune system disorders
Throat Infection
2.3%
1/44 • Number of events 1 • 6 weeks
Adverse events reported during the trial

Other adverse events

Other adverse events
Measure
Device: Transcranial Direct Current Stimulation
n=44 participants at risk
6-week course of active tDCS treatment, consisting of 5 sessions per week for the first 3 weeks followed by 2 sessions per week for 3 weeks, for a total of 21 tDCS sessions. The duration of each session is 30 minutes. Transcranial Direct Current Stimulation: tDCS at 2mA in 30 minute sessions for 5 sessions per week for 3 weeks and then 2 sessions per week for 3 weeks.
Nervous system disorders
Headache
20.5%
9/44 • Number of events 22 • 6 weeks
Adverse events reported during the trial
Skin and subcutaneous tissue disorders
Scalp pain
11.4%
5/44 • Number of events 24 • 6 weeks
Adverse events reported during the trial
Skin and subcutaneous tissue disorders
Tingling
97.7%
43/44 • Number of events 716 • 6 weeks
Adverse events reported during the trial
Skin and subcutaneous tissue disorders
Itching
22.7%
10/44 • Number of events 252 • 6 weeks
Adverse events reported during the trial
Skin and subcutaneous tissue disorders
Burning sensation
77.3%
34/44 • Number of events 226 • 6 weeks
Adverse events reported during the trial
Skin and subcutaneous tissue disorders
Skin redness
77.3%
34/44 • Number of events 347 • 6 weeks
Adverse events reported during the trial
Nervous system disorders
Trouble concentrating
4.5%
2/44 • Number of events 6 • 6 weeks
Adverse events reported during the trial
Nervous system disorders
Sleepiness
20.5%
9/44 • Number of events 25 • 6 weeks
Adverse events reported during the trial
Nervous system disorders
Acute mood change
9.1%
4/44 • Number of events 7 • 6 weeks
Adverse events reported during the trial
Skin and subcutaneous tissue disorders
Sore feeling at electrode site
4.5%
2/44 • Number of events 2 • 6 weeks
Adverse events reported during the trial
Ear and labyrinth disorders
Dizziness
4.5%
2/44 • Number of events 2 • 6 weeks
Adverse events reported during the trial
Skin and subcutaneous tissue disorders
Dry skin
4.5%
2/44 • Number of events 3 • 6 weeks
Adverse events reported during the trial

Additional Information

Professor Cynthia Fu

University of East Lonson

Phone: 020 8223 4119

Results disclosure agreements

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