Trial Outcomes & Findings for Cranial Electrotherapy Stimulation: Piloting a Road to PTSD Prevention in First Responders (NCT NCT06203717)

NCT ID: NCT06203717

Last Updated: 2025-11-05

Results Overview

Feasibility assessed by number of completed cranial electrotherapy stimulation sessions over the course of four weeks (feasible is defined as more than 75% of sessions completed).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

13 participants

Primary outcome timeframe

During four weeks of cranial electrotherapy stimulation at-home use

Results posted on

2025-11-05

Participant Flow

Participant milestones

Participant milestones
Measure
Alpha-Stim AID cranial electrotherapy stimulation
Four-week course of noninvasive cranial electrotherapy stimulation. Alpha-Stim AID cranial electrotherapy stimulation: Cranial electrotherapy stimulation using a modified square, bipolar waveform of 0.5 Hz at 100 μA to be used for four weeks on off-duty days.
Overall Study
STARTED
13
Overall Study
COMPLETED
13
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Cranial Electrotherapy Stimulation: Piloting a Road to PTSD Prevention in First Responders

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Alpha-Stim AID cranial electrotherapy stimulation
n=13 Participants
Four-week course of noninvasive cranial electrotherapy stimulation. Alpha-Stim AID cranial electrotherapy stimulation: Cranial electrotherapy stimulation using a modified square, bipolar waveform of 0.5 Hz at 100 μA to be used for four weeks on off-duty days.
Age, Continuous
37.15 years
STANDARD_DEVIATION 11.07 • n=15 Participants
Sex: Female, Male
Female
1 Participants
n=15 Participants
Sex: Female, Male
Male
12 Participants
n=15 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=15 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
13 Participants
n=15 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=15 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=15 Participants
Race (NIH/OMB)
Asian
0 Participants
n=15 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=15 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=15 Participants
Race (NIH/OMB)
White
13 Participants
n=15 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=15 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=15 Participants
Region of Enrollment
United States
13 participants
n=15 Participants
Posttraumatic Stress Disorder (PTSD) Checklist for DSM-5
20 score on PTSD Checklist for DSM-5
n=15 Participants
Inventory of Depressive Symptomatology-Self Report (IDS-SR).
18.77 score on IDS-SR
STANDARD_DEVIATION 11.35 • n=15 Participants

PRIMARY outcome

Timeframe: During four weeks of cranial electrotherapy stimulation at-home use

Feasibility assessed by number of completed cranial electrotherapy stimulation sessions over the course of four weeks (feasible is defined as more than 75% of sessions completed).

Outcome measures

Outcome measures
Measure
Alpha-Stim AID cranial electrotherapy stimulation
n=13 Participants
Four-week course of noninvasive cranial electrotherapy stimulation. Alpha-Stim AID cranial electrotherapy stimulation: Cranial electrotherapy stimulation using a modified square, bipolar waveform of 0.5 Hz at 100 μA to be used for four weeks on off-duty days.
Feasibility of Cranial Electrotherapy Stimulation
86.15 percentage of CES sessions completed
Standard Deviation 16.51

PRIMARY outcome

Timeframe: During four weeks of cranial electrotherapy stimulation

Acceptability assessed by number of individuals who complete at least 75% of all cranial electrotherapy stimulation sessions during four weeks

Outcome measures

Outcome measures
Measure
Alpha-Stim AID cranial electrotherapy stimulation
n=13 Participants
Four-week course of noninvasive cranial electrotherapy stimulation. Alpha-Stim AID cranial electrotherapy stimulation: Cranial electrotherapy stimulation using a modified square, bipolar waveform of 0.5 Hz at 100 μA to be used for four weeks on off-duty days.
Acceptability of Cranial Electrotherapy Stimulation
10 Participants

SECONDARY outcome

Timeframe: Post four weeks of cranial electrotherapy stimulation

Score on the PTSD Checklist for DSM-5 (PCL-5). Scale ranges from 0 to 80 with higher scores indicating greater severity of posttraumatic stress disorder symptoms.

Outcome measures

Outcome measures
Measure
Alpha-Stim AID cranial electrotherapy stimulation
n=13 Participants
Four-week course of noninvasive cranial electrotherapy stimulation. Alpha-Stim AID cranial electrotherapy stimulation: Cranial electrotherapy stimulation using a modified square, bipolar waveform of 0.5 Hz at 100 μA to be used for four weeks on off-duty days.
Severity of Symptoms of Posttraumatic Stress Disorder as Measured With the PTSD Checklist for DMS 5 (PCL-5)
10.85 score on PTSD Checklist for DSM-5
Standard Deviation 10.54

SECONDARY outcome

Timeframe: post four weeks of cranial electrotherapy stimulation.

Score on the Inventory of Depressive Symptomatology-Self Report (IDS-SR). The Inventory of Depressive Symptomatology-Self Report (IDS-SR) has a total score range of 0 to 84, with each of its 30 items rated on a scale from 0 to 3. Scores of 18 or above on the IDS-SR indicate the presence of clinically relevant depressive symptomatology.

Outcome measures

Outcome measures
Measure
Alpha-Stim AID cranial electrotherapy stimulation
n=13 Participants
Four-week course of noninvasive cranial electrotherapy stimulation. Alpha-Stim AID cranial electrotherapy stimulation: Cranial electrotherapy stimulation using a modified square, bipolar waveform of 0.5 Hz at 100 μA to be used for four weeks on off-duty days.
Severity of Symptoms of Depression as Measured With the Inventory of Depressive Symptomatology-Self Report (IDS-SR)
11.00 score on Inventory of Depressive Symptom
Standard Deviation 7.54

SECONDARY outcome

Timeframe: Daily throughout four weeks of cranial electrotherapy stimulation

Intensity of subjective fatigue assessed once daily using a visual analog scale (VAS) with a 0 (not at all) - 100 (severe) scale.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Daily throughout four weeks of cranial electrotherapy stimulation

Intensity of anxiety will be assessed once daily using a visual analog scale (VAS) with a 0 (not at all) - 100 (severe) scale.

Outcome measures

Outcome data not reported

Adverse Events

Alpha-Stim AID cranial electrotherapy stimulation

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Alpha-Stim AID cranial electrotherapy stimulation
n=13 participants at risk
Four-week course of noninvasive cranial electrotherapy stimulation. Alpha-Stim AID cranial electrotherapy stimulation: Cranial electrotherapy stimulation using a modified square, bipolar waveform of 0.5 Hz at 100 μA to be used for four weeks on off-duty days.
Skin and subcutaneous tissue disorders
Tingling
46.2%
6/13 • Number of events 6 • Weekly during the one month of at home cranial electrotherapy stimulation
Skin and subcutaneous tissue disorders
Skin redness
15.4%
2/13 • Number of events 2 • Weekly during the one month of at home cranial electrotherapy stimulation
Musculoskeletal and connective tissue disorders
Neck pain
7.7%
1/13 • Number of events 1 • Weekly during the one month of at home cranial electrotherapy stimulation
Ear and labyrinth disorders
Ringing in ears
23.1%
3/13 • Number of events 3 • Weekly during the one month of at home cranial electrotherapy stimulation
Psychiatric disorders
Mood changes
30.8%
4/13 • Number of events 4 • Weekly during the one month of at home cranial electrotherapy stimulation
Nervous system disorders
Difficulties concentrating
0.00%
0/13 • Weekly during the one month of at home cranial electrotherapy stimulation
Nervous system disorders
Feeling drowsy
15.4%
2/13 • Number of events 2 • Weekly during the one month of at home cranial electrotherapy stimulation
Nervous system disorders
Phosphenes
7.7%
1/13 • Number of events 1 • Weekly during the one month of at home cranial electrotherapy stimulation
Nervous system disorders
Dizziness
23.1%
3/13 • Number of events 3 • Weekly during the one month of at home cranial electrotherapy stimulation
Nervous system disorders
Nausea
7.7%
1/13 • Number of events 1 • Weekly during the one month of at home cranial electrotherapy stimulation

Additional Information

Mascha van 't Wout-Frank

Butler Hospital

Phone: 401-680-4198

Results disclosure agreements

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