Noninvasive Brain Stimulation in Adult Amblyopia

NCT ID: NCT06712849

Last Updated: 2024-12-12

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

RECRUITING

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-05-01

Study Completion Date

2028-12-31

Brief Summary

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The goal of this randomized controlled trial is to investigate the effectiveness of non-invasive brain stimulation in treating adults with amblyopia. The main questions it aims to answer are:

1. What are the effects of non-invasive brain stimulation on neuronal plasticity in the visual cortex of adults with amblyopia, and does it produce lasting changes?
2. Do cumulative sessions of non-invasive brain stimulation influence neural plasticity and higher-order visual functions in adults with amblyopia?

The investigators hypothesize that non-invasive brain stimulation will show a positive cumulative effect after five (5) consecutive days of stimulation on visual perception and function in adults with amblyopia.

Participants will be randomized into one of two treatment groups:

1. High-frequency transcranial random noise stimulation (hf-tRNS).
2. Sham stimulation.

Researchers will compare baseline measurements of crowded visual acuity, contrast sensitivity, stereoacuity, phosphene thresholds, global motion perception, form pattern recognition and pattern-reversal visual evoked potentials (VEPs) to post-treatment measurements for each group.

Detailed Description

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Conditions

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Amblyopia

Keywords

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Amblyopia Non-invasive Brain Stimulation Transcranial Random Noise Stimulation Visual Perception Visual Evoked Potentials

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Sham Stimulation

40-minute sessions of sham stimulation for 5 consecutive days.

Group Type SHAM_COMPARATOR

Sham Transcranial Random Noise Stimulation

Intervention Type DEVICE

Sham transcranial random noise stimulation will be applied over the primary visual cortex (area V1) with the current ramping up for 20 seconds before ramping down for 20 seconds. The 2.0 milliamp current stimulation will occur for only a few seconds at the start and at the end of the 40 minutes.

hf-tRNS Stimulation

40-minute sessions of hf-tRNS stimulation for 5 consecutive days.

Group Type ACTIVE_COMPARATOR

High Frequency Transcranial Random Noise Stimulation

Intervention Type DEVICE

Non-invasive brain stimulation will involve the use of high-frequency transcranial random noise stimulation (100-640 Hz) to apply a 2.0 milliamp current over the primary visual cortex (area V1) for approximately 40 minutes with a ramp up to the maximum programmed current and ramp down of 20 seconds.

Interventions

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Sham Transcranial Random Noise Stimulation

Sham transcranial random noise stimulation will be applied over the primary visual cortex (area V1) with the current ramping up for 20 seconds before ramping down for 20 seconds. The 2.0 milliamp current stimulation will occur for only a few seconds at the start and at the end of the 40 minutes.

Intervention Type DEVICE

High Frequency Transcranial Random Noise Stimulation

Non-invasive brain stimulation will involve the use of high-frequency transcranial random noise stimulation (100-640 Hz) to apply a 2.0 milliamp current over the primary visual cortex (area V1) for approximately 40 minutes with a ramp up to the maximum programmed current and ramp down of 20 seconds.

Intervention Type DEVICE

Other Intervention Names

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Sham tRNS tRNS hf-tRNS

Eligibility Criteria

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Inclusion Criteria

* Adults between 18 and 55 years of age
* Formal diagnosis of amblyopia in one or both eyes of any etiology

Exclusion Criteria

* History of optic nerve disease, including glaucoma and optic neuritis
* History of neurological conditions, including demyelinating disease or stroke
* Presence of metal or electronic implants in or on the body, including pacemakers
* Taking medications that can affect normal neurological function, including antipsychotics, antiepileptics, and opioids
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Midwestern University

OTHER

Sponsor Role lead

Responsible Party

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Arijit Chakraborty

Assistant Director of Research

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Midwestern University Eye Institute

Downers Grove, Illinois, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Arijit Chakraborty, PhD

Role: CONTACT

Phone: 630-960-3172

Email: [email protected]

Adrienne C Quan, OD

Role: CONTACT

Phone: 630-960-3183

Email: [email protected]

Facility Contacts

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Sherri Olsen

Role: primary

References

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Ding Z, Li J, Spiegel DP, Chen Z, Chan L, Luo G, Yuan J, Deng D, Yu M, Thompson B. The effect of transcranial direct current stimulation on contrast sensitivity and visual evoked potential amplitude in adults with amblyopia. Sci Rep. 2016 Jan 14;6:19280. doi: 10.1038/srep19280.

Reference Type BACKGROUND
PMID: 26763954 (View on PubMed)

Thompson B, Mansouri B, Koski L, Hess RF. Brain plasticity in the adult: modulation of function in amblyopia with rTMS. Curr Biol. 2008 Jul 22;18(14):1067-71. doi: 10.1016/j.cub.2008.06.052.

Reference Type BACKGROUND
PMID: 18635353 (View on PubMed)

Thompson B, Mansouri B, Koski L, Hess RF. From motor cortex to visual cortex: the application of noninvasive brain stimulation to amblyopia. Dev Psychobiol. 2012 Apr;54(3):263-73. doi: 10.1002/dev.20509. Epub 2010 Nov 8.

Reference Type BACKGROUND
PMID: 22415915 (View on PubMed)

Clavagnier S, Thompson B, Hess RF. Long lasting effects of daily theta burst rTMS sessions in the human amblyopic cortex. Brain Stimul. 2013 Nov;6(6):860-7. doi: 10.1016/j.brs.2013.04.002. Epub 2013 Apr 28.

Reference Type BACKGROUND
PMID: 23664756 (View on PubMed)

Other Identifiers

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CIRB-IL 23044

Identifier Type: -

Identifier Source: org_study_id