Repetitive Transcranial Alternating Current Stimulation (rtACS) for the Treatment of Optic Neuropathies

NCT ID: NCT07145073

Last Updated: 2025-11-20

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

188 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-08

Study Completion Date

2028-12-31

Brief Summary

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The goal of this study is to see whether repeated transcranial alternating current stimulation can activate impaired retinal ganglion cells and improve both structural and functional outcomes in patients with glaucoma.

Detailed Description

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Conditions

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Glaucoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Repetitive Transcranial Alternating Current Stimulation treatment

Participants will receive 10 days of repeated transcranial alternating current stimulation in hospital.

Group Type EXPERIMENTAL

DC-Stimulator MC

Intervention Type DEVICE

Experimental:Participants will receive 10 days of repeated transcranial alternating current stimulation treatment in hospital.

Sham Repetitive Transcranial Alternating Current Stimulation

Participants will receive 10 days of repeated transcranial alternating current stimulation treatment (no active stimulation) in hospital.

Group Type SHAM_COMPARATOR

DC-Stimulator MC

Intervention Type DEVICE

Sham Comparator:Participants will receive 10 days of repeated transcranial alternating current stimulation treatment (no active stimulation) in hospital.

Interventions

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DC-Stimulator MC

Experimental:Participants will receive 10 days of repeated transcranial alternating current stimulation treatment in hospital.

Intervention Type DEVICE

DC-Stimulator MC

Sham Comparator:Participants will receive 10 days of repeated transcranial alternating current stimulation treatment (no active stimulation) in hospital.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Participant must be at least 18.
2. Clinical diagnosis of glaucoma, with Humphrey Visual Field 24-2 mean deviation (MD) between -22 dB and -5 dB, and Visual Field Index (VFI) between 10% and 90%. The visual field test at screening must meet the following reliability indices:

* Fixation losses (FL) ≤ 33%
* False-negative rate (FNR) ≤ 20%
* False-positive rate (FPR) ≤ 20% At initial screening, the difference in MD between two consecutive visual field tests must be less than 2 dB.
3. Best-corrected visual acuity (BCVA) ≥ 0.2 in the worse eye selected for stimulation treatment.
4. If a participant has two eyes meeting study criteria, one eye will be randomly selected by computer for study participation.
5. In the opinion of the investigator the participant's eye pressure must be clinically stable.
6. Participant must has the ability to comply with the requirements of the study and complete the schedule of events.
7. Participant must understand and sign the informed consent. If the participant's vision is impaired to the point where he/she cannot read the informed consent document, the document will be read to the participant in its entirety.
8. Optical coherence tomography (OCT) imaging shows measurable changes in either peripapillary retinal nerve fiber layer (RNFL) thickness or macular ganglion cell-inner plexiform layer thickness.

Exclusion Criteria

1. History of ocular herpes.
2. Pathological nystagmus.
3. Retinal disease sufficient to affect vision.
4. Corneal opacity affecting vision.
5. Cataract affecting vision.
6. Uveitis or other intraocular inflammatory disease.
7. Implanted electronic devices such as a pacemaker.
8. Rheumatologic or autoimmune disease.
9. Brain tumor or intracranial magnetic metallic implants.
10. History of epilepsy.
11. Periocular skin lesions.
12. Anxiety with Geriatric Anxiety Scale score \> 12.
13. History of claustrophobia.
14. Participation in another clinical trial within the past 3 months involving medication or training that could affect the eyes.
15. Physical or mental conditions that may increase the risk of participation or interfere with study assessments (e.g., dementia).
16. Previous ocular electrical stimulation treatment or visual training study within the past 12 months.
17. Uncontrolled hypertension or diabetes.
18. Pregnant or breastfeeding.
19. History of craniotomy, burr hole surgery, head trauma, intracranial tumor, vascular malformation, or intracranial surgery.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Taiwan University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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National Taiwan University Hospital

Taipei, Hawaii, Taiwan

Site Status

Countries

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Taiwan

Central Contacts

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Chien-Chia Su

Role: CONTACT

+886 972653340

Yu-Cen Ma

Role: CONTACT

Facility Contacts

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Chien-Chia Su, MD., PhD

Role: primary

886972653340

Yu-Cen Ma, MS

Role: backup

886903028820

Other Identifiers

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202409124DSE

Identifier Type: -

Identifier Source: org_study_id

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