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Trial registered on ANZCTR
Registration number
ACTRN12615000552583
Ethics application status
Approved
Date submitted
19/05/2015
Date registered
29/05/2015
Date last updated
10/12/2018
Date data sharing statement initially provided
10/12/2018
Date results provided
10/12/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Enhancing Working Memory with Transcranial Direct Current Stimulation: The Impact of Combined Prefrontal and Parietal Stimulation
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Scientific title
Enhancing Working Memory with Transcranial Direct Current Stimulation: The Impact of Combined Prefrontal and Parietal Stimulation in Healthy Volunteers
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Secondary ID [1]
286390
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Working memory in healthy adults
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Condition category
Condition code
Mental Health
294844
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0
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Studies of normal psychology, cognitive function and behaviour
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Neurological
295421
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0
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Studies of the normal brain and nervous system
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Transcranial direct current stimulation (tDCS) is a safe, non-invasive, painless technique which has the capacity to temporarily alter cortical excitability and has been shown to improve working memory performance. In this study it is delivered to the dorsolateral prefrontal cortex (DLPFC) and Parietal cortex.
This study employs a randomised, crossover design where participants take part in three separate treatment sessions at least 72 hours apart. Each session involves administration of either active tDCS (either over the DLPFC alone, or DLPFC and parietal cortex), or sham tDCS.
Specifically, participants will receive:
a) Anodal tDCS over the left DLPFC (1.5 mA, 15 minutes)
b) Anodal tDCS over the DLPFC and bilateral parietal cortices (1.5 mA, 15 minutes)
c) Sham tDCS either over the DLPFC or DLPFC and bilateral parietal cortices (counterbalanced, 15 minutes)
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Intervention code [1]
291458
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Treatment: Devices
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Comparator / control treatment
The comparator treatment is: Sham tDCS (15 minutes). In the sham treatment, tDCS stimulation is ramped-up to 1.5 mA, held at this intensity for several seconds, then ramped down to 0 mA. This technique generates a sensation on the scalp akin to active tDCS, but does not produce any tangible changes in cortical excitability. Sham stimulation will be delivered over either the DLPFC alone (50% of participants), or DLPFC + PPC (50% of participants), with each participant being randomly assigned to one of these two groups.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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N-back task (2-Back, 3-Back) accuracy and reaction time
Digit-span (forwards and backwards)
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Assessment method [1]
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Timepoint [1]
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Two separate time-points for each session:
a) Five minutes after tDCS treatment
b) 30 minutes after tDCS treatment
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Primary outcome [2]
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TMS-EEG evoked potentials
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Assessment method [2]
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Timepoint [2]
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a) Five minutes after tDCS treatment
b) 30 minutes following tDCS treatment
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Secondary outcome [1]
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EEG oscillations (theta ERS and alpha ERD and gamma frequency)
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Assessment method [1]
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Timepoint [1]
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Two timepoints for each session. EEG oscilations recorded during n-back task:
a) Five minutes after tDCS treatment
b) 30 minutes following tDCS treatment
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Eligibility
Key inclusion criteria
1) Right-handed adults who have the capacity to provide informed consent.
2) Have no personal history of psychiatric or neurological illness
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Minimum age
18
Years
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Maximum age
60
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1) Anyone suffering from an unstable medical condition, neurological or psychiatric disorder or any history of a seizure disorder or who are currently pregnant or breastfeeding.
2) Anyone with any metallic implants in the head, a pacemaker, cochlear implant medication pump or other electronic device.
3) Anyone currently taking any psychoactive medications.
4) Professional drivers are not able to participate due to the, albeit relatively low, risk of seizure as this could affect their employment.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
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Intervention assignment
Crossover
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Other design features
Participants will receive both active and sham stimulation in a cross-over design employing a 72 hour wash out period.
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/07/2015
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Actual
6/07/2015
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Date of last participant enrolment
Anticipated
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Actual
15/12/2015
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Date of last data collection
Anticipated
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Actual
15/12/2015
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Sample size
Target
30
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Accrual to date
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Final
18
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Monash University
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Address [1]
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Wellington Road,
Clayton, VIC 3168
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Monash University
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Address
Wellington Road,
Clayton, VIC 3168
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Alfred Health Human Ethics Committee
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Ethics committee address [1]
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Alfred Hospital Commercial Road Prahran, VIC 3181
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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27/04/2015
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Approval date [1]
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01/06/2015
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Ethics approval number [1]
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209/15
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Ethics committee name [2]
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Monash University Human Research Ethics Committee
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Ethics committee address [2]
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Wellington Road, Clayton VIC, 3168
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
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02/06/2015
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Approval date [2]
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03/06/2015
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Ethics approval number [2]
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CF15/2285 - 2015000920
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Summary
Brief summary
tDCS involves the application of a very weak electrical current to the scalp, which acts to modulate the excitability of underlying cortical neurons, thereby altering their function. tDCS is both safe and painless, and can induce changes in brain function which are measurable for over an hour after the cessation of stimulation. In order for tDCS to be optimally utilised, however, research which directly compares different stimulation parameters is greatly needed. To date, several studies have demonstrated the capacity for tDCS to enhance performance during working memory (WM) tasks when it is applied over prefrontal brain regions (e.g., DLPFC). However, despite encouraging initial results, tDCS has thus far only been able to produce modest levels of cognitive enhancement in healthy individuals. One way of potentially improving the effectiveness of this technique would be to apply it concurrently over a combination of brain regions known to be involved in WM. Therefore, this project specifically aims to compare the effects of tDCS delivered over either the left DLPFC alone, or the left DLPFC in combination with the left parietal lobe. Simultaneous stimulation of prefrontal and parietal brain regions will be achieved using a multifocal ‘high-definition’ stimulation montage which allows for accurate stimulation of two independent cortical targets. The parietal brain region was chosen as the additional stimulation site due to its known involvement in WM. Both behavioural (WM performance) and neurophysiological (EEG, TMS-EEG) data will be utilised to assess the effectiveness of this technique.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Mr Aron Hill
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Address
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Monash Alfred Psychiatry Research Centre (MAPrc),
Level 4, 607 St Kilda Road
Melbourne, 3004
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Country
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Australia
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Phone
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+61 3 9076 8691
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Aron Hill
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Address
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Monash Alfred Psychiatry Research Centre (MAPrc),
Level 4, 607 St Kilda Road
Melbourne, 3004
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Country
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Australia
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Phone
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+61 3 9076 8691
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Aron Hill
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Address
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Monash Alfred Psychiatry Research Centre (MAPrc),
Level 4, 607 St Kilda Road
Melbourne, 3004
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Country
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Australia
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Phone
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+61 3 90768691
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
We do not have ethical approval for IPD sharing.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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