Effects of Brain Stimulation on Cognition, Oscillations and GABA Levels in Schizophrenia

University of California (UC) Davis

Status: Enrolling

Conditions: Schizophrenia

Treatments: Device: Transcranial Direct Current Stimulation

Study type: Interventional

Funder types: Other

Identifiers

NCT04267003

1515202

Details and patient eligibility

About

People with schizophrenia often have problems with attention, learning and memory and other cognitive abilities that interfere with their work and school performance. Unfortunately, even our best treatments often do not significantly reduce these cognitive problems. The current study investigates whether or not delivering a very small electrical current to people's foreheads (called, transcranial direct current stimulation; (tDCS)) might improve functioning in the front part of the brain and reduce these cognitive problems in people with schizophrenia. tDCS is non-invasive and has been shown to improve cognitive functioning in some preliminary studies. The current study will investigate whether giving tDCS during a task is more effective than giving it during rest (Aim 1), whether delivery of tDCS to the front of the head is more effective than delivery to the back of the head (Aim 2), and whether tDCS delivery will alter levels of a major inhibitory neurotransmitter in the brain (GABA; Aim 3) that is important to cognitive functioning and may be disrupted in people with schizophrenia. Although this study is not intended to diagnose, cure or treat schizophrenia or any other disease, if results are positive it will encourage future large-scale studies to determine if tDCS can become an effective treatment for cognitive problems in people with schizophrenia.

Enrollment: 160 estimated patients

Sex: All

Ages: 18 to 47 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Participants must be able to sufficiently speak and understand English so as to be able to understand and complete cognitive tasks.
• All subjects must have the ability to give valid informed consent.

Inclusion Criteria for Patients with Schizophrenia Only:

• Diagnosis of schizophrenia, schizophreniform or schizoaffective disorder
• No medication changes in the prior month
• No medication changes anticipated in the upcoming month
• Stable outpatient or partial hospital status
• Normal IQ (>70; IQ will be measured by administering the Wechsler Abbreviated Scale of
• Intelligence (WASI) test)
• Must not be currently taking the antipsychotic clozapine

Exclusion criteria

• Pacemakers
• Implanted electrical (brain and spinal) stimulators
• Implanted defibrillator
• Metallic implants
• Skin damage or skin conditions such as eczema at the sites where electrodes will be placed
• Hair styles hindering the placement of electrodes
• Cranial pathologies
• Head trauma
• Epilepsy
• Mental retardation
• Any known history of neurological disorders (including epilepsy, amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS), stroke, cerebral palsy, any DSM-5 axis I psychiatric disorder (for healthy control subjects), autism)
• Uncorrected vision problems that would hinder cognitive testing (this also pertains to subjects with color blindness in tasks where discriminating colored objects/items is necessary for successful performance)
• Pregnancy
• Substance dependence in the past six months
• Substance abuse in the past month

Trial design

Primary purpose: Basic Science

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Double Blind

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160 participants in 4 patient groups

DLPFC Stimulation + Task

Experimental group

Description:

Intervention. 20 minutes of 2 mA direct current stimulation over the dorsolateral prefrontal cortex during cognitive task completion.

Treatment:

Device: Transcranial Direct Current Stimulation

DLPFC Stimulation + Rest

Experimental group

Description:

Intervention. 20 minutes of 2 mA direct current stimulation over the dorsolateral prefrontal cortex during rest.

Treatment:

Device: Transcranial Direct Current Stimulation

Sham Stimulation + Task

Sham Comparator group

Description:

Placebo Comparator. 0.5-1 minutes of 2 mA direct current stimulation over dorsolateral prefrontal cortex followed by 19-19.5 minutes of sham stimulation, during cognitive task completion.

Treatment:

Device: Transcranial Direct Current Stimulation

Sham Stimulation + Rest

Sham Comparator group

Description:

Placebo Comparator. 0.5-1 minutes of 2 mA direct current stimulation over dorsolateral prefrontal cortex followed by 19-19.5 minutes of sham stimulation, during rest.

Treatment:

Device: Transcranial Direct Current Stimulation