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Paraorbital-Occipital Electric Stimulation in Patients With Optic Neuropathy (BCT_optnerve)

Primary Purpose

Visual Impairment

Status
Completed
Phase
Not Applicable
Locations
Germany
Study Type
Interventional
Intervention
rtACS (verum condition)
placebo stimulation
Sponsored by
University of Magdeburg
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Visual Impairment

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • residual vision
  • patients with optic nerv lesion
  • lesion age at least 6 months
  • stable visual field defect

Exclusion Criteria:

  • electric or electronic implants such as pace maker
  • any metal artefacts in head and truncus
  • epilepsia
  • photosensitive epilepsy as determines by EEG
  • autoimmune illnesses in acute stage
  • mental diseases such e.g. schizophrenia etc.
  • diabetes causing diabetic retinopathy
  • addiction
  • high blood pressure
  • unstable or high level intraocular pressure (i.e. > 27 mmHg)
  • retinitis pigmentosa
  • pathological nystagmus
  • presence of an un-operated tumor or tumor recidive

Sites / Locations

  • Klinik für Neurologie, Charité Campus Mitte, Universitätsmedizin Berlin
  • Institut für Medizinische Psychologie, Leipziger Str. 44

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

rtACS (Verum condition)

Placebo stimulation

Arm Description

Repetitive transorbital alternating current stimulation (rtACS)

no intervention (Sham stimulation)

Outcomes

Primary Outcome Measures

Detection accuracy (DA) change in percent over baseline within defective visual field sectors
Central visus fields were assessed with computer based high-resolution perimetry (HRP). Based on such plots, areas of the visual field were characterized as intact, partially damaged or absolutely impaired (blind).

Secondary Outcome Measures

Visual Parameters 1
DA in static and kinetic perimetry
Visual Parameters 2
reaction time (RT) in HRP
Visual Parameters 3
visual acuity (VA)
Visual Parameters 4
contrast vision
EEG parameters
EEG power spectra

Full Information

First Posted
January 21, 2011
Last Updated
January 13, 2021
Sponsor
University of Magdeburg
Collaborators
EBS Technologies GmbH
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1. Study Identification

Unique Protocol Identification Number
NCT01282827
Brief Title
Paraorbital-Occipital Electric Stimulation in Patients With Optic Neuropathy (BCT_optnerve)
Official Title
Paraorbital-occipital Alternating Electric Current Stimulation in Patients With Optic Neuropathy
Study Type
Interventional

2. Study Status

Record Verification Date
January 2021
Overall Recruitment Status
Completed
Study Start Date
November 2006 (undefined)
Primary Completion Date
March 2010 (Actual)
Study Completion Date
March 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Magdeburg
Collaborators
EBS Technologies GmbH

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Non-invasive brain stimulation can increase cortical excitability in the visual system, but it is not known if this is of clinical value. The investigators now assessed if repetitive, transcranial alternating current stimulation (rtACS) can improve visual field size in patients with optic nerve damage. The investigators hypothesized that rtACS would improve visual functions with the defective visual field sectors of the visual field (primary outcome measure).
Detailed Description
exploratory, randomized, controlled study

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Visual Impairment

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
40 (Actual)

8. Arms, Groups, and Interventions

Arm Title
rtACS (Verum condition)
Arm Type
Experimental
Arm Description
Repetitive transorbital alternating current stimulation (rtACS)
Arm Title
Placebo stimulation
Arm Type
Placebo Comparator
Arm Description
no intervention (Sham stimulation)
Intervention Type
Device
Intervention Name(s)
rtACS (verum condition)
Other Intervention Name(s)
Device for electrical stimulation "Brainstim", Hersteller: "ELSTIM", St. Petersburg, Russland, Device number: "07062006", Classification: Class II, Type BF, SLG device marking: "5016-07-P/001", Modifications of the device have been performed before the SLG test by "Eurotronics Weißenfelser Straße 67, D-04229 Leipzig"
Intervention Description
Repetitive, transorbital alternating current stimulation (rtACS) was applied with a multi-channel device generating weak current pulses in predetermined firing bursts of 2 to 9 pulses. The amplitude of each current pulse was below 1000 microA. Current intensity was individually adjusted according to how well patients perceived phosphenes, i.e. any sensation of flickering light in response to the rtACS stimulation.
Intervention Type
Device
Intervention Name(s)
placebo stimulation
Other Intervention Name(s)
Device for electrical stimulation "Brainstim", Hersteller: "ELSTIM", St. Petersburg, Russland, Device number: "07062006", Classification: Class II, Type BF, SLG device marking: "5016-07-P/001", Modifications of the device have been performed before the SLG test by "Eurotronics Weißenfelser Straße 67, D-04229 Leipzig"
Intervention Description
a clicking sound was presented and the same electrodes montage set-up was used during rtACS and placebo stimulation, except that placebo patients received no current (stimulator turned off).
Primary Outcome Measure Information:
Title
Detection accuracy (DA) change in percent over baseline within defective visual field sectors
Description
Central visus fields were assessed with computer based high-resolution perimetry (HRP). Based on such plots, areas of the visual field were characterized as intact, partially damaged or absolutely impaired (blind).
Time Frame
between baseline and 60 days after stimulation
Secondary Outcome Measure Information:
Title
Visual Parameters 1
Description
DA in static and kinetic perimetry
Time Frame
baseline to 60 days after stimulation
Title
Visual Parameters 2
Description
reaction time (RT) in HRP
Time Frame
baseline to 60 days after stimulation
Title
Visual Parameters 3
Description
visual acuity (VA)
Time Frame
baseline to 60 days after stimulation
Title
Visual Parameters 4
Description
contrast vision
Time Frame
baseline to 60 days after stimulation
Title
EEG parameters
Description
EEG power spectra
Time Frame
baseline to 60 days after stimulation

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: residual vision patients with optic nerv lesion lesion age at least 6 months stable visual field defect Exclusion Criteria: electric or electronic implants such as pace maker any metal artefacts in head and truncus epilepsia photosensitive epilepsy as determines by EEG autoimmune illnesses in acute stage mental diseases such e.g. schizophrenia etc. diabetes causing diabetic retinopathy addiction high blood pressure unstable or high level intraocular pressure (i.e. > 27 mmHg) retinitis pigmentosa pathological nystagmus presence of an un-operated tumor or tumor recidive
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bernhard A Sabel, Prof. Dr.
Organizational Affiliation
University of Magdeburg
Official's Role
Principal Investigator
Facility Information:
Facility Name
Klinik für Neurologie, Charité Campus Mitte, Universitätsmedizin Berlin
City
Berlin
ZIP/Postal Code
10117
Country
Germany
Facility Name
Institut für Medizinische Psychologie, Leipziger Str. 44
City
Magdeburg
ZIP/Postal Code
39120
Country
Germany

12. IPD Sharing Statement

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Paraorbital-Occipital Electric Stimulation in Patients With Optic Neuropathy (BCT_optnerve)

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