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tDCS for Treatment of Depression in Parkinson's Disease

Primary Purpose

Idiopathic Parkinson Disease, Depression

Status
Unknown status
Phase
Not Applicable
Locations
Brazil
Study Type
Interventional
Intervention
Transcranial direct current stimulation
Sham Transcranial direct current stimulation
Sponsored by
Hospital Santa Marcelina
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Idiopathic Parkinson Disease focused on measuring Parkinson Disease, Depression, Transcranial Direct Current Stimulation, Neuromodulation

Eligibility Criteria

35 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Idiopathic Parkinson's Disease
  • Geriatric Depression Scale - 15 higher that 5
  • Major Depression Disorder

Exclusion Criteria:

  • CNS disease other than Parkinson's Disease (i.e. epilepsy, stroke)
  • Mental disorder other than depression on anxiety disorder (i.e. bipolar disorder, schizophrenia)
  • Previous neurosurgical intervention (i.e. DBS)
  • Current use of antidepressant drug
  • High suicidality risk
  • Limited capacity of understanding written and spoken Portuguese

Sites / Locations

  • Hospital Santa MarcelinaRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Sham Comparator

Arm Label

Active Arm

Sham Arm

Arm Description

Active sessions will involve the placement of the anode over the scalp corresponding to the F3 (10-20 EEG system), and cathode over F4. Current intensity will be 2mA, and the stimulation will last for 20 minutes.

Sham stimulation will follow the same procedure as the Active, however after 30 seconds of stimulation, the current is turned off, mimicking the initial sensation of the tDCS session but providing no clinical or physiological effect.

Outcomes

Primary Outcome Measures

Hamilton Rating Scale for Depression

Secondary Outcome Measures

Montgomery-Åsberg Depression Rating Scale
Mini-Mental State Examination
Hamilton Anxiety Rating Scale
Geriatric Depression Scale -15
Parkinson's Disease Questionnaire - 39
Lille apathy rating scale
Quantitative EEG

Full Information

First Posted
November 8, 2016
Last Updated
November 9, 2016
Sponsor
Hospital Santa Marcelina
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1. Study Identification

Unique Protocol Identification Number
NCT02960464
Brief Title
tDCS for Treatment of Depression in Parkinson's Disease
Official Title
Transcranial Direct Current Stimulation for Treatment of Depression in Parkinson's Disease, a Randomized Placebo-controlled Clinical Trial
Study Type
Interventional

2. Study Status

Record Verification Date
November 2016
Overall Recruitment Status
Unknown status
Study Start Date
October 2016 (undefined)
Primary Completion Date
June 2018 (Anticipated)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Hospital Santa Marcelina

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Investigation of possible benefits of transcranial direct current stimulation (tDCS) as a treatment of depression in patients with Parkinson's Disease, through a randomized placebo-controlled clinical trial.
Detailed Description
We aim to investigate the effects of transcranial direct current stimulation (tDCS) as treatment for depression in patients with Parkinson's Disease. We have designed a clinical trial in which volunteers that fulfill inclusion criteria will receive 15 sessions of tDCS during 1 week (3 sessions a day, with 30 minutes interval in between). Subjects will be randomly allocated into two groups, one that will receive the real intervention (active) and the other that will receive the placebo intervention (sham). The collaborator in charge of administering the session will not participate in the evaluations, keeping both subjects and evaluators blinded to the nature of the sessions. Subjects will be evaluated at baseline, and after the end of sessions, 1 week, 4 weeks and 8 weeks, the latter being the main outcome. We aim to enroll 50 subjects, 25 for each arm. The sample size calculation took into consideration previous clinical trials using tDCS for depression in different settings.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Idiopathic Parkinson Disease, Depression
Keywords
Parkinson Disease, Depression, Transcranial Direct Current Stimulation, Neuromodulation

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantOutcomes Assessor
Allocation
Randomized
Enrollment
50 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Active Arm
Arm Type
Active Comparator
Arm Description
Active sessions will involve the placement of the anode over the scalp corresponding to the F3 (10-20 EEG system), and cathode over F4. Current intensity will be 2mA, and the stimulation will last for 20 minutes.
Arm Title
Sham Arm
Arm Type
Sham Comparator
Arm Description
Sham stimulation will follow the same procedure as the Active, however after 30 seconds of stimulation, the current is turned off, mimicking the initial sensation of the tDCS session but providing no clinical or physiological effect.
Intervention Type
Device
Intervention Name(s)
Transcranial direct current stimulation
Intervention Type
Device
Intervention Name(s)
Sham Transcranial direct current stimulation
Primary Outcome Measure Information:
Title
Hamilton Rating Scale for Depression
Time Frame
8 weeks
Secondary Outcome Measure Information:
Title
Montgomery-Åsberg Depression Rating Scale
Time Frame
8 weeks
Title
Mini-Mental State Examination
Time Frame
8 weeks
Title
Hamilton Anxiety Rating Scale
Time Frame
8 weeks
Title
Geriatric Depression Scale -15
Time Frame
8 weeks
Title
Parkinson's Disease Questionnaire - 39
Time Frame
8 weeks
Title
Lille apathy rating scale
Time Frame
8 weeks
Title
Quantitative EEG
Time Frame
8 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
35 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Idiopathic Parkinson's Disease Geriatric Depression Scale - 15 higher that 5 Major Depression Disorder Exclusion Criteria: CNS disease other than Parkinson's Disease (i.e. epilepsy, stroke) Mental disorder other than depression on anxiety disorder (i.e. bipolar disorder, schizophrenia) Previous neurosurgical intervention (i.e. DBS) Current use of antidepressant drug High suicidality risk Limited capacity of understanding written and spoken Portuguese
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jamana Barbosa
Phone
2070-6000
Email
jamana.bp@ig.com.br
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Maria Sheila Rocha, MD, PhD
Organizational Affiliation
Hospital Santa Marcelina
Official's Role
Study Director
Facility Information:
Facility Name
Hospital Santa Marcelina
City
Sao Paulo
Country
Brazil
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Pedro Gordon, MD
Email
dr.pedrogordon@gmail.com
First Name & Middle Initial & Last Name & Degree
Maria Sheila Rocha, MD, PhD
Email
msrocha@uol.com.br
First Name & Middle Initial & Last Name & Degree
Pedro Gordon, MD
First Name & Middle Initial & Last Name & Degree
Maria Sheila Rocha, MD, PhD
First Name & Middle Initial & Last Name & Degree
Jamana Barbosa

12. IPD Sharing Statement

Plan to Share IPD
No

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tDCS for Treatment of Depression in Parkinson's Disease

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