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tDCS Applied to the OFC: Effects on Decision-Making and Impulse Control

Primary Purpose

Impulsive Behavior, Suicidal Impulses

Status
Completed
Phase
Not Applicable
Locations
Canada
Study Type
Interventional
Intervention
Transcranial Direct Current Stimulation
Sponsored by
Douglas Mental Health University Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Impulsive Behavior focused on measuring Decision-making, Impulse control, Transcranial direct current stimulation, Brain stimulation, Neuromodulation, tDCS, Iowa Gambling Task, Stroop Word-Color Task

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Men or women aged 18 to 60 years

Exclusion Criteria:

  • Presence any psychiatric and/or neurological illness
  • Psychoactive substance abuse/dependence in the past 6 months
  • Current use of medication(s) that might influence cognition and/or affective status
  • Presence of an uncontrolled medical disease (e.g., cardiovascular, renal)
  • Pregnancy and/or lactation
  • Specific contraindication for tDCS (e.g., metallic head implant).

Sites / Locations

  • Neuromodulation Research Clinic, Douglas Mental Health University Institute

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Sham Comparator

Arm Label

Left OFC Group

Right OFC Group

Sham tDCS

Arm Description

Anode applied to the left OFC and cathode applied to the right OFC

Anode applied to the right OFC and cathode applied to the left OFC

Outcomes

Primary Outcome Measures

Change in the net score of the Iowa Gambling Task

Secondary Outcome Measures

Change in the "average-adjusted number of pumps" in the Balloon Analog Risk Task
Change in the number of risky choices in the Game of Dice Task
Change in the number of commission errors in the Continuous Performance Task
Change in the interference index in the Stroop Color-Word Test
Change in the stop-signal reaction time in the Stop-Signal Task

Full Information

First Posted
January 16, 2013
Last Updated
October 2, 2014
Sponsor
Douglas Mental Health University Institute
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1. Study Identification

Unique Protocol Identification Number
NCT01805401
Brief Title
tDCS Applied to the OFC: Effects on Decision-Making and Impulse Control
Official Title
Modulating Decision-Making and Impulse Control With Transcranial Direct Current Stimulation (tDCS) Over the Orbitofrontal Cortex (OFC): A Randomized and Sham-Controlled Study
Study Type
Interventional

2. Study Status

Record Verification Date
October 2014
Overall Recruitment Status
Completed
Study Start Date
January 2013 (undefined)
Primary Completion Date
March 2014 (Actual)
Study Completion Date
March 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Douglas Mental Health University Institute

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
In this study the investigators aim to assess whether transcranial direct current stimulation (tDCS; a safe and non-invasive method for modulating the activity of specific brain regions) when applied over the orbitofrontal cortex (OFC) is able to modulate decision-making and impulse control in healthy participants.
Detailed Description
In this single-blind, three-arm and sham-controlled study, we will assess whether transcranial direct current stimulation (tDCS; a safe and non-invasive method for modulating the activity of specific brain regions) when applied over the orbitofrontal cortex (OFC) is able to modulate decision-making and impulse control in healthy volunteers. We hypothesize that tDCS applied to the OFC, in comparison to sham tDCS, will significantly enhance decision-making and impulse control. For this study we will enroll 45 healthy individuals aged 18-60 years. These individuals will be assessed with a battery of computerized tasks as well as clinician-administered and self-reported questionnaires on depression and anxiety. Assessments will be carried out before and after a single 30-minute tDCS session.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Impulsive Behavior, Suicidal Impulses
Keywords
Decision-making, Impulse control, Transcranial direct current stimulation, Brain stimulation, Neuromodulation, tDCS, Iowa Gambling Task, Stroop Word-Color Task

7. Study Design

Primary Purpose
Basic Science
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
45 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Left OFC Group
Arm Type
Experimental
Arm Description
Anode applied to the left OFC and cathode applied to the right OFC
Arm Title
Right OFC Group
Arm Type
Experimental
Arm Description
Anode applied to the right OFC and cathode applied to the left OFC
Arm Title
Sham tDCS
Arm Type
Sham Comparator
Intervention Type
Device
Intervention Name(s)
Transcranial Direct Current Stimulation
Other Intervention Name(s)
tDCS, Brain Polarization
Intervention Description
Anode placed over the OFC or the DLPFC and cathode placed over the occipital region
Primary Outcome Measure Information:
Title
Change in the net score of the Iowa Gambling Task
Time Frame
Before and after a 30-minute tDCS session
Secondary Outcome Measure Information:
Title
Change in the "average-adjusted number of pumps" in the Balloon Analog Risk Task
Time Frame
Before and after a 30-minute tDCS session
Title
Change in the number of risky choices in the Game of Dice Task
Time Frame
Before and after a 30-minute tDCS session
Title
Change in the number of commission errors in the Continuous Performance Task
Time Frame
Before and after a 30-minute tDCS session
Title
Change in the interference index in the Stroop Color-Word Test
Time Frame
Before and after a 30-minute tDCS session
Title
Change in the stop-signal reaction time in the Stop-Signal Task
Time Frame
Before and after a 30-minute tDCS session

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Men or women aged 18 to 60 years Exclusion Criteria: Presence any psychiatric and/or neurological illness Psychoactive substance abuse/dependence in the past 6 months Current use of medication(s) that might influence cognition and/or affective status Presence of an uncontrolled medical disease (e.g., cardiovascular, renal) Pregnancy and/or lactation Specific contraindication for tDCS (e.g., metallic head implant).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Marcelo Berlim, MD, MSc
Organizational Affiliation
Neuromodulation Research Clinic, Douglas Institute
Official's Role
Principal Investigator
Facility Information:
Facility Name
Neuromodulation Research Clinic, Douglas Mental Health University Institute
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H4H1R3
Country
Canada

12. IPD Sharing Statement

Citations:
PubMed Identifier
18680573
Citation
Beeli G, Casutt G, Baumgartner T, Jancke L. Modulating presence and impulsiveness by external stimulation of the brain. Behav Brain Funct. 2008 Aug 4;4:33. doi: 10.1186/1744-9081-4-33.
Results Reference
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PubMed Identifier
20105234
Citation
Boggio PS, Campanha C, Valasek CA, Fecteau S, Pascual-Leone A, Fregni F. Modulation of decision-making in a gambling task in older adults with transcranial direct current stimulation. Eur J Neurosci. 2010 Feb;31(3):593-7. doi: 10.1111/j.1460-9568.2010.07080.x. Epub 2010 Jan 25.
Results Reference
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PubMed Identifier
17553993
Citation
Fecteau S, Pascual-Leone A, Zald DH, Liguori P, Theoret H, Boggio PS, Fregni F. Activation of prefrontal cortex by transcranial direct current stimulation reduces appetite for risk during ambiguous decision making. J Neurosci. 2007 Jun 6;27(23):6212-8. doi: 10.1523/JNEUROSCI.0314-07.2007.
Results Reference
background
PubMed Identifier
20335459
Citation
Hecht D, Walsh V, Lavidor M. Transcranial direct current stimulation facilitates decision making in a probabilistic guessing task. J Neurosci. 2010 Mar 24;30(12):4241-5. doi: 10.1523/JNEUROSCI.2924-09.2010.
Results Reference
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PubMed Identifier
22347844
Citation
Sela T, Kilim A, Lavidor M. Transcranial alternating current stimulation increases risk-taking behavior in the balloon analog risk task. Front Neurosci. 2012 Feb 14;6:22. doi: 10.3389/fnins.2012.00022. eCollection 2012.
Results Reference
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tDCS Applied to the OFC: Effects on Decision-Making and Impulse Control

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