tDCS for Treatment Resistant Obsessive Compulsive Disorder (tDCS-TOC)

April 21, 2022 updated by: Centre Hospitalier Henri Laborit

Transcranial Direct Current Stimulation (tDCS) to Treat Patients With Severe and Resistant Obsessive Compulsive Disorder

It's a multicentric, randomized, controlled study concerning 100 patients with treatment-resistant obsessive compulsive disorders (OCD). The aim of this study is to evaluate the effect of transcranial direct current stimulation (tDCS) on OCD patients.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

83

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Lyon, France
        • Hospices Civils de Lyon
      • Nantes, France, 44093
        • Chu de Nantes
      • Poitiers, France, 86021
        • Centre Hospitalier Henri Laborit
      • Rennes, France, 35703
        • C.H. Guillaume Regnier

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 70 years (ADULT, OLDER_ADULT)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Meets criteria for obsessive compulsive disorder according to Diagnostic and Statistical Manual (DSM IV) with a "good insight" (BABS)
  • No current depressive and suicidal risks
  • No epileptic pathology
  • Age: Participants will be both males and females, 18-70 years of age included.
  • Chronic Obsessive compulsive disorder ( Total Y-BOCS>20 or Y-BOCS one subscale > 15)
  • Obsessive compulsive disorder resistant to pharmacology treatment :

    1. at least 2 antidepressants (IRS type) (> 12 weeks)
    2. cognitive and comportment therapy since at least one year
  • Treatment stability (antidepressants) for more than 12 weeks without significant improvement.
  • Affiliation to a social security system (recipient or assignee),
  • Signed written inform consent form

Exclusion Criteria:

  • Female subject who is pregnant, or of child-bearing age, sexually active and not using reliable contraception or who is nursing,
  • Patient under curators
  • Patient hospitalized under duress
  • Meets another diagnosis of axe 1 of DSM-IV
  • Current depressive or suicidal risks
  • Patient with any form of metal in the cranium, a pacemaker, skull defects, or skin lesions to the scalp (cuts, abrasions, rash)
  • Epileptic patient
  • Patient with a medical history of cranial trauma
  • Patient unable to give his or hers informed consent

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: TREATMENT
  • Allocation: RANDOMIZED
  • Interventional Model: PARALLEL
  • Masking: DOUBLE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
EXPERIMENTAL: Active stimulation
10 sessions (1 per day during 2 week) of active tDCS stimulation
Patients will receive a tDCS stimulation during 30 mn with an intensity of 2 milliampere (mA).
SHAM_COMPARATOR: Sham Stimulation
10 sessions (1 per day during 2 week) of sham stimulation
Patients will receive a Sham stimulation during 30 mn

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Yale Brown Obsessive Compulsive Scale (YBOCS) score
Time Frame: 2 weeks
The primary objective of the study is to compare the change in Yale Brown Obsessive Compulsive Scale (YBOCS) scores from baseline to the week 2 (post-tDCS treatment) visit, between the two treatments groups
2 weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Yale Brown Obsessive Compulsive Scale (YBOCS)
Time Frame: Month 1
i. Change from baseline to month 1 in Yale Brown Obsessive Compulsive Scale (YBOCS) scores, between treatment groups.
Month 1
Yale Brown Obsessive Compulsive Scale (YBOCS),
Time Frame: Month 3
ii. Response rate at month 3 in Yale Brown Obsessive Compulsive Scale (YBOCS) score from baseline, between treatment groups.
Month 3
Clinical Global Impression (CGI)
Time Frame: Month 1
Change from baseline to month 1 in above scales between treatment groups;
Month 1
Clinical Global Impression (CGI)
Time Frame: Month 3
Change from baseline to month 3 in above scales between treatment groups;
Month 3
Brown Assessment of Beliefs Scale (BABS)
Time Frame: Month 1
Change from baseline to month 1 in above scales between treatment groups;
Month 1
Brown Assessment of Beliefs Scale (BABS)
Time Frame: Month 3
Change from baseline to month 3 in above scales between treatment groups;
Month 3
Brief Anxiety Scale (BAS)
Time Frame: Month 1
Change from baseline to month 1 in above scales between treatment groups;
Month 1
Brief Anxiety Scale (BAS)
Time Frame: Month 3
Change from baseline to month 3 in above scales between treatment groups;
Month 3
Montgomery and Asberg Depression Rating Scale (MADRS)
Time Frame: Month 1
Change from baseline to month 1 in above scales between treatment groups;
Month 1
Montgomery and Asberg Depression Rating Scale (MADRS)
Time Frame: Month 3
Change from baseline to month 3 in above scales between treatment groups;
Month 3
Hospital Anxiety and Depression scale (HAD)
Time Frame: Month 1
Change from baseline to month 1 in above scales between treatment groups;
Month 1
Hospital Anxiety and Depression scale (HAD)
Time Frame: Month 3
Change from baseline to month 3 in above scales between treatment groups;
Month 3
Sheehan Disability Scale, (SDS)
Time Frame: Month 1
Change from baseline to month 1 in above scales between treatment groups;
Month 1
Sheehan Disability Scale, (SDS)
Time Frame: Month 3
Change from baseline to month 3 in above scales between treatment groups;
Month 3

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
Number of adverse events
Time Frame: 3 Month

Safety of the tDCS treatment :

  • assessed by physical examination during each tDCS session
  • any other adverse events (AEs)
3 Month

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Collaborators

Investigators

  • Study Director: Damien HEIT, MD, Centre Hospitalier Henri Laborit

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (ACTUAL)

November 3, 2017

Primary Completion (ACTUAL)

February 24, 2022

Study Completion (ACTUAL)

February 24, 2022

Study Registration Dates

First Submitted

September 29, 2017

First Submitted That Met QC Criteria

October 3, 2017

First Posted (ACTUAL)

October 9, 2017

Study Record Updates

Last Update Posted (ACTUAL)

April 22, 2022

Last Update Submitted That Met QC Criteria

April 21, 2022

Last Verified

April 1, 2022

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 2016-A01983-48

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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