Tdcs And cogNitive traininG cOmbined for AUD (TANGO)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Jazmin Camchong, PhD
- Phone Number: (612) 842-8704
- Email: camch002@umn.edu
Study Contact Backup
- Name: Clarista Berg
- Email: berg2920@umn.edu
Study Locations
-
-
Minnesota
-
Minneapolis, Minnesota, United States, 55414
- Recruiting
- University of Minnesota
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Meet the Diagnostic and Statistical Manual of Mental Disorders diagnostic criteria for AUD
- Abstinent from alcohol use
- Must have the intention to remain in the Lodging Plus program until the end of the intervention portion of the study.
Exclusion Criteria:
- Any medical condition or treatment with neurological sequelae (i.e. stroke, tumor, loss of consciousness>30 min, HIV)
- A head injury resulting in a skull fracture or a loss of consciousness exceeding 30 minutes (i.e., moderate or severe TBI)
- Any contraindications for tDCS or MRI scanning (tDCS contraindication: history of seizures; MRI contraindications; metal implants, pacemakers or any other implanted electrical device, injury with metal, braces, dental implants, non-removable body piercings, pregnancy, breathing or moving disorder)
- Any primary psychotic disorder (e.g. schizophrenia, schizoaffective disorder); Participants with other treated and stable psychiatric disorders will be included
- Presence of a condition that would render study measures difficult or impossible to administer or interpret
- Primary current substance use disorder diagnosis on a substance other than alcohol except for caffeine or nicotine
- Clinical evidence for Wernicke-Korsakoff syndrome
- Left-handedness
- Entrance to the treatment program under a court mandate
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Participants receiving active transcranial direct current stimulation (tDCS)
Participants in this group will receive 5 sessions of active transcranial direct current stimulation (tDCS) to dorsolateral prefrontal cortex (DLPFC) while in the Lodging Plus treatment program and then 5 remote sessions of active tDCS to DLPFC after discharge from the treatment program.
All participants will engage in executive functioning tasks for cognitive training during tDCS intervention (active or sham) to prime the engagement of the nucleus accumbens prefrontal cortex circuit.
All participants will complete 4 MRI sessions.
Craving measures will be collected before the first and after the last day of tDCS sessions.
Follow-up interviews will be conducted monthly during a 4-month follow-up period after intervention completion to query relapse status.
The first two follow-up interviews, at approximately 1- and 2-months post-intervention, will also include collection of cognition data.
|
The TaskFlow Transcranial Electrical Stimulation device (TaskFlow-TES) is a custom brain stimulation device developed in-house at the University of Minnesota.
Each tDCS intervention will last 20 minutes of either (i) 10 active (2-mA) or (ii) 5 active and 5 sham transcranial direct current stimulation (tDCS) over the course of 10 treatment sessions.
Other Names:
Working memory focused training occurs on a computer and consists of a variety of exercises selected to (i) place demands on the executive and storage functions of working memory (ii) adapt to challenge the participant's current ability level, (iii) provide ongoing feedback, and (iv) present novel stimuli across verbal, visual and spatial modalities.
Training tasks are developed in-house.
Tasks for each participant are delivered from and responses, audio, and video are stored on the HST server.
The aim of using multiple tasks that require executive functions is to engage brain network functional connectivity in a number of different ways to promote generalization.
Investigators will monitor each participant's training and customize the intervention to balance challenge and engagement.
In addition, pre- and post-intervention, participants will perform 4-minute versions of a word and a spatial 3-back task identical across all weeks (but differing from the assessment versions).
|
|
Sham Comparator: Participants receiving active and sham active transcranial direct current stimulation (tDCS)
Participants in this group will receive 5 sessions of sham-tDCS sessions while in the Lodging Plus treatment program and then 5 remote sessions of active-tDCS to DLPFC after discharge from the treatment program.
All participants will engage in executive functioning tasks for cognitive training during tDCS intervention (active or sham) to prime the engagement of the nucleus accumbens prefrontal cortex circuit.
All participants will complete 4 MRI sessions.
Craving measures will be collected before the first and after the last day of tDCS sessions.
Follow-up interviews will be conducted monthly during a 4-month follow-up period after intervention completion to query relapse status.
The first two follow-up interviews, at approximately 1- and 2-months post-intervention, will also include collection of cognition data.
|
The TaskFlow Transcranial Electrical Stimulation device (TaskFlow-TES) is a custom brain stimulation device developed in-house at the University of Minnesota.
Each tDCS intervention will last 20 minutes of either (i) 10 active (2-mA) or (ii) 5 active and 5 sham transcranial direct current stimulation (tDCS) over the course of 10 treatment sessions.
Other Names:
Working memory focused training occurs on a computer and consists of a variety of exercises selected to (i) place demands on the executive and storage functions of working memory (ii) adapt to challenge the participant's current ability level, (iii) provide ongoing feedback, and (iv) present novel stimuli across verbal, visual and spatial modalities.
Training tasks are developed in-house.
Tasks for each participant are delivered from and responses, audio, and video are stored on the HST server.
The aim of using multiple tasks that require executive functions is to engage brain network functional connectivity in a number of different ways to promote generalization.
Investigators will monitor each participant's training and customize the intervention to balance challenge and engagement.
In addition, pre- and post-intervention, participants will perform 4-minute versions of a word and a spatial 3-back task identical across all weeks (but differing from the assessment versions).
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Difference in Timeline Followback Questionnaire relapse rates
Time Frame: Up to 4 months post-intervention
|
The Timeline Followback Questionnaire will be used to assess relapse status as a binary, (has or has not relapsed), at 1, 2, 3, and 4 months over the follow-up period.
This is a measure of feasibility.
|
Up to 4 months post-intervention
|
|
Difference in Timeline Followback Questionnaire abstinence period length
Time Frame: Up to 4 months post-intervention
|
The Timeline Followback Questionnaire will be used to assess length of abstinence period measured in days at 1, 2, 3 and 4 months over the follow-up period.
This is a measure of feasibility.
|
Up to 4 months post-intervention
|
|
Change in D-KEFS Trail Making (1-5) score
Time Frame: Up to 4 months post-intervention
|
The D-KEFS Trail Making (1-5) assessment will be used as a measure of cognitive performance pre- and post-intervention.
Additionally, as a measure of generalization and durability, the D-KEFS Trail Making score will be assessed pre-intervention, mid-intervention, post-intervention, and at monthly follow-up visits.
The assessment is scored on a scale of 1-19, where higher scores indicate higher cognitive functioning.
The unitless average difference will be reported.
|
Up to 4 months post-intervention
|
|
Change in D-KEFS Color Word score
Time Frame: Up to 4 months post-intervention
|
The D-KEFS Color-Word Interference assessment will be used as a measure of cognitive performance pre- and post-intervention.
Additionally, as a measure of generalization and durability, the D-KEFS Color Word score will be assessed pre-intervention, mid-intervention, post-intervention, and at monthly follow-up visits.
The assessment is scored on a scale of 1-19, where higher scores indicate higher cognitive functioning.
The unitless average difference will be reported.
|
Up to 4 months post-intervention
|
|
Change in Digit Span (WAIS IV) score
Time Frame: Up to 4 months post-intervention
|
The Digit Span (WAIS IV) assessment will be used as a measure of cognitive performance pre- and post-intervention.
Additionally, as a measure of generalization and durability, the Digit Span (WAIS) score will be assessed pre-intervention, mid-intervention, post-intervention, and at monthly follow-up visits.
The assessment is scored on a scale of 1-19, where higher scores indicate higher cognitive functioning.
The unitless average difference will be reported.
|
Up to 4 months post-intervention
|
|
Change in D-KEFS Verbal Frequency score
Time Frame: Up to 4 months post-intervention
|
The D-KEFS Verbal Frequency assessment will be used as a measure of cognitive performance pre- and post-intervention.
Additionally, as a measure of generalization and durability, the D-KEFS Verbal Frequency score will be assessed pre-intervention, mid-intervention, post-intervention, and at monthly follow-up visits.
The assessment is scored on a scale of 1-19, where higher scores indicate higher cognitive functioning.
The unitless average difference will be reported.
|
Up to 4 months post-intervention
|
|
Change in Digit Symbol (WAIS IV) score
Time Frame: Up to 4 months post-intervention
|
The Digit Symbol (WAIS IV) assessment, also known as Coding, will be used as a measure of cognitive performance pre- and post-intervention.
Additionally, as a measure of generalization and durability, the Digit Symbol (WAIS) score will be assessed pre-intervention, mid-intervention, post-intervention, and at monthly follow-up visits.
The assessment is scored on a scale of 1-19, where higher scores indicate higher cognitive functioning.
The unitless average difference will be reported.
|
Up to 4 months post-intervention
|
|
Change in functional connectivity
Time Frame: Day 3, Day 9, Day 17, and 1 month
|
Participants will undergo MRI at rest and fMRI scan while conducting the N-back task pre-intervention, mid-intervention, after 10 tDCS interventions, and post-intervention.
The unitless average difference will be reported.
|
Day 3, Day 9, Day 17, and 1 month
|
|
Change in task-evoked functional magnetic resonance signal
Time Frame: Day 3, Day 9, Day 17, and 1 month
|
Participants will undergo MRI at rest and fMRI scan while conducting the N-back task pre-intervention, mid-intervention, after 10 tDCS interventions, and post-intervention.
The unitless average difference will be reported.
|
Day 3, Day 9, Day 17, and 1 month
|
|
Number of transcranial direct current stimulation (tDCS) sessions completed
Time Frame: Days 4-16
|
The number of tDCS sessions completed will be reported as a unitless average value as a measure of feasibility.
|
Days 4-16
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Jazmin Camchong, PhD, Univeristy of Minnesota Department of Psychiatry & Behavioral Sciences
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Mental Disorders
- Substance-Related Disorders
- Chemically-Induced Disorders
- Alcohol-Related Disorders
- Compulsive Behavior
- Impulsive Behavior
- Behavior
- Alcoholism
- Behavior, Addictive
- Therapeutics
- Behavioral Disciplines and Activities
- Electric Stimulation Therapy
- Convulsive Therapy
- Psychiatric Somatic Therapies
- Electroshock
- Psychological Techniques
- Transcranial Direct Current Stimulation
Other Study ID Numbers
Other Study ID Numbers
- STUDY00013676
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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