RecruitingPhase 1 / Phase 2

tDCS for Late-Life Depression

High-Dose Spaced Bilateral tDCS for Late-Life Depression: Open-Label Pilot Study

Who can join

As published by the study on ClinicalTrials.gov. "Not stated" means the study hasn't said — ask the study team.

Age
60 Years and older
Sex
All sexes
Healthy volunteers
Not accepted
Compensation
Not stated

Other requirements are listed under Eligibility below. Only the study team can confirm whether you can join.

What to expect

No one can promise a trial will help you personally — that is what the research is trying to find out.

What participation involves

  • Time periods mentioned: 3 weeks

Only what the study's summary and detailed description on ClinicalTrials.gov say. Time periods may describe the whole study or a part of it — ask the study team what applies to you.

Show the study's own words
  • "The study will evaluate feasibility, safety, and tolerability of high-dose (6mA) bilateral tDCS delivered as three daily sessions, 3 times a week, for 3 weeks in older adults (60 y/o and older) with late-life depression."
Compensation
Not stated
  • Study-related exams and procedures are typically provided at no cost. This is how many trials work in general — confirm the details for this study with the study team.
  • Participants are monitored closely by the research team throughout the study.
  • Some participants may receive access to an investigational treatment, which is still being studied.
  • Your participation helps researchers learn whether this approach could help future patients.

About this study

In plain language

This study tests whether tDCS, a treatment that uses electrical current to stimulate the brain, helps adults age 60 or older with depression. It also checks whether high-dose treatment (6 mA) is safe, manageable, and practical to give. Treatment includes three sessions a day, on three days a week, for three weeks.

The purpose of this research study is to determine the effectiveness of Transcranial direct current stimulation (tDCS) therapy in the treatment of participants with Late-life depression (LLD). The study will evaluate feasibility, safety, and tolerability of high-dose (6mA) bilateral tDCS delivered as three daily sessions, 3 times a week, for 3 weeks in older adults (60 y/o and older) with late-life depression.

Compensation is read from the study's own description and may be missing — always confirm with the study team.

Eligibility

Who can join

  • You are age 60 or older.
  • A study interview confirms major depression that is not part of bipolar disorder.
  • You score 16 or higher on the QIDS-C depression symptom scale at screening.
  • If you take antidepressants, your treatment has been stable for at least four weeks before joining.
  • You are willing and able to understand the study and agree to join.
  • You have a Clinical Dementia Rating (CDR) score of 0 or 0.5.
  • Someone who knows enough about your daily activities is available to give information to the study team.

Who can't join

  • You cannot safely receive tDCS because of metal implants in your skull, skin problems where the pads go, or a past bad reaction to tDCS.
  • You cannot have an MRI scan because of a pacemaker, hearing implant, magnetic metal implant, or fear of enclosed spaces.
  • You have depression caused by a medical condition, bipolar disorder, a severe personality disorder, or psychosis—with or without depression. Psychosis means losing touch with reality.
  • You have a history of seizures or epilepsy, or take medicines that greatly raise seizure risk.
  • You have had an active drug or alcohol use disorder in the past six months, or a past mood disorder or psychosis caused by substance use.
  • You have received brain or nerve stimulation treatment in the past six months, including ECT, TMS, tDCS, or VNS.
  • You have thoughts of suicide with a plan or intent that require more intensive care.
  • You are pregnant, have diagnosed dementia or a CDR score of 1 or higher, or the study doctors consider your health medically unstable.

Simplified for readability. The official criteria below are what the study team uses.

Official eligibility criteria

Inclusion Criteria: Participants must meet all of the following criteria: 1. age 60 years or older; 2. diagnosis of unipolar major depressive disorder according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), confirmed by the Structured Clinical Interview for DSM-5 (SCID-5); 3. score of 16 or higher on the Quick Inventory of Depressive Symptomology-Clinician Rated (QIDS-C) at screening; 4. stable antidepressant regimen for at least four weeks prior to enrollment, if applicable; 5. willingness and capacity to provide informed consent; 6. Clinical Dementia Rating scale of 0 or 0.5. 7. availability of an informant who has sufficient knowledge of the participant's daily functioning as ascertained by the study team. Exclusion Criteria: Participants meeting any of the following criteria will be excluded: 1. contraindications to tDCS including metallic cranial implants, skin conditions at electrode sites (eczema, open wounds, burns, lesions), or history of adverse reaction to tDCS; 2. contraindications to magnetic resonance imaging (MRI) including pacemaker, cochlear implants, ferromagnetic implants, or claustrophobia; 3. depressive disorder due to a medical condition; 4. psychotic depression; 5. history of seizures or epilepsy; 6. bipolar disorder; 7. psychotic disorders; 8. severe personality disorder; 9. active substance use disorder within the past six months or history of substance induced mood or psychotic disorder; 10. neuromodulation treatment including electroconvulsive therapy (ECT), transcranial magnetic stimulation (TMS), tDCS, or vagus nerve stimulation (VNS) within the past six months; 11. active suicidal ideation with plan or intent requiring a higher level of care; 12. concurrent use of medications that substantially lower seizure threshold; 13. pregnancy; 14. a clinically established diagnosis of dementia as reported in the participant's health record or scoring 1 or above on CDR; 15. medically unstable in the clinical opinion of the principal investigators.

Study sites (1)

TX

  • University of Texas Southwestern Medical Center · Dallas, TX 75390Andre Russowsky Brunoni, MD PhD · Principal investigatorMore trials in Dallas