Executive Dysfunction Clinical Trial
Official title:
Treatment of Crack-cocaine Addiction Through Cognitive Neuromodulation of the Prefrontal Cortex Produced by Transcranial Direct Current Stimulation.
Verified date | December 2013 |
Source | Federal University of Espirito Santo |
Contact | n/a |
Is FDA regulated | No |
Health authority | Brazil: Ethics Committee |
Study type | Interventional |
The use of crack-cocaine is growing at alarming rate in our country and it is absolutely worrisome the fast establishment of addiction to it. Its immediate effects, that are intense and extremely fleeting, increase dramatically the probability of this drug to be consumed again, settling quickly down the loss of control and the compulsive use, turning the effects of this drug highly addictive. Parallel to this process, brain damages are quickly established, progressing to severe impairments of frontal functions, leading to the lack of cognitive control that feeds back and aggravates the dependence, and hampers any therapeutic approach. The existing treatments have not proved to be satisfactory yet. Thus, considering that a new modality of treatment, based on the neuromodulation induced by noninvasive brain stimulation, has been useful in treating various neuropsychiatric conditions, this study will examine the potential beneficial effects of repeated transcranial Direct Current Stimulation over the left dorsolateral prefrontal cortex in the treatment of crack-cocaine addiction.
Status | Completed |
Enrollment | 20 |
Est. completion date | May 2013 |
Est. primary completion date | November 2012 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years to 60 Years |
Eligibility |
Inclusion Criteria: - fulfill the criteria for the crack-dependence syndrome, based on criteria of the International Classification of Diseases on its 10th version; - all users and addicts who make use of crack-cocaine alone or in combination with other drugs (alcohol, nicotine, caffeine, cannabis, etc.), or who have psychiatric comorbidities (anxiety, depression, etc.) - must be clinically stable and not requiring hospitalization; - should be clinically suitable for the treatment proposed in this study; - need to be able to read, write and speak Portuguese Exclusion Criteria: - should not present current or past illnesses that may be aggravated during treatment; - may not show abnormalities in laboratory tests which suggest a deterioration of its physical condition for participation in the study; - individuals who have some metal in the brain or skull (chips, fragments, pins, etc. - except titanium); - history of epilepsy, severe brain trauma, cochlear implant, cardiac pacemaker or intracardiac metal apparatus); - pregnants. |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Brazil | Laboratory of Cognitive Sciences and Neuropsychopharmacology, Post-Graduation Program in Physiologycal Sciences, Health Sciences Center, Federal University of Espírito Santo | Vitória | Espírito Santo |
Lead Sponsor | Collaborator |
---|---|
Federal University of Espirito Santo | Harvard University, University of Göttingen |
Brazil,
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Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Abstinence | abstinence to the use of crack-cocaine up to 3 months after the completion of two-weeks of treatment sessions with active-tDCS or sham-tDCS. | Two days after the end of tDCS treatment (one session every other day, 5 sessions), that is, on the 12nd day from the beginning. | No |
Secondary | Intensity of the Urge to the Use of Crack-cocaine | The intensity of craving will be examined by a short scale, the Brief Cocaine Craving Questionnaire. | before and after ERP in two weekly sessions over two weeks | No |
Secondary | Event Related Potentials | Event Related Potentials (ERPs) elicited by random presentation of three related images and three non-related images to crack use every Monday and Friday over the two-weeks period of active-tDCS or sham-tDCS. | twice a week over two consecutive weeks during the treatment | No |
Secondary | Cognitive Tests | Cognitive tests are comprised by frontal assessment battery (FAB), Mini-Mental Status Examination (MMSE), verbal n-back task, visuospatial n-back task, go/no-go test. | Before the first experimental session, in the middle of the protocol and two days after the last experimental session | No |
Secondary | State of Depression | It will be applied Hamilton Scale for Depression, a structured multiple choice questionnaire used to assess the severity of the symptoms of depression. It will be applied with cognitive tests. | Before the first experimental session, in the middle of the treatment and after the last experimental session. | No |
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