Prader-Willi Syndrome Clinical Trial
Official title:
Pilot Study of Startle-response Test to Assess Transcranial Direct Current Stimulation- Induced Modulation of Hyperphagia in Prader-Willi Syndrome
The purpose of this study is to determine the effects of transcranial direct current stimulation (tDCS) as it modifies hyperphagia in obese subjects, non-obese subjects, and subjects with Prader-Willi syndrome (PWS).
PWS is characterized by hypotonia, feeding difficulties, developmental delay and failure to
thrive during infancy, and by an insatiable appetite (hyperphagia), rapid weight gain and
obesity in early childhood.
Hyperphagia is one of the most prominent and debilitating features of PWS, and currently no
pharmaceutical drug has been successful in decreasing appetite in such patients.
tDCS is a safe, noninvasive method whereby a weak electric current is directly transmitted
into the brain via external electrodes connected to a 9-volt radio battery. It is based on
decades-old observations that nerve cell firing can be altered by low amplitude direct
current (DC). The researchers in this study believe that tDCS may have a positive impact on
hyperphagia and weight.
In this study, the investigators intend to assess whether the effects tDCS differ between
obese subjects, non-obese subjects, and subjects with Prader-Willi syndrome by measuring the
amplitude and latency of eyeblink startle responses to a set of food- and non-food-related
visual stimuli in all subjects, various hyperphagia questionnaires, and cognitive and
behavioral assessments. It is hypothesized that as a group, subjects with Prader-Willi
syndrome will demonstrate behavioral and psychometric evidence of abnormal food image
processing, craving and associated behaviors relative to our control groups, and this group
may receive potentially beneficial effects from tDCS sessions. Obese subjects are also
predicted to have decreased hyperphagia and food cravings as a result of tDCS.
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