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TerminatedNCT00928772Updated Apr 20, 2017Results posted

Cranial Electro Therapy Stimulation in Reducing Perioperative Anxiety

A Phase 4 interventional study of CRANIAL ELECTROTHERAPY (Alpha Stim) + SHAM MIDAZOLAM and MIDAZOLAM + SHAM ELECTRODES SIMULATING CRANIAL ELECTROTHERAPY in Anxiety, sponsored by University of Oklahoma. Terminated at 1 site in United States. Open to participants aged 50 Years to 90 Years. Per ClinicalTrials.gov, last updated 2017-04-20.

Sponsored by University of Oklahoma · Phase 4, Interventional, and Treatment

Why this study was terminated
Lack of efficacy
Phase
Phase 4
Study type
Interventional
Enrollment
115
Allocation
Randomized
Ages
50 Years to 90 Years
Sex
All
01

Study summary

Cranial electro stimulation (CES) provides safe, adequate, side-effect free sedation without excessive drowsiness in preoperative settings.

Read the detailed description

CES Alpha-Stim is a non-invasive device which has been in place and has been approved for patients to reduce anxiety by the FDA. This study involves the use of CES Alpha-Stim device applied to the patient 30 minutes before and through-out cataract surgery procedure and then to measure the level of anxiety and discomfort by using a visual analog scale (VAS). We propose that by applying the device the patients will be able to have markedly less level of anxiety and discomfort before and during the surgery and will ultimately avoid the traditional use of sedative or analgesic drugs being used for these kinds of surgery.

02

Conditions studied

  • Anxiety

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Keywords

  • Cranial Electro Stimulation
  • First Eye Cataract Surgery
  • Preoperative sedation
  • Perioperative sedation
03

In context

Anxiety Disorders

4,868 studies on the registry are indexed under Anxiety Disorders; 1,390 are open to participants now.

This study's enrollment of 115 is above the median of 80 across 4,174 interventional studies indexed under Anxiety Disorders.

Browse Anxiety Disorders studies →

Lead sponsor

University of Oklahoma is the lead sponsor of 424 studies on the registry; 99 are open to participants now.

Of its 42 completed or terminated interventional studies of FDA-regulated products, 16 (38%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
50 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients of both genders between 50 and 90 years old scheduled for an outpatient "first eye" cataract phacoemulsification with topical anesthesia.
  • ASA classification I II and III

Exclusion criteria

Exclusion Criteria:

  • ASA classification IV (patients with a chronic or severe disease).
  • Hypersensitivity to midazolam or benzodiazepines
  • acute narrow-angle glaucoma
  • untreated open-angle glaucoma
  • Patients with any sort of psychiatric or neurological disorder
  • Patients on anti-anxiety medication
  • Patients who have demand-type pacemakers installed before 1999* *Note: These are the exclusions listed for liability purposes by Alpha-Stim. There are no FDA exclusions.
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
115 participants (actual)

Study arms

  • Active comparator
    Alpha-Stim intervention

    One hour Alpha-Stim intervention with sham midazolam

    Device: CRANIAL ELECTROTHERAPY (Alpha Stim) + SHAM MIDAZOLAM

  • Sham comparator
    Sham Alpha-Stim with midazolam

    Sham Alpha-Stim intervention with real midazolam administration

    Drug: MIDAZOLAM + SHAM ELECTRODES SIMULATING CRANIAL ELECTROTHERAPY

  • Placebo comparator
    Placebo

    No Alpha-Stim and only topical anesthetics

    Other: NO SEDATION WITH SHAM CRANIAL ELECTROSTIMULATION AND PLACEBO VERSED

Interventions

  • DeviceCRANIAL ELECTROTHERAPY (Alpha Stim) + SHAM MIDAZOLAM

    APPLYING OF ELECTRODES ON THE EAR LOBES AND TEMPLES WHICH ARE SENDING AN ACTIVE MICROCURRENT THROUGH THE MIDBRAIN PRODUCING SEDATION WITHOUT PHARMACOLOGICAL AGENTS AND GIVING NORMAL SALINE AS A SHAM DRUG SEDATION

    Also known as: AlphaStim

  • DrugMIDAZOLAM + SHAM ELECTRODES SIMULATING CRANIAL ELECTROTHERAPY

    CONVENTIONAL METHOD OF PERIOPERATIVE SEDATION

    Also known as: VERSED

  • OtherNO SEDATION WITH SHAM CRANIAL ELECTROSTIMULATION AND PLACEBO VERSED

    NO ACTIVE SEDATION, ONLY SHAM ELECTRODES AND NORMAL SALINE SIMULATING MIDAZOLAM.

06

What researchers measure

Primary outcomes

  1. Anxiety During Cataract Surgery Under Topical Anesthesia

    Anxiety was accessed via VAS from 0 to 10 with 10 being the most anxious.

    Time frame: during the cataract surgery up to30 minutes

Secondary outcomes

  1. Eye Discomfort Perception During Cataract Surgery Under Topical Anesthesia

    VAS from 0 to 10 with 10 being maximal discomfort percieved

    Time frame: during cataract surgery up to 30 minutes

  2. Mean Arterial Pressure During the Cataract Surgery Under Topical Anesthesia

    Time frame: during cataract surgery up to 30 minutes

  3. Heart Rate During Cataract Surgery Under Topical Anesthesia

    Time frame: during cataract surgery up to 30 minutes

07

Results

Posted Apr 20, 2017

Participant flow

Participant flow — Overall Study
MilestoneAlpha-Stim InterventionSham Alpha-Stim With MidazolamPlacebo
Started393838
Completed393838
Not completed000

Outcome measures

PrimaryAnxiety During Cataract Surgery Under Topical Anesthesia

Anxiety was accessed via VAS from 0 to 10 with 10 being the most anxious.

Time frame:
during the cataract surgery up to30 minutes
Reported as:
Mean · units on a scale
Anxiety During Cataract Surgery Under Topical Anesthesia
units on a scaleAlpha-Stim InterventionSham Alpha-Stim With MidazolamPlacebo
Anxiety During Cataract Surgery Under Topical Anesthesia3.19 (1 to 8)2.96 (1 to 9)4.10 (1 to 10)
SecondaryEye Discomfort Perception During Cataract Surgery Under Topical Anesthesia

VAS from 0 to 10 with 10 being maximal discomfort percieved

Time frame:
during cataract surgery up to 30 minutes
Reported as:
Mean · units on a scale
Eye Discomfort Perception During Cataract Surgery Under Topical Anesthesia
units on a scaleAlpha-Stim InterventionSham Alpha-Stim With MidazolamPlacebo
Eye Discomfort Perception During Cataract Surgery Under Topical Anesthesia2.58 (1 to 7)2.66 (1 to 8)2.79 (1 to 8)
SecondaryMean Arterial Pressure During the Cataract Surgery Under Topical Anesthesia
Time frame:
during cataract surgery up to 30 minutes
Reported as:
Mean · mmHg
Mean Arterial Pressure During the Cataract Surgery Under Topical Anesthesia
mmHgAlpha-Stim InterventionSham Alpha-Stim With MidazolamPlacebo
Mean Arterial Pressure During the Cataract Surgery Under Topical Anesthesia99.5 (74.6 to 135.3)99.8 (66.7 to 126.3)104.5 (79 to 124.5)
SecondaryHeart Rate During Cataract Surgery Under Topical Anesthesia
Time frame:
during cataract surgery up to 30 minutes
Reported as:
Mean · Beats per minute
Heart Rate During Cataract Surgery Under Topical Anesthesia
Beats per minuteAlpha-Stim InterventionSham Alpha-Stim With MidazolamPlacebo
Heart Rate During Cataract Surgery Under Topical Anesthesia64.6 (53 to 88)65.4 (48 to 80)67.9 (47 to 98)

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Alpha-Stim Intervention—0/39 (0%)0/39 (0%)
Sham Alpha-Stim With Midazolam—0/38 (0%)0/38 (0%)
Placebo—0/38 (0%)0/38 (0%)

Baseline characteristics

Age, Customized
Age, Customized(Participants)Alpha-Stim InterventionSham Alpha-Stim With MidazolamPlaceboTotal
50-90 years393838115
Sex: Female, Male
Sex: Female, Male(Participants)Alpha-Stim InterventionSham Alpha-Stim With MidazolamPlaceboTotal
Female0000
Male393838115
Region of Enrollment
Region of Enrollment(Participants)Alpha-Stim InterventionSham Alpha-Stim With MidazolamPlaceboTotal
United States393838115
08

Study locations

1 site
  • Oklahoma City VA Medical Center
    Oklahoma City, Oklahoma 73104, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 20, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00928772
Lead sponsor
University of Oklahoma
Responsible party
Sponsor
First posted
Jun 26, 2009
Start date
Jul 2009
Primary completion
Feb 2012
Completion
Feb 2012
Results posted
Apr 20, 2017
Last update
Apr 20, 2017

Study contacts

Grigory Chernyak
principal investigator · Oklahoma City VAMC

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Apr 2017. You cannot join it, but the record below documents what was studied.

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