CClinicalTrials.gg
WithdrawnNCT04261556REHACOG-MSUpdated Jan 3, 2024

tDCS to Enhance Cognitive Training in Multiple Sclerosis

An interventional study of Real tDCS + CCT and Sham tDCS + CCT in Multiple Sclerosis, Relapsing-Remitting, sponsored by University of Milano Bicocca. Withdrawn at 1 site in Italy. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2024-01-03.

Sponsored by University of Milano Bicocca · Not applicable, Interventional, and Treatment

Why this study was withdrawn
Due to organizing difficulties after COVID-19 pandemic
Phase
Not applicable
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Expected results: an improvement in cognitive performance in both groups, boosted in the experimental arm and not confined to general frontal-cognitive abilities; potential changes would be reflected also by neurophysiological measures and in QoL.

Discussion: Investigators hope to provide additional treatment tools for RRMS subjects, with a medium-long term efficacy and an extensive effect. This exploratory pilot study will help to set the rationale for future studies, providing preliminary data useful for selecting the best primary outcome and for calculating a better sample size.

02

Conditions studied

  • Multiple Sclerosis, Relapsing-Remitting

Keywords

  • Multiple sclerosis
  • Relapsing remitting multiple sclerosis
  • Cognitive training
  • Cognitive rehabilitation
  • Cognitive remediation
  • Neuromodulation
  • Transcranial direct current stimulation
03

In context

Multiple Sclerosis

3,460 studies on the registry are indexed under Multiple Sclerosis; 661 are open to participants now.

Browse Multiple Sclerosis studies →

Lead sponsor

University of Milano Bicocca is the lead sponsor of 124 studies on the registry; 48 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Subjects with clinically definite diagnosis of relapsing remitting MS (RRMS);
  • Male or female subjects, 18 to 65 years old;
  • Expanded Disability Status Scale (EDSS) score ranging from 0 to 5.5 (included);
  • Predominant deficits in either attention/information processing;
  • Fluent Italian speakers;
  • Normal or corrected-to-normal vision;
  • Ability to understand the purpose and risk of the study and provide signed informed consent.

Exclusion criteria

Exclusion Criteria:

  • MS patients in different phase of the disease (as primary/secondary progressive MS; benign MS) or Clinical Isolated Syndrome (CIS) patients;
  • Exclusive cognitive impairment in different domains (e.g., memory);
  • CT/neuromodulation program ongoing or in the preceding 6 months;
  • Clinical exacerbations, neuroradiological activity of the disease, modification of EDSS score and disease modifying treatments/steroids during the last 3 months preceding study enrolment;
  • Significant medical disorders or other major systemic, psychiatric, neurological disorders or alcohol/substance abuse that could interfere with cognitive functioning;
  • Antidepressant/psychoactive drugs in the past 3 months;
  • Contraindications to tDCS (intracranial metallic plates, implanted devices, skin disease, superficial injury and fracture or infraction of skull in the stimulation area, epilepsy, pregnancy, etc).
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Real tDCS + CCT

    40 min/day of computerised cognitive training (CCT) + 20 min/day of real anodal transcranial direct current stimulation (tDCS). In the first 20 min of the 40 min-intervention, tDCS and CCT will be provided simultaneously.

    Device: Real tDCS + CCT

  • Sham comparator
    Sham tDCS + CCT

    40 min/day of CCT + 20 min/day of apparent (sham) tDCS. In the first 20 min of the 40 min-intervention, tDCS and CCT will be provided simultaneously.

    Device: Sham tDCS + CCT

Interventions

  • DeviceReal tDCS + CCT

    40 min/day of computerised cognitive training (CCT) + 20 min/day of real anodal transcranial direct current stimulation (tDCS). In the first 20 min of the 40 min-intervention, real anodal tDCS and CCT will be provided simultaneously.

  • DeviceSham tDCS + CCT

    40 min/day of computerised cognitive training (CCT) + 20 min/day of apparent (sham) tDCS. In the first 20 min of the 40 min-intervention, sham tDCS and CCT will be provided simultaneously.

06

What researchers measure

Primary outcomes

  1. Change in Symbol Digit Modalities Test (SDMT)

    Change in target cognitive test assessing information processing (i.e., SDMT)

    Time frame: Day 0 (baseline, T0), Week 2 (end of treatment, T1), Follow-up at 3 months (FU3) and follow-up at 6 months (FU6)

  2. Change in Paced Auditory Serial Addition Test (PASAT)

    Change in target cognitive test assessing information processing (i.e., PASAT)

    Time frame: Day 0 (baseline, T0), Week 2 (end of treatment, T1), Follow-up at 3 months (FU3) and follow-up at 6 months (FU6)

  3. Change in Wisconsin Card Sorting Test (WCST)

    Change in target cognitive test assessing frontal executive functions (i.e., WCST)

    Time frame: Day 0 (baseline, T0), Week 2 (end of treatment, T1), Follow-up at 3 months (FU3) and follow-up at 6 months (FU6)

  4. Change in Stroop test

    Change in target cognitive test assessing frontal executive functions (i.e., Stroop test)

    Time frame: Day 0 (baseline, T0), Week 2 (end of treatment, T1), Follow-up at 3 months (FU3) and follow-up at 6 months (FU6)

  5. Change in Digit Spans

    Change in target cognitive tests assessing information processing and frontal executive functions (i.e., digit spans)

    Time frame: Day 0 (baseline, T0), Week 2 (end of treatment, T1), Follow-up at 3 months (FU3) and follow-up at 6 months (FU6)

Secondary outcomes

  1. Number of sessions done by esch participants (Feasibility)

    Overall compliance of the protocol, assessed by number of sessions done by esch participants (Feasibility)

    Time frame: Day 0 (baseline, T0), Week 2 (end of treatment, T1)

  2. Number tDCS-related of discomfort or side effects experienced by each participants (Safety)

    Any tDCS-related discomfort or side effect after each daily session

    Time frame: Day 0 (baseline, T0), Week 2 (end of treatment, T1)

  3. Changes in Brief Repeatable Battery of Neuropsychological Tests (BRBN-T)

    Changes in single subtest of the BRBN-T

    Time frame: Day 0 (baseline, T0), Week 2 (end of treatment, T1), Follow-up at 3 months (FU3) and follow-up at 6 months (FU6)

  4. Changes in Beck Depression Inventory (BDI)

    21-question multiple-choice self-report inventory, higher score means worse depressive score.

    Time frame: Day 0 (baseline, T0), Week 2 (end of treatment, T1), Follow-up at 3 months (FU3) and follow-up at 6 months (FU6)

  5. Changes in Expanded Disability Status Scale (EDSS) measurements

    10 points scale, higher score means worse disease progression.

    Time frame: Day 0 (baseline, T0), Week 2 (end of treatment, T1), Follow-up at 3 months (FU3) and follow-up at 6 months (FU6)

  6. Changes in Multiple Sclerosis Functional Composite (MFSC)

    Three component parts, higher scores means worse functional symptoms.

    Time frame: Day 0 (baseline, T0), Week 2 (end of treatment, T1), Follow-up at 3 months (FU3) and follow-up at 6 months (FU6)

  7. Changes in Modified Fatigue Impact Scale (MFIS)

    three subscales (physical, cognitive, and psychosocial), as well as into a total MFIS score. higher scores indicate a greater impact of fatigue

    Time frame: Day 0 (baseline, T0), Week 2 (end of treatment, T1), Follow-up at 3 months (FU3) and follow-up at 6 months (FU6)

  8. Changes in Multiple Sclerosis Quality of Life (MSQOL-54)

    Two summary scores - physical health and mental health - can be derived from a weighted combination of scale scores.

    Time frame: Day 0 (baseline, T0), Week 2 (end of treatment, T1), Follow-up at 3 months (FU3) and follow-up at 6 months (FU6)

  9. Changes in alpha oscillations measured with Electroencephalogram (EEG) Resting State From Baseline

    Comparison of alpha oscillation power from resting state EEG recordings on the first and last day of protocol. EEG data also recorded at 3- and 6-month follow up visits. Each of the four EEG recordings will serve to analyze alpha frequency activity for derivation of EEG biomarkers in this observational pilot study.

    Time frame: Day 0 (baseline, T0), Week 2 (end of treatment, T1), Follow-up at 3 months (FU3) and follow-up at 6 months (FU6)

07

Study locations

1 site
  • University of Milano-Bicocca
    Monza, 20900, Italy
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 3, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04261556
Lead sponsor
University of Milano Bicocca
Responsible party
Sponsor
First posted
Feb 10, 2020
Start date
Nov 21, 2019
Primary completion
Dec 2023 (estimated)
Completion
Dec 2024 (estimated)
Last update
Jan 3, 2024

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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