CClinicalTrials.gg
CompletedNCT04640766Updated Dec 12, 2023Results posted

Process-instructed Self Neuro-Modulation (PRISM) for Attention Deficit/ Hyperactivity Disorder - Adults

An interventional study of PRISM in Attention Deficit Hyper Activity, sponsored by NYU Langone Health. Completed at 1 site in United States. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2023-12-12.

Sponsored by NYU Langone Health · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
18
Allocation
Not applicable
Ages
18 Years to 60 Years
Sex
All
01

Study summary

This is a single-arm, open-label feasibility study. Participants will be assigned and will undergo a novel neurofeedback intervention, targeting down-regulation of deep limbic structures, specifically the amygdalae. Participants will complete 12 neurofeedback sessions delivered twice weekly over 6 consecutive weeks. The intervention will be delivered via the PRISM platform.

Read the detailed description

The objectives include: 1)Training the NYU team on the electric finger print electroencephalography neurofeedback (EFP-EEG-NF) technology and provide them with hands-on experience; 2) Assessing participants' ability to learn the feedback paradigm (i.e. control the EFP-EEG-NF signal; time to achieve learning; assess learning curves); 3) Exploring preliminary results assessing target symptoms (e.g. AISRS and BRIEF-A).

02

Conditions studied

  • Attention Deficit Hyper Activity

Keywords

  • PRISM
03

In context

Attention Deficit Disorder with Hyperactivity

1,514 studies on the registry are indexed under Attention Deficit Disorder with Hyperactivity; 255 are open to participants now.

This study's enrollment of 18 is below the median of 72 across 1,207 interventional studies indexed under Attention Deficit Disorder with Hyperactivity.

Browse Attention Deficit Disorder with Hyperactivity studies →

Lead sponsor

NYU Langone Health is the lead sponsor of 1,391 studies on the registry; 254 are open to participants now.

Of its 227 completed or terminated interventional studies of FDA-regulated products, 191 (84%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Adults ages 18-60 years, inclusive at the time of consent
  • Able to provide signed informed consent
  • Any gender
  • Subjects with a current primary DSM-5 diagnosis of ADHD (including predominantly inattentive presentation, hyperactive presentation, or combined presentations) as confirmed by the ACDS Version 1.2.
  • Subjects who are not receiving any pharmacological treatment for ADHD must have an AISRS score of ≥ 28 at screening. Subjects who are receiving pharmacological treatment for ADHD at screening must have a minimum AISRS score of ≥ 22 at screening
  • Not requiring treatment for any comorbid psychiatric condition for at least 2 months
  • Normal or corrected-to-normal vision
  • Normal or corrected-to-normal hearing
  • No intention of changing medication or psychotherapy for the duration of the study at the time of recruitment

Exclusion criteria

Exclusion Criteria:

  • Concurrent substance abuse and/or history of substance use within 6 months
  • Use of any prescribed benzodiazepine
  • Lifetime bipolar disorder, psychotic disorder, autism, intellectual disability. Comorbid mood and anxiety disorders determined by the MINI will be permitted if they are not the primary focus of clinical attention
  • Active suicidality within past year, or history of suicide attempt in past 2 years
  • Any history of severe past drug dependence determined by the MINI (i.e., a focus of clinical attention or a cause of substantial social or occupational difficulty)
  • Any unstable medical or neurological condition
  • Any history of brain surgery, of penetrating, neurovascular, infectious, or other major brain injury, of epilepsy, or of other major neurological abnormality (including a history of traumatic brain injury [TBI] with loss of consciousness for more than 24 hours or posttraumatic amnesia for more than 7 days)
  • Any psychotropic medication
  • Recent initiation (within the past 3 months) of cognitive-behavioral therapy or any evidence-based PTSD psychotherapy (Cognitive Processing Therapy [CPT], Prolonged Exposure [PE], Eye Movement Desensitization and Reprocessing [EMDR]); continuation of established maintenance supportive therapy will be permitted
  • Significant hearing loss or severe sensory impairment
  • Enrollment in another research study testing an experimental, clinical, or behavioral intervention intended to affect symptoms initiated within the last 2 months, or intended enrollment within the next 2.5 months
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
18 participants (actual)

Study arms

  • Experimental
    Participants with ADHD

    Device: PRISM

Interventions

  • DevicePRISM

    The study will include 12 EEG-NF sessions, administered twice per week for a duration of 6 "active" weeks in total. Twice weekly sessions will be held on no-consecutive days. Each session will last approximately 30 minutes.

    Also known as: EEG-based neurofeedback (EEG-NF) device

06

What researchers measure

Primary outcomes

  1. Score on Adult ADHD Investigator Symptom Rating Scale (AISRS)

    ADHD symptoms will also be measured using the Adult ADHD Investigator Symptom Rating Scale (AISRS). Items are scored as follows: 0 (none), 1 (mild), 2 (moderate), 3 (severe). The maximum total score for the scale is 54 points, with 27 points for each subscale. The total score is the sum of the inattentive and hyperactive-impulsive subscales. The higher the score, the more severe the symptoms.

    Time frame: Baseline

  2. Score on Adult ADHD Investigator Symptom Rating Scale (AISRS)

    ADHD symptoms will also be measured using the Adult ADHD Investigator Symptom Rating Scale (AISRS). Items are scored as follows: 0 (none), 1 (mild), 2 (moderate), 3 (severe). The maximum total score for the scale is 54 points, with 27 points for each subscale. The total score is the sum of the inattentive and hyperactive-impulsive subscales. The higher the score, the more severe the symptoms.

    Time frame: Week 9

  3. Score on Attention-Deficit/Hyperactivity Disorder Self-Report Screening Scale for DSM-5-Expanded (DSM-5 ASRS Expanded)

    The DSM-5 ASRS Expanded consists of 18 questions. Each question is scored in the range 0-4, for a total range of score of 0-72. The higher the score, the more difficulty the participant is experiencing handling ADHD.

    Time frame: Baseline

  4. Score on Attention-Deficit/Hyperactivity Disorder Self-Report Screening Scale for DSM-5-Expanded (DSM-5 ASRS Expanded)

    The DSM-5 ASRS Expanded consists of 18 questions. Each question is scored in the range 0-4, for a total range of score of 0-72. The higher the score, the more difficulty the participant is experiencing handling ADHD.

    Time frame: Week 11

  5. Score on Behavioral Rating Inventory of Executive Function- Adult Version (BRIEF-A) Self-report

    Severity of executive function will be assessed via the Behavioral Rating Inventory of Executive Function- Adult version (BRIEF-A) self-report. All 75 items are rated in terms of frequency on a 3-point scale: 0 (never), 1 (sometimes), 2 (often). The total range of score is 0-150; higher scores indicate poor executive function.

    Time frame: Baseline

  6. Score on Behavioral Rating Inventory of Executive Function- Adult Version (BRIEF-A) Self-report

    Severity of executive function will be assessed via the Behavioral Rating Inventory of Executive Function- Adult version (BRIEF-A) self-report. All 75 items are rated in terms of frequency on a 3-point scale: 0 (never), 1 (sometimes), 2 (often). The total range of score is 0-150; higher scores indicate poor executive function.

    Time frame: Week 11

07

Results

Posted Dec 12, 2023

Participant flow

Participant flow — Overall Study
MilestoneParticipants With ADHD
Started9
Completed7
Not completed2
Withdrew: Withdrawn for inconsistency with visits and change in current medication2

Outcome measures

PrimaryScore on Adult ADHD Investigator Symptom Rating Scale (AISRS)

ADHD symptoms will also be measured using the Adult ADHD Investigator Symptom Rating Scale (AISRS). Items are scored as follows: 0 (none), 1 (mild), 2 (moderate), 3 (severe). The maximum total score for the scale is 54 points, with 27 points for each subscale. The total score is the sum of the inattentive and hyperactive-impulsive subscales. The higher the score, the more severe the symptoms.

Time frame:
Baseline
Reported as:
Mean · score on a scale
Score on Adult ADHD Investigator Symptom Rating Scale (AISRS)
score on a scaleParticipants With ADHD
Score on Adult ADHD Investigator Symptom Rating Scale (AISRS)35 ± 5.5
PrimaryScore on Adult ADHD Investigator Symptom Rating Scale (AISRS)

ADHD symptoms will also be measured using the Adult ADHD Investigator Symptom Rating Scale (AISRS). Items are scored as follows: 0 (none), 1 (mild), 2 (moderate), 3 (severe). The maximum total score for the scale is 54 points, with 27 points for each subscale. The total score is the sum of the inattentive and hyperactive-impulsive subscales. The higher the score, the more severe the symptoms.

Time frame:
Week 9
Reported as:
Mean · score on a scale
Score on Adult ADHD Investigator Symptom Rating Scale (AISRS)
score on a scaleParticipants With ADHD
Score on Adult ADHD Investigator Symptom Rating Scale (AISRS)11.3 ± 6.9
PrimaryScore on Attention-Deficit/Hyperactivity Disorder Self-Report Screening Scale for DSM-5-Expanded (DSM-5 ASRS Expanded)

The DSM-5 ASRS Expanded consists of 18 questions. Each question is scored in the range 0-4, for a total range of score of 0-72. The higher the score, the more difficulty the participant is experiencing handling ADHD.

Time frame:
Baseline
Reported as:
Mean · score on a scale
Score on Attention-Deficit/Hyperactivity Disorder Self-Report Screening Scale for DSM-5-Expanded (DSM-5 ASRS Expanded)
score on a scaleParticipants With ADHD
Score on Attention-Deficit/Hyperactivity Disorder Self-Report Screening Scale for DSM-5-Expanded (DSM-5 ASRS Expanded)47.1 ± 3.3
PrimaryScore on Attention-Deficit/Hyperactivity Disorder Self-Report Screening Scale for DSM-5-Expanded (DSM-5 ASRS Expanded)

The DSM-5 ASRS Expanded consists of 18 questions. Each question is scored in the range 0-4, for a total range of score of 0-72. The higher the score, the more difficulty the participant is experiencing handling ADHD.

Time frame:
Week 11
Reported as:
Mean · score on a scale
Score on Attention-Deficit/Hyperactivity Disorder Self-Report Screening Scale for DSM-5-Expanded (DSM-5 ASRS Expanded)
score on a scaleParticipants With ADHD
Score on Attention-Deficit/Hyperactivity Disorder Self-Report Screening Scale for DSM-5-Expanded (DSM-5 ASRS Expanded)32.4 ± 6.4
PrimaryScore on Behavioral Rating Inventory of Executive Function- Adult Version (BRIEF-A) Self-report

Severity of executive function will be assessed via the Behavioral Rating Inventory of Executive Function- Adult version (BRIEF-A) self-report. All 75 items are rated in terms of frequency on a 3-point scale: 0 (never), 1 (sometimes), 2 (often). The total range of score is 0-150; higher scores indicate poor executive function.

Time frame:
Baseline
Reported as:
Mean · score on a scale
Score on Behavioral Rating Inventory of Executive Function- Adult Version (BRIEF-A) Self-report
score on a scaleParticipants With ADHD
Score on Behavioral Rating Inventory of Executive Function- Adult Version (BRIEF-A) Self-report75.6 ± 7.6
PrimaryScore on Behavioral Rating Inventory of Executive Function- Adult Version (BRIEF-A) Self-report

Severity of executive function will be assessed via the Behavioral Rating Inventory of Executive Function- Adult version (BRIEF-A) self-report. All 75 items are rated in terms of frequency on a 3-point scale: 0 (never), 1 (sometimes), 2 (often). The total range of score is 0-150; higher scores indicate poor executive function.

Time frame:
Week 11
Reported as:
Mean · score on a scale
Score on Behavioral Rating Inventory of Executive Function- Adult Version (BRIEF-A) Self-report
score on a scaleParticipants With ADHD
Score on Behavioral Rating Inventory of Executive Function- Adult Version (BRIEF-A) Self-report56.9 ± 9.6

Adverse events

Collected over 11 Weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Participants With ADHD0/9 (0%)0/9 (0%)3/9 (33.3%)
Most frequent other events
Most frequent other events
EventParticipants With ADHD
HeadacheNervous system disorders2/9
Insomnia + Vivid DreamsPsychiatric disorders1/9
Soreness in JawMusculoskeletal and connective tissue disorders1/9
Gastrointestinal discomfortGastrointestinal disorders1/9

Baseline characteristics

The baseline analysis population comprises individuals who began treatment in the study (n = 9).

Age, Continuous
Age, Continuous(years)Participants With ADHD
Mean33 ± 8.8
Sex: Female, Male
Sex: Female, Male(Participants)Participants With ADHD
Female7
Male2
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Participants With ADHD
Hispanic or Latino2
Not Hispanic or Latino7
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Participants With ADHD
American Indian or Alaska Native0
Asian1
Native Hawaiian or Other Pacific Islander0
Black or African American0
White7
More than one race1
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)Participants With ADHD
United States9
08

Study locations

1 site
  • NYU Langone Health
    New York, New York 10016, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Aug 4, 2022

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — Individual participant data that underlie the results reported in this article, after deidentification (text, tables, figures, and appendices) will be shared upon reasonable request.

Supporting information: Study protocol, Sap

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 12, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04640766
Lead sponsor
NYU Langone Health
Responsible party
Sponsor
First posted
Nov 23, 2020
Start date
Jul 26, 2021
Primary completion
Oct 18, 2022
Completion
Oct 18, 2022
Results posted
Dec 12, 2023
Last update
Dec 12, 2023

Study contacts

Lenard Adler, MD
principal investigator · NYU Langone Health

Oversight

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

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This study is completed, as verified in Nov 2023. You cannot join it, but the record below documents what was studied.

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