ClinicalTrials.gg
CompletedNCT05165654Updated Sep 17, 2025Results posted

Improving Hallucinations by Targeting the rSTS With tES

An interventional study of Transcranial Electrical Stimulation in Hallucinations, Auditory and Psychosis, sponsored by Beth Israel Deaconess Medical Center. Completed at 1 site in United States. Open to participants aged 18 Years to 50 Years. Per ClinicalTrials.gov, last updated 2025-09-17.

Sponsored by Beth Israel Deaconess Medical Center · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
12
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
All
01

Study summary

Hallucinations are a core diagnostic feature of psychotic disorders. They involve different sensory modalities, including auditory, visual, olfactory, tactile, and gustatory hallucinations, among others. Hallucinations occur in multiple different neurological and psychiatric illnesses and can be refractory to existing treatments. Auditory hallucinations and visual hallucinations are found across diagnostic categories of psychotic disorders (schizophrenia, schizoaffective, bipolar disorder). Despite visual hallucinations being approximately half as frequent as auditory hallucinations, they almost always co-occur with auditory hallucinations, and are linked to a more severe psychopathological profile. Auditory and visual hallucinations at baseline also predict higher disability, risk of relapse and duration of psychosis after 1 and 2 years, especially when they occur in combination. Using a newly validated technique termed lesion network mapping, researchers demonstrated that focal brain lesions connected to the right superior temporal sulcus (rSTS) plays a causal role in the development of hallucinations. The rSTS receives convergent somatosensory, auditory, and visual inputs, and is regarded as a site for multimodal sensory integration. Here the investigators aim to answer the question whether noninvasive brain stimulation when optimally targeted to the rSTS can improve brain activity, sensory integration, and hallucinations.

Read the detailed description

Functional neuroimaging studies have identified neural correlates of hallucinations across multiple brain regions. Some studies suggest a common neuroanatomical substrate independent of the sensory modality, while others suggest different neural correlates for different types of hallucinations. However, whether these neuroimaging findings represented a cause, consequence or epiphenomenon of hallucinations was unclear until recently. Using lesion network mapping, researchers demonstrated that focal brain lesions play a causal role in the development of hallucinations and can occur in different brain locations, both inside and outside sensory pathway, and that greater than 90% of lesion locations causing hallucinations are negatively connected to the right superior temporal sulcus (rSTS). The rSTS is known to play a role in social cognition, biological motion, audiovisual integration, and speech. Hence, when spontaneous activity decreases at lesion locations causing hallucinations, spontaneous activity in the rSTS increases, the exact pattern thought to predispose to hallucinations. Additionally, functional connectivity within this region is abnormal in patients with visual and auditory hallucinations. Therefore, the association between rSTS connectivity and hallucinations would suggest this region may be optimal for modulation via non-invasive brain stimulation.

One method by which cortical excitability can be altered is with transcranial direct current stimulation (tDCS), a non-invasive brain stimulation technique. High definition tDCS (HD-tDCS) is a refined version of tDCS with improved spatial precision of cortical stimulation. This involves the application of a weak electrical current (1-2 mA) delivered to the brain via scalp electrodes. tDCS can modulate cortical excitability, where anodal stimulation tends to increase (i.e. the resting potential becomes less negative) and cathodal stimulation tends to decrease the underlying membrane potential (i.e. the resting potential becomes more negative). While tDCS is a promising adjunctive treatment of auditory hallucinations and negative symptoms in schizophrenia, less is known about its role in treating hallucinations overall. To date, no study has non-invasively stimulated the rSTS with tDCS in psychosis and examined its effects on hallucinations. However, there are studies in healthy volunteers showing that anodal stimulation to the STS resulted in increased auditory false perceptions, while cathodal stimulation decreased false perceptions and was lower than the sham condition. Taken together, the recent lesion network mapping identifying the rSTS as a major source of hallucinations combined with prior studies showing that the rSTS is associated with hallucinations suggest that it may be possible to alleviate hallucinations by designing a tDCS protocol that targets the rSTS with cathodal stimulation. Technological advances in noninvasive neuromodulation and electrical field modeling further allow us to create a tDCS protocol specifically guided by the results of lesion network mapping studies with high spatial resolution.

02

Conditions studied

  • Hallucinations, Auditory
  • Psychosis

Keywords

  • Transcranial Electrical Stimulation
  • Electroencephalography
03

In context

Hallucinations

136 studies on the registry are indexed under Hallucinations; 35 are open to participants now.

This study's enrollment of 12 is below the median of 48 across 118 interventional studies indexed under Hallucinations.

Browse Hallucinations studies →

Lead sponsor

Beth Israel Deaconess Medical Center is the lead sponsor of 568 studies on the registry; 80 are open to participants now.

Of its 76 completed or terminated interventional studies of FDA-regulated products, 62 (82%) have results posted.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Aged 18-50 years of age
  2. Proficient in English
  3. Able to give
  4. Actively experiencing hallucinations (tactile, auditory, visual, etc.)
  5. Has not recently participated in tES/TMS treatments

Exclusion criteria

Exclusion Criteria:

  1. Substance abuse or dependence (w/in past 6 months)
  2. Those who are pregnant/breastfeeding
  3. History of head injury with > 15 minutes of loss of consciousness/mal sequelae
  4. intellectual disability
  5. Having a non-removable ferromagnetic metal within the body (particularly in the head)
  6. History of seizures
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
12 participants (actual)

Study arms

  • Experimental
    Active Stimulation with TDCS

    10 tDCS; Two, twenty-minute sessions of tDCS to the rSTS for 5 days (10 total sessions).

    Device: Transcranial Electrical Stimulation

  • Sham comparator
    SHAM Stimulation

    10 passive sham control; Two, twenty-minute sessions of passive sham control to the rSTS for a 30 second ramped up and down at the beginning and end of the 20 min period for 5 days (10 total sessions).

    Device: Transcranial Electrical Stimulation

Interventions

  • DeviceTranscranial Electrical Stimulation

    Transcranial electrical stimulation

06

What researchers measure

Primary outcomes

  1. Positive and Negative Syndrome Scale (PANSS)

    Measuring total psychosis symptoms score (Total score minimum = 30, maximum = 210); General symptoms (minimum score = 16, maximum score = 112); Negative Symptoms (minimum score = 16, maximum score = 112); and Positive Symptoms (minimum score = 16, maximum score = 112); higher scores represent higher severity of symptoms

    Time frame: Change from baseline to day 5

  2. Positive and Negative Syndrome Scale (PANSS)

    Measuring total psychosis symptoms score (Total score minimum = 30, maximum = 210); General symptoms (minimum score = 16, maximum score = 112); Negative Symptoms (minimum score = 16, maximum score = 112); and Positive Symptoms (minimum score = 16, maximum score = 112); higher scores represent higher severity of symptoms

    Time frame: Change from baseline to month follow-up

  3. University of Miami Parkinson's Disease Hallucinations Questionnaire (UM-PDHQ)

    Measuring severity and duration of hallucinations; 20-item questionnaire to be used as a screening instrument to assess hallucinations (6 quantitative and 14 qualitative items); higher scores represent higher severity of symptoms. Total quantitative score (min = 0; max = 14).

    Time frame: Change from baseline to day 5

  4. University of Miami Parkinson's Disease Hallucinations Questionnaire (UM-PDHQ)

    Measuring severity and duration of hallucinations; 20-item questionnaire to be used as a screening instrument to assess hallucinations (6 quantitative and 14 qualitative items); higher scores represent higher severity of symptoms. Total quantitative score (min = 0; max = 14).

    Time frame: Change from baseline to month follow-up

  5. 7-item Auditory Hallucinations Rating Scale (AHRS)

    Measuring severity and duration of hallucinations; severity for each item is rated on a 7-point scale; higher scores represent higher severity of symptoms. Total score (0-41).

    Time frame: Change from baseline to day 5

  6. 7-item Auditory Hallucinations Rating Scale (AHRS)

    Measuring severity and duration of hallucinations; severity for each item is rated on a 7-point scale; higher scores represent higher severity of symptoms. Total score (0-41).

    Time frame: Change from baseline to month follow-up

Secondary outcomes

  1. Auditory Steady State Evoked Potential

    Raw data was cleaned for artifacts (excessive noise) and segmented in cleaned epochs based on stimulus onset. Post preprocessing stages, the signal reported was derived from using a time-frequency transformation and analysis, which is conceptualized as oscillatory power in decibels (10\*log10) at a particular auditory frequency of interest.

    Time frame: Change from baseline to day 5

  2. Auditory Steady State Evoked Potential

    Raw data was cleaned for artifacts (excessive noise) and segmented in cleaned epochs based on stimulus onset. Post preprocessing stages, the signal reported was derived from using a time-frequency transformation and analysis, which is conceptualized as oscillatory power in decibels (10\*log10) at a particular auditory frequency of interest.

    Time frame: Change from baseline to month follow-up

  3. Steady State Visual Evoked Potential

    Raw data was cleaned for artifacts (excessive noise) and segmented in cleaned epochs based on stimulus onset. Post preprocessing stages, the signal reported was derived from using a time-frequency transformation and analysis, which is conceptualized as oscillatory power in decibels (10\*log10) at a particular visual frequency of interest.

    Time frame: Change from baseline to day 5

  4. Steady State Visual Evoked Potential

    Raw data was cleaned for artifacts (excessive noise) and segmented in cleaned epochs based on stimulus onset. Post preprocessing stages, the signal reported was derived from using a time-frequency transformation and analysis, which is conceptualized as oscillatory power in decibels (10\*log10) at a particular visual frequency of interest.

    Time frame: Change from baseline to month follow-up

  5. Cross Modal Steady State Evoked Potential

    Raw data was cleaned for artifacts (excessive noise) and segmented in cleaned epochs based on stimulus onset. Post preprocessing stages, the signal reported was derived from using a time-frequency transformation and analysis, which is conceptualized as oscillatory power in decibels (10\*log10) at a particular visual/auditory frequency of interest.

    Time frame: Change from baseline to day 5

  6. Cross Modal Steady State Evoked Potential

    Raw data was cleaned for artifacts (excessive noise) and segmented in cleaned epochs based on stimulus onset. Post preprocessing stages, the signal reported was derived from using a time-frequency transformation and analysis, which is conceptualized as oscillatory power in decibels (10\*log10) at a particular visual/auditory frequency of interest.

    Time frame: Change from baseline to month follow-up

  7. Resting State EEG

    Measuring neural activity at rest consisting of 5 minutes of eyes-open resting-state EEG (rsEEG) was recorded. Fast Fourier transformations were conducted on data, resulting in 4 frequency bands: delta/theta, alpha, beta, and gamma.

    Time frame: Change from baseline to 5 day

  8. Resting State EEG

    Measuring neural activity at rest consisting of 5 minutes of eyes-open resting-state EEG (rsEEG) was recorded. Fast Fourier transformations were conducted on data, resulting in 4 frequency bands: delta/theta, alpha, beta, and gamma.

    Time frame: Change from baseline to month follow-up

  9. Biological Motion

    Measuring the percent correct of detected motion by presenting a simulated walker; difficulty is increased by the level of random noise around stimuli. 20 trials are presented. Higher scores (0-100%) indicate a better ability to detect motion.

    Time frame: Change from baseline to 5 day

  10. Biological Motion

    Measuring the percent correct of detected motion by presenting a simulated walker; difficulty is increased by the level of random noise around stimuli. 20 trials are presented. Higher scores (0-100%) indicate a better ability to detect motion.

    Time frame: Change from baseline to month follow-up

  11. Neurological Evaluation Scale; Sensory Integration

    Measuring the percent correct of auditory and visual integration; auditory stimuli partners are matched to visual stimuli; difficulty is increased with more complex patterns

    Time frame: Change from baseline to 5 day

  12. Neurological Evaluation Scale; Sensory Integration

    Measuring the percent correct of auditory and visual integration; auditory stimuli partners are matched to visual stimuli; difficulty is increased with more complex patterns

    Time frame: Change from baseline to month follow-up

  13. Global Assessment of Function (GAF)

    Measuring global functioning; severity of symptoms related to day-to-day life on a scale of 0 to 100; higher scores represent higher severity of symptoms

    Time frame: Change from baseline to day 5

  14. Global Assessment of Function (GAF)

    Measuring global functioning; severity of symptoms related to day-to-day life on a scale of 0 to 100; higher scores represent higher severity of symptoms

    Time frame: Change from baseline to month follow-up

  15. Montgomery-Asberg Depression Rating Scale (MADRS)

    Measuring total depression scores; 10 item scale related to depressive episodes (total score 0-60); higher scores represent higher severity of symptoms

    Time frame: Change from baseline to 5 day

  16. Montgomery-Asberg Depression Rating Scale (MADRS)

    Measuring total depression scores; 10 item scale related to depressive episodes (total score 0-60); higher scores represent higher severity of symptoms

    Time frame: Change from baseline to month follow-up

  17. Young Mania Rating Scale (YMRS)

    Measuring total Mania scores; 11 items used to access severity of mania (total score 0-60); higher scores represent higher severity of symptoms

    Time frame: Change from baseline to 5 day

  18. Young Mania Rating Scale (YMRS)

    Measuring total Mania scores; 11 items used to access severity of mania (total score 0-60); higher scores represent higher severity of symptoms

    Time frame: Change from baseline to month follow-up

  19. Brief Assessment of Cognition (BACS)

    Measuring cognition; cognitive domains assessed include memory, working memory, processing speed, executive functions and verbal fluency. Higher scores indicate greater cognitive ability on a given task.

    Time frame: Change from baseline to 5 day

  20. Brief Assessment of Cognition (BACS)

    Measuring cognition; cognitive domains assessed include memory, working memory, processing speed, executive functions and verbal fluency. Higher scores indicate greater cognitive ability on a given task.

    Time frame: Change from baseline to month follow-up

  21. Symptom Checklist-90

    Measuring total psychiatric symptoms; 90 symptoms and evaluates nine symptomatic dimensions; higher scores represent higher severity of symptoms. Total score range 0 to 360

    Time frame: Change from baseline to 5 day

  22. Symptom Checklist-90

    Measuring total psychiatric symptoms; 90 symptoms and evaluates nine symptomatic dimensions; higher scores represent higher severity of symptoms.Total score range 0 to 360.

    Time frame: Change from baseline to month follow-up

07

Results

Posted Sep 17, 2025
Limitations and caveats
Small numbers of subjects analyzed due to funding for a pilot study. There was a technical problem related to the NES task which resulted in the data not being collected after the first subject.

Participant flow

Participants were recruited through patient conversations and advertisements.

Participant flow — Overall Study
MilestoneActive Stimulation With TDCSSHAM Stimulation
Started66
Baseline66
Day 566
1 month56
Completed66
Not completed00

Outcome measures

PrimaryPositive and Negative Syndrome Scale (PANSS)

Measuring total psychosis symptoms score (Total score minimum = 30, maximum = 210); General symptoms (minimum score = 16, maximum score = 112); Negative Symptoms (minimum score = 16, maximum score = 112); and Positive Symptoms (minimum score = 16, maximum score = 112); higher scores represent higher severity of symptoms

Time frame:
Change from baseline to day 5
Reported as:
Median · score on a scale
Positive and Negative Syndrome Scale (PANSS)
score on a scaleActive Stimulation With TDCSSHAM Stimulation
Baseline60.5 (47.75 to 77)60 (53.75 to 69.25)
Day 556 (44.25 to 75.25)63 (59 to 70)
PrimaryPositive and Negative Syndrome Scale (PANSS)

Measuring total psychosis symptoms score (Total score minimum = 30, maximum = 210); General symptoms (minimum score = 16, maximum score = 112); Negative Symptoms (minimum score = 16, maximum score = 112); and Positive Symptoms (minimum score = 16, maximum score = 112); higher scores represent higher severity of symptoms

Time frame:
Change from baseline to month follow-up
Reported as:
Median · score on a scale
Positive and Negative Syndrome Scale (PANSS)
score on a scaleActive Stimulation With TDCSSHAM Stimulation
Baseline60.5 (47.75 to 77)60 (53.75 to 69.25)
1 Month58.5 (47 to 67.75)70.5 (60.25 to 83.75)
PrimaryUniversity of Miami Parkinson's Disease Hallucinations Questionnaire (UM-PDHQ)

Measuring severity and duration of hallucinations; 20-item questionnaire to be used as a screening instrument to assess hallucinations (6 quantitative and 14 qualitative items); higher scores represent higher severity of symptoms. Total quantitative score (min = 0; max = 14).

Time frame:
Change from baseline to day 5
Reported as:
Median · score on a scale
University of Miami Parkinson's Disease Hallucinations Questionnaire (UM-PDHQ)
score on a scaleActive Stimulation With TDCSSHAM Stimulation
Baseline1.85 (1.725 to 2.025)1.9 (1.85 to 2.0125)
Day 51.3 (1.25 to 1.35)2 (1.8 to 2.2)
PrimaryUniversity of Miami Parkinson's Disease Hallucinations Questionnaire (UM-PDHQ)

Measuring severity and duration of hallucinations; 20-item questionnaire to be used as a screening instrument to assess hallucinations (6 quantitative and 14 qualitative items); higher scores represent higher severity of symptoms. Total quantitative score (min = 0; max = 14).

Time frame:
Change from baseline to month follow-up
Reported as:
Median · score on a scale
University of Miami Parkinson's Disease Hallucinations Questionnaire (UM-PDHQ)
score on a scaleActive Stimulation With TDCSSHAM Stimulation
Baseline1.85 (1.725 to 2.025)1.9 (1.85 to 2.0125)
1 Month1.4 (1.05 to 1.6875)2.35 (2.05 to 2.4)
Primary7-item Auditory Hallucinations Rating Scale (AHRS)

Measuring severity and duration of hallucinations; severity for each item is rated on a 7-point scale; higher scores represent higher severity of symptoms. Total score (0-41).

Time frame:
Change from baseline to day 5
Reported as:
Median · score on a scale
7-item Auditory Hallucinations Rating Scale (AHRS)
score on a scaleActive Stimulation With TDCSSHAM Stimulation
Baseline0 (0 to 0)8 (0 to 19.75)
Day 50 (0 to 0)6 (0 to 22.5)
Primary7-item Auditory Hallucinations Rating Scale (AHRS)

Measuring severity and duration of hallucinations; severity for each item is rated on a 7-point scale; higher scores represent higher severity of symptoms. Total score (0-41).

Time frame:
Change from baseline to month follow-up
Reported as:
Median · score on a scale
7-item Auditory Hallucinations Rating Scale (AHRS)
score on a scaleActive Stimulation With TDCSSHAM Stimulation
Baseline0 (0 to 0)8 (0 to 19.75)
1 Month0 (0 to 0)6 (0 to 23.25)
SecondaryAuditory Steady State Evoked Potential

Raw data was cleaned for artifacts (excessive noise) and segmented in cleaned epochs based on stimulus onset. Post preprocessing stages, the signal reported was derived from using a time-frequency transformation and analysis, which is conceptualized as oscillatory power in decibels (10\*log10) at a particular auditory frequency of interest.

Time frame:
Change from baseline to day 5
Reported as:
Mean · decibels
Auditory Steady State Evoked Potential
decibelsActive Stimulation With TDCSSHAM Stimulation
Baseline0.369044853 (0.091708253 to 0.624277228)0.434681797 (0.16328823 to 0.643059721)
Day0.259385513 (0.190658708 to 0.314372544)0.257550439 (-0.046862077 to 0.352363789)
SecondaryAuditory Steady State Evoked Potential

Raw data was cleaned for artifacts (excessive noise) and segmented in cleaned epochs based on stimulus onset. Post preprocessing stages, the signal reported was derived from using a time-frequency transformation and analysis, which is conceptualized as oscillatory power in decibels (10\*log10) at a particular auditory frequency of interest.

Time frame:
Change from baseline to month follow-up
Reported as:
Median · decibels
Auditory Steady State Evoked Potential
decibelsActive Stimulation With TDCSSHAM Stimulation
Baseline0.369044853 (0.091708253 to 0.624277228)0.434681797 (0.16328823 to 0.643059721)
1 Month0.307252913 (0.241709825 to 0.677070695)0.221649958 (-0.021732331 to 0.406676752)
SecondarySteady State Visual Evoked Potential

Raw data was cleaned for artifacts (excessive noise) and segmented in cleaned epochs based on stimulus onset. Post preprocessing stages, the signal reported was derived from using a time-frequency transformation and analysis, which is conceptualized as oscillatory power in decibels (10\*log10) at a particular visual frequency of interest.

Time frame:
Change from baseline to day 5
Reported as:
Median · decibels
Steady State Visual Evoked Potential
decibelsActive Stimulation With TDCSSHAM Stimulation
Baseline-0.62131125 (-0.726391384 to -0.074934424)-0.046333327 (-0.103732736 to 0.052670088)
Day 5-0.101487523 (-0.548558447 to 0.099856615)-0.061733608 (-0.291644849 to 0.143966164)
SecondarySteady State Visual Evoked Potential

Raw data was cleaned for artifacts (excessive noise) and segmented in cleaned epochs based on stimulus onset. Post preprocessing stages, the signal reported was derived from using a time-frequency transformation and analysis, which is conceptualized as oscillatory power in decibels (10\*log10) at a particular visual frequency of interest.

Time frame:
Change from baseline to month follow-up
Reported as:
Median · decibels
Steady State Visual Evoked Potential
decibelsActive Stimulation With TDCSSHAM Stimulation
Baseline-0.62131125 (-0.726391384 to -0.074934424)-0.046333327 (-0.103732736 to 0.052670088)
1 Month0.276320034 (0.09372428 to 0.34434154)-0.342125912 (-0.525993493 to -0.203782791)
SecondaryCross Modal Steady State Evoked Potential

Raw data was cleaned for artifacts (excessive noise) and segmented in cleaned epochs based on stimulus onset. Post preprocessing stages, the signal reported was derived from using a time-frequency transformation and analysis, which is conceptualized as oscillatory power in decibels (10\*log10) at a particular visual/auditory frequency of interest.

Time frame:
Change from baseline to day 5
Reported as:
Median · decibels
Cross Modal Steady State Evoked Potential
decibelsActive Stimulation With TDCSSHAM Stimulation
Baseline-0.129873057 (-0.351085988 to -0.039036888)-0.225582699 (-0.369160721 to -0.084290267)
Day 5-0.227227968 (-0.314087578 to -0.209605677)-0.309958523 (-0.479995017 to -0.140836317)
SecondaryCross Modal Steady State Evoked Potential

Raw data was cleaned for artifacts (excessive noise) and segmented in cleaned epochs based on stimulus onset. Post preprocessing stages, the signal reported was derived from using a time-frequency transformation and analysis, which is conceptualized as oscillatory power in decibels (10\*log10) at a particular visual/auditory frequency of interest.

Time frame:
Change from baseline to month follow-up
Reported as:
Median · decibels
Cross Modal Steady State Evoked Potential
decibelsActive Stimulation With TDCSSHAM Stimulation
Baseline-0.129873057 (-0.351085988 to -0.039036888)-0.225582699 (-0.369160721 to -0.084290267)
1 Month-0.372064254 (-0.395091449 to -0.264603929)-0.370288832 (-0.480430263 to -0.146267599)
SecondaryResting State EEG

Measuring neural activity at rest consisting of 5 minutes of eyes-open resting-state EEG (rsEEG) was recorded. Fast Fourier transformations were conducted on data, resulting in 4 frequency bands: delta/theta, alpha, beta, and gamma.

Time frame:
Change from baseline to 5 day
Reported as:
Median · microvolts
Resting State EEG
microvoltsActive Stimulation With TDCSSHAM Stimulation
Baseline Delta/Theta Range (1-8hz)-6.067479336 (-8.358364857 to -5.444418054)-9.836502863 (-10.87640284 to -6.060701682)
Day 5 Delta/Theta Range (1-8hz)-6.538377742 (-8.949555683 to -5.160262915)-8.837371992 (-11.64394669 to -7.549197399)
Baseline Alpha (8-12hz)-7.920960953 (-10.83320875 to -7.295414497)-11.66579035 (-13.69578824 to -7.820418988)
Day 5 Alpha (8-12hz)-7.433306198 (-10.21438969 to -7.043908117)-10.07675116 (-13.61574437 to -7.162213165)
Baseline Beta (13-30hz)-15.99107017 (-16.44864468 to -15.41891723)-17.88706322 (-18.60085714 to -16.64276514)
Day 5 Beta (13-30hz)-15.97882887 (-16.30148928 to -15.67218914)-17.45169236 (-17.80617123 to -15.82596502)
Baseline Gamma (30-55hz)-22.64365385 (-23.36454231 to -21.38378251)-22.02556837 (-24.09400191 to -20.51039388)
Day 5 Gamma (30-55hz)-23.79503055 (-24.38033537 to -20.99613743)-22.638985 (-23.25493645 to -21.12844812)
SecondaryResting State EEG

Measuring neural activity at rest consisting of 5 minutes of eyes-open resting-state EEG (rsEEG) was recorded. Fast Fourier transformations were conducted on data, resulting in 4 frequency bands: delta/theta, alpha, beta, and gamma.

Time frame:
Change from baseline to month follow-up
Reported as:
Median · microvolts
Resting State EEG
microvoltsActive Stimulation With TDCSSHAM Stimulation
Baseline Delta/Theta Range (1-8hz)-6.067479336 (-8.358364857 to -5.444418054)-9.836502863 (-10.87640284 to -6.060701682)
1 Month Delta/Theta Range (1-8hz)-5.891239776 (-7.30798828 to -4.582039071)-8.925939219 (-10.09990467 to -7.862654867)
Baseline Alpha (8-12hz)-7.920960953 (-10.83320875 to -7.295414497)-11.66579035 (-13.69578824 to -7.820418988)
1 Month Alpha (8-12hz)-9.390036281 (-10.94620211 to -8.24923518)-7.367402407 (-9.002447243 to -7.084971382)
Baseline Beta (12-30hz)-15.99107017 (-16.44864468 to -15.41891723)-17.88706322 (-18.60085714 to -16.64276514)
1 Month Beta (13-30hz)-16.0281252 (-17.60044849 to -15.79720705)-16.27626797 (-18.23084259 to -15.95296812)
Baseline Gamma (30-55hz)-22.64365385 (-23.36454231 to -21.38378251)-22.02556837 (-24.09400191 to -20.51039388)
1 Month Gamma (30-55hz)-23.89591029 (-24.94829518 to -22.12361733)-22.95515728 (-24.30097235 to -22.21405322)
SecondaryBiological Motion

Measuring the percent correct of detected motion by presenting a simulated walker; difficulty is increased by the level of random noise around stimuli. 20 trials are presented. Higher scores (0-100%) indicate a better ability to detect motion.

Time frame:
Change from baseline to 5 day
Reported as:
Median · percentage correct
Biological Motion
percentage correctActive Stimulation With TDCSSHAM Stimulation
Baseline87.5 (76.25 to 98.75)85 (61.25 to 93.75)
Day 595 (87.5 to 98.75)72.5 (51.25 to 93.75)
SecondaryBiological Motion

Measuring the percent correct of detected motion by presenting a simulated walker; difficulty is increased by the level of random noise around stimuli. 20 trials are presented. Higher scores (0-100%) indicate a better ability to detect motion.

Time frame:
Change from baseline to month follow-up
Reported as:
Median · percentage correct
Biological Motion
percentage correctActive Stimulation With TDCSSHAM Stimulation
Baseline87.5 (76.25 to 98.75)85 (61.25 to 93.75)
1 Month95 (87.5 to 95)85 (67.5 to 95)
SecondaryNeurological Evaluation Scale; Sensory Integration

Measuring the percent correct of auditory and visual integration; auditory stimuli partners are matched to visual stimuli; difficulty is increased with more complex patterns

Time frame:
Change from baseline to 5 day

No measurements were reported for this outcome.

SecondaryNeurological Evaluation Scale; Sensory Integration

Measuring the percent correct of auditory and visual integration; auditory stimuli partners are matched to visual stimuli; difficulty is increased with more complex patterns

Time frame:
Change from baseline to month follow-up

No measurements were reported for this outcome.

SecondaryGlobal Assessment of Function (GAF)

Measuring global functioning; severity of symptoms related to day-to-day life on a scale of 0 to 100; higher scores represent higher severity of symptoms

Time frame:
Change from baseline to day 5
Reported as:
Median · score on a scale
Global Assessment of Function (GAF)
score on a scaleActive Stimulation With TDCSSHAM Stimulation
Baseline60.5 (53.25 to 64)57.5 (43.75 to 60)
Day 560.5 (52.5 to 67.75)53 (42.75 to 58.75)
SecondaryGlobal Assessment of Function (GAF)

Measuring global functioning; severity of symptoms related to day-to-day life on a scale of 0 to 100; higher scores represent higher severity of symptoms

Time frame:
Change from baseline to month follow-up
Reported as:
Median · score on a scale
Global Assessment of Function (GAF)
score on a scaleActive Stimulation With TDCSSHAM Stimulation
Baseline60.5 (53.25 to 64)57.5 (43.75 to 60)
1 Month61.5 (56.25 to 68.25)54 (51.5 to 59.5)
SecondaryMontgomery-Asberg Depression Rating Scale (MADRS)

Measuring total depression scores; 10 item scale related to depressive episodes (total score 0-60); higher scores represent higher severity of symptoms

Time frame:
Change from baseline to 5 day
Reported as:
Median · score on a scale
Montgomery-Asberg Depression Rating Scale (MADRS)
score on a scaleActive Stimulation With TDCSSHAM Stimulation
Baseline7 (3.5 to 16.5)7.5 (4.75 to 10.25)
Day 56 (2.5 to 18.5)13.5 (5.5 to 20)
SecondaryMontgomery-Asberg Depression Rating Scale (MADRS)

Measuring total depression scores; 10 item scale related to depressive episodes (total score 0-60); higher scores represent higher severity of symptoms

Time frame:
Change from baseline to month follow-up
Reported as:
Median · score on a scale
Montgomery-Asberg Depression Rating Scale (MADRS)
score on a scaleActive Stimulation With TDCSSHAM Stimulation
Baseline7 (3.5 to 16.5)7.5 (4.75 to 10.25)
1 Month5.5 (4.25 to 19.5)13 (10.5 to 15.5)
SecondaryYoung Mania Rating Scale (YMRS)

Measuring total Mania scores; 11 items used to access severity of mania (total score 0-60); higher scores represent higher severity of symptoms

Time frame:
Change from baseline to 5 day
Reported as:
Median · score on a scale
Young Mania Rating Scale (YMRS)
score on a scaleActive Stimulation With TDCSSHAM Stimulation
Baseline2.25 (0.625 to 14)7 (3.625 to 11.875)
Day 51.25 (0.125 to 11.375)14 (6.375 to 14.875)
SecondaryYoung Mania Rating Scale (YMRS)

Measuring total Mania scores; 11 items used to access severity of mania (total score 0-60); higher scores represent higher severity of symptoms

Time frame:
Change from baseline to month follow-up
Reported as:
Median · score on a scale
Young Mania Rating Scale (YMRS)
score on a scaleActive Stimulation With TDCSSHAM Stimulation
Baseline2.25 (0.625 to 14)7 (3.625 to 11.875)
1 Month2 (1.25 to 10.25)8.75 (5.25 to 14.875)
SecondaryBrief Assessment of Cognition (BACS)

Measuring cognition; cognitive domains assessed include memory, working memory, processing speed, executive functions and verbal fluency. Higher scores indicate greater cognitive ability on a given task.

Time frame:
Change from baseline to 5 day
Reported as:
Median · z score on test
Brief Assessment of Cognition (BACS)
z score on testActive Stimulation With TDCSSHAM Stimulation
Baseline0.58 (-0.7075 to 1.005)-0.8 (-1.5325 to -0.4275)
Day 5-0.15 (-1.355 to 0.5375)-1.065 (-1.7775 to -0.5475)
SecondaryBrief Assessment of Cognition (BACS)

Measuring cognition; cognitive domains assessed include memory, working memory, processing speed, executive functions and verbal fluency. Higher scores indicate greater cognitive ability on a given task.

Time frame:
Change from baseline to month follow-up
Reported as:
Median · z score on test
Brief Assessment of Cognition (BACS)
z score on testActive Stimulation With TDCSSHAM Stimulation
Baseline0.58 (-0.7075 to 1.005)-0.8 (-1.5325 to -0.4275)
1 Month-0.07 (-0.5775 to 0.7525)-1.425 (-1.825 to -0.8225)
SecondarySymptom Checklist-90

Measuring total psychiatric symptoms; 90 symptoms and evaluates nine symptomatic dimensions; higher scores represent higher severity of symptoms. Total score range 0 to 360

Time frame:
Change from baseline to 5 day
Reported as:
Median · score on a scale
Symptom Checklist-90
score on a scaleActive Stimulation With TDCSSHAM Stimulation
Baseline56.5 (21.75 to 119.75)81.5 (56.5 to 95.25)
Day 533 (9.25 to 56)84.5 (69.25 to 95.25)
SecondarySymptom Checklist-90

Measuring total psychiatric symptoms; 90 symptoms and evaluates nine symptomatic dimensions; higher scores represent higher severity of symptoms.Total score range 0 to 360.

Time frame:
Change from baseline to month follow-up
Reported as:
Median · score on a scale
Symptom Checklist-90
score on a scaleActive Stimulation With TDCSSHAM Stimulation
Baseline56.5 (21.75 to 119.75)81.5 (56.5 to 95.25)
1 Month42 (16.5 to 102)95.5 (79.5 to 124.25)

Adverse events

Collected over Up to 1 month period after study participation. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Active Stimulation With TDCS0/6 (0%)0/6 (0%)0/6 (0%)
SHAM Stimulation0/6 (0%)0/6 (0%)2/6 (33.3%)
Most frequent other events
Most frequent other events
EventActive Stimulation With TDCSSHAM Stimulation
TinnitusEar and labyrinth disorders0/61/6
LightheadnessNervous system disorders0/61/6

Baseline characteristics

Age, Continuous
Age, Continuous(years)Active Stimulation With TDCSSHAM StimulationTotal
Mean36.7 ± 8.337.5 ± 14.837.1 ± 11.5
Sex: Female, Male
Sex: Female, Male(Participants)Active Stimulation With TDCSSHAM StimulationTotal
Female336
Male336
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Active Stimulation With TDCSSHAM StimulationTotal
Hispanic or Latino101
Not Hispanic or Latino5611
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)Active Stimulation With TDCSSHAM StimulationTotal
United States6612
Prior/Current Hallucinations
Prior/Current Hallucinations(Participants)Active Stimulation With TDCSSHAM StimulationTotal
Count of participants6612
08

Study locations

1 site
  • Beth Israel Deaconess Medical Center
    Boston, Massachusetts 02215, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2021 to primary completion in Jun 2025, 43 months.

Results were first posted in Sep 2025, 3 months after primary completion.

Of 53 non-industry interventional studies with no phase under Hallucinations, half reached primary completion within 37 months of starting (the median), counting those still running; a quarter within 20 and three quarters within 56. This study's 43 months is above that.

Counting every sponsor, half of 53 studies reached it within 37 months; a quarter within 20 and three quarters within 56.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 17, 2021
First posted
Dec 21, 2021
StartActual
Nov 1, 2021
Primary completionActual
Jun 1, 2025
CompletionActual
Jun 23, 2025
Results first posted
Sep 17, 2025
Last update
Sep 17, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 17, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05165654
Responsible party
Paulo Lizano (Assistant Professor, Beth Israel Deaconess Medical Center) — Principal investigator
First posted
Dec 21, 2021
Start date
Nov 1, 2021
Primary completion
Jun 1, 2025
Completion
Jun 23, 2025
Results posted
Sep 17, 2025
Last update
Sep 17, 2025

Study contacts

Paulo Lizano, MD, PhD
principal investigator · Beth Israel Deaconess Medical Center

Oversight

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

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