ClinicalTrials.gg
Active, not recruitingNCT05232877FAME3Updated Nov 26, 2025

Effects of t-DCS and Cognitive Training on Apathy in Elderly With Minor Neurocognitive Impairment

An interventional study of SHAM tDCS and tDCS in Apathy and Neurocognitive Disorders, sponsored by Centre Hospitalier Universitaire de Nice. Active, not recruiting at 1 site in France. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2025-11-26.

Sponsored by Centre Hospitalier Universitaire de Nice · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
27
Allocation
Randomized
Ages
65 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 43 studies in Neurocognitive Disorders with a site in France — 20 open to participants now, 23 under way, none of them phase 3. Neurocognitive Disorders · France.

Enrollment
21st of 24
27 · median 58
Started
2022
with 7 others
No phase
13 of 43
6 open now
Primary completion
2025-04
later than 4 of 22 live
Registered
19th of 43
by date
Lead sponsor
6 of 43
Centre Hospitalier Universitaire de Nice

Among the 43 studies in Neurocognitive Disorders with a site in France, this one is the 21st largest by enrollment of the 24 interventional ones that give a count, is one of 8 that started in 2022, is one of 13 with no phase, reaches primary completion later than 4 of the 22 other live ones, and was the 19th registered.

Neurocognitive Disorders

274 studies on the registry are indexed under Neurocognitive Disorders; 90 are open to participants now.

Browse Neurocognitive Disorders studies →

Open to participants now

20 of the 43 studies in Neurocognitive Disorders with a site in France are open now. Recruiting first, the newest first:

15 more — sign in →

All 20 open studies →

A study can be open while its sites in France have not opened yet or have stopped. Only those recruiting at a site in France →

Who these studies take

Of the 60 Neurocognitive Disorders studies recruiting now, 37 (62%) set no upper age limit and 2 (3%) stop at 75 or younger; 4 take children under 18; 17 take healthy volunteers.

This study: 65 Years and older · all sexes · no healthy volunteers.

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02

Study summary

Transcranial direct current stimulation (tDCS) is a non-invasive brain stimulation technique using a low intensity electric current to modify cortical excitability. Apathy is a pervasive neuropsychiatric symptom characterized by a reduction in goal-directed behavior and activity that persists over time and causes identifiable functional impairment. The aim of this study is to evaluate the effects of repeated sessions of tDCS combined with simultaneous cognitive training on apathy in older people with minor neurocognitive disorders.

Read the detailed description

Transcranial direct current stimulation (tDCS) is a non-invasive brain stimulation technique using a low intensity electric current to modify cortical excitability. There is growing interest for tDCS for psychiatric illnesses, notably for depression.

Apathy is a pervasive neuropsychiatric symptom characterized by a reduction in goal-directed behavior and activity that persists over time and causes identifiable functional impairment. tDCS could be a promising new area for non-pharmacological treatment of apathy.

The aim of this study is to evaluate the effects of repeated sessions of tDCS combined with simultaneous cognitive training on apathy in older people with minor neurocognitive disorders. For this, 30 apathetic subjects with minor neurocognitive disorders will be included and randomized between two groups. The intervention group will follow sessions of tDCS combined with a simultaneous cognitive training on tablet. The control group will follow cognitive training with a combined sham tDCS. Intervention will last for 4-week with 3 sessions per week (12 sessions). Stimulation will be performed with Startim 20 (Neuroelectrics®) which is approved by the European Union as a Class IIa medical device and meeting European safety standards. Stimulation will last for 20 minutes and the dorsolateral prefrontal cortex (F3) will be targeted. For the intervention group, the electric current will be 2mA. Assessments will be done at baseline, just after the end of intervention and 3 months after intervention. Apathy, daily functional motor behaviors, cognitive functions and fatigue will be assessed with clinician assessment, self-administered questionnaires, ambulatory actigraphy and cognitive tests. The assessments and the intervention will be done by different people. Study will be a double-blind randomized controlled trial.

03

Conditions studied

  • Apathy
  • Neurocognitive Disorders
04

Who can participate

Ages eligible
65 Years and older
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

  • Age ≥ 65 years
  • Subject consulting in one of the investigating centers
  • Clinical diagnosis of Minor Neurocognitive Disorder according to DSM 5 criteria (APA, 2013)
  • Apathetic syndrome defined according to the Diagnostic Criteria for Apathy (Miller \& al., 2021)
  • Subject who can read and write French
  • Subjects who are beneficiaries of a social security plan
  • Signature of free and

Exclusion criteria

Exclusion Criteria:

  • Current clinical diagnosis of a depressive episode characterized by DSM 5 criteria (APA, 2013)
  • Known diagnosis of schizophrenia, bipolar disorder, substance abuse or dependence
  • Significant sensory or motor impairment
  • Subject under guardianship, conservatorship, or conservatorship
  • Active smoking or smoking cessation of less than one year
  • to the practice of tDCS: history of intracranial hypertension, neurosurgery, metallic implant at the cephalic level, pacemaker
  • Unbalanced epilepsy
  • Severe somatic disease not stabilized
  • Previous use of tDCS (problem of maintaining the integrity of the blinding procedure)
  • Scalp skin disease
  • Concurrent participation in another drug research study or any other study that may interfere with study results
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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

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

Study arms

  • Experimental
    tDCS combined with simultaneous cognitive training

    Other: tDCS

  • Sham comparator
    cognitive training with a combined sham tDCS

    Other: SHAM tDCS

Interventions

  • OtherSHAM tDCS

    The control group will follow cognitive training with a combined sham tDCS. Intervention will last for 4-week with 3 sessions per week (12 sessions).

  • OthertDCS

    The intervention group will follow sessions of tDCS combined with a simultaneous cognitive training on tablet

06

What researchers measure

Primary outcomes

  1. Apathy Inventory (Robert et al., 2002), clinician version

    The Apathy Inventory scored from 0 (No problem) to 4 (major problem) the 3 dimensions of apathy: the emotional blunting, the loss of initiative and the loss of interest. A higher total score indicates a greater severity.

    Time frame: Changes from baseline severity of apathy at 4 weeks and 18 weeks are assessed (12 weeks after the end of intervention)

Secondary outcomes

  1. Assessment of neuropsychiatric symptoms

    Clinician assess behavioral symptoms and scored the severity from 0 to 3.

    Time frame: Changes from baseline severity of apathy at 4 weeks and 18 weeks are assessed (12 weeks after the end of intervention)

  2. Assessment of the global cognitive functioning

    Mini mental state examination (MMSE): test for asses the global cognitive functioning Unit of measure: score Scored from 0 to 30. A lower score indicate lower performance in global cognitive functioning.

    Time frame: Changes from baseline severity of apathy at 4 weeks and 18 weeks are assessed (12 weeks after the end of intervention)

  3. Assessment of cognitive functions with FAB

    Frontal assessment battery (FAB): test for asses global executive functions Unit of measure: score Scored from 0 to 18. A lower score indicate lower performance in global executive functions.

    Time frame: Changes from baseline severity of apathy at 4 weeks and 18 weeks are assessed (12 weeks after the end of intervention)

  4. Assessment of episodic memory

    Grober and Bruschke test : test for asses episodic memory Unit of measure: score Scored from 0 to 48. A lower score indicate lower performance in episodic memory

    Time frame: Changes from baseline severity of apathy at 4 weeks and 18 weeks are assessed (12 weeks after the end of intervention)

  5. Assessment of attention and mental flexibilty

    Trail Making test A\_b: test for attention and mental flexibilty Unit of measure: time to realize the test A longer time indicate a lower performance in attention and mental flexibility.

    Time frame: Changes from baseline severity of apathy at 4 weeks and 18 weeks are assessed (12 weeks after the end of intervention)

  6. Assessment of working memory

    Empan de chiffres: test for asses working memory Unit of measure: score A lower score indicate a lower performance in working memory

    Time frame: Changes from baseline severity of apathy at 4 weeks and 18 weeks are assessed (12 weeks after the end of intervention)

  7. Assessment of verbal fluency

    Fluency test: test for asses verbal fluency Unit of measure: number of words produced by the participant into 60 seconds A lower score indicate a lower performance.

    Time frame: Changes from baseline severity of apathy at 4 weeks and 18 weeks are assessed (12 weeks after the end of intervention)

  8. Assessment of language

    Test de "dénomination d'image": test for asses language Unit of measure: score A lower score indicate a lower performance.

    Time frame: Changes from baseline severity of apathy at 4 weeks and 18 weeks are assessed (12 weeks after the end of intervention)

  9. Assessment of fatigue with Multidimensional fatigue inventory (MFI)

    Multidimensional fatigue inventory (MFI): 20-item self-report questionnaire for measuring five dimensions of fatigue. Each subscale contains four items, which are scored on a five-point Likert-scale. Scores range from 4 (absence of fatigue) to 20 (maximum fatigue) for each subscale. Unit of measure: score

    Time frame: Changes from baseline severity of apathy at 4 weeks and 18 weeks are assessed (12 weeks after the end of intervention)

  10. Assessment of fatigue with 15-sec Sustained maximal handgrip contraction

    15-sec Sustained maximal handgrip contraction: The decrease in force during the 15-s was used as the indicator of fatigability. Measure: performance for the test: The decrease in force during the 15-s was used as the indicator of fatigability. It was computed as the difference between the area under constant curve equal to the maximal grip force and the area under the force-time curve of 15-s

    Time frame: Changes from baseline severity of apathy at 4 weeks and 18 weeks are assessed (12 weeks after the end of intervention)

  11. Assessment of daily physical activity

    Actigraphy: assessment of time physical activity of light, moderate and vigorous intensity and sedentary time in daily life in minute and % of daily activity.

    Time frame: Changes from baseline severity of apathy at 4 weeks and 18 weeks are assessed (12 weeks after the end of intervention)

  12. Assessment of tDCS adverse effects questionnaire

    tDCS adverse effects questionnaire: questionnaire for asses the tDCS adverse effects. It is a 11-item scale. Each item corresponds to an adverse effect. Each item is scored from 1 (absence of the adverse effect) to 4 (severe). If the adverse effect is present (score\>1) the clinician scored if this is related to tdCS from 0 (none) to 5 (definite). A higher score indicate more adverse effects. Unit of measure: score

    Time frame: Changes from baseline severity of apathy at 4 weeks and 18 weeks are assessed (12 weeks after the end of intervention)

07

Study locations

1 site
  • Centre Memoire Ressources et Recherche, CHU de Nice
    Nice, 06000, France
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

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 Apr 2022 to primary completion in Apr 2025, 35 months.

Of 80 non-industry interventional studies with no phase under Neurocognitive Disorders, half reached primary completion within 32 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 46. This study's 35 months is close to that.

Counting every sponsor, half of 83 studies reached it within 32 months; a quarter within 17 and three quarters within 46.

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

Registered
Dec 21, 2021
First posted
Feb 10, 2022
StartActual
Apr 5, 2022
Primary completionActual
Apr 4, 2025
CompletionEst.
Jun 10, 2026
Last update
Nov 26, 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 Nov 26, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05232877
Responsible party
Sponsor
First posted
Feb 10, 2022
Start date
Apr 5, 2022
Primary completion
Apr 4, 2025
Completion
Jun 10, 2026 (estimated)
Last update
Nov 26, 2025

Study contacts

Eric ETTORE, MD
principal investigator · Nice University Hospital

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Nov 2025. You cannot join it, but the record below documents what was studied.

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