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CompletedNCT06124014Updated Mar 18, 2026

CES for the Treatment of GAD in Young Adults

An interventional study of At-Home Stimulation in Generalized Anxiety Disorder, sponsored by Electromedical Products International, Inc.. Completed at 1 site in United States. Open to participants aged 18 Years to 21 Years. Per ClinicalTrials.gov, last updated 2026-03-18.

Sponsored by Electromedical Products International, Inc. · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
130
Allocation
Randomized
Ages
18 Years to 21 Years
Sex
All
01

Study summary

The purpose of this research study is to study cranial electrotherapy stimulation (CES) to determine its effects on symptoms of anxiety in people with generalized anxiety disorder (GAD) between the ages of 18 - 21 years of age.

Read the detailed description

This study examines (1) the efficacy of CES with the Alpha-Stim AID ® for the treatment of GAD in young adults (18-21 years of age) in a double-blind, sham-controlled parallel group single-site clinical trial of 130 participants.

Participants will be randomized into receiving either active CES (at least 200uA, up to 500uA at 0.5Hz, 60 minutes daily for six weeks) or sham CES with the Alpha-Stim AID ® device at-home. Clinical assessments of anxiety symptoms are performed at Screening (for eligibility), Baseline, Follow-Up 1 (at completion of intervention, 6 weeks after initial stimulation), and Follow-Up 2 (12 weeks after initial stimulation). Additional assessments of depression symptoms and quality of life are included. Resting-state EEG will be collected at baseline and Follow-Up 1 (in up to 60 participants) for exploratory investigation of mechanism of action.

02

Conditions studied

  • Generalized Anxiety Disorder

Keywords

  • CES
03

In context

Generalized Anxiety Disorder

131 studies on the registry are indexed under Generalized Anxiety Disorder; 83 are open to participants now.

This study's enrollment of 130 is above the median of 100 across 105 interventional studies indexed under Generalized Anxiety Disorder.

Browse Generalized Anxiety Disorder studies →

Lead sponsor

Electromedical Products International, Inc. is the lead sponsor of 6 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 21 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Capable of signing informed consent form.
  • Stated willingness to comply with all study procedures and availability for the duration of the study including refraining from changes to treatment unless medically indicated and communicated to the study team.
  • Aged 18 - 21 at time of screening visit.
  • Diagnosis of generalized anxiety disorder (GAD).
  • At least mild-to-moderate symptom severity, as indicated by scores of 15 or higher on the clinician-administered HAM-A at the screening visit.
  • Concurrent psychiatric medications are allowed. Participants will be required to maintain a sable dose of medications, or remain medication free, for 2 weeks prior to the screening visit, except for antidepressants for which the period of stable dose is 4 weeks prior to screening visit. Concurrent psychotherapy is allowed.
  • People of reproductive potential must be willing to use effective contraception (evidence-based hormonal or barrier methods) for at least 1 month prior to the screening visit and agree to use such a method during study participation.

Exclusion criteria

Exclusion Criteria:

Time-frames are determined relative to the screening visit.

  • Current (any) or previous (> 7 stimulation sessions in last 6 weeks) use of a CES device.
  • Inability to tolerate the required minimum stimulation amplitude (200 uA) during the initial device training at the baseline visit.
  • Experimental or clinical brain stimulation such as deep brain stimulation or transcranial magnetic stimulation for any indication (current or within 60 days prior to screening visit).
  • Implanted medical device that uses electricity anywhere in the body.
  • Diagnosis (based on MINI) of bipolar I or II (past or current), moderate or severe alcohol use disorder (within 12 months prior to screening visit), moderate or severe (non-alcohol) substance use disorder (within 12 months prior to screening visit), psychotic disorder (current or lifetime), major depressive disorder with psychotic features, bipolar I with psychotic features, anorexia nervosa.
  • Epilepsy (current or history). History of febrile childhood seizures and non-epileptic seizures are allowed.
  • Pregnant or breast-feeding.
  • Enrollment in clinical trial for any condition (current or within 60 days prior to screening visit).
  • Hospitalization for any reason (current or past 2 weeks).
  • Self-harming behaviors (current or within two years prior to screening visit).
  • Higher than low suicide risk on the Columbia Suicide Severity Rating Scale (C-SSRS).
  • Known cardiac abnormality or clinically significant heart disease.
  • Anything that would make participation in the study unsafe or medically unadvisable in the assessment of a study clinician.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
130 participants (actual)

Study arms

  • Experimental
    Cranial Electrotherapy Stimulation (CES)

    Alpha-Stim AID ® is an FDA-cleared device for the treatment of anxiety that delivers CES through two earclip electrodes.

    Device: At-Home Stimulation

  • Sham comparator
    Sham Cranial Electrotherapy Stimulation (CES)

    The device for sham stimulation is physically identical and delivers a non-therapeutic dose of stimulation to replicate salient features of device usage.

    Device: At-Home Stimulation

Interventions

  • DeviceAt-Home Stimulation

    The stimulation paradigm in this trial consists of six weeks of daily, 60-minute at-home stimulation sessions.

06

What researchers measure

Primary outcomes

  1. Hamilton Anxiety Rating Scale (HAM-A) change

    Change in HAM-A between six-week follow-up (FU1) and baseline (D1); minimum value is 0, maximum value is 56. Higher scores indicate worse outcome.

    Time frame: 42 days

Secondary outcomes

  1. Hamilton Anxiety Rating Scale (HAM-A) change

    Change in HAM-A between twelve-week follow-up (FU2) and D1; minimum value is 0, maximum value is 56. Higher scores indicate worse outcome.

    Time frame: 84 days

  2. Beck Anxiety Inventory (BAI) Change

    Change in BAI between FU1 and D1; minimum value is 0, maximum value is 63. Higher scores indicate worse outcome.

    Time frame: 42 days

  3. Beck Anxiety Inventory (BAI) Change

    Change in BAI between FU2 and D1; minimum value is 0, maximum value is 63. Higher scores indicate worse outcome.

    Time frame: 84 days

  4. Generalized-Anxiety Disorder 7-item (GAD-7) Change

    Change in GAD-7 between FU1 and D1; minimum value is 0, maximum value is 21. Higher scores indicate worse outcome.

    Time frame: 42 days

  5. Generalized-Anxiety Disorder 7-item (GAD-7) Change

    Change in GAD-7 between FU2 and baseline D1; minimum value is 0, maximum value is 21. Higher scores indicate worse outcome.

    Time frame: 84 days

  6. Response/Remission of anxiety

    Response/remission rates based on HAM-A scores from FU1 versus baseline D1

    Time frame: 42 days

  7. Response/Remission of anxiety

    Response/remission rates based on HAM-A scores from FU2 versus baseline D1

    Time frame: 84 days

  8. Change in Clinical Global Impression Scale (CGI)

    Change in CGI from FU1 to D1; CGI scale contains two scoring components, 1) Severity of Illness (0-7) and 2) Global Improvement (0-7). Higher scores in component 1 indicate worse symptoms while higher numbers in component 2 indicate worse clinical outcomes.

    Time frame: 42 days

  9. Change in Clinical Global Impression Scale (CGI)

    Change in CGI from FU2 to baseline D1; CGI scale contains two scoring components, 1) Severity of Illness (0-7) and 2) Global Improvement (0-7). Higher scores in component 1 indicate worse symptoms while higher numbers in component 2 indicate worse clinical outcomes.

    Time frame: 84 days

  10. Change in Quality of Life Enjoyment and Satisfaction Questionnaire, short form (Q-LES-Q-SF)

    Change in Q-LES-Q-SF from FU1 to D1; minimum value is 14, maximum value is 70. Higher scores indicate better outcome.

    Time frame: 42 days

  11. Change in Quality of Life Enjoyment and Satisfaction Questionnaire, short form (Q-LES-Q-SF)

    Change in Q-LES-Q-SF from FU2 to D1; minimum value is 14, maximum value is 70. Higher scores indicate better outcome.

    Time frame: 84 days

07

Study locations

1 site
  • Carolina Center for Neurostimulation
    Chapel Hill, North Carolina 27516, United States
08

References and documents

Publications

  • Barclay TH, Barclay RD. A clinical trial of cranial electrotherapy stimulation for anxiety and comorbid depression. J Affect Disord. 2014 Aug;164:171-7. doi: 10.1016/j.jad.2014.04.029. Epub 2014 Apr 21. PubMed 24856571 ↗
  • Bandelow B, Michaelis S. Epidemiology of anxiety disorders in the 21st century. Dialogues Clin Neurosci. 2015 Sep;17(3):327-35. doi: 10.31887/DCNS.2015.17.3/bbandelow. PubMed 26487813 ↗
  • Goodwin RD, Weinberger AH, Kim JH, Wu M, Galea S. Trends in anxiety among adults in the United States, 2008-2018: Rapid increases among young adults. J Psychiatr Res. 2020 Nov;130:441-446. doi: 10.1016/j.jpsychires.2020.08.014. Epub 2020 Aug 21. PubMed 32905958 ↗
  • Hajek A, Sabat I, Neumann-Bohme S, Schreyogg J, Barros PP, Stargardt T, Konig HH. Prevalence and determinants of probable depression and anxiety during the COVID-19 pandemic in seven countries: Longitudinal evidence from the European COvid Survey (ECOS). J Affect Disord. 2022 Feb 15;299:517-524. doi: 10.1016/j.jad.2021.12.029. Epub 2021 Dec 15. PubMed 34920039 ↗
  • Garakani A, Murrough JW, Freire RC, Thom RP, Larkin K, Buono FD, Iosifescu DV. Pharmacotherapy of Anxiety Disorders: Current and Emerging Treatment Options. Front Psychiatry. 2020 Dec 23;11:595584. doi: 10.3389/fpsyt.2020.595584. eCollection 2020. PubMed 33424664 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06124014
Lead sponsor
Electromedical Products International, Inc.
Collaborators
University of North Carolina, Chapel Hill
Responsible party
Sponsor
First posted
Nov 9, 2023
Start date
Jan 26, 2024
Primary completion
Dec 17, 2025
Completion
Jan 21, 2026
Last update
Mar 18, 2026

Study contacts

Samantha Meltzer-Brody, MD
principal investigator · University of North Carolina, Chapel Hill

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 Feb 2025. You cannot join it, but the record below documents what was studied.

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