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RecruitingNCT06470516Updated Mar 2, 2026

The Hi-tACS on Cognitive Function in Patients With Schizophrenia

An interventional study of high-frequency transcranial alternating current stimulation and sham high-frequency transcranial alternating current stimulation in Schizophrenia, sponsored by Sir Run Run Shaw Hospital. Recruiting at 2 sites in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-02.

Sponsored by Sir Run Run Shaw Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Mar 2026, 6 months ago, but the record still lists the study as recruiting.
  • Started Apr 2024; still recruiting 2 years 6 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study is a double-blind, randomized, controlled intervention study aimed at exploring whether high-frequency transcranial alternating current stimulation (Hi-tACS) can improve cognitive impairment in patients with schizophrenia.

Read the detailed description

Schizophrenia is a chronic, severe mental disorder characterized by a high suicide rate and significant disability. Cognitive impairment is one of the core symptoms of schizophrenia, with approximately 98% of patients experiencing a decline in cognitive function compared to pre-illness levels. Research has found that individuals with schizophrenia show significant impairments in seven domains, including reaction time, attention, working memory, verbal learning and memory, visual learning and memory, logical reasoning, and social cognition.

Pharmacological treatment remains the primary approach for managing schizophrenia. However, cognitive impairment in individuals with schizophrenia often does not respond well to medication. Additionally, electroconvulsive therapy (ECT) may have potential cognitive side effects. Transcranial alternating current stimulation (tACS), a form of noninvasive brain stimulation, has been found in several studies to improve cognition. However, its effectiveness is not yet clear.

Conventional tACS utilizes weak currents below 4mA, which can only directly stimulate certain cortical areas and indirectly stimulate deep brain structures. Moreover, the targeting of specific brain regions can be complex, and users may experience a sensation of heat on the skin where the electrodes come into contact.High-frequency transcranial alternating current stimulation (Hi-tACS) employs electrical currents greater than 10mA, typically ranging from 10-15mA. Unlike conventional tACS, Hi-tACS can apply stimulation to the entire brain, potentially enhancing its therapeutic effects. Moreover, Hi-tACS does not require precise targeting and is generally well-tolerated without any discomfort during the stimulation. It is considered a promising and potentially safe treatment modality for cognitive impairment in schizophrenia.

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Conditions studied

  • Schizophrenia

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03

In context

Schizophrenia

3,471 studies on the registry are indexed under Schizophrenia; 472 are open to participants now.

This study's planned enrollment of 100 is above the median of 70 across 2,872 interventional studies indexed under Schizophrenia.

Browse Schizophrenia studies →

Lead sponsor

Sir Run Run Shaw Hospital is the lead sponsor of 123 studies on the registry; 64 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Meets the diagnostic criteria for schizophrenia according to DSM-5.
  2. Age ≥ 18 years old.
  3. Right-handed.
  4. Willing to participate in this study and sign an informed consent form. If the participant is unable to read and sign the informed consent form due to lack of capacity, a legal guardian must act as a proxy during the informed consent process and sign the form.
  5. Clinically stable, receiving antipsychotic medication treatment with a stable dose for 4 weeks without any changes.
  6. Montreal Cognitive Assessment score ≥ 10 points.

Exclusion criteria

Exclusion Criteria:

  1. Psychotic disorders caused by split affective disorder, bipolar disorder, intellectual disability, anxiety spectrum disorders, drugs, alcohol, and other psychoactive substances according to DSM-V diagnostic criteria.
  2. Those with severe or unstable organic diseases, with a history of brain tumors or epilepsy.
  3. Those who have received MECT or TMS treatment within 1 month before enrollment.
  4. Skin integrity at the electrode placement site is compromised. Allergy to electrode gel or adhesive.
  5. Implants of metal or electronic devices (such as pacemakers, cochlear implants, deep brain stimulators, aneurysm clips, internal fixation devices after ventriculoperitoneal shunt surgery, etc.).
  6. Participation in any other clinical trials within 1 month prior to baseline.
  7. Pregnant and lactating women.
  8. The investigator believes that there are inappropriate conditions for participating in this study.
05

Study design

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

Study arms

  • Active comparator
    treatment arm

    The frequency of the stimulation was 77.5Hz and the intensity was 15mA. Each participant was treated twice a day for 40 minutes each time, with an interval of more than 3 hours between the two sessions for 30 days

    Device: high-frequency transcranial alternating current stimulation

  • Sham comparator
    sham-treatment arm

    The frequency of the stimulation was 77.5Hz and the intensity was 0mA. Each participant was treated twice a day for 40 minutes each time, with an interval of more than 3 hours between the two sessions for 30 days

    Device: sham high-frequency transcranial alternating current stimulation

Interventions

  • Devicehigh-frequency transcranial alternating current stimulation

    The experimental group received real stimulation of high-frequency transcranial alternating current stimulation (Hi-tACS).The treatment duration is 30 days, with two sessions per day, each lasting 40 minutes.The experimental group received Hi-tACS with parameters set at 77.5Hz and 15mA.

  • Devicesham high-frequency transcranial alternating current stimulation

    The the control group received sham stimulation of high-frequency transcranial alternating current stimulation (Hi-tACS).The treatment duration is 30 days, with two sessions per day, each lasting 40 minutes.The experimental group received Hi-tACS with parameters set at 0mA

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What researchers measure

Primary outcomes

  1. scores of Repeatable Battery for the Assessment of Neuropsychological Status

    The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) is a standardized cognitive assessment tool used in clinical and research settings. It evaluates cognitive abilities such as attention, memory, language, and visuospatial skills. The RBANS consists of 12 subtests and takes about 45-60 minutes to complete. It is efficient, providing a comprehensive assessment of cognitive functioning. The RBANS is extensively validated and normed, making it reliable for assessing cognitive performance. It provides standardized scores for comparison with peers, making it useful for detecting cognitive impairments. Overall, the RBANS is a valuable tool for evaluating cognitive functioning and tracking changes over time.

    Time frame: 20 days of treatment

  2. functional near-infrared spectroscopy

    Functional near-infrared spectroscopy (fNIRS) measures the oxygen content of the cerebral cortex and provides the values of oxy-emoglobin and deoxygenatedhemoglobin in real time, indicating the level of brain activity

    Time frame: 20 days of treatment

Secondary outcomes

  1. scores of Montreal Cognitive Assessment Scale

    The Montreal Cognitive Assessment Scale (MoCA) is a cognitive screening tool widely used to assess the cognitive function of individuals. It includes various tasks that evaluate different cognitive domains such as attention, memory, language, and visuospatial abilities. The scoring range for the MoCA is from 0 to 30, with a higher score indicating better cognitive function.

    Time frame: 1 day before the start of the treatment, 20 days of treatment, 30 days after treatment

  2. scores of Positive and Negative Syndrome Scale

    The Positive and Negative Syndrome Scale (PANSS) is a clinical assessment tool used to evaluate symptoms in individuals with psychiatric disorders such as schizophrenia. It assesses positive symptoms (e.g., hallucinations, delusions), negative symptoms (e.g., reduced emotions, social withdrawal), and general psychopathology (e.g., anxiety, depression). The PANSS consists of 30 items rated on a 7-point scale. It helps clinicians and researchers understand the severity and frequency of symptoms, track changes over time, and evaluate treatment effectiveness.

    Time frame: 1 day before the start of the treatment, 20 days of treatment, 30 days after treatment

  3. scores of Auditory Hallucinations Rating Scale

    The Auditory Hallucinations Rating Scale (AHRS) is a standardized assessment tool used to measure the severity and characteristics of auditory hallucinations in individuals with psychiatric conditions. It includes items that assess the frequency, duration, content, and distress associated with auditory hallucinations. The scale provides a quantitative evaluation of these experiences and can be valuable in diagnosis, treatment planning, and outcome evaluation. The AHRS has demonstrated reliability and validity, making it a valuable tool for both research and clinical settings.

    Time frame: 1 day before the start of the treatment, 20 days of treatment, 30 days after treatment

  4. scores of Hamilton Anxiety Scale

    The Hamilton Anxiety Scale (HAMA) is a widely used assessment tool for measuring the severity of anxiety symptoms. It consists of 14 items that assess various psychological and physical symptoms of anxiety. The scale is administered through a semi-structured interview, and each item is rated on a scale of 0 to 4 based on symptom severity. The HAM-A is reliable and valid, making it a valuable tool for monitoring symptom changes and evaluating treatment effectiveness in research and clinical settings

    Time frame: 1 day before the start of the treatment, 20 days of treatment, 30 days after treatment

  5. scores of Hamilton Depression Scale

    The Hamilton Depression Scale (HAMD) is a widely used assessment tool for measuring the severity of depressive symptoms. It consists of multiple items that assess various psychological and physical symptoms of depression. Each item is rated on a scale of 0 to 4 based on symptom severity. The HAMD is administered through a semi-structured interview and is reliable and valid. It is commonly used in research and clinical settings to monitor symptom changes and evaluate treatment effectiveness.

    Time frame: 1 day before the start of the treatment, 20 days of treatment, 30 days after treatment

  6. scores of Pittsburgh sleep quality index

    The Pittsburgh Sleep Quality Index (PSQI) is a widely used questionnaire for assessing sleep quality in adults. It consists of 19 items that evaluate various aspects of sleep, including subjective quality, duration, efficiency, disturbances, medication use, and daytime dysfunction. The items are rated on a scale of 0 to 3, and the scores are summed for a global score between 0 and 21. The PSQI is a reliable tool used in research and clinical settings to assess sleep quality, including both subjective and objective components. It is a convenient self-administered questionnaire that has been used to measure sleep disturbances and evaluate sleep disorder interventions

    Time frame: 1 day before the start of the treatment, 20 days of treatment, 30 days after treatment

  7. The Clinical Assessment Interview for Negative Symptoms

    The Clinical Assessment Interview for Negative Symptoms (CAINS) means that evaluator uses standardized scale instructions to ask participants specific questions and assess the negative symptoms.

    Time frame: 1 day before the start of the treatment, 20 days of treatment, 30 days after treatment

  8. Magnetic resonance imaging

    Resting state magnetic resonance imaging of the subjects was collected

    Time frame: 1 day before the start of the treatment, 20 days of treatment

  9. Brain-derived neurotrophic factor

    Blood samples of the subjects were collected for brain-derived neurotrophic factor

    Time frame: 1 day before the start of the treatment, 20 days of treatment, 30 days after treatment

07

Study locations

2 of 2 sites recruiting
  • Sir Run Run Shaw Hospital
    Hanzhou, Zhejiang 310020, China
    Recruiting
  • Quzhou Third Hospital
    Quzhou, Zhejiang 324003, China
    • Xiaofeng Gao · Contact
    Recruiting
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 Mar 2, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06470516
Lead sponsor
Sir Run Run Shaw Hospital
Collaborators
Quzhou Third hospital, Taizhou Second People's Hospital, the Seventh Hospital of Shaoxing City
Responsible party
Jinsong Tang (Deputy chief physician, Sir Run Run Shaw Hospital) — Principal investigator
First posted
Jun 24, 2024
Start date
Apr 1, 2024
Primary completion
Mar 31, 2026 (estimated)
Completion
Apr 1, 2026 (estimated)
Last update
Mar 2, 2026

Study contacts

Jinsong Tang, Doctorate
Contact
tangjinsong@zju.edu.cn
+8613627311963

Oversight

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

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