ClinicalTrials.gg
RecruitingNCT06843252Updated Feb 11, 2026

Home-based TDCS (Transcranial Direct Current Stimulation) for Cognitive and Behavioral Symptoms in Huntington's Disease

An interventional study of Transcranial direct current stimulation (tDCS) and Sham tDCS in Huntington Disease, sponsored by The University of Texas Health Science Center at San Antonio. Recruiting at 1 site in United States. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2026-02-11.

Sponsored by The University of Texas Health Science Center at San Antonio · Not applicable, Interventional, and Device feasibility

From the registry’s dates

  • Started Sep 2025; still recruiting 1 year 2 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
16
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
01

Study summary

The researchers hope to find out effects of transcranial direct current stimulation (tDCS) sessions on the behavioral symptoms of Huntington's Disease. If participants are eligible to continue, they will be provided a device to administer the tDCS for 30 minutes each day and be asked to answer questions with the study staff . Participants will be asked to return to the study center for follow ups and to undergo additional cognitive tests and questionnaires. Participants will also be asked to answer questionnaires via a web conferencing platform (Zoom) during the course of the study. Caregivers of the participants will be asked to answer questionnaires to collect more information about the participants.

Read the detailed description

This clinical trial will investigate the effects of transcranial direct current stimulation (tDCS) over cognitive and behavioral symptoms of patients with Huntington's disease (HD). The study will also investigate underlying neurobiological mechanisms of tDCS in HD.

02

Conditions studied

  • Huntington Disease

Keywords

  • Transcranial direct current stimulation
  • Home-based
  • Behavioral symptoms
  • Cognitive symptoms
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In context

Huntington Disease

293 studies on the registry are indexed under Huntington Disease; 54 are open to participants now.

This study's planned enrollment of 16 is below the median of 40 across 207 interventional studies indexed under Huntington Disease.

Browse Huntington Disease studies →

Lead sponsor

The University of Texas Health Science Center at San Antonio is the lead sponsor of 445 studies on the registry; 89 are open to participants now.

Of its 65 completed or terminated interventional studies of FDA-regulated products, 35 (54%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 85 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. individuals aged 18-85 years with confirmed HD mutation and/or established family history alongside typical symptoms (i.e., chorea) of HD;
  2. early (stages 1 and 2) or moderate (stage 3) stages according to Shoulson-Fahn criteria, also known as the UHDRS total functional capacity (TFC) scale (Bates, Tabrizi, and Jones 2014);
  3. exhibit mild to moderate behavioral symptoms defined by severity scores in the PBA-S between 1 and 3 for any of the evaluated symptoms and no symptoms with a severity score of 4;
  4. stable doses of medications for at least one month.
  5. Ability of subject to understand and the willingness to sign a written document.
  6. Have a caregiver willing to be present during tDCS sessions and answer questionnaires.

Caregiver

  1. An adult who serves as an unpaid caregiver for an individual enrolled in the study as interpreted by the PI or delegate physician.
  2. Adequate cognitive capacity to provide verbal consent to participate in the caregiver arm of the study.
  3. Adequate reading, writing, hearing, and verbal capacity to provide collateral information about the study participant as well as answer questions related to their health and care.

Exclusion criteria

Exclusion Criteria:

  1. Unstable medical conditions (e.g. unstable angina, uncontrolled diabetes and hypertension, advanced cancer, etc.);
  2. History of epilepsy;
  3. Clinical diagnosis of major cognitive disorder (i.e., dementia);
  4. Have risk of suicidal behavior, defined as any suicidal behavior or suicidal ideation of type 4 (active suicidal ideation with some intent to act, without specific plan) or type 5 (active suicidal ideation with specific plan and intent) based on the Columbia-Suicide Severity Rating Scale (C-SSRS) in the 3 months prior to screening (Posner et al. 2011);
  5. Being an active participant in other therapeutic clinical trial;
  6. Determined to be incapable of consent per PMH or via assessment by the study staff at time of consent.
  7. Participant has a pacemaker or any other implanted device/material in the use of tDCS per current labeling requirements.

Caregiver

1. Any individual who does not meet all the inclusion criteria

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
Device feasibility
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Investigator)
Enrollment
16 participants (estimated)

Study arms

  • Experimental
    Active TDCS treatment

    The active-tDCS treatment will consist of a constant 2mA current applied during 30-minute sessions with a 30 second ramp up and ramp down at the start and end of the stimulation.

    Device: Transcranial direct current stimulation (tDCS)

  • Sham comparator
    Sham TDCS treatment

    Sham-tDCS treatment will consist of the same montage as the active TDCS with the built-in function of the device that has been shown to be indistinguishable from the active treatment in previous trials described in the literature.

    Device: Sham tDCS

Interventions

  • DeviceTranscranial direct current stimulation (tDCS)

    The active-tDCS treatment will consist of a constant 2mA current applied during daily 30-minute sessions with a 30 second ramp up and ramp down at the start and end of the stimulation. The anode electrode will be placed over the left dorsolateral prefrontal cortex (DLPFC) and the cathode electrode over the right DLPFC.

    Also known as: tDCS

  • DeviceSham tDCS

    Sham-tDCS treatment will consist of the same montage as the active TDCS with the built-in function of the device that has been shown to be indistinguishable from the active treatment in previous trials described in the literature.

    Also known as: Control

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What researchers measure

Primary outcomes

  1. Percentage of Participants that met Inclusion Criteria

    Percentage of participants screened that met Inclusion Criteria

    Time frame: Baseline

  2. Percentage of Participants that Agreed to Randomization

    Percentage of eligible participants that were screened and met eligibility that agreed to be randomized.

    Time frame: Baseline

  3. Completed period 1 of study

    Percentage of participants who completed first 2 weeks of treatment or sham

    Time frame: Day 13

  4. Completed period 2 of study

    Percentage of participants that completed both the first period, the washout period and the second period of the study

    Time frame: Day 35

  5. Completion of study to last visit

    Percentage of participants that completed study from randomization to tDCS/Sham crossed over to alternate treatment/sham and returned for final visit

    Time frame: Day 36 (or day 37)

  6. TDCS Acceptability Scale

    This Likert scale scores 10 items for user acceptability. Each item is scored from 0-10 giving. Some items have negative valence, in which lower scores indicate higher acceptability. An averaged of adjusted scores for all items is calculated to produce a global acceptability score ranging from 0 to 10. A higher score on the global score indicates better acceptability.

    Time frame: Day 14 and Day 35

  7. tDCS Side Effects Scale

    This Likert scale includes 10 items scored from 0-10 for possible side effects. The first 9 items include a list of possible side effects and the last item is free field for the report of any additional side effects. Lower scores indicate less intensity of side effects. Scores will be reported for each individual item.

    Time frame: Day 8, 14, 29 and 35

Secondary outcomes

  1. Problem Behaviors Assessment Scale (PBA-S)

    This scale rates the participant's average behavior over the past weeks by taking into account the severity and frequency of a range of psychiatric symptoms. There are 11 items assessed with a possible total score range of 0-176. A lower score indicates less psychiatric symptoms.

    Time frame: Baseline, and days 14, 22, and 35.

  2. Frontal Assessment Battery (FAB)

    This scale is a brief cognitive and behavioral battery. The total maximum score is 18, with higher scores indicating better performance.

    Time frame: Baseline, and days 14 and 35.

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Study locations

1 of 1 sites recruiting
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References and documents

Individual participant data

Plan to share: Yes — Data collected for this study will be analyzed and stored at the Glenn Bigs Institute for Alzheimer's and Neurodegenerative diseases at UT Health San Antonio. After the study is completed, the de-identified, archived data will be transmitted to and stored at the Glenn Bigs Institute for Alzheimer's and Neurodegenerative diseases at UT Health San Antonio, for use by other researchers including those outside of the study. Permission to transmit data to the Glenn Biggs Institute for Alzheimer's and Neurodegenerative diseases at UT Health San Antonio will be included in the informed consent.

Supporting information: Study protocol, Statistical analysis plan

Time frame: When the study is completed and data is analyzed.

No publications or documents are linked to this record.

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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

Started Sep 2025 (actual). Primary completion is estimated for Dec 2026, 15 months after the start.

Of 33 interventional studies with no phase under Huntington Disease, half reached primary completion within 32 months of starting (the median), counting those still running; a quarter within 19 and three quarters within 36. This study's planned 15 months is below that.

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

Registered
Jan 24, 2025
First posted
Feb 24, 2025
StartActual
Sep 2, 2025
Primary completionEst.
Dec 2026
CompletionEst.
Jun 2027
Last update
Feb 11, 2026
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 Feb 11, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06843252
Collaborators
Huntington's Disease Society of America
Responsible party
Sponsor
First posted
Feb 24, 2025
Start date
Sep 2, 2025
Primary completion
Dec 2026 (estimated)
Completion
Jun 2027 (estimated)
Last update
Feb 11, 2026

Study contacts

Thiago Macedo e Cordeiro, MD, MSc
Contact
macedoecorde@uthscsa.edu
210-450-7055
Antonio L Teixeira, MD, PhD
Contact
teixeiraa@uthscsa.edu
210-450-8636
Thiago Macedo e Cordeiro, MD, MSc
principal investigator · The University of Texas Health Science Center at San Antonio

Oversight

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

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