ClinicalTrials.gg
RecruitingNCT07017322Updated Aug 12, 2026

Non-invasive Cranial Electrical Stimulation for Mealtime Anxiety in Adults With Eating Disorders

An interventional study of Alpha-Stim AID in Eating Disorders and Anxiety, sponsored by Rogers Behavioral Health. Recruiting at 1 site in United States. Open to participants aged 18 Years to 30 Years. Per ClinicalTrials.gov, last updated 2026-08-12.

Sponsored by Rogers Behavioral Health · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Jun 2025; still recruiting 1 year 5 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
18 Years to 30 Years
Sex
All
01

Study summary

The study is to evaluate the feasibility of using a non-invasive brain stimulation device in a sample of inpatients with eating disorders (ED). The study will help researchers evaluate whether their device protocol is practical for eating disorder inpatients as a way to manage eating disorder and anxiety symptoms. A secondary aim of the study is to evaluate preliminary effectiveness of the protocol for reducing pre-meal anxiety during the treatment, and explore effects on eating disorder symptoms over the course of the inpatient admission.

Read the detailed description

Evaluate the feasibility and acceptability of a protocol for using Alpha-Stim AID® (explicitly references the patented waveform and delivery method in the Alpha-Stim AID® device manufactured and marketed by Electromedical Products International, Mineral Wells, TX) to manage acute pre-meal anxiety in eating disorder inpatients indicated by recruitment and retention, dropout reasoning, nature and frequency of patient-reported side effects, level of missing patient-reported data, staff perception and patient perception. Secondary outcomes include pre-meal anxiety rated on a 0-10 visual analogue scale, eating disorder symptom severity during the three-session protocol and across the inpatient admission using the Eating Disorder-15 assessment, and clinical impairment from disordered eating using the Clinical Impairment Assessment-Eating only version, across the same timepoints.

02

Conditions studied

  • Eating Disorders
  • Anxiety

Keywords

  • electrotherapy stimulation
  • Alpha-Stim AID
  • cranial electrotherapy stimulation
  • CES
  • meal anxiety
  • Non-invasive cranial electrotherapy stimulation
  • Inpatient weight restoration
  • avoidant restrictive food intake disorder
  • other specified feeding or eating disorder
  • anorexia nervosa
  • bulimia nervosa
  • purging disorder
  • binge eating disorder
  • ARFID
  • OSFED
  • procedural anxiety
03

In context

Feeding and Eating Disorders

645 studies on the registry are indexed under Feeding and Eating Disorders; 153 are open to participants now.

This study's planned enrollment of 30 is below the median of 71 across 452 interventional studies indexed under Feeding and Eating Disorders.

Browse Feeding and Eating Disorders studies →

Lead sponsor

Rogers Behavioral Health is the lead sponsor of 2 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 30 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. Age 18-30 years old at the time of enrollment
  2. Enrolled in Rogers Behavioral Health Eating Disorder Recovery Program Inpatient Unit at the Oconomowoc, WI clinic location
  3. Have a primary diagnosis of any eating disorder (anorexia nervosa, bulimia nervosa, binge eating disorder, avoidant/restrictive food intake disorder, other specified feeding or eating disorder)
  4. Ability to communicate effectively using written and spoken English
  5. Participant is eligible for mealtime anxiety support based on:

    • ≤ 75% meal plan compliance
    • Visible anxiety/distress during program meals
    • Engagement in compensatory behaviors or self-harm before, during, or after meals, or medical staff judge patient to be at risk of same

Exclusion criteria

Exclusion Criteria:

  1. Metal in the body of any kind (e.g., braces, pacemakers, metal plates or screws, intracranial electrodes, implanted devices/defibrillators, prostheses)
  2. Currently taking medication that reduces seizure threshold (e.g., clomipramine)
  3. Cranial pathologies (e.g., holes, plates)
  4. History of seizure or black-out concussion
  5. Pregnancy
  6. Risk of suicide/self-harm by self-strangulation with cranial electrotherapy stimulation (CES) device judged by study medical staff
  7. Participant calibrates to a stimulation level below 200 microampere (μA)
Terms in these criteria, in plain language(1)

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.

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    Alpha-Stim AID Intervention Arm

    Subjects will receive treatment as usual and non-invasive cranial electrotherapy stimulation (CES) intervention using the Alpha-Stim AID device.

    Device: Alpha-Stim AID

Interventions

  • DeviceAlpha-Stim AID

    Subjects will receive non-invasive cranial electrotherapy stimulation (CES) treatment in 20-minute group sessions taking place immediately prior to breakfast, lunch, and dinner. This study uses the Alpha-Stim AID® CES device which will be set to the highest amplitude that is tolerated by the participant (with a minimum of 200 microampere (µA) and a maximum of 500 µA stimulation) at 0.5 hertz for a duration of 20 minutes per session, 3 sessions per day, for 3 separate days of stimulation (180 minutes of stimulation total).

06

What researchers measure

Primary outcomes

  1. Percentage of patients who were recruited, enrolled and completed the study

    The percentage of eligible patients approached for recruitment, percentage of recruited patients enrolled, and percentage of enrolled patients completing the study, each as recorded by study staff.

    Time frame: From recruitment to end of study intervention at day 3.

  2. Patient-reported dropout reason

    The patient's self-reported rationale for leaving the study prematurely (e.g., unexpected discharge from inpatient eating disorder treatment, unable to tolerate stimulation, emergent suicidality, unwilling to participate in the protocol, etc.).

    Time frame: Anytime from enrollment to the end of study intervention at day 3.

  3. Patient-reported side effects

    Patient-reported side effects questionnaire assessing side effects experienced from the intervention day prior.

    Time frame: Before the first session on days 2 and 3 of the study intervention.

  4. Patient perception of acceptability as assessed by the Credibility and Expectancy Questionnaire

    The Credibility and Expectancy Questionnaire is a 6-item self-report survey used to assess patients' belief and expectation that they will benefit from a treatment. We will use two questions from the scale to assess how much the participant believes the treatment makes sense, and how strongly they feel it will help them. It is rated on a 10-point scale with anchors 1-9 (not at all (1), somewhat (5), very (9)). The two questions from the CEQ will be as follows: 1. How logical does cranial electrical stimulation for pre-meal anxiety seem? 2. How successful do you think cranial electrical stimulation will be in reducing your pre-meal anxiety?

    Time frame: Baseline, Days 2 and 3 of study intervention.

  5. Percent completion of study data collection

    Tracking and reporting completeness of all patient-reported outcome data and study data abstracted from electronic medical records.

    Time frame: At end of patient's participation and end of admission on inpatient unit.

Secondary outcomes

  1. Pre-meal anxiety on a visual analogue scale on a scale from 0-10.

    A patient-reported measure of pre-meal anxiety rated on a 0-10 visual analogue scale. A score of 0 is no anxiety while a score of 10 is maximum anxiety.

    Time frame: Prior to each meal on intervention days 1, 2 and 3.

  2. Eating Disorder Symptoms using the Eating Disorder-15 (ED-15) measure

    Patient self-reports of eating disorder symptoms using the Eating Disorder-15 (ED-15) measure. The ED-15 includes two attitudinal subscales, scored as follows: 1) Weight \& Shape Concerns = mean of items 2, 4, 5, 6, 9, and 10 (add the six scores and divide by 6), 2) Eating Concerns = mean of items 1, 3, 7 and 8 (add the four scores and - divide by 4). The Overall attitudinal score is the mean of the scores on all ten items (total the ten items and divide by 10). All items are positively scored from 0-6.

    Time frame: From enrollment until end of study intervention on day 3.

  3. The Fear of Food Measure (FOFM)

    The Fear of Food Measure (FOFM) is a measure of the degree to which patients report fearing eating and food itself. Scores on the FOFM can assess if patients are improving while undergoing eating disorder treatment. The FOFM is a 23 item scale positively scored 0-5 with three attitudinal scales measuring Anxiety About Eating, Food Anxiety Behaviors (i.e., avoidance), and Feared Concerns (i.e., feared outcomes of eating). Scores on all subscales will be examined, but Food Anxiety Behaviors scores are the most directly comparable across eating disorder diagnoses (e.g., Avoidant Restrictive Food Intake Disorder (ARFID) vs. anorexia and bulimia nervosa, Other Specified Feeding or Eating Disorders (OSFED)).

    Time frame: At days 1, 2 and 3 of intervention.

  4. Eating disorder clinical impairment rated on the Clinical Impairment Assessment - Eating only (CIA)

    The Clinical Impairment Assessment - Eating only (CIA) is a 16-item measure of physical, cognitive, and emotional impairment from disordered eating. Items are scored on a 0-4 scale. The Eating-only version of the measure assesses impairment specifically related to restrictive or binge eating behavior, rather than impairment from other eating disorder behaviors that are not universally applicable to all eating disorders (i.e., purging, compensatory exercise). The measure is scored by summing all items for a possible score of 0-64.

    Time frame: Days 1, 2 and 3 of intervention.

  5. Frequency of use of mealtime interventions for anxiety

    Frequency of use of mealtime interventions for anxiety. This is a study-specific measure created by summing the meals during which one or more acute anxiety interventions (acute anxiolytics, one-to-one support, reduced meal plan, or tube feeding) were used across the full inpatient stay. Obtained from the electronic medical record.

    Time frame: Inpatient admission to discharge (average 14 days)

  6. Length of stay in days in the inpatient program

    The outcome is time to discharge to a lower level of eating disorder care. This analysis will exclude data from any patient discharged for medical reasons, to another inpatient program, or against medical advice. Obtained from the electronic medical record.

    Time frame: Inpatient admission to discharge (average 14 days).

07

Study locations

1 of 1 sites recruiting
  • Rogers Behavioral Health
    Oconomowoc, Wisconsin 53066, United States
    Recruiting
    • Hana Zickgraf, Ph.D., M.A., B.A. · Contacthana.zickgraf@rogersbh.org · 610-209-7829
    • Hana Zickgraf, Ph.D., M.A., B.A. · Principal investigator
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

Started Jun 2025 (actual). Primary completion is estimated for Nov 2027, 28 months after the start.

Of 269 non-industry interventional studies with no phase under Feeding and Eating Disorders, half reached primary completion within 28 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 49. This study's planned 28 months is close to that.

Counting every sponsor, half of 274 studies reached it within 28 months; a quarter within 14 and three quarters within 49.

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

Registered
Mar 31, 2025
First posted
Jun 12, 2025
StartActual
Jun 3, 2025
Primary completionEst.
Nov 1, 2027
CompletionEst.
Nov 1, 2027
Last update
Aug 12, 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 Aug 12, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07017322
Lead sponsor
Rogers Behavioral Health
Collaborators
Electromedical Products International, Inc.
Responsible party
Sponsor
First posted
Jun 12, 2025
Start date
Jun 3, 2025
Primary completion
Nov 1, 2027 (estimated)
Completion
Nov 1, 2027 (estimated)
Last update
Aug 12, 2026

Study contacts

Hana F Zickgraf, Ph.D.
Contact
hana.zickgraf@rogersbh.org
262-303-0170

Oversight

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

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