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Active, not recruitingNCT07091396Updated Aug 19, 2026

Home Transcranial Direct Current Stimulation (tDCS) to Enhance Functional Recovery

An interventional study of Soterix® tDCS - Home treatment and Cognitive-linguistic therapy in Stroke, Neurodegeneration and Brain Tumor, sponsored by Mayo Clinic. Active, not recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-19.

Sponsored by Mayo Clinic · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
55
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to assess the feasibility of home-based Transcranial Direct Current Stimulation (tDCS) combined with a home activity based therapy program in patients with stroke, brain tumors or neurodegenerative conditions and to assess the efficacy of home-based tDCS combined with a home activity-based therapy program as an intervention to treat cognitive-linguistic impairments related to stroke, brain tumors, or neurodegenerative conditions and improve quality of life.

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Conditions studied

  • Stroke
  • Neurodegeneration
  • Brain Tumor

Keywords

  • Transcranial Direct Current Stimulation (TDCS)
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In context

Stroke

7,286 studies on the registry are indexed under Stroke; 2,013 are open to participants now.

This study's planned enrollment of 55 is close to the median of 50 across 5,366 interventional studies indexed under Stroke.

Browse Stroke studies →

Lead sponsor

Mayo Clinic is the lead sponsor of 3,218 studies on the registry; 670 are open to participants now.

Of its 445 completed or terminated interventional studies of FDA-regulated products, 313 (70%) have results posted.

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

04

Who can participate

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

Inclusion criteria

  • At least 3 months after ischemic/hemorrhagic/anoxic stroke or 3 months after completion of cranial radiation or cranial surgery for treatment of primary or metastatic intracranial tumors or neurodegenerative conditions include, but are not limited to, primary progressive aphasia, corticobasal syndrome, progressive supranuclear palsy, Parkinson's disease, and Alzheimer's disease dementia.
  • Expected survival >6 months
  • Functional impairment in the domains of language and/or cognition affecting quality of life determined by PI.
  • Have a legally authorized representative who is able to sign on their behalf in unable to consent for themselves (ex., individuals with aphasia).
  • Have a legally authorized representative who is able to sign on their behalf in unable to consent for themselves (ex., individuals with aphasia).

Exclusion criteria

Exclusion Criteria:

  • Pregnancy
  • Contraindication to tDCS, including metallic implanted objects.
  • Medical instability or inability to cooperate during the study as assessed by the treating physician to participate in the study.
  • Individuals with epilepsy
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Single (Participant)
Enrollment
55 participants (estimated)

Study arms

  • Experimental
    Home-Based Treatment: Active Stimulation, Then Sham Stimulation

    Subjects will first receive active tDCS, plus home activity based cognitive-linguistic therapy then they will cross over to the home-based sham treatment arm after a 4-8-week washout period.

    Device: Soterix® tDCS - Home treatment · Behavioral: Cognitive-linguistic therapy

  • Experimental
    Home-Based Treatment: Sham Stimulation, Then Active Stimulation

    Subjects will first receive sham tDCS, plus home activity based cognitive-linguistic therapy then they will cross over to the home-based active treatment arm after a 4-8-week washout period.

    Device: Soterix® tDCS - Home treatment · Behavioral: Cognitive-linguistic therapy

  • Experimental
    Lab-Based Treatment: Active Stimulation, Then Sham Stimulation

    Subjects will be seen in person to first receive active tDCS for 12 sessions over 4 weeks, and cross-over to the lab-based sham treatment arm after an 8 week washout period.

    Device: Soterix® tDCS - Lab treatment

  • Experimental
    Lab-Based Treatment: Sham Stimulation, Then Active Stimulation

    Subjects will be seen in person to first receive sham tDCS for 12 sessions over 4 weeks, and cross-over to the lab-based active treatment arm after an 8 week washout period.

    Device: Soterix® tDCS - Lab treatment

Interventions

  • DeviceSoterix® tDCS - Home treatment

    Participants will receive transcranial direct current stimulation (tDCS) via the Soterix device at an intensity of 2 mA for 20 minutes per session, with slow ramp-up and ramp-down of the current. Each participant will be asked to perform tDCS on weekdays for two-weeks (10 sessions total) or every other weekday for four weeks (12 sessions). The research team will decide on a number of therapy sessions depending on the patient's baseline condition and tolerance. Patients who receive 10 sessions of therapy over two weeks will have 4 weeks of washout. Patients who receive 12 sessions over four weeks will have 8 weeks of washout.

  • BehavioralCognitive-linguistic therapy

    Participants will be instructed to perform home activity based cognitive-linguistic task-based exercises. Each participant will be asked to perform tDCS concurrently with individualized activity based cognitive-linguistic therapy on weekdays for two-weeks (10 sessions total) or every other weekday for four weeks (12 sessions)

  • DeviceSoterix® tDCS - Lab treatment

    Participants will receive transcranial direct current stimulation (tDCS) in person, via the same Soterix device the home based participants will use at an intensity of 2 mA for 20 minutes per session, with slow ramp-up and ramp-down of the current. They will undergo 12 sessions over four weeks.

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What researchers measure

Primary outcomes

  1. For patients with post-stroke cognitive impairment--Stricker Learning Span and Symbols Test

    The Stricker Learning Span (SLS) is a computer-adaptive digital word list memory test specifically designed for remote assessment and self-administration on a web-based multi-device platform (Mayo Test Drive).

    Time frame: Baseline, 3 weeks, 12 weeks, 15 weeks, 24 weeks

  2. For patients with post-stroke language impairment--Mayo-developed web-based language

    The exam includes a standard protocol including sentence and word repetition, standard reading passage, vowel prolongation, speech alternating motion rates , sequential motion rates, picture description, naming, and animal fluency

    Time frame: Baseline, 3 weeks, 12 weeks, 15 weeks, 24 weeks

Secondary outcomes

  1. For patients with post-stroke language impairment--Western Aphasia Battery-Revised Bedside Version

    Western aphasia battery assesses linguistic skills most frequently affected by aphasia such as content, fluency, auditory Comprehension, repetition and naming, reading, writing.

    Time frame: Baseline, 12 weeks, 24 weeks

  2. Change in Visual Analogue Scale to Evaluate Fatigue Severity (VAS-F)

    The Visual Analogue Scale to Evaluate Fatigue Severity (VAS-F) is an 18 item self-report scale measuring the subject's experience of fatigue. Each item asks respondents to place an "X," representing how they currently feel, along a visual analogue line that extends between two extremes. Total scores range from 0 - 198, lower scores indicating lower levels of fatigue and higher scores indicating greater levels of fatigue.

    Time frame: Baseline, 3 weeks, 12 weeks, 15 weeks, 24 weeks

  3. Change in Epworth Sleepiness Scale (ESS)

    The Epworth sleepiness scale (ESS) is an 8-item questionnaire that measures daytime sleepiness in participants. Possible scores range from 0-24, with higher scores indicating a higher average sleep propensity in daily life, and a worse outcome.

    Time frame: Baseline, 3 weeks, 12 weeks, 15 weeks, 24 weeks

  4. Karolinska Sleepiness Scale (KSS)

    The Karolinska Sleepiness Scale (KSS) is a 9-point scale quantifying an individual's perceived level of drowsiness, ranging from 1 (extremely alert) to 9 (very sleepy, great effort to keep awake, fighting sleep).

    Time frame: 10 minutes before and after each treatment session

  5. Communicative Participation Item Bank

    For patients with aphasia, this test will be used to measure functional impairment for speech and language functions

    Time frame: Baseline, 12 weeks, 24 weeks

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Study locations

1 site
  • Mayo Clinic in Rochester
    Rochester, Minnesota 55905, United States
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References and documents

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 19, 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
NCT07091396
Lead sponsor
Mayo Clinic
Responsible party
Rene L. Utianski (Principal Investigator, Mayo Clinic) — Principal investigator
First posted
Jul 29, 2025
Start date
Jan 16, 2026
Primary completion
Dec 2030 (estimated)
Completion
Dec 2031 (estimated)
Last update
Aug 19, 2026

Study contacts

Rene Utianski, PhD
principal investigator · Mayo Clinic

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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