ClinicalTrials.gg
CompletedNCT07240272Updated Nov 20, 2025

tACS Modulates Speech and Cognitive Impairments in People With PD by Targeting the Medial Frontal Cortex

An interventional study of 6Hz-tACS and Sham-tACS in Parkinson Disease, sponsored by Ke Dong, MD. Completed at 1 site in China. Open to participants aged 35 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-11-20.

Sponsored by Ke Dong, MD · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years 1 month after the study started (first participant enrolled Aug 2023, registered Sep 2025).
Phase
Not applicable
Study type
Interventional
Enrollment
28
Allocation
Randomized
Ages
35 Years to 80 Years
Sex
All
01

Study summary

This clinical trial aims to study whether transcranial alternating current stimulation (tACS) applied to the medial frontal cortex (MFC) can improve speech and cognitive function in people with Parkinson's disease (PD), and to evaluate the safety of tACS. The main goals are to answer the following questions:

  1. Can tACS stimulation of the MFC improve executive functions in people with PD (such as reasoning, planning, inhibition, and complex problem-solving)?
  2. Can it improve the integration of auditory information and speech motor control during communication?

Researchers will compare the effects of real tACS versus sham (placebo) stimulation to see if real stimulation leads to better speech and cognitive outcomes in PD patients.

Participants will:

  1. Receive one extra 20-minute session of either real or sham tACS each day for two weeks
  2. Attend clinic visits before stimulation, right after the 2-week period, and again at 1 month and 3 months for assessments and tests
  3. Have their executive function scores, speech performance, and related brain activity recorded
02

Conditions studied

  • Parkinson Disease

Keywords

  • Parkinson's disease
  • transcranial alternating current stimulation
  • medial frontal cortex
  • executive functions
  • speech disorder
03

In context

Parkinson Disease

4,573 studies on the registry are indexed under Parkinson Disease; 1,086 are open to participants now.

This study's enrollment of 28 is below the median of 40 across 3,353 interventional studies indexed under Parkinson Disease.

Browse Parkinson Disease studies →

Lead sponsor

Ke Dong, MD is the lead sponsor of 6 studies on the registry; 4 are open to participants now.

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

04

Who can participate

Ages eligible
35 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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. Clinical diagnosis of Parkinson's disease.
  2. Aged 35-80 years.
  3. Absence of non-PD neurological disorders.
  4. No hearing impairment, dementia, psychiatric abnormalities, or history of neurosurgical treatment.

Exclusion criteria

Exclusion Criteria:

  1. Pregnancy.
  2. Any to electrical stimulation.
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.

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
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
28 participants (actual)

Study arms

  • Experimental
    6Hz-group

    Other: 6Hz-tACS

  • Sham comparator
    Sham-group

    Other: Sham-tACS

Interventions

  • Other6Hz-tACS

    tACS applied to the MFC at a frequency of 6 Hz, using a high-definition 1×4 electrode configuration with individualized current intensity, delivered for 20 minutes.

  • OtherSham-tACS

    Except for turning down the current intensity to zero during the 20-minute period, all other parameters are identical to those in 6Hz-group.

06

What researchers measure

Primary outcomes

  1. Verbal Fluency Test (VFT)

    The VFT assesses abilities such as thought initiation, rapid word retrieval, and cognitive flexibility. It has two parts: 1.Phonemic Fluency Test (PFT), people needed to name as many Chinese words as possible beginning with "fa" or "xiao" within 60 seconds. 2.Semantic Fluency Test (SFT), people needed to name as many items as possible from categories such as "fruits," "vegetables," "animals," and "occupations" within 60 seconds. The number of correct and non-repeated words produced within the time limit were recorded.

    Time frame: Assessments were completed at baseline, after two weeks of stimulation, and at 1- and 3-month follow-ups.

  2. Digit Span Test (DST)

    The DST assesses working memory and selective attention. People repeat a series of numbers in the same order (forward) or reverse order (backward) as spoken by the examiner. The maximum correctly repeated sequence length was recorded.

    Time frame: Assessments were completed at baseline, after two weeks of stimulation, and at 1- and 3-month follow-ups.

  3. Trail Making Test (TMT)

    The TMT assesses complex visual scanning, conceptual tracking, cognitive flexibility and divided attention. It has two parts: TMT-A: People draw a trail by connecting 25 Arabic numbers in ascending order. TMT-B: the trail alternates between connecting 12 Arabic numbers and 12 Chinese characters. The time taken to complete each task is recorded.

    Time frame: Assessments were completed at baseline, after two weeks of stimulation, and at 1- and 3-month follow-ups.

  4. Speech motor integration ability as assessed by a well-established paradigm: frequency-altered feedback (FAF) task

    In the FAF task, participants needed to sit in a sound-attenuated room and produce the vowel /u/ according to instructions. The acoustic signal is recorded and randomly shifted in pitch by an external device. The pitch-shifted voice is then fed back to the participant. This unexpected pitch perturbation elicits either an opposite or a following acoustic compensation response. The amplitude and timing of this response are recorded and used to assess the participant's speech-motor integration ability.

    Time frame: Assessments were completed at baseline, after two weeks of stimulation, and at 1- and 3-month follow-ups.

Other outcomes

  1. The event-related potentials (ERPs) components recorded by Electroencephalography (EEG)

    During the FAF task, cortical electrical activity associated with the pitch perturbation event was simultaneously recorded. Using the perturbation onset as the zero point, a time window ranging from -500ms to 700ms was defined. The peak amplitude and latency of N1 and P2 components were extracted within 80-180 ms and 160-280 ms time windows after the perturbation onset, respectively.

    Time frame: Assessments were completed at baseline, after two weeks of stimulation, and at 1- and 3-month follow-ups.

  2. The hemodynamic responses in the executive process as assessed by Functional Near-Infrared Spectroscopy (fNIRS)

    The fNIRS monitoring was conducted during a VFT task consisting of multiple 30-second blocks. The average change in oxygenated hemoglobin concentration during the task was recorded.

    Time frame: Assessments were completed at baseline, after two weeks of stimulation, and at 1- and 3-month follow-ups.

07

Study locations

1 site
  • Department of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-sen University
    Guangzhou, Guangdong 510000, China
08

References and documents

Publications

  • Dong K, Zhao Y, Zhu X, Li J, Peng B, Zhang Y, Li Y, Dai G, Liu D, Chang Y, Chen X, Liu H. Theta tACS Over the Medial Frontal Cortex Modulates Executive Function in Parkinson's Disease: A Randomized, Sham-Controlled Study. CNS Neurosci Ther. 2026 Jul;32(7):e71055. doi: 10.1002/cns.71055. PubMed 42499269 ↗

Individual participant data

Plan to share: Yes — All IPD that underlie results in a publication.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report, Analytic code

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

Ran from Aug 2023 to primary completion in May 2025, 21 months.

Of 1,291 non-industry interventional studies with no phase under Parkinson Disease, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 44. This study's 21 months is below that.

Counting every sponsor, half of 1,367 studies reached it within 25 months; a quarter within 11 and three quarters within 44.

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

Registered
Sep 26, 2025
First posted
Nov 20, 2025
StartActual
Aug 1, 2023
Primary completionActual
May 1, 2025
CompletionActual
Aug 1, 2025
Last update
Nov 20, 2025
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 Nov 20, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07240272
Lead sponsor
Ke Dong, MD
Responsible party
Ke Dong, MD (Research Associate, First Affiliated Hospital, Sun Yat-Sen University) — Sponsor-investigator
First posted
Nov 20, 2025
Start date
Aug 1, 2023
Primary completion
May 1, 2025
Completion
Aug 1, 2025
Last update
Nov 20, 2025

Oversight

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

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This study is completed, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

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