ClinicalTrials.gg
RecruitingNCT07688551STARSUpdated Jul 21, 2026

Superiority Trial of Aphasia-focused Rehabilitation With tDCS Stimulation

A Phase 2/3 interventional study of tDCS in Aphasia and Broca's Aphasia, sponsored by University of South Carolina. Recruiting at 3 sites in United States. Open to participants aged 25 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-07-21.

Sponsored by University of South Carolina · Phase 2/3, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2026; still recruiting 3 months later.
Phase
Phase 2/3
Study type
Interventional
Enrollment
130
Allocation
Randomized
Ages
25 Years to 80 Years
Sex
All
01

Study summary

The purpose of this study is to help us understand if adding transcranial Direct Current Stimulation (tDCS), a non-invasive brain stimulation technique, to Speech Therapy improves language recovery in people with Broca's aphasia and is more effective than Speech Therapy alone.

Read the detailed description

This project is a prospective randomized controlled double-blinded clinical trial to compare auditory-visual speech therapy coupled with adjuvant active anodal tDCS (A-tDCS) versus speech therapy coupled with sham tDCS (S-tDCS). The investigators will perform an adaptive Phase II/III design, in which the first portion of the study (Phase II) will determine the optimal dose of A-tDCS (1 mA versus 2 mA) and provide a go/no-go decision for Phase III. The investigators will use a 10-10 system to determine electrode placement, with 5 x 5 cm pads, and stimulation duration will be 20 minutes. Phase III will test the definitive superiority of adjuvant A-tDCS at the optimal dose coupled with speech therapy versus speech therapy alone (S-tDCS) to improve naming among individuals with chronic Broca's aphasia.

02

Conditions studied

  • Aphasia
  • Broca's Aphasia

Keywords

  • tDCS
  • STARS
  • Aphasia
  • Stroke
03

In context

Aphasia

338 studies on the registry are indexed under Aphasia; 95 are open to participants now.

This study's planned enrollment of 130 is above the median of 30 across 298 interventional studies indexed under Aphasia.

Browse Aphasia studies →

Lead sponsor

University of South Carolina is the lead sponsor of 197 studies on the registry; 42 are open to participants now.

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

04

Who can participate

Ages eligible
25 Years to 80 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

  • Be willing and able to give .
  • Be willing and able to comply with study requirements.
  • Be between 25 and 80 years of age.
  • Have used English as the primary language for > 15 years.
  • Have the diagnosis of aphasia due to a left hemisphere stroke, confirmed by study physician based on past clinical MRI scan or research scan.
  • Be greater than 6 months post-stroke.
  • Have Broca's aphasia diagnosed by the WAB-R (fluency score ≤ 5, auditory verbal comprehension score 4-10, repetition score 0-7.9, naming and word finding score \< 9).
  • Correctly name 140 or fewer items on the PNT.

Exclusion criteria

Exclusion Criteria:

  • History of brain surgery except for during the treatment of the acute stroke.
  • Seizures during the previous 12-months.
  • Compromised skin at or near electrode sites (e.g., rash, eczema, wounds, infection).
  • Correctly name more than 140 out of 175 items during the pre-treatment picture naming test (Philadelphia Naming Test).
  • Western Aphasia Battery-Revised Aphasia Quotient (WAB-R AQ) score of 25 or below.
  • Participants with open skull defects (e.g., greater than 1 cm) in the area underneath the anode electrode positioning or participants with metal implants or electrical stimulators.
  • Participants with continuous oxygen therapy which cannot be discontinued for more than 1 hour.
  • Any condition or situation that the PI determines would significantly interfere with the participant's ability to complete the study.
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.

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.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
130 participants (estimated)

Study arms

  • Active comparator
    1 mA A-tDCS

    Device: tDCS

  • Active comparator
    2 mA A-tDCS

    Device: tDCS

  • Sham comparator
    S-tDCS

    Device: tDCS

Interventions

  • DevicetDCS

    The study intervention will be delivered using the Soterix 1x1 Transcranial Electrical Stimulation Clinical Trials device (Soterix Medical Inc., New York).

06

What researchers measure

Primary outcomes

  1. Naming

    Change in the number of correctly named items between the average of the two pre-treatment Philadelphia Naming Test (PNT) assessments and the average of the two post-treatment PNT sessions at 4-weeks post treatment.

    Time frame: From baseline assessment to 4-weeks post treatment

Secondary outcomes

  1. Naming

    To demonstrate superiority of active tDCS with speech therapy compared to sham tDCS with speech therapy in improving naming at 1-week post treatment.

    Time frame: From baseline assessment to 1-week post treatment

  2. Naming

    To demonstrate superiority of active tDCS with speech therapy compared to sham tDCS with speech therapy in improving naming at 24-weeks post treatment.

    Time frame: From baseline assessment to 24-weeks post treatment

  3. Aphasia Severity

    To demonstrate superiority of active tDCS with speech therapy compared to sham tDCS with speech therapy in reducing aphasia severity as measured by the Western Aphasia Battery-Revised Aphasia Quotient (WAB-R AQ).

    Time frame: From baseline assessment to 4-weeks post treatment

  4. Functional Communication

    To demonstrate superiority of active tDCS with speech therapy compared to sham tDCS with speech therapy in improving functional communication.

    Time frame: From baseline assessment to 4-weeks post treatment

  5. Quality of Life

    To demonstrate superiority of active tDCS with speech therapy compared to sham tDCS with speech therapy in improving quality of life as measured by the Stroke and Aphasia Quality of Life Scale-39 (SAQOL-39).

    Time frame: From baseline assessment to 4-weeks post treatment

  6. Communication Confidence

    To demonstrate superiority of active tDCS with speech therapy compared to sham tDCS with speech therapy in improving communication confidence.

    Time frame: From baseline assessment to 4-weeks post treatment

  7. Safety

    To demonstrate safety differences (proportion of new adverse events) between groups.

    Time frame: From baseline assessment to 4-weeks post treatment

07

Study locations

3 of 3 sites recruiting
  • Medical University of South Carolina
    Charleston, South Carolina 29425, United States
    Recruiting
    • Stephanie Cute · Contactcute@musc.edu · 843-548-7041
    • Janina Wilmskoetter · Principal investigator
    • Christy Cassarly · Sub investigator
  • University of South Carolina
    Columbia, South Carolina 29201, United States
    Recruiting
    • Allison Hare · Contactallison.hare@sc.edu
    • Leonardo Bonilha · Principal investigator
    • Julius Fridriksson · Principal investigator
    • Chris Rorden · Sub investigator
    • Roger Newman-Norlund · Sub investigator
    • James Hardin · Sub investigator
    • Samaneh Nemati · Sub investigator
  • University of Utah
    Salt Lake City, Utah 84112, United States
    Recruiting
08

References and documents

Publications

  • Baker JM, Rorden C, Fridriksson J. Using transcranial direct-current stimulation to treat stroke patients with aphasia. Stroke. 2010 Jun;41(6):1229-36. doi: 10.1161/STROKEAHA.109.576785. Epub 2010 Apr 15. PubMed 20395612 ↗
  • Fridriksson J, Rorden C, Elm J, Sen S, George MS, Bonilha L. Transcranial Direct Current Stimulation vs Sham Stimulation to Treat Aphasia After Stroke: A Randomized Clinical Trial. JAMA Neurol. 2018 Dec 1;75(12):1470-1476. doi: 10.1001/jamaneurol.2018.2287. PubMed 30128538 ↗
  • Fridriksson J, Basilakos A, Stark BC, Rorden C, Elm J, Gottfried M, George MS, Sen S, Bonilha L. Transcranial direct current stimulation to treat aphasia: Longitudinal analysis of a randomized controlled trial. Brain Stimul. 2019 Jan-Feb;12(1):190-191. doi: 10.1016/j.brs.2018.09.016. Epub 2018 Sep 29. No abstract available. PubMed 30318184 ↗
  • Wilmskoetter J, Fridriksson J, Basilakos A, Phillip Johnson L, Marebwa B, Rorden C, Warner G, Hickok G, Hillis AE, Bonilha L. Indirect White Matter Pathways Are Associated With Treated Naming Improvement in Aphasia. Neurorehabil Neural Repair. 2021 Apr;35(4):346-355. doi: 10.1177/1545968321999052. Epub 2021 Mar 10. PubMed 33719732 ↗
  • Bonilha L, Rorden C, Roth R, Sen S, George MS, Fridriksson J. Improved naming in patients with Broca's aphasia with tDCS. J Neurol Neurosurg Psychiatry. 2024 Feb 14;95(3):273-276. doi: 10.1136/jnnp-2023-331541. PubMed 38071545 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jul 2026 (actual). Primary completion is estimated for Mar 2030, 44 months after the start.

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

Registered
Jun 26, 2026
First posted
Jul 7, 2026
StartActual
Jul 14, 2026
Primary completionEst.
Mar 2030
CompletionEst.
Jun 2030
Last update
Jul 21, 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 Jul 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07688551
Responsible party
Leonardo Bonilha (Primary Investigator, University of South Carolina) — Principal investigator
First posted
Jul 7, 2026
Start date
Jul 14, 2026
Primary completion
Mar 2030 (estimated)
Completion
Jun 2030 (estimated)
Last update
Jul 21, 2026

Study contacts

Leonardo Bonilha
Contact
Leonardo.Bonilha@uscmed.sc.edu
803-216-3469
Julius Fridriksson
Contact
fridriks@mailbox.sc.edu
803-777-5931

Oversight

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

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