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Paraorbital-Occipital Alternating Current Stimulation Therapy of Patients With Post-Chiasmatic Lesions
This study is currently recruiting participants.
Verified February 2011 by University of Magdeburg
Study NCT01418820   Information provided by University of Magdeburg

First Received on August 16, 2011.   No Changes Posted

August 16, 2011
August 16, 2011
March 2011
October 2012   (final data collection date for primary outcome measure)
Detection accuracy change in percent over baseline of the visual field [ Time Frame: between baseline and 60 days after stimulation ] [ Designated as safety issue: No ]
visual stimulus detection in residual and absolutely defect field of vision will be assessed using computer-based high resolution perimetry (HRP)
Same as current
No Changes Posted
  • change in visual stimulus detection rate in the intact field of vision [ Time Frame: baseline to 8 weeks after stimulation ] [ Designated as safety issue: No ]
    change in visual stimulus detection rate in the intact field of vision
  • improvement of the acuteness of vision (LogRAD) [ Time Frame: baseline to 8 weeks after stimulation ] [ Designated as safety issue: No ]
    improvement of the acuteness of vision (LogRAD)
  • EEG parameters [ Time Frame: baseline to 8 weeks after stimulation ] [ Designated as safety issue: No ]
    EEG Power spectra
  • improvement of visual field in conventional perimetry [ Time Frame: baseline to 8 weeks after stimulation ] [ Designated as safety issue: No ]
    improvement of visual field in conventional perimetry measured by static perimetry (average threshold in db, average excenticity in degrees)
  • improvement of reaction time [ Time Frame: baseline to 8 weeks after stimulation ] [ Designated as safety issue: No ]
    change in average reaction time in ms, measured by HRP
Same as current
 
 
 
Paraorbital-Occipital Alternating Current Stimulation Therapy of Patients With Post-Chiasmatic Lesions
Paraorbital-Occipital Alternating Current Stimulation Therapy of Patients With Post-Chiasmatic Lesions

Aim is to validate that non-invasive brain stimulation can increase cortical excitability in the visual system. The investigators hypothesize that the transcranial alternating current stimulation (tACS) can improve the residual field of vision on patients with post-chiasmatic lesions.

 
Interventional
Phase 2
Phase 3
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
  • Hemianopsia
  • Stroke
  • Device: Verum Stimulation
    Paraorbital alternating current stimulation (rtACS) is applied with multi-channel device generating weak current pulses in predetermined firing bursts of 2 to 9 pulses. The amplitude of each current pulse is below 1000 microA. Current intensity is individually adjusted according to how well patients perceived phosphenes, i.g. any sensation of flickering light in response to the rtACS stimulation.
  • Device: Placebo stimulation
    clicking sounds, same electrode montage set-up as for verum-arm, but the device delivers no current (stimulator turned off).
  • Experimental: Verum stimulation
    Repetitive paraorbital alternating current stimulation (rtACS)
    Intervention: Device: Verum Stimulation
  • Sham Comparator: Placebo stimulation
    A clicking sound is presented and the same electrode montage set-up is used during rACS- and Placebo-stimulation, except that placebo patients receive no current (stimulator turned off)
    Intervention: Device: Placebo stimulation
 

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
30
October 2012
October 2012   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • lesion of the tractus opticus or of the visual cortex
  • lesion age > 6 months
  • stable visual field defect with residual vision

Exclusion Criteria:

  • electric or electronic implants, e.g. heart pacer
  • any metal artefacts in head and truncus
  • Epilepsy
  • Auto-immune diseases in acute stage
  • mental diseases, e.g. schizophrenia etc.
  • diabetes causing diabetic retinopathy
  • addiction
  • high blood pressure (max. 160/100 mmHg)
  • instable or high level of intraocular pressure (>27 mmHg)
  • retinitis pigmentosa
  • pathological nystagmus
  • presence if an un-operated tumor or tumor relapse anywhere in the body
  • focal findings in EEG or photosensitivity
  • recurrent transitional ischemic attacks after stroke
  • atherosclerosis of large blood vessels with stenosis >75%
  • severe coronary heart disease (CHD)
  • unstable angina pectoris
  • diabetes with blood glucose level > 9 mmol/l
  • myocard infarct with high risk of cardio-emboly
  • cardiomyopathy
  • ventricular fibrillation
  • risk of vascular thrombosis
  • pregnant or breast-feeding women
Both
18 Years and older
No
 
Germany
 
NCT01418820
EBS-PP-2011-02-16-001
No
Prof. Bernhard A. Sabel, University of Magdeburg
University of Magdeburg
Sponsor: EBS Technologies GmbH, Heinrich-Hertz-Str. 4, D-14532 Kleinmachnow, Germany
 
University of Magdeburg
February 2011

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP