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Repetitive frontal home-based transcranial direct current stimulation (tDCS) als a potential treatment for long-COVID-related fatigue

Organizational Data

DRKS-ID:
DRKS00033161
Recruitment Status:
Recruiting planned
Date of registration in DRKS:
2023-11-29
Last update in DRKS:
2023-11-29
Registration type:
Prospective

Acronym/abbreviation of the study

LCOF Home

URL of the study

No Entry

Brief summary in lay language

No Entry

Brief summary in scientific language

Non-invasive brain stimulation could be a potential non-pharmacologic, affordable and easy-to-use treatment for the underlying pathologic brainphysiology. There is already a variety of research focusing on the influence of tDCS of the dorsolateral prefrontal cortex (dlPFC) on fatigue in healthy subjects as well as in patients with multiple sclerosis (Linnhoff et al., 2022, Fiene et al., 2018, Kan et al., 2022) and other psychiatric diseases (Kalu et al., 2012) with promising results. A case study by Gómez et al. (2021) gives first hints on the effectiveness of tDCS on long-COVID-Fatigue. There is further evidence for superior effects of repetitive stimulation (see Linnhoff et al., 2019, Kan et al., 2022). These findings lead us the question whether we can improve fatigue in long-COVID-patients with repetitive home-based tDCS of the left dlPFC in 29 stimulation sessions. Subjective and objective parameters of fatigue, as well as associated EEG-components are assessed before and after four sessions of tDCS. Potential long-term effects of the stimulation are assessed four weeks later.

Health condition or problem studied

Free text:
Long-COVID patients with cognitive fatigue; U09.9!
Healthy volunteers:
No

Interventions, Observational Groups

Arm 1:
29 sessions anodal tDCS over the left dlPFC; 1.5mA, 30 minutes each
Arm 2:
29 sessions sham tDCS over the left dlPFC; 30 minutes each

Endpoints

Primary outcome:
Improvement of subjective fatigue (MFIS; total and subscales) by repetitive verum tDCS Assessment: Directly before to max. two days before the first stimulation (pre), one day after the last stimulation (post), one month after the last stimulation (follow-up)
Secondary outcome:
- Improvement in quality of life (EQ-5D-5L) - Improvement in subjective state fatigue (VAS) - Improvement of objective fatigability parameters (behavioral data) - Influence on fatigability-associated EEG components: Alpha, Theta, P50 Assessment: Directly before or max. two days before the first stimulation (pre), one day after the last stimulation (post), one month after the last stimulation (follow-up)

Study Design

Purpose:
Treatment
Allocation:
Randomized controlled study
Control:
  • Placebo
Phase:
N/A
Study type:
Interventional
Mechanism of allocation concealment:
No Entry
Blinding:
Yes
Assignment:
Parallel
Sequence generation:
No Entry
Who is blinded:
  • Investigator/therapist
  • Patient/subject

Recruitment

Recruitment Status:
Recruiting planned
Reason if recruiting stopped or withdrawn:
No Entry

Recruitment Locations

Recruitment countries:
  • Germany
Number of study centers:
Monocenter study
Recruitment location(s):
  • University medical center Magdeburg

Recruitment period and number of participants

Planned study start date:
2023-12-01
Actual study start date:
No Entry
Planned study completion date:
2025-02-01
Actual Study Completion Date:
No Entry
Target Sample Size:
40
Final Sample Size:
No Entry

Inclusion Criteria

Sex:
All
Minimum Age:
18 Years
Maximum Age:
80 Years
Additional Inclusion Criteria:
- cognitive fatigue (WeiMUS cognitive scale >= 17) - positive SARS-CoV-2-finding (COVID-19), at least 3 months old

Exclusion Criteria

- diagnose of depression or anxiety disorder, other psychiatric disorders - medication with antidepressants, opioids, anticonvulsants - neurological disorders

Addresses

Primary Sponsor

Address:
Otto-von-Guericke-Universität Magdeburg, med. Fakultät, Universitätsklinik für Neurologie, Sektion Neuropsychologie
Prof. Dr. Tino Zähle
39120 Magdeburg
Germany
Telephone:
No Entry
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry
Investigator Sponsored/Initiated Trial (IST/IIT):
Yes

Contact for Scientific Queries

Address:
Otto-von-Guericke-Universität Magdeburg, med. Fakultät, Universitätsklinik für Neurologie, Sektion Neuropsychologie
M.Sc. Magdalena Mischke
Leipziger Str. 44 Haus 60b
39120 Magdeburg
Germany
Telephone:
0391 67 21683
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry

Contact for Public Queries

Address:
Otto-von-Guericke-Universität Magdeburg, med. Fakultät, Universitätsklinik für Neurologie, Sektion Neuropsychologie
M.Sc. Magdalena Mischke
Leipziger Str. 44 Haus 60b
39120 Magdeburg
Germany
Telephone:
0391 67 21683
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry

Principal Investigator

Address:
Otto-von-Guericke-Universität Magdeburg, med. Fakultät, Universitätsklinik für Neurologie, Sektion Neuropsychologie
M.Sc. Magdalena Mischke
Leipziger Str. 44 Haus 60b
39120 Magdeburg
Germany
Telephone:
0391 67 21683
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry

Sources of Monetary or Material Support

Public funding institutions financed by tax money/Government funding body (German Research Foundation (DFG), Federal Ministry of Education and Research (BMBF), etc.)

Address:
Ministerium für Wissenschaft, Energie, Klimaschutz und Umwelt des Landes Sachsen-Anhalt
Postfach 3762
39112 Magdeburg
Germany
Telephone:
No Entry
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry

Ethics Committee

Address Ethics Committee

Address:
Ethik-Kommission der Otto-von-Guericke-Universität an der Medizinischen Fakultät und am Universitätsklinikum Magdeburg A.ö.R.
Leipziger Str. 44 Haus 28
39120 Magdeburg
Germany
Telephone:
+49-391-6714314
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
http://www.ethikkommission.ovgu.de/

Vote of leading Ethics Committee

Vote of leading Ethics Committee
Date of ethics committee application:
2023-04-21
Ethics committee number:
83/18
Vote of the Ethics Committee:
Approved
Date of the vote:
2023-05-12

Further identification numbers

Other primary registry ID:
No Entry
EudraCT Number:
No Entry
UTN (Universal Trial Number):
No Entry
EUDAMED Number:
No Entry

IPD - Individual Participant Data

Do you plan to make participant-related data (IPD) available to other researchers in an anonymized form?:
Yes
IPD Sharing Plan:
Deidentificated individual participant data will be available to researchers who provide a methodolically sound proposal. Proposals should be directed to magdalena.mischke@med.ovgu.de. To gain access, requestors will need to sign a data access agreement. Data will be available from two months following publication up to 24 months following publication.

Study protocol and other study documents

Study protocols:
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Study abstract:
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Other study documents:
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Background literature:
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Related DRKS studies:
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Publication of study results

Planned publication:
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Publikationen/Studienergebnisse:
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Date of first publication of study results:
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DRKS entry published for the first time with results:
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Basic reporting

Basic Reporting / Results tables:
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Brief summary of results:
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