LESO: Mechanism of tDCS-induced Learning Enhancement - the Role of Serotonin
Study Details
Study Description
Brief Summary
The aim of this study is to assess whether the application of a selective serotonin reuptake inhibitor (SSRI) enhances and prolongs the learning enhancement achieved by anodal transcranial direct current stimulation (atDCS). For this, young and older healthy subjects will be tested with a well established learning paradigm. Results of this study may help to support the application of atDCS also in patients, e.g. with dementia or mild cognitive impairment.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 1 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: tDCS + SSRI
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Procedure: tDCS
Other Names:
Drug: Citalopram
Other Names:
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Placebo Comparator: tDCS + placebo
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Procedure: tDCS
Other Names:
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Sham Comparator: sham-tDCS + SSRI
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Drug: Citalopram
Other Names:
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Placebo Comparator: sham-DCS + placebo
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Other: sham-tDCS + placebo
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Outcome Measures
Primary Outcome Measures
- Recall score after learning under tDC stimulation + SSRI compared to learning under tDC stimulation + placebo. [immediately after end of learning phase (approx. 1 hour)]
Recall score immediately after learning phase (=training of visual-spatial abilities) under tDC stimulation + SSRI application compared to learning under tDC stimulation + placebo.
Secondary Outcome Measures
- prolongation of the atDCS induced learning enhancement by SSRI [1 week]
Measurement of recall scores on the evening of the same day after the learning phase (+tDCS + SSRI), the morning of the day after and 1 week later in order to assess the prolongation of atDCS induced learning enhancement by the SSRI.
- Increase of learning enhancement by atDCS + placebo or sham-tDCS + SSRI vs. sham-tDCS + placebo [immediately after learning phase (approx. 1 hour)]
Measurement of recall scores directly after learning phase after application of atDCS + placebo or sham-tDCS + SSRI vs. sham-tDCS + placebo.
- prolongation of learning enhancement by atDCS + placebo or sham-tDCS + SSRI vs. sham-tDCS + placebo [1 week]
Measurement of recall scores on the evening of the same day of learning phase, the morning of the day after and 1 week later under application of atDCS + placebo or sham-tDCS + SSRI vs. sham-tDCS + placebo, in order to assess prolongation of learning enhancement by SSRI.
- genotyping of learning related polymorphisms [once]
To assess predictors of SSRI-enhanced brain stimulation, genotyping of several learning related polymorphisms will be performed (i.e., APOE, BDNF, Val66Met, COMT, Val158Met, KIBRA, rs17070145, 5-Hydroxytryptamine transporter).
Eligibility Criteria
Criteria
Inclusion Criteria:
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right handedness
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unobtrusive neuropsychological screening
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ability to provide written informed consent
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no pathological findings in head MRI
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age: 18 to 35 years (young adults) or 50-80 years (older adults)
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Highly effective contraception (Pearl Index < 1) or reliable abstinence from any heterosexual relationships in women of childbearing potential
Exclusion Criteria:
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severe internal or psychiatric disease (especially depression or suicidal thoughts)
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epilepsy
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cognitive impairment (< SD under age adjusted norm in neuropsychological testing)
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concurrent taking of serotonin precursors (tryptophan, 5-HTP) or MAO inhibitors
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concurrent taking of tramadol or triptans
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concurrent taking of pimozide or linezolid
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concurrent taking of other drugs prolonging the QT-interval
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long-QT-syndrome
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hypokalemia or hypomagnesemia
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known intolerance of the study medication
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claustrophobia or metallic implants, tattoos (MRI exclusion criteria)
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pregnancy or lactation
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participation in another drug-interventional clinical trial within the last month or during the entire study
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probands that are placed in an institution due to official or judicial order
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non-agreement to save and transmit pseudonymised study data within the clinical trial
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Charite Universitätsmedizin Berlin | Berlin | Germany | 10117 |
Sponsors and Collaborators
- Charite University, Berlin, Germany
Investigators
- Principal Investigator: Agnes Flöel, Prof. Dr., Charite University, Berlin, Germany
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- LESO