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Effect of Cross Frequency tACS on Cognitive Control

A Pilot Study Investigating the Effects of Cross Frequency Transcranial Alternating Current Stimulation on Cortical Oscillations Underlying Cognition

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03800030
Enrollment
26
Registered
2019-01-10
Start date
2018-10-07
Completion date
2019-07-25
Last updated
2020-05-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cognitive Control, Executive Function

Keywords

tACS, Cognitive Control, Executive Function

Brief summary

Investigation of frequency specific transcranial alternating current stimulation on cognitive control signals in frontal cortex

Detailed description

Previous evidence suggests that there are specific frequency bands associated with different aspects of cognitive control. In specific delta (2-4Hz) and beta (15-30Hz) are associated with increased levels of abstraction for learned rules; and theta (5-8Hz) and gamma (30-50Hz) has been associated with increased set-size or number of learned rules. Here we aim to find causal evidence in support of these previous correlational findings by applying cross-frequency transcranial alternating current stimulation (tACS) in the specific frequency bands previously shown to be task-relevant. In a crossover design, we stimulate subjects with either delta-beta or theta-gamma tACS during performance of a hierarchical cognitive control task that manipulates the level of abstraction and set-size of rules that must be learned in order to make the correct button press.

Interventions

DEVICETheta-gamma tACS

NeuroConn technologies, direct current-stimulator plus

DEVICEDelta-beta tACS

NeuroConn technologies, direct current-stimulator plus

DEVICESham tACS

NeuroConn technologies, direct current-stimulator plus

Sponsors

National Institute of Mental Health (NIMH)
CollaboratorNIH
University of North Carolina, Chapel Hill
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
BASIC_SCIENCE
Masking
DOUBLE (Subject, Investigator)

Masking description

Double-blinded. Neither the investigator nor the participants knows which form of stimulation is received.

Intervention model description

Healthy participants will receive three waveforms of transcranial alternating current stimulation (tACS). Delta-beta, Theta-gamma, and Sham.

Eligibility

Sex/Gender
ALL
Age
18 Years to 35 Years
Healthy volunteers
Yes

Inclusion criteria

* Between the ages of 18 and 35 years * Able to provide informed consent * Willing to comply with all study procedures and be available for the duration of the study Speak and understand English

Exclusion criteria

* Attention Deficit Hyperactivity Disorder (currently under treatment) * Neurological disorders and conditions, including, but not limited to: * History of epilepsy * Seizures (except childhood febrile seizures and electroconvulsive therapy induced seizures) Dementia * History of stroke * Parkinson's disease * Multiple sclerosis * Cerebral aneurysm * Brain tumors * Medical or neurological illness or treatment for a medical disorder that could interfere with study participation (e.g., unstable cardiac disease, malignancy) * Prior brain surgery * Any brain devices/implants, including cochlear implants and aneurysm clips * History or current traumatic brain injury * (For females) Pregnancy or breast feeding * Personal or family history of mental/psychiatric disorder (e.g., anxiety, major depressive disorder, schizophrenia, etc.) * Positive urine test for the following: Marijuana (THC), Cocaine (COC), Phencyclidine (PCP), Amphetamine (AMP), Ecstasy (MDMA), Methamphetamine (Mamp), Opiates (OPI), Oxycodone (OXY), Methadone (MTD), Barbiturates (BAR), Benzodiazepines (BZO), Buprenorphine (BUP), Tricyclic Antidepressants (TCA), Propoxyphene (PPX) * Anything that, in the opinion of the investigator, would place the participant at increased risk or preclude the participant's full compliance with or completion of the study

Design outcomes

Primary

MeasureTime frameDescription
Reaction Time for Trials With High Abstraction Relative to Low Abstractionthrough study completion, an average of 3 weeksFor low abstraction conditions, subjects must memorize a color to button mapping. For high abstraction conditions, subject must make a perceptual judgement on the similarity of two objects based on either texture or shape as cued by a color. The reaction time difference between high and low abstraction conditions was hypothesized to decrease when delta-beta tACS was delivered. As a control for the placebo effect of stimulation, the difference between delta-beta tACS and sham tACS, or placebo, was used for statistical analysis.
Reaction Time for Trials With High Set-size Relative to Low Set-sizethrough study completion, an average of 3 weeksThe reaction time difference between high and low set-size conditions was hypothesized to decrease when theta-gamma tACS is delivered. As a control for the placebo effect of stimulation, the difference between theta-gamma tACS and sham tACS, or placebo, was used for statistical analysis.
Delta Phase to Beta Amplitude Coupling Strengththrough study completion, an average of 3 weeksDelta-beta tACS was hypothesized to increase cross frequency coupling strength (higher value) between the targeted frequency bands. Phase amplitude coupling between delta phase and beta amplitude was calculated for the two minute electrical brain recordings after stimulation. A null distribution was calculated by shuffling the beta amplitude time series relative to the delta phase time series and then calculating coupling strength. The outcome measure is the z-transformed value of the genuine phase amplitude coupling relative to the null distribution.
Theta Phase to Gamma Amplitude Coupling Strengththrough study completion, an average of 3 weeksTheta-gamma tACS was hypothesized to increase cross frequency coupling strength (higher value) between the targeted frequency bands. Phase amplitude coupling between theta phase and gamma amplitude was calculated for the two minute electrical brain recordings after stimulation. A null distribution was calculated by shuffling the gamma amplitude time series relative to the theta phase time series and then calculating coupling strength. The outcome measure is the z-transformed value of the genuine phase amplitude coupling relative to the null distribution.
Percent Correct for Trials With High Abstraction Relative to Low Abstractionthrough study completion, an average of 3 weeksFor low abstraction conditions, subjects must memorize a color to button mapping. For high abstraction conditions, subject must make a perceptual judgement on the similarity of two objects based on either texture or shape as cued by a color. The accuracy difference between high and low abstraction conditions was hypothesized to decrease when delta-beta tACS was delivered. As a control for the placebo effect of stimulation, the difference between delta-beta tACS and sham tACS, or placebo, was used for statistical analysis.
Percent Correct for Trials With High Set-size Relative to Low Set-sizethrough study completion, an average of 3 weeksThe accuracy difference between high and low set-size conditions was hypothesized to decrease when theta-gamma tACS is delivered. As a control for the placebo effect of stimulation, the difference between theta-gamma tACS and sham tACS, or placebo, was used for statistical analysis.

Countries

United States

Participant flow

Participants by arm

ArmCount
All Participants
Every participant will receive Theta-gamma tACS, Delta-beta tACS, and Sham tACS on separate sessions during performance of a computerized task.
26
Total26

Baseline characteristics

CharacteristicAll Participants
Age, Continuous19.654 years
STANDARD_DEVIATION 1.4951
Baseline Delta Phase to Beta Amplitude Coupling0.0406 Z-score
STANDARD_DEVIATION 0.3232
Baseline Percent Correct Difference for Abstraction0.0679 percent correct
STANDARD_DEVIATION 4.9692
Baseline Percent Correct Difference for Set-Size-1.0190 percent correct
STANDARD_DEVIATION 4.4569
Baseline Reaction Time Difference for Abstraction0.1637 seconds
STANDARD_DEVIATION 0.1012
Baseline Reaction Time Difference for Set-Size0.2272 seconds
STANDARD_DEVIATION 0.0844
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
17 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants
Race (NIH/OMB)
White
15 Participants
Region of Enrollment
United States
26 Participants
Sex: Female, Male
Female
21 Participants
Sex: Female, Male
Male
5 Participants
Theta Phase to Gamma Amplitude Coupling Strength0.0739 Z-score
STANDARD_DEVIATION 0.4214

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 240 / 260 / 26
other
Total, other adverse events
11 / 2415 / 2610 / 26
serious
Total, serious adverse events
0 / 240 / 260 / 26

Outcome results

Primary

Delta Phase to Beta Amplitude Coupling Strength

Delta-beta tACS was hypothesized to increase cross frequency coupling strength (higher value) between the targeted frequency bands. Phase amplitude coupling between delta phase and beta amplitude was calculated for the two minute electrical brain recordings after stimulation. A null distribution was calculated by shuffling the beta amplitude time series relative to the delta phase time series and then calculating coupling strength. The outcome measure is the z-transformed value of the genuine phase amplitude coupling relative to the null distribution.

Time frame: through study completion, an average of 3 weeks

Population: One participant excluded from coupling analysis because they did not follow task instructions.

ArmMeasureValue (MEAN)Dispersion
Theta-gamma tACSDelta Phase to Beta Amplitude Coupling Strength-0.0873 Z-scoreStandard Deviation 0.3035
Delta-beta tACSDelta Phase to Beta Amplitude Coupling Strength0.1123 Z-scoreStandard Deviation 0.2939
Sham tACSDelta Phase to Beta Amplitude Coupling Strength-0.1250 Z-scoreStandard Deviation 0.2651
p-value: 0.04t-test, 1 sided
Primary

Percent Correct for Trials With High Abstraction Relative to Low Abstraction

For low abstraction conditions, subjects must memorize a color to button mapping. For high abstraction conditions, subject must make a perceptual judgement on the similarity of two objects based on either texture or shape as cued by a color. The accuracy difference between high and low abstraction conditions was hypothesized to decrease when delta-beta tACS was delivered. As a control for the placebo effect of stimulation, the difference between delta-beta tACS and sham tACS, or placebo, was used for statistical analysis.

Time frame: through study completion, an average of 3 weeks

Population: One participant excluded from behavioral analysis because they did not follow task instructions.

ArmMeasureValue (MEAN)Dispersion
Theta-gamma tACSPercent Correct for Trials With High Abstraction Relative to Low Abstraction0.5661 percent correctStandard Deviation 3.1678
Delta-beta tACSPercent Correct for Trials With High Abstraction Relative to Low Abstraction-0.2944 percent correctStandard Deviation 7.4718
Sham tACSPercent Correct for Trials With High Abstraction Relative to Low Abstraction0.7246 percent correctStandard Deviation 6.6416
p-value: 0.54t-test, 2 sided
Primary

Percent Correct for Trials With High Set-size Relative to Low Set-size

The accuracy difference between high and low set-size conditions was hypothesized to decrease when theta-gamma tACS is delivered. As a control for the placebo effect of stimulation, the difference between theta-gamma tACS and sham tACS, or placebo, was used for statistical analysis.

Time frame: through study completion, an average of 3 weeks

Population: One participant excluded from behavioral analysis because they did not follow task instructions.

ArmMeasureValue (MEAN)Dispersion
Theta-gamma tACSPercent Correct for Trials With High Set-size Relative to Low Set-size-2.2871 percent correctStandard Deviation 2.9242
Delta-beta tACSPercent Correct for Trials With High Set-size Relative to Low Set-size-4.3252 percent correctStandard Deviation 6.8997
Sham tACSPercent Correct for Trials With High Set-size Relative to Low Set-size-4.1667 percent correctStandard Deviation 4.3264
p-value: 0.007t-test, 2 sided
Primary

Reaction Time for Trials With High Abstraction Relative to Low Abstraction

For low abstraction conditions, subjects must memorize a color to button mapping. For high abstraction conditions, subject must make a perceptual judgement on the similarity of two objects based on either texture or shape as cued by a color. The reaction time difference between high and low abstraction conditions was hypothesized to decrease when delta-beta tACS was delivered. As a control for the placebo effect of stimulation, the difference between delta-beta tACS and sham tACS, or placebo, was used for statistical analysis.

Time frame: through study completion, an average of 3 weeks

Population: One participant excluded from behavioral analysis because they did not follow task instructions.

ArmMeasureValue (MEAN)Dispersion
Theta-gamma tACSReaction Time for Trials With High Abstraction Relative to Low Abstraction0.1247 secondsStandard Deviation 0.08
Delta-beta tACSReaction Time for Trials With High Abstraction Relative to Low Abstraction0.1444 secondsStandard Deviation 0.0832
Sham tACSReaction Time for Trials With High Abstraction Relative to Low Abstraction0.1022 secondsStandard Deviation 0.0947
p-value: 0.031t-test, 2 sided
Primary

Reaction Time for Trials With High Set-size Relative to Low Set-size

The reaction time difference between high and low set-size conditions was hypothesized to decrease when theta-gamma tACS is delivered. As a control for the placebo effect of stimulation, the difference between theta-gamma tACS and sham tACS, or placebo, was used for statistical analysis.

Time frame: through study completion, an average of 3 weeks

Population: One participant excluded from behavioral analysis because they did not follow task instructions.

ArmMeasureValue (MEAN)Dispersion
Theta-gamma tACSReaction Time for Trials With High Set-size Relative to Low Set-size0.1905 secondsStandard Deviation 0.0676
Delta-beta tACSReaction Time for Trials With High Set-size Relative to Low Set-size0.1853 secondsStandard Deviation 0.1057
Sham tACSReaction Time for Trials With High Set-size Relative to Low Set-size0.1888 secondsStandard Deviation 0.076
p-value: 0.935t-test, 2 sided
Primary

Theta Phase to Gamma Amplitude Coupling Strength

Theta-gamma tACS was hypothesized to increase cross frequency coupling strength (higher value) between the targeted frequency bands. Phase amplitude coupling between theta phase and gamma amplitude was calculated for the two minute electrical brain recordings after stimulation. A null distribution was calculated by shuffling the gamma amplitude time series relative to the theta phase time series and then calculating coupling strength. The outcome measure is the z-transformed value of the genuine phase amplitude coupling relative to the null distribution.

Time frame: through study completion, an average of 3 weeks

Population: One participant was excluded from coupling analysis because they did not follow task instructions.

ArmMeasureValue (MEAN)Dispersion
Theta-gamma tACSTheta Phase to Gamma Amplitude Coupling Strength0.1615 Z-scoreStandard Deviation 0.3563
Delta-beta tACSTheta Phase to Gamma Amplitude Coupling Strength0.0706 Z-scoreStandard Deviation 0.3496
Sham tACSTheta Phase to Gamma Amplitude Coupling Strength0.0577 Z-scoreStandard Deviation 0.4043
p-value: 0.02t-test, 1 sided

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026