Evidence map›Paper›PMID 36307858›Full record

ArticleTrials2022

High-definition transcranial direct current stimulation (HD-tDCS) as augmentation therapy in late-life depression (LLD) with suboptimal response to treatment-a study protocol for a double-blinded randomized sham-controlled trial.

Sze Ting Joanna Ngan, Lap Kei Chan, Wai Chi Chan, Linda Chiu Wa Lam, Wan Kei Li, Kelvin Lim, Ego Or, Pui Fai Pang, Ting Keung Poon, Mei Cheung Mimi Wong and 2 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05322863 (High-definition Transcranial Direct Current Stimulation), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 39% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05322863 naunknown statusnot on this map

High-definition Transcranial Direct Current Stimulation (HD-tDCS) as Augmentation Therapy in Late-life Depression (LLD) With Suboptimal Response to Treatment - Double-blinded Randomized Sham-controlled Trial

TypeinterventionalSponsorThe University of Hong KongRan2021 to 2024Enrolled58ConditionsDepression in Old AgeArmsHigh-definition Transcranial Direct Current Stimulation
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 7 institutions in 2 countries.

Sze Ting Joanna NganNew Clinical Building, Queen Mary Hospital, 2/F, 102 Pok Fu Lam Road, Pok Fu Lam, Hong Kong, Hong Kong.
Lap Kei ChanDepartment of Psychiatry, Kwai Chung Hospital, Kwai Chung, Hong Kong, Hong Kong.
Wai Chi ChanNew Clinical Building, Queen Mary Hospital, 2/F, 102 Pok Fu Lam Road, Pok Fu Lam, Hong Kong, Hong Kong.
Linda Chiu Wa LamDepartment of Psychiatry, Tai Po Hospital, G/F, Multi-Centre, Tai Po, Hong Kong, Hong Kong.
Wan Kei LiNew Clinical Building, Queen Mary Hospital, 2/F, 102 Pok Fu Lam Road, Pok Fu Lam, Hong Kong, Hong Kong.
Kelvin LimDepartment of Psychiatry, University of Minnesota Medical School, Minneapolis, MN, USA.
Ego OrNew Clinical Building, Queen Mary Hospital, 2/F, 102 Pok Fu Lam Road, Pok Fu Lam, Hong Kong, Hong Kong.
Pui Fai PangDepartment of Psychiatry, United Christian Hospital, Kwun Tong, Hong Kong, Hong Kong.
Ting Keung PoonDepartment of Psychiatry, Kowloon Hospital, Kadoorie Hill, Hong Kong, Hong Kong.
Mei Cheung Mimi WongDepartment of Psychiatry, United Christian Hospital, Kwun Tong, Hong Kong, Hong Kong.
Ying King Anna WuDepartment of Psychiatry, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong, Hong Kong.
Pak Wing Calvin ChengNew Clinical Building, Queen Mary Hospital, 2/F, 102 Pok Fu Lam Road, Pok Fu Lam, Hong Kong, Hong Kong. chengpsy@hku.hk.ORCID http://orcid.org/0000-0003-4457-1908
Queen Mary Hospital · CNUnited Christian Hospital · CNKowloon Hospital · CNKwai Chung Hospital · CNPamela Youde Nethersole Eastern Hospital · CNTai Po Hospital · CNUniversity of Minnesota Medical Center · US

Funding

the Health and Medical Research Fund 17181141
6 · The paper itself

Abstract

backgroundLate-life depression (LLD) has a poorer prognosis and higher relapse rate than younger adults, with up to one third of patients with LLD showing suboptimal response to antidepressant therapy. LLD has been associated with significant impairment in cognition and daily functioning. Few studies have evaluated the therapeutic effects of high-definition transcranial direct current stimulation (HD-tDCS) on depressive and cognitive symptoms of LLD. The current randomized controlled trial assesses the efficacy of HD-tDCS as an augmentation therapy with antidepressants compared to sham-control in subjects with LLD.

methodsFifty-eight patients with LLD will be recruited and randomly assigned to the active HD-tDCS or sham HD-tDCS group. In both groups, patients will receive the active or sham intervention in addition to their pre-existing antidepressant therapy, for 2 weeks with 5 sessions per week, each lasting 30 min. The primary outcome measures will be the change of depressive symptoms, clinical response and the remission rate as measured with the Hamilton Depression Rating scale (HAMD-17) before and after the intervention, and at the 4th and 12th week after the completed intervention. Secondary outcome measures include cognitive symptoms, anxiety symptoms, daily functioning and adverse effects.  DISCUSSION: Older adults with depression are associated with poorer outcomes or unsatisfactory responses to antidepressant therapy, and significant cognitive decline. Therefore, a new effective treatment option is needed. This randomized control trial aims at assessing the efficacy of HD-tDCS on ameliorating the depressive, cognitive and anxiety symptoms, and improving the daily functioning of subjects with LLD.

trial registrationClinicalTrials.gov NCT05322863. Registered on 11 April 2022.

Indexed as

Transcranial Direct Current StimulationAgedAntidepressive AgentsAnxietyDepressionDouble-Blind MethodHumansRandomized Controlled Trials as TopicTreatment OutcomeAntidepressive AgentsAugmentation therapyHigh-definition transcranial direct current stimulationLate-life depression

Identifiers

PMID36307858
PMCPMC9617316
OpenAlexW4307712848

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.