Home-based Brain Stimulation Using tDCS for Adults with Bipolar Depression A Randomized, Placebo-Controlled Study
Led by King's College London · Updated on 2026-04-29
212
Participants Needed
1
Research Sites
30 weeks
Total Duration
AI-Summary
What this Trial Is About
Bipolar depression is a persistent and disabling condition where many people continue to have depressive symptoms despite standard treatments. Researchers are evaluating whether a home-based transcranial direct current stimulation tDCS device is effective and safe in reducing symptoms of bipolar depression compared to a placebo sham treatment. The study also explores how acceptable the treatment is to participants and how well they can use the device at home.
Participants will be randomly assigned to use either an active tDCS device or a sham placebo device at home over a 10-week treatment period. The device used is the Flow FL-100 tDCS headset, which delivers a low-intensity electrical current to the brains dorsolateral prefrontal cortex. This is a portable device that participants will self-administer, with neither they nor the researchers knowing which treatment they receive during the trial.
During the study, participants will complete scheduled assessments including clinician interviews and self-reported questionnaires on mood and well-being. Device usage and adherence will be electronically monitored. Participants will be followed for 6 months after treatment to assess effects on depressive and anxiety symptoms, as well as quality of life. Safety and any side effects such as mild tingling or skin irritation will be closely monitored throughout the study, which primarily takes place remotely from participants homes.
CONDITIONS
Brief Title
A Study of Home-use Brain Stimulation to Treat Bipolar Depression
Research Team
P
Professor Cynthia Fu
Not the Right Trial for You?
Explore thousands of other clinical trials that might be a better match. Sign up to get personalized trial recommendations delivered to your inbox.
Diagnosis of bipolar disorder currently in a depressive episode based on DSM-5 criteria assessed by a structured clinical interview
Moderate or more severe depressive symptoms with a MADRS score of at least 18
Either not taking antidepressant medication or on a stable dose for at least 6 weeks before joining
Either not currently in psychotherapy or in psychotherapy for at least 6 weeks before joining
Under care of a general practitioner (GP)
Agree to have GP regularly informed about study participation
Able to provide written, informed consent
You will not qualify if you...
Significant suicide risk based on specific screening questions
Primary comorbid psychiatric disorders such as obsessive compulsive disorder
High mania symptoms with Young Mania Rating Scale score of 20 or more
Daily use of medications affecting brain excitability like benzodiazepines
Current illicit drug use or heavy alcohol use with high risk of disorder
History of brain stimulation treatments or psychosurgery for depression
History of esketamine or ketamine treatment for depression
Medical disorders that may mimic mood disorders
History of heart problems such as heart attack or heart failure
Cognitive impairment such as dementia
History of neurological disorders like stroke, seizures, or Parkinson's disease
History of migraines or severe headaches
Brain implants, skull defects, or active medical implants
Presence of shrapnel or metal in the head
Females of child-bearing potential who are pregnant or planning pregnancy during the study
Currently enrolled in another interventional study
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - 10 weeks
Participants receive a 10-week course of home-based transcranial direct current stimulation (tDCS) using the Flow FL-100 headset, alongside their usual treatment for bipolar depression.
Weekly visits for up to 10 weeks
Follow-up
Duration - 6 months post randomisation
Participants are assessed at 6 months after randomisation to evaluate longer-term effects on depressive and anxiety symptoms, as well as quality of life.
1 follow-up visit (in-person or remote)
How is the study designed?
Study Type
INTERVENTIONAL
Masking
QUADRUPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
Similar Trials
Home-based Brain Stimulation Using tDCS for Adults with Bipolar Depression A Randomized, Placebo-Controlled Study
Validation and Adaptation of the Hypomanic Personality Scale HPS-6 for Romanian Adults Aged 18 to 50
Study Using Multi-Modal Sentiment Analysis to Predict Recurrence Risk in Bipolar Disorder
Observational Study Including Patients and Healthy Controls Aged 18 to 64
Study of High-Level Cognitive Impairments in Adults With Various Neuropsychiatric and Neurological Disorders Compared to Healthy Volunteers
Ketogenic Diet Treatment for Adolescents with Bipolar Disorder
A 16-Week Study Combining Diet and Medication for Mood Improvement
Studying Relationship Addiction in Adults Aged 18 to 45 with Borderline Personality Disorder, Bipolar Disorder, or No Psychiatric Disorders
Creating a Global Linked Research Resource Combining Genetic Data and Health Records to Improve Diagnosis and Treatment of Serious Mental Illness and Dementia
Precision Treatment Study for Depression, Bipolar Disorder, and Schizophrenia
Using Pharmacogenomic Guidance and Drug Monitoring in Chinese Han Adults
Study of Exercise Ability, Lung Function, Breathing Muscle Strength, and Life Quality in Adults with Schizophrenia or Bipolar Disorder
Study of Virtual Reality Cognitive Training and Sodium Butyrate to Improve Thinking in Adults 40 to 75 with Stable Depression or Bipolar Disorder
Have more questions? Get in touch with our team for quick support
Published Research Related To This Trial
Acceptability of active and sham home-based transcranial direct current stimulation in major depression: mixed methods qualitative analysis in a randomised controlled trial.
Peter J Lagerberg, Rachel D Woodham, Sudhakar Selvaraj...
Home-based transcranial direct current stimulation for major depressive disorder: 6-month follow-up from randomised sham-controlled trial and open-label treatment phases.
Rachel D Woodham, Sudhakar Selvaraj, Nahed Lajmi...
Home-based transcranial direct current stimulation in bipolar depression: an open-label treatment study of clinical outcomes, acceptability and adverse events.
Ali-Reza Ghazi-Noori, Rachel D Woodham, Hakimeh Rezaei...
Adjunctive home-based transcranial direct current stimulation treatment for major depression with real-time remote supervision: An open-label, single-arm feasibility study with long term outcomes.
Rachel D Woodham, Rachael M Rimmer, Allan H Young...