A gentle brain zap might boost medication adherence in schizophrenia
NCT ID NCT04033679
First seen Aug 25, 2026 · Last updated Aug 26, 2026 · Updated 1 time
Summary
This trial tests whether transcranial direct current stimulation (tDCS), a non-invasive brain stimulation method, can improve how consistently people with schizophrenia take their antipsychotic medication. Participants will receive either active tDCS or a sham (inactive) version over 20 sessions, and their medication adherence will be tracked through pill counts, blood tests, and clinician ratings. The goal is to see if this gentle brain stimulation can help address the common problem of medication nonadherence in schizophrenia.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- transcranial direct current stimulation (tDCS), a non-invasive brain stimulation technique
- What this could lead to
- If it works, tDCS could become a safe add-on to help people with schizophrenia take their medication regularly, potentially improving their long-term stability and quality of life.
- What could go wrong
- This is an early-stage trial with a modest number of participants, and the effect on medication adherence is uncertain. tDCS is generally well-tolerated but may cause mild discomfort or skin irritation at the electrode sites.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 106 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2019
- Expected to finish
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Mar 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Male or female participants of any race or ethnicity 2. Inpatients or outpatients ≥18 years of age 3. DSM-V diagnosis of SCZ or schizoaffective disorder 4. Capable of consenting to participate in the research study 5. On a stable dose of antipsychotic drug and other concomitant medications for at least 2 months, and unlikely to undergo changes in dose during the study Exclusion Criteria: 1. Unwilling or incapable to consent to the study based on the MacArthur Test of Competence 2. Unstable medical or any concomitant major medical or neurological illness, including a history of seizures 3. Acute suicidal or homicidal ideation 4. Formal thought disorder rating ≥3 on the Positive and Negative Syndrome Scale (PANSS) P2 conceptual disorganization item 5. DSM-V substance dependence (except caffeine and nicotine) within 1 month of entering the study\* 6. Positive urine drug screen except for cannabis/marijuana at the screening visit 7. Metal implants or pacemaker precluding an MRI scan or other contraindications to MRI (eg., claustrophobia) 8. Pregnancy 9. Score \< 32 on the Wide Range Achievement Test-III * Substance misuse: In addition to impaired insight, substance misuse is one of the principle contributors to medication nonadherence. To minimize the possibility of its influence, participants with a DSM-V diagnosis of substance dependence within 1 month of entering the study or a positive urine drug test (except for cannabis/marijuana) at the screening visit will be excluded. Substance use and urine drug screens will be assessed at subsequent study visits.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Centre for Addiction and Mental Health
Toronto, Ontario, M5T 1R8, Canada
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Other studies related to the condition(s) this trial covers.
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