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CTRI Number  CTRI/2025/03/083684 [Registered on: 28/03/2025] Trial Registered Prospectively
Last Modified On: 13/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Behavioral
Other (Specify) 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Comparison of High-Definition Transcranial Direct Current Stimulation and Prolonged Speech Treatment in Kannada-Speaking Adults who Stutter 
Scientific Title of Study   Effect of High-Definition Transcranial Direct Current Stimulation and Prolonged Speech Treatment in Kannada-Speaking Adults who Stutter: A Treatment Comparison 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Audrey Joyner Dsouza 
Designation  Junior Research Fellow 
Affiliation  All India Institute of Speech and Hearing 
Address  All India Institute of Speech and Hearing, Manasagangothri, Mysore, India
Naimisham Campus, Manasagangothri, Mysore, India
Mysore
KARNATAKA
570006
India 
Phone  7204955226  
Fax    
Email  audreydsouza98@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Santosh M 
Designation  Professor 
Affiliation  All India Institute of Speech and Hearing 
Address  All India Institute of Speech and Hearing, Manasagangothri, Mysore, India
Naimisham Campus, Manasagangothri, Mysore, India
Mysore
KARNATAKA
570006
India 
Phone  9663922033  
Fax    
Email  santoshm79@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Audrey Joyner Dsouza 
Designation  Junior Research Fellow 
Affiliation  All India Institute of Speech and Hearing 
Address  All India Institute of Speech and Hearing, Manasagangothri, Mysore, India
Naimisham Campus, Manasagangothri, Mysore, India

KARNATAKA
570006
India 
Phone  7204955226  
Fax    
Email  audreydsouza98@gmail.com  
 
Source of Monetary or Material Support  
All India Institute of Speech and Hearing, Manasagangothri, Mysore, Karnataka, India -570006 
 
Primary Sponsor  
Name  Audrey Joyner Dsouza 
Address  Centre of Speech Language Sciences, All India Institute of Speech and Hearing, Manasagangothri, Mysore 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
All India Institute of Speech and Hearing  All India Institute of Speech and Hearing, Manasagangothri, Mysore 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Santosh M  All India Institute of Speech and Hearing  tDCS lab, Centre of Excellence for Speech Language Sciences
Mysore
KARNATAKA 
9663922033

santoshm79@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Review Board, All India Institute of Speech and Hearing, Manasagangothri, Mysore  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F988||Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Prolonged speech treatment  Participant will be asked to prolong the initial syllable of the stuttered syllable. This will be carried out for 10 sessions. 
Comparator Agent  Sham Transcranial Direct Current Stimulation  1mA current will be delivered for 1st 30 seconds and last 30 seconds of the 20 mins time framework for 10 days through AgCL sintered electrodes used in high-definition transcranial direct current stimulation along with choral speech during reading task. Five electrodes will be place among which the center electrode will be placed at FC5 approximating the left inferior frontal gyrus as per the combinatorial 10-20 system of EEG electrode placement. The other four electrodes will be placed on FC1, FT9, AF7 and CP5 respectively. The procedure for using HD-tDCS suggested by Villamar et al., (2013) will be followed. 
Intervention  Transcranial Direct Current STimulation  1mA current will be delivered for 20 mins for 10 days through AgCL sintered electrodes used in high-definition transcranial direct current stimulation along with choral speech during reading task. Five electrodes will be place among which the center electrode will be placed at FC5 approximating the left inferior frontal gyrus as per the combinatorial 10-20 system of EEG electrode placement. The other four electrodes will be placed on FC1, FT9, AF7 and CP5 respectively. The procedure for using HD-tDCS suggested by Villamar et al., (2013) will be followed. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  Diagnosed with developmental stuttering by a speech-language pathologist; Minimum of mild severity of stuttering on stuttering severity instrument- fourth edition; Native Kannada speaker; Right-handed; Education qualification above 10th grade.
 
 
ExclusionCriteria 
Details  Individuals who have undergone speech therapy for stuttering in the past 2 years; Has a history of any other speech, language, or neurological disorders; History of seizures; Family history of seizures; History of head injury/surgery; History of unexplained loss of consciousness; Pregnancy; Presence of metal implant, pacemakers, or any other implantable devices; History of frequent or severe headache or migraine; History of alcohol consumption in the past 15 days or history of any other substance abuse; History of usage of psychiatric medications such as antidepressants or antipsychotics; Intake of any medications anytime in the past 15 days, or during the course of the study; Presence of any illness that has an influence on the brain, during the study; Presence of skin allergies or wounds at the site of stimulation. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Percentage of syllables stuttered  Baseline assessment, post-10 sessions, 1 week post-treatment, and 1 month post-treatment 
 
Secondary Outcome  
Outcome  TimePoints 
Self-rated stuttering severity, Stuttering Severity Instrument – fourth edition, Naturalness rating, Overall assessment of the speaker’s experience of stuttering for adults in Kannada, Communication attitude test in Kannada for adults who stutter, Unhelpful Thoughts and Beliefs About Stuttering Scales-6, Rate of speech  Baseline assessment, post-10 sessions, 1 week post-treatment, and 1 month post-treatment 
 
Target Sample Size   Total Sample Size="45"
Sample Size from India="45" 
Final Enrollment numbers achieved (Total)= "45"
Final Enrollment numbers achieved (India)="45" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   13/04/2026 
Date of Study Completion (India) 09/03/2026 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response (Others) -  On request to the investigators emailed to audreydsouza98@gmail.com, neccesary data can be shared.

  6. For how long will this data be available start date provided 09-12-2026 and end date provided 28-02-2027?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary   This study with a parallel group design will consist of three groups of adults who stutter. Group 1: receiving high-definition transcranial direct current stimulation (tDCS) for 20 mins; Group 2: receiving sham tDCS and Group 3: receiving prolonged speech treatment. All the treatment groups will have 10 sessions. The tDCS groups will receive 1mA for 20 minutes on the left inferior frontal gyrus while reading throughout the session with the clinician. The primary outcome measure will be the percentage of syllables stuttered during the reading, conversation and narration tasks.  
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