Evaluation of Deep Transcranial Magnetic Stimulation (DTMS) With the H-ADD Coil as an Aid to Smoking Cessation.

NCT ID: NCT02126124

Last Updated: 2020-12-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

224 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-08-20

Study Completion Date

2019-11-14

Brief Summary

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The purpose of the study is to evaluate the safety and efficacy of DTMS compared to sham treatment as an aid to smoking cessation in chronic, heavy (\>10 cigarettes/day) cigarette smokers.

Detailed Description

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This is a multi center, randomized, double blind study to evaluate the safety and effectiveness of the device as an aid to smoking cessation. Treatment will be administered over a 6 week period and follow-up assessments will be conducted at 4 months. The clinical study design includes multiple measurements of safety and effectiveness parameters. The design is meant to demonstrate that the device shows superiority compared to sham treatment over six treatment weeks, at the 4 months follow up.

Conditions

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Smoking Cessation

Keywords

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Brainsway, dTMS, Deep Transcranial Magnetic Stimulation, Smoking Cessation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Active dTMS Treatment

Brainsway Deep TMS Treatment

Group Type ACTIVE_COMPARATOR

Active dTMS Treatment

Intervention Type DEVICE

Deep Transcranial Magnetic Stimulation (dTMS) is a new form of TMS which allows direct stimulation of deeper neuronal pathways than the standard TMS. The Brainsway Coil is a novel dTMS coil desigend to allow deeper brain stimulation without significant increase of electric fields induced in superficial cortical regions.

Sham Treatment

Brainsway Sham Treatment

Group Type SHAM_COMPARATOR

Sham Treatment

Intervention Type DEVICE

In the sham treatment, the electrical field induced by the sham coil cannot invoke any action potentials and if no action potentials are induced, then the electric field is insignificant and there is no treatment effect on the the brain.

Interventions

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Sham Treatment

In the sham treatment, the electrical field induced by the sham coil cannot invoke any action potentials and if no action potentials are induced, then the electric field is insignificant and there is no treatment effect on the the brain.

Intervention Type DEVICE

Active dTMS Treatment

Deep Transcranial Magnetic Stimulation (dTMS) is a new form of TMS which allows direct stimulation of deeper neuronal pathways than the standard TMS. The Brainsway Coil is a novel dTMS coil desigend to allow deeper brain stimulation without significant increase of electric fields induced in superficial cortical regions.

Intervention Type DEVICE

Other Intervention Names

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Brainsway Sham Treatment Brainsway Deep TMS Treatment

Eligibility Criteria

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Inclusion Criteria

* Male or female subjects, 22-70 years old.
* Chronic, heavy (\>10 cigarettes/day) smokers, who smoke for more than 1 year, with no period of abstinence for greater than 3 months during the past year.
* Subjects who are motivated to quit smoking (with responses "very likely," or "somewhat likely" to the motivation questionnaire).
* Satisfactory answers on safety screening questionnaire for transcranial magnetic stimulation (Keel 2001).
* Gave informed consent for participation in the study.

Exclusion Criteria

* Currently on Nicotine Replacement Therapy (NRT) or smoking cessation drugs (e.g., Zyban, Chantix, etc.) or undergoing behavioral smoking cessation interventions
* Cognitive or functional disability, diagnosed according to DSM-IV-TR criteria.
* Active psychiatric disorder according to DSM IV (Axis I and Axis II) criteria within the last year.
* Current alcohol or other substance abuse or dependence.
* Alcohol or other substance abuse or dependence during the last 12 months before recruitment.
* Subject is smoking any other form of tobacco or other substances.
* Subject is taking psychotropic medications on a regular basis.
* Subjects with a high risk for severe violence or suicidality as assessed during the screening interview.
* Subjects who suffer from an unstable physical disease such as high blood pressure (\>150 mmHg systolic / diastolic \> 110 mmHg) or acute, unstable cardiac disease.
* History of epilepsy or seizure (EXCEPT those therapeutically induced by ECT).
* Increased risk of seizure for any reason, including prior diagnosis of increased intracranial pressure (such as after large infarctions or trauma), or history of significant head injury or trauma with loss of consciousness for \> 5 minutes.
* History of any metal in the head (outside the mouth).
* Metallic particles in the eye, implanted cardiac pacemaker or any intracardiac lines, implanted neurostimulators, intracranial implant (e.g., aneurysm clips, shunts, stimulators, cochlear implants, or electrodes) or implanted medical pumps.
* Individuals with a significant neurological disorder or insult including, but not limited to:

* Any condition likely to be associated with increased intracranial pressure
* Space occupying brain lesion
* History of cerebrovascular accident
* Transient ischemic attack within two years
* Cerebral aneurysm
* Dementia
* Mini Mental State Exam score of less than or equal to 24
* Parkinson's disease
* Huntington's chorea
* Multiple sclerosis
* Subjects suffering from frequent and severe migraine headaches.
* Subjects suffering from significant hearing loss.
* Subjects taking pro-convulsant medications (e.g., antidepressants or antipsychotic medications).
* Previous treatment with TMS.
* Subjects who cannot communicate reliably with the investigator or who are not likely to cope with the requirements of the experiment.
* Participation in a clinical trial within the last 30 days before the beginning of this clinical trial or similar participation in another clinical trial.
* Known or suspected pregnancy or lactation.
* Women of childbearing potential and not using a medically accepted form of contraception when engaging in sexual intercourse.
Minimum Eligible Age

22 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Brainsway

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mark George, MD

Role: PRINCIPAL_INVESTIGATOR

Medical University of South Carolina

Abraham Zangen, PhD

Role: PRINCIPAL_INVESTIGATOR

Soroka University Medical Center

Kathleen Brady, MD., PhD

Role: PRINCIPAL_INVESTIGATOR

Medical University of South Carolina

Locations

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Pacific Institute of Medical Research

Los Angeles, California, United States

Site Status

University of California - San Diego Medical Center

San Diego, California, United States

Site Status

TMS Center of Colorado

Denver, Colorado, United States

Site Status

University of Florida College of Medicine

Gainesville, Florida, United States

Site Status

Advanced Mental Health Care Inc. - Juno Beach

Juno Beach, Florida, United States

Site Status

Advanced Mental Health Care Inc. - Royal Palm Beach

Royal Palm Beach, Florida, United States

Site Status

McLean Hospital - TMS Services

Belmont, Massachusetts, United States

Site Status

Premier Psychiatric Group

Lincoln, Nebraska, United States

Site Status

Premier Psychiatric Group

Omaha, Nebraska, United States

Site Status

Mount Sinai Hospital

New York, New York, United States

Site Status

Columbia University / New York State Psychiatric Institute

New York, New York, United States

Site Status

Lindner Center of HOPE, University of Cinicnnati College of Medicine

Cincinnati, Ohio, United States

Site Status

Medical University Of South Carolina (MUSC)

Charleston, South Carolina, United States

Site Status

Senior Adults Specialty Research

Austin, Texas, United States

Site Status

Center for Addiction and Mental Health (CAMH)

Toronto, Ontario, Canada

Site Status

Beer Yaacov Mental Health Center

Beer Yaacov, , Israel

Site Status

Soroka Medical Center

Beersheba, , Israel

Site Status

Lev Hasharon

Netanya, , Israel

Site Status

Countries

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Brazil Germany United States Canada Israel

References

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Zangen A, Moshe H, Martinez D, Barnea-Ygael N, Vapnik T, Bystritsky A, Duffy W, Toder D, Casuto L, Grosz ML, Nunes EV, Ward H, Tendler A, Feifel D, Morales O, Roth Y, Iosifescu DV, Winston J, Wirecki T, Stein A, Deutsch F, Li X, George MS. Repetitive transcranial magnetic stimulation for smoking cessation: a pivotal multicenter double-blind randomized controlled trial. World Psychiatry. 2021 Oct;20(3):397-404. doi: 10.1002/wps.20905.

Reference Type DERIVED
PMID: 34505368 (View on PubMed)

Other Identifiers

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BR-SMOK-01

Identifier Type: -

Identifier Source: org_study_id