Efficacy of Repetitive Transcranial Magnetic Stimulation and Cognitive Behavioral Therapy on Heroin Dependence

NCT ID: NCT03922659

Last Updated: 2021-03-22

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-06-30

Study Completion Date

2021-12-31

Brief Summary

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Heroin dependence is one of most common substance dependence, which brings great burden on health worldwide. Heroin dependence may lead to immunosuppression and cognitive impairments. Once heroin dependence is developed, it will be difficult to recover and easy to relapse. Although many efforts had been made in the treatment of heroin dependence, the annual recurrence of heroin dependence with traditional therapies would be up to 90%. Repetitive transcranial magnetic stimulation (rTMS) on the dorsolateral prefrontal cortex (DLPFC) or cognitive behavioral therapy (CBT) each alone was reported to have some effect on preventing from relapse of substance dependence. In order to test whether combined therapy of high frequency rTMS (hf-rTMS) with CBT is better for preventing from relapse of heroin dependence, we recruit patients with heroin dependence to participate this study. The study is a factorial designed and the patients will be assigned into one of the following six groups randomly: (1) regular treatment (symptomatic treatment) with blank TMS; (2) regular treatment (RT) with blank TMS and CBT; (3) RT with right DLPFC hf-rTMS; (4) RT with right DLPFC hf-rTMS and CBT; (5) RT with left DLPFC hf-rTMS; (6) RT with left DLPFC hf-rTMS and CBT. TMS was given 5 days per week for total 2 weeks using uniform scheme (5 seconds of 10Hz stimulation per train, 30 trains per day with inter-train interval of 20 seconds). CBT will be given once per week for total 8 weeks. The patients will be followed up for 6 months. Recurrence of heroin dependence, duration of abstention, heroin/drug intake, craving for heroin and other cognitive psychological assessments will be recorded and compared among the 6 treatment groups and the efficacy of combined therapy of rTMS with CBT will be evaluated in our study.

Detailed Description

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Conditions

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Heroin Dependence

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Regular treatment (symptomatic treatment) with blank TMS

Regular treatment (symptomatic treatment) with blank transcranial magnetic stimulation

Group Type PLACEBO_COMPARATOR

Transcranial magnetic stimulation and Cognitive behavioral therapy

Intervention Type COMBINATION_PRODUCT

Transcranial magnetic stimulation on different side with/without cognitive behavioral therapy

Regular treatment (RT) with blank TMS and CBT

Regular treatment (symptomatic treatment) with blank transcranial magnetic stimulation and cognitive behavioral therapy

Group Type ACTIVE_COMPARATOR

Transcranial magnetic stimulation and Cognitive behavioral therapy

Intervention Type COMBINATION_PRODUCT

Transcranial magnetic stimulation on different side with/without cognitive behavioral therapy

RT with right DLPFC hf-rTMS

Regular treatment with right dorsolateral prefrontal cortex (DLPFC) high frequency repetitive transcranial magnetic stimulation (hf-rTMS)

Group Type ACTIVE_COMPARATOR

Transcranial magnetic stimulation and Cognitive behavioral therapy

Intervention Type COMBINATION_PRODUCT

Transcranial magnetic stimulation on different side with/without cognitive behavioral therapy

RT with right DLPFC hf-rTMS and CBT

Regular treatment with right DLPFC high frequency repetitive transcranial magnetic stimulation (hf-rTMS) and cognitive behavioral therapy (CBT)

Group Type ACTIVE_COMPARATOR

Transcranial magnetic stimulation and Cognitive behavioral therapy

Intervention Type COMBINATION_PRODUCT

Transcranial magnetic stimulation on different side with/without cognitive behavioral therapy

RT with left DLPFC hf-rTMS

Regular treatment with left DLPFC high frequency repetitive transcranial magnetic stimulation (hf-rTMS)

Group Type ACTIVE_COMPARATOR

Transcranial magnetic stimulation and Cognitive behavioral therapy

Intervention Type COMBINATION_PRODUCT

Transcranial magnetic stimulation on different side with/without cognitive behavioral therapy

RT with left DLPFC hf-rTMS and CBT

Regular treatment with left DLPFC high frequency repetitive transcranial magnetic stimulation (hf-rTMS) and cognitive behavioral therapy (CBT)

Group Type ACTIVE_COMPARATOR

Transcranial magnetic stimulation and Cognitive behavioral therapy

Intervention Type COMBINATION_PRODUCT

Transcranial magnetic stimulation on different side with/without cognitive behavioral therapy

Interventions

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Transcranial magnetic stimulation and Cognitive behavioral therapy

Transcranial magnetic stimulation on different side with/without cognitive behavioral therapy

Intervention Type COMBINATION_PRODUCT

Eligibility Criteria

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Inclusion Criteria

* Diagnosis as heroin dependence according to DSM-IV criteria
* No definite history of neurological diseases and psychological problems
* Volunteer to participate the study, cooperate to be followed up

Exclusion Criteria

* Acute withdrawal state and CIWA score \> 9
* With other neurological diseases and psychological problems
* With ever brain trauma and damage
* With other psychological medications or other substance dependence
* With other contraindications to have transcranial magnetic stimulation
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University

OTHER

Sponsor Role lead

Responsible Party

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Ying Peng

Professor, Director of Department of Neurology

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Sun Yat-sen Memorial Hospital, Sun Yat-sen University

Guangzhou, Guangdong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Ying Peng, MD, PhD

Role: CONTACT

+86-13380051581

Hongxuan Wang, MD, PhD

Role: CONTACT

+86-13824498978

References

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Phillips MR, Zhang J, Shi Q, Song Z, Ding Z, Pang S, Li X, Zhang Y, Wang Z. Prevalence, treatment, and associated disability of mental disorders in four provinces in China during 2001-05: an epidemiological survey. Lancet. 2009 Jun 13;373(9680):2041-53. doi: 10.1016/S0140-6736(09)60660-7.

Reference Type BACKGROUND
PMID: 19524780 (View on PubMed)

Makani R, Pradhan B, Shah U, Parikh T. Role of Repetitive Transcranial Magnetic Stimulation (rTMS) in Treatment of Addiction and Related Disorders: A Systematic Review. Curr Drug Abuse Rev. 2017;10(1):31-43. doi: 10.2174/1874473710666171129225914.

Reference Type BACKGROUND
PMID: 29189190 (View on PubMed)

Shen Y, Cao X, Tan T, Shan C, Wang Y, Pan J, He H, Yuan TF. 10-Hz Repetitive Transcranial Magnetic Stimulation of the Left Dorsolateral Prefrontal Cortex Reduces Heroin Cue Craving in Long-Term Addicts. Biol Psychiatry. 2016 Aug 1;80(3):e13-4. doi: 10.1016/j.biopsych.2016.02.006. Epub 2016 Feb 12. No abstract available.

Reference Type BACKGROUND
PMID: 26995024 (View on PubMed)

Herremans SC, Vanderhasselt MA, De Raedt R, Baeken C. Reduced intra-individual reaction time variability during a Go-NoGo task in detoxified alcohol-dependent patients after one right-sided dorsolateral prefrontal HF-rTMS session. Alcohol Alcohol. 2013 Sep-Oct;48(5):552-7. doi: 10.1093/alcalc/agt054. Epub 2013 May 24.

Reference Type BACKGROUND
PMID: 23709633 (View on PubMed)

Other Identifiers

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2019-12-TMSCBT-H

Identifier Type: -

Identifier Source: org_study_id

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