Transcranial Magnetic Stimulation (TMS) Treatment for Alcohol Use Disorder

NCT ID: NCT03969251

Last Updated: 2020-10-27

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

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-07-01

Study Completion Date

2021-06-30

Brief Summary

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This is a pilot study designed to evaluate the efficacy of High Frequency (HF) repetitive transcranial magnetic stimulation (rTMS) of the left dorsolateral prefrontal cortex (L-DLPFC) at improving cognitive flexibility in recently detoxified individuals with alcohol use disorder (AUD) compared to placebo (Sham rTMS). The total number of subjects requested to be randomized is 20. The investigator will need to screen about 40 subjects to have 20 subjects started on rTMS session at a ratio of 2 screens/1 subject randomized.

Detailed Description

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This is a randomized double- blind, control study.

To test the hypothesis, the investigator propose a 2 phase design:

Phase 1: 6-week trial comparing the efficacy of active high-frequency (HF) rTMS of L-DLPFC versus sham (SS) rTMS to determine if HF rTMS improves cognitive flexibility in recently detoxified alcoholics Phase 2: at the end of TMS phase, all participants will receive cognitive behavioral therapy (CBT) thus permitting participants with AUD to benefit from cognitive restructuring in CBT, and reduce alcohol cravings and drinking outcomes.

This study will recruit 20 individuals with AUD, comprising of both male and female participants, age 22 years and older interested in alcohol drinking abstinence. Participants will be recruited from the inpatient unit upon discharge after receiving a detoxification treatment and therefore will be abstinent at study entry. Prior to treatment onset and weekly throughout the course of treatment, participants will complete cognitive testing/measures, Wisconsin Card Sorting Task (WCST), Dimensional Change Card Sort Task (DCCST), Barratt Impulsiveness Scale (BIS), Flanker Inhibitory Control and Attention Test (FICAT), and List Sorting Working Memory Test (LSWMT) and self-reported craving measures, Alcohol Craving Questionnaire (ACQ-Now), and Obsessive Compulsive Drinking Scale (OCDS). The drinking timeline follow-back, and adverse events will also be assessed weekly for 8 weeks.

Participant will be randomized to either high frequency (HF) or sham repetitive transcranial magnetic stimulation (SS rTMS), which will be done 5 days per week for 6 weeks. At the end of 6 weeks, all participants will receive weekly CBT for a total of 8 weeks. Participants will return at 2 and 4 weeks for follow-up assessments.

Conditions

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Alcoholism

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Transcranial Magnetic Stimulation (rTMS)

repetitive transcranial magnetic stimulation

Group Type EXPERIMENTAL

Transcranial Magnetic Stimulation (rTMS)

Intervention Type DEVICE

active high frequency repetitive TMS of left Dorsolateral Prefrontal Cortex

Sham (SS)

repetitive sham rTMS

Group Type SHAM_COMPARATOR

Sham (SS)

Intervention Type DEVICE

repetitive sham rTMS

Interventions

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Transcranial Magnetic Stimulation (rTMS)

active high frequency repetitive TMS of left Dorsolateral Prefrontal Cortex

Intervention Type DEVICE

Sham (SS)

repetitive sham rTMS

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Right handed males and females who have given written informed consent.
* Age 22 years and above with a history of alcohol use disorder
* Good physical health
* Have a current diagnosis of alcohol use disorder
* Reports at least 4 "heavy drinking days" on average in the past 30 days.
* Have a BAC by breathalyzer equal to 0.000 when the participants signed the informed consent document
* Six months stability on any psychotropic medications
* Not have any unresolved legal problems that could jeopardize continuation or completion of the study.
* Be able to provide written informed consent, able to understand written and oral instructions in English and be able to complete the questionnaires required by the protocol.

Exclusion Criteria

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Minimum Eligible Age

22 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nassima Ait-Daoud Tiouririne

OTHER

Sponsor Role lead

Responsible Party

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Nassima Ait-Daoud Tiouririne

Associate Professor, Director of UVA Center for Leading Edge Addiction Research

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Nassima Ait-Daoud TIouririne, M.D.

Role: PRINCIPAL_INVESTIGATOR

University of Virginia

Locations

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UVA Center for Leading Edge Addiction Research

Charlottesville, Virginia, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Eva Jenkins-Mendoza

Role: CONTACT

(434)243-0562

Tracie Kostelac

Role: CONTACT

(434)243-0563

Facility Contacts

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Eva Jenkins-Mendoza

Role: primary

434-243-0562

Tracie Kostelac

Role: backup

(434)243-0563

Other Identifiers

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21193

Identifier Type: -

Identifier Source: org_study_id