sTMS for Substance Use-disordered Veterans

NCT ID: NCT04336293

Last Updated: 2024-01-17

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

NA

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-09-07

Study Completion Date

2023-12-29

Brief Summary

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The purpose of this study is to determine if synchronized transcranial magnetic stimulation is safe and tolerable in individuals with cocaine, opioid, or alcohol use disorders.

Detailed Description

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All non-life-saving human research studies suspended by sponsor in response to COVID19 social distancing policies

The goal of this proposal is to evaluate preliminary participant response to a pilot, controlled, feasibility study to evaluate changes in craving, substance use, and quality of life after 6 weeks of a low-risk non-invasive brain stimulation technique, called Synchronized Transcranial Magnetic Stimulation (sTMS), compared to sham, in Veterans with a substance use disorder (SUD). An important focus of this application will be evaluating the acceptability, tolerability, and safety of sTMS in this population. To the investigators knowledge, sTMS has never been used for SUDs, and holds considerable promise as a future treatment option for these prevalent disorders. However initial work in the acceptability, tolerability, and safety of this approach must be conducted first. This project is the first step towards the investigators long-term goal, which is to combine non-invasive brain stimulation with individualized psychotherapy or pharmacotherapy to reduce SUD problems and improve quality of life for Veterans.

Conditions

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Cocaine Addiction Opioid Addiction Alcohol Addiction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

double blind, sham controlled RCT
Primary Study Purpose

OTHER

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
double-blind

Study Groups

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active

active sTMS

Group Type EXPERIMENTAL

sTMS

Intervention Type DEVICE

sTMS will be delivered following NeoSync guidelines using the device user

manual

sham

sham sTMS

Group Type SHAM_COMPARATOR

sham sTMS

Intervention Type DEVICE

sham sTMS will be delivered following NeoSync guidelines using the device user manual

Interventions

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sTMS

sTMS will be delivered following NeoSync guidelines using the device user

manual

Intervention Type DEVICE

sham sTMS

sham sTMS will be delivered following NeoSync guidelines using the device user manual

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Eligible male and female Veterans
* between ages 18-70,
* Veterans who currently meet criteria for SUD, and, if applicable, have stable treatment regimen (i.e., medications and/or therapy) for at least 6 weeks prior to study procedures
* ongoing medications and psychotherapy will be allowed to continue unchanged during the study
* for safety, participants must also meet established criteria for MRI exposure, which is implemented as a conservative measure given the novel application of sTMS in this population

Exclusion Criteria

* pregnancy/lactation,
* history of moderate or severe traumatic brain injury,
* current or prior neurologic disorder or lifetime history of

* seizure disorder
* CNS tumors
* stroke
* cerebral aneurysm,
* unstable medical condition,

* active suicidality as assessed with the Columbia-Suicide Severity Rating Scale
* primary psychotic disorder.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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VA Office of Research and Development

FED

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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John E McGeary, PhD

Role: PRINCIPAL_INVESTIGATOR

Providence VA Medical Center, Providence, RI

Locations

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Providence VA Medical Center, Providence, RI

Providence, Rhode Island, United States

Site Status

Countries

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United States

References

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Jampel J, Quinn MJ, Catalano JL, Benca-Bachman CB, Brick L, Philip NS, Swift RM, McGeary JE. Synchronised transcranial magnetic stimulation for substance use-disordered Veterans: protocol for the pilot sham-controlled acceptability trial. BMJ Open. 2023 Jan 30;13(1):e066175. doi: 10.1136/bmjopen-2022-066175.

Reference Type DERIVED
PMID: 36717148 (View on PubMed)

Provided Documents

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Document Type: Informed Consent Form

View Document

Other Identifiers

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RX003338

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

D3338-P

Identifier Type: -

Identifier Source: org_study_id

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