Trial Outcomes & Findings for Investigating Two rTMS Strategies to Treat Cannabis Use Disorder (NCT NCT05720312)

NCT ID: NCT05720312

Last Updated: 2025-05-28

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

22 participants

Primary outcome timeframe

6 to 9 weeks

Results posted on

2025-05-28

Participant Flow

Participants receive 6 to 9 weeks of active treatment, then enter a 7 week follow-up period, from the last treatment (up to 1 week) plus 6 weeks post-treatment.

22 participants signed informed consent, and 20 were randomized to treatment.

Participant milestones

Participant milestones
Measure
Dorsolateral Prefrontal Cortex (DLPFC)
36 sessions of high frequency (10Hz) repetitive Transcranial Magnetic Stimulation (rTMS).
Ventromedial Prefrontal Cortex (vmPFC)
36 sessions of low frequency (1Hz) rTMS.
Treatment Period (6 to 9 Weeks)
STARTED
10
10
Treatment Period (6 to 9 Weeks)
COMPLETED
8
8
Treatment Period (6 to 9 Weeks)
NOT COMPLETED
2
2
Follow-up Period (6 Weeks)
STARTED
8
8
Follow-up Period (6 Weeks)
COMPLETED
6
8
Follow-up Period (6 Weeks)
NOT COMPLETED
2
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Investigating Two rTMS Strategies to Treat Cannabis Use Disorder

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dorsolateral Prefrontal Cortex (DLPFC)
n=10 Participants
36 sessions of high frequency (10Hz) rTMS.
Ventromedial Prefrontal Cortex (vmPFC)
n=10 Participants
36 sessions of low frequency (1Hz) rTMS.
Total
n=20 Participants
Total of all reporting groups
Age, Continuous
28.9 years
STANDARD_DEVIATION 6.5 • n=5 Participants
37.7 years
STANDARD_DEVIATION 10.8 • n=7 Participants
33.3 years
STANDARD_DEVIATION 9.8 • n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
5 Participants
n=7 Participants
10 Participants
n=5 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
5 Participants
n=7 Participants
10 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=5 Participants
2 Participants
n=7 Participants
6 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants
n=5 Participants
8 Participants
n=7 Participants
14 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
3 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
6 Participants
n=5 Participants
2 Participants
n=7 Participants
8 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=5 Participants
0 Participants
n=7 Participants
3 Participants
n=5 Participants
Region of Enrollment
United States
10 Participants
n=5 Participants
10 Participants
n=7 Participants
20 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 6 to 9 weeks

Outcome measures

Outcome measures
Measure
Dorsolateral Prefrontal Cortex (DLPFC)
n=10 Participants
36 sessions of high frequency (10Hz) rTMS.
Ventromedial Prefrontal Cortex (vmPFC)
n=10 Participants
36 sessions of low frequency (1Hz) rTMS.
Number (%) of Participants Who Started and Completed Treatment
8 Participants
8 Participants

PRIMARY outcome

Timeframe: Day 1 (90 minutes to complete scan)

Outcome measures

Outcome measures
Measure
Dorsolateral Prefrontal Cortex (DLPFC)
n=10 Participants
36 sessions of high frequency (10Hz) rTMS.
Ventromedial Prefrontal Cortex (vmPFC)
n=10 Participants
36 sessions of low frequency (1Hz) rTMS.
Number (%) of Participants Who Had Successful Generation of Functional Magnetic Resonance Imaging (fMRI) Targets
10 Participants
9 Participants

PRIMARY outcome

Timeframe: 13 weeks (final 7 weeks of active treatment plus 6-week post-treatment follow-up)

Number (%) of weeks where the participant does not use any cannabis.

Outcome measures

Outcome measures
Measure
Dorsolateral Prefrontal Cortex (DLPFC)
n=130 patient weeks
36 sessions of high frequency (10Hz) rTMS.
Ventromedial Prefrontal Cortex (vmPFC)
n=130 patient weeks
36 sessions of low frequency (1Hz) rTMS.
Number (%) Weeks of Abstinence From Cannabis
0 patient weeks
56 patient weeks

SECONDARY outcome

Timeframe: 4 weeks prior to baseline assessment and 7 weeks at the end of treatment through 6-week post-treatment follow-up

Number of days per week (0-7) where the participant uses any cannabis. At the time of enrollment participants were asked to recall the number of days of cannabis use per week for the 4 weeks prior to enrollment. Participants were then asked (over a period of 7 weeks) to recall days of use at the last fMRI visit (during prior week) and at the week 2, 4, and 6 follow-up visits. Average values are reported for the 4-week period prior to enrollment and the 7-week period at end of treatment at follow-up.

Outcome measures

Outcome measures
Measure
Dorsolateral Prefrontal Cortex (DLPFC)
n=10 Participants
36 sessions of high frequency (10Hz) rTMS.
Ventromedial Prefrontal Cortex (vmPFC)
n=10 Participants
36 sessions of low frequency (1Hz) rTMS.
Number of Days of Use Per Week.
Baseline assessment
6.82 days per week
Standard Deviation 0.38
6.68 days per week
Standard Deviation 0.69
Number of Days of Use Per Week.
End of treatment / Follow-up
5.27 days per week
Standard Deviation 1.95
2.82 days per week
Standard Deviation 3.25

SECONDARY outcome

Timeframe: 4 weeks prior to baseline assessment and 7 weeks at the end of treatment through 6-week post-treatment follow-up

Number of use sessions per week where the participant uses any cannabis. At the time of enrollment participants were asked to recall the number of cannabis use sessions per week for the 4 weeks prior to enrollment. Participants were then asked (over a period of 7 weeks) to recall the number of cannabis use sessions at the last fMRI visit (during prior week) and at the week 2, 4, and 6 follow-up visits. Average values are reported for the 4-week period prior to enrollment and the 7-week period at end of treatment at follow-up.

Outcome measures

Outcome measures
Measure
Dorsolateral Prefrontal Cortex (DLPFC)
n=10 Participants
36 sessions of high frequency (10Hz) rTMS.
Ventromedial Prefrontal Cortex (vmPFC)
n=10 Participants
36 sessions of low frequency (1Hz) rTMS.
Average Number of Use Sessions Per Week.
Baseline assessment
50.33 use sessions per week
Standard Deviation 27.28
32.55 use sessions per week
Standard Deviation 18.52
Average Number of Use Sessions Per Week.
End of treatment / Follow-up
29.68 use sessions per week
Standard Deviation 27.26
11.69 use sessions per week
Standard Deviation 18.71

SECONDARY outcome

Timeframe: Baseline and end of the follow-up period (12 to 15 weeks post-baseline)

The Q-LES-Q-SF overall score range is from 14 to 70, with higher scores indicating greater satisfaction and enjoyment. The total score is expressed as a percentage of the maximum possible score (1-100).

Outcome measures

Outcome measures
Measure
Dorsolateral Prefrontal Cortex (DLPFC)
n=10 Participants
36 sessions of high frequency (10Hz) rTMS.
Ventromedial Prefrontal Cortex (vmPFC)
n=10 Participants
36 sessions of low frequency (1Hz) rTMS.
Quality of Life Enjoyment and Satisfaction Questionnaire Short Form (Q-LES-Q-SF) Scale Score
Baseline assessment
56.25 score on a scale
Standard Deviation 13.61
54.82 score on a scale
Standard Deviation 11.97
Quality of Life Enjoyment and Satisfaction Questionnaire Short Form (Q-LES-Q-SF) Scale Score
End 6-week follow-up
62.50 score on a scale
Standard Deviation 11.01
67.63 score on a scale
Standard Deviation 11.15

SECONDARY outcome

Timeframe: Follow-up period (final week of active treatment plus 6-week post-treatment follow-up)

Based on patient self-report of any 4-week period of abstinence

Outcome measures

Outcome measures
Measure
Dorsolateral Prefrontal Cortex (DLPFC)
n=10 Participants
36 sessions of high frequency (10Hz) rTMS.
Ventromedial Prefrontal Cortex (vmPFC)
n=10 Participants
36 sessions of low frequency (1Hz) rTMS.
Number of Participants Who Had a Period of 4-consecutive Weeks of Abstinence During the Follow-up Period
0 Participants
4 Participants

Adverse Events

DLPFC - Treatment Period

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

vmPFC - Treatment Period

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

DLPFC - Follow-up Period

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

vmPFC - Follow-up Period

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
DLPFC - Treatment Period
n=10 participants at risk
36 sessions of high frequency (10Hz) rTMS.
vmPFC - Treatment Period
n=10 participants at risk
36 sessions of low frequency (1Hz) rTMS.
DLPFC - Follow-up Period
n=8 participants at risk
36 sessions of high frequency (10Hz) rTMS.
vmPFC - Follow-up Period
n=8 participants at risk
36 sessions of low frequency (1Hz) rTMS.
General disorders
Fatigue
20.0%
2/10 • Up to 15 weeks (6 to 9 weeks of treatment plus 6 week follow up)
10.0%
1/10 • Up to 15 weeks (6 to 9 weeks of treatment plus 6 week follow up)
0.00%
0/8 • Up to 15 weeks (6 to 9 weeks of treatment plus 6 week follow up)
0.00%
0/8 • Up to 15 weeks (6 to 9 weeks of treatment plus 6 week follow up)
Nervous system disorders
Headache
10.0%
1/10 • Up to 15 weeks (6 to 9 weeks of treatment plus 6 week follow up)
20.0%
2/10 • Up to 15 weeks (6 to 9 weeks of treatment plus 6 week follow up)
0.00%
0/8 • Up to 15 weeks (6 to 9 weeks of treatment plus 6 week follow up)
0.00%
0/8 • Up to 15 weeks (6 to 9 weeks of treatment plus 6 week follow up)
Eye disorders
Transient Vision Change
0.00%
0/10 • Up to 15 weeks (6 to 9 weeks of treatment plus 6 week follow up)
10.0%
1/10 • Up to 15 weeks (6 to 9 weeks of treatment plus 6 week follow up)
0.00%
0/8 • Up to 15 weeks (6 to 9 weeks of treatment plus 6 week follow up)
0.00%
0/8 • Up to 15 weeks (6 to 9 weeks of treatment plus 6 week follow up)

Additional Information

Gregory Sahlem, MD

Stanford University

Phone: (650) 434-7844

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place