Accelerated Repetitive Transcranial Magnetic Stimulation (rTMS) of the Dorsolateral Prefrontal Cortex for the Reduction of Craving in Nicotine Dependent Individuals
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Nicotine Use Disorder
- Sponsor
- Medical University of South Carolina
- Enrollment
- 5
- Locations
- 1
- Primary Endpoint
- Tolerability Measured by Percent of Participants Completing the rTMS Course
- Status
- Terminated
- Last Updated
- 6 years ago
Overview
Brief Summary
The purpose if this study is to determine if five treatments of repetitive transcranial magnetic stimulation (rTMS) can reduce craving for cigarettes in smokers. rTMS uses magnetic pulses to stimulate the brain and is currently approved for the treatment of major depressive disorder.
Investigators
David Friedrich
Resident Physician
Medical University of South Carolina
Eligibility Criteria
Inclusion Criteria
- •Outpatient Adults aged 18-70
- •Cigarette Smokers smoking at least 1 pack (20 cigarettes a day) with current smoking status confirmed by exhaled CO reading of \>10ppm day of visit.
- •Ability to provide informed consent
- •Exclusion Criteria
- •Current treatment with varenicline or bupropion
- •Currently making a smoking quit attempt (not currently smoking).
- •Current treatment with an antidepressant, anti-convulsant, anxiolytic, antipsychotic or mood stabilizer.
- •Current episode of major depression determined by MINI interview.
- •Current or past history of schizophrenia, schizoaffective disorder, anorexia nervosa, bulimia or bipolar disorder as determined by MINI.
- •Current daily consumption of alcohol or current alcohol use disorder.
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Tolerability Measured by Percent of Participants Completing the rTMS Course
Time Frame: 1 day (single visit)
Percent of participants completing the 5 session rTMS course. Hypothesize \>75% of participants will complete the 5 treatments.
Decrease in Cue Induced Nicotine Craving
Time Frame: During the one day visit
Nicotine craving evaluated using Questionnaire on Smoking Urges- Brief (QSU-B) questions modified to a 0-100 analog rating. Higher scores meaning a higher level of craving.
Secondary Outcomes
- Reduce in Self Reported Smoking(1 week and 2 weeks after rTMS)