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Theta Burst TMS for Treatment of Methamphetamine Use Disorder

Not Applicable
Recruiting
Conditions
Methamphetamine Abuse
Interventions
Device: Transcranial Magnetic Stimulation
Device: Sham Transcranial Magnetic Stimulation
Registration Number
NCT06372288
Lead Sponsor
Carilion Clinic
Brief Summary

This study is using Transcranial Magnetic Stimulation (TMS) to determine if interventional psychiatry treatment can help with the treatment of Methamphetamine Use Disorder. Individuals with Methamphetamine Use Disorder will receive 5 consecutive TMS treatment sessions based off of randomization. Participants will be randomized to one of two groups. TMS treatment arm or sham-TMS arm.

Detailed Description

Patients who meet criteria for the study and who agree to participate in the research study will be randomized to an arm of the study by chance (like tossing a coin). The chance of receiving TMS or sham-TMS is equal. They will be enrolled in either the TMS or sham-TMS group (both groups involve 5 TMS or sham-TMS sessions). The study doctor and the participant will not know whether they are in the TMS or sham-TMS group. The purpose of this study is to determine if TMS is a potential treatment for methamphetamine use disorder. TMS is a non-invasive technique that uses magnetic pulses to temporarily stimulate specific brain areas in awake people (without the need for surgery, anesthetic, or other invasive procedures). This study will test whether a specific type of TMS (intermittent theta burst) over the forehead can produce a reduction in things that may prompt you to want to use methamphetamines.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Individuals actively struggling with Methamphetamine Use Disorder
  • Must be currently enrolled in Carilion Clinic Office Based Addiction Treatment (OBAT) program
Exclusion Criteria
  • Individuals currently struggling with alcohol use and/or benzodiazepine use

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Transcranial Magnetic Stimulation (TMS)Transcranial Magnetic StimulationThis arm receives the TMS treatments.
Sham-TMSSham Transcranial Magnetic StimulationThis arm receives sham TMS treatments.
Primary Outcome Measures
NameTimeMethod
Stimulant Craving Questionnaire (STCQ)Baseline/Visit 2, daily during iTBS/Sham-TMS, 3 days after-, 1 week after-, 2 weeks-after, and one month after completion of iTBS/Sham TMS

Self-rated cravings for stimulants

Urine Drug Screen (UDS)Baseline/Visit 2, day 5 of iTBS/Sham TMS, 3 days after-, 1 week after-, 2 weeks-after, and one month after completion of iTBS/Sham TMS

Urine drug screens

Secondary Outcome Measures
NameTimeMethod
Clinical Global Impression - Improvement (CGI-I)Baseline/Visit 2, day 5 of iTBS/Sham TMS, 3 days after-, 1 week after-, 2 weeks-after, and one month after completion of iTBS/Sham TMS

Clinician rated illness improvement

Clinical Global Impression - Severity (CGI-S)Screening/Visit 1

Clinician rated illness severity

Montgomery Asberg Depression Rating Scale (MADRS)Screening/Visit 1, Baseline/Visit 2, day 5 of iTBS/Sham TMS, 3 days after-, 1 week after-, 2 weeks-after, and one month after completion of iTBS/Sham TMS

Clinician rated depression

Generalized Anxiety Disorder-7 (GAD-7)Screening/Visit1 and day 5 of iTBS/Sham TMS

Self-rated anxiety severity

Patient Health Questionnaire-9 (PHQ-9)Screening/Visit 1 and day 5 of iTBS/Sham TMS

self-rated depression severity

Hamilton Anxiety Scale (HAM-A)Baseline/Visit 2, day 5 of iTBS/Sham TMS, 3 days after-, 1 week after-, 2 weeks-after, and one month after completion of iTBS/Sham TMS

Clinician rated anxiety

Quality - Life Enjoyment Scale - Questionnaire (Q-LES-Q)Baseline/Visit 2, day 5 of iTBS/Sham TMS, 3 days after-, 1 week after-, 2 weeks-after, and one month after completion of iTBS/Sham TMS

Self-rated Quality of Life scale

Trial Locations

Locations (1)

Carilion Clinic

🇺🇸

Roanoke, Virginia, United States

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