Treating Stimulant Addiction With Repetitive Transcranial Magnetic Stimulation
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Stimulant Use Disorder
- Sponsor
- VA Office of Research and Development
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Number of Participants Relapsed
- Status
- Terminated
- Last Updated
- 8 months ago
Overview
Brief Summary
The purpose of this study is to establish a new treatment (repetitive transcranial stimulation (rTMS)) for Veterans with stimulant use disorder (SUD). Despite the large public health burden imposed by SUD, there is currently no FDA-approved or widely recognized effective somatic treatment. rTMS may be a promising treatment option for SUD. In this study, we will demonstrate the feasibility of applying rTMS to Veterans with SUD, examine the efficacy of rTMS in the treatment of SUD, and explore biomarkers that may guide patient selection for rTMS treatment and predict treatment response.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Structured Clinical Interview for DSM Disorders (SCID) confirmed diagnosis of SUD, severe
- •Last use of stimulants \>1 and \<6 weeks
- •Stable medication regimen (no change in dose or agents between 2 weeks prior to the start of and throughout the treatment phase of the study)
- •Stable social environment and housing to enable regular attendance at clinic visits.
- •Ability to undergo cognitive testing, functional magnetic resonance imaging (fMRI) scans, and rTMS (no contraindications)
- •Intelligence Quotient (IQ) \> 80
- •Stable medical health
- •Veteran at Palo Alto VA's Addiction Treatment Services
Exclusion Criteria
- •Pregnant or lactating female
- •History of prior adverse reaction to TMS
- •On medications thought to significantly lower seizure threshold, e.g.:
- •clozapine
- •chlorpromazine
- •clomipramine
- •bupropion \> 400 mg/day
- •Use of direct dopaminergic antagonists or agonists
- •History of seizures or conditions known to substantially increase risk for seizures
- •Implants or medical devices incompatible with TMS
Outcomes
Primary Outcomes
Number of Participants Relapsed
Time Frame: 3 months after last rTMS treatment
Rate of stimulant use relapse compared between active vs. sham rTMS groups
Secondary Outcomes
- Reward Circuit Function and Signaling(Within 1 week before and after rTMS treatment)