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临床试验/NCT07490600
NCT07490600招募中不适用

Contingency Management Plus Deep Transcranial Magnetic Stimulation for the Treatment

The University of Texas Health Science Center, Houston1 个研究点 分布在 1 个国家目标入组 100 人开始时间: 2026年4月21日最近更新:
适应症

试验速览

阶段
不适用
状态
招募中
发起方
入组人数
100
试验地点
1

研究概览

简要总结

The purpose of this study is to evaluate the effects of Contingency Management (CM)+transcranial magnetic stimulation (TMS) on treatment outcomes in individuals who are initial non-responders and to evaluate the effects of CM+TMS on putative mechanisms of change

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 65 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Able to provide informed consent before any study-related activity, willing to comply with all study procedures, and be available for the duration of the study.
  • Meet Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) diagnostic criteria for moderate-to-severe CUD and report recent cocaine use (verified by at least one positive urine drug screen (UDS) for the cocaine metabolite benzoylecgonine (BE), during intake).
  • Agree (if the participant is female and of child-bearing potential) to use effective contraceptive methods, unless the participant's male partner(s) is surgically sterile (underwent vasectomy).
  • Acceptable contraceptives include:
  • oral contraceptives
  • contraceptive sponge
  • double barrier (diaphragm/spermicidal or condom/spermicidal)
  • intrauterine contraceptive system
  • etonogestrel implant
  • medroxyprogesterone acetate contraceptive injection
  • complete abstinence from sexual intercourse
  • hormonal vaginal ring
  • Contraceptive measures sold for emergency use after unprotected sex are not acceptable methods for routine use.
  • Women of child-bearing potential must provide negative urine pregnancy test prior to randomization.
  • Be able to provide the names and contact information of at least 2 persons who can consistently locate their whereabouts

排除标准

  • Current DSM-5 diagnosis for substance use disorder (of at least moderate severity) other than cocaine, cannabis, or nicotine or a substance Use Disorder (SUD) requiring medical detoxification (e.g., alcohol, opioid, benzodiazepine)
  • Presence of any medical, neurological, psychiatric, or physical condition, disease, or illness (including psychosis and bipolar disorder) that, in the opinion of the PIs and the Certified Registered Nurse Anesthetist (CNRA)Medical Director could: (a) compromise interfere, limit, or reduce the subject's ability to complete the study; or (b) adversely impact the safety of the subject or the integrity of the data.
  • Has current or recent (within 3 months of potential enrollment) suicidal ideation, suicidal behavior, homicidal ideation or a homicidal plan sufficient to raise subject safety concerns based on the following assessments:
  • Structured Clinical Interview for DSM-5 (SCID-5)
  • Columbia-Suicide Severity Rating Scale - Answers YES to Questions 3, 4, 5, or 6
  • Assault & Homicidal Danger Assessment Tool - Key to Danger > 1
  • Any contraindications to MRI scans (metal in the body; claustrophobia). -Medical implants contraindicating TMS (i.e., aneurysm clips or coils, stents, implanted stimulators, implanted vagus nerve or deep brain stimulators, implanted electrical devices such as pacemakers or medication pumps, electrodes for monitoring brain activity, cochlear implants for hearing, any magnetic implants, bullet fragments, any other metal device or object implanted in your body closer than 30 cm from the coil).
  • History of brain surgery.
  • History of an intracranial lesion or any medical or neurological diagnosis/condition associated with increased intracranial pressure (i.e., Idiopathic Intracranial Hypertension/Pseudotumor Cerebri) OR any of the following symptoms within 30 days of enrollment: headaches > 15 days/month, loss of vision or decreased vision
  • Moderate-to-severe heart disease.
  • History of stroke.
  • Taking any antidepressant or antipsychotic medication at a dose above the maximum recommended dose or at a dose deemed to be potentially unsafe according to the study physician; has taken any of the following medications, which are known to increase the risk of seizures, within 1 week of study enrollment; or does not agree to abstain from taking the following medications during study participation:
  • chlorpromazine
  • clomipramine hydrochloride
  • maprotiline hydrochloride
  • diphenhydramine
  • stimulants other than cocaine including the following:
  • Dextroamphetamine and amphetamine ii. Dextroamphetamine iii. Lisdexamfetamine dimesylate iv. Methamphetamine
  • v. Methylphenidate i. tramadol j. isoniazid.
  • Personal history of epilepsy or seizure disorder and/or family history including a first degree relative
  • Serious head injury with loss of consciousness
  • Having conditions of probation or parole requiring reports of drug use to officers of the court or impending incarceration
  • For adolescent aged participants (18-21 only): any risk factor for neurocardiogenic syncope (history of syncope/ presyncope related to noxious stimuli, anxiety, micturition, or posture).
  • Pregnant or nursing for female participants
  • Inability to read, write, or speak English.

研究者

发起方
The University of Texas Health Science Center, Houston
申办方类型
Other
责任方
Principal Investigator
主要研究者

Joy Schmitz

Professor

The University of Texas Health Science Center, Houston

研究点 (1)

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