Condition or disease | Intervention/treatment | Phase |
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Alcohol Use Disorder | Device: active rTMS Behavioral: Inpatient admission Device: sham rTMS | Not Applicable |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 44 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Intervention Model Description: | active vs. sham stimulation |
Masking: | Triple (Participant, Care Provider, Investigator) |
Masking Description: | double-blind |
Primary Purpose: | Treatment |
Official Title: | The Effect of rTMS to the Prefrontal Cortex in Alcohol Use Disorder |
Actual Study Start Date : | June 24, 2019 |
Estimated Primary Completion Date : | December 30, 2022 |
Estimated Study Completion Date : | December 30, 2022 |
Arm | Intervention/treatment |
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Experimental: Active Stimulation
Participants will be receiving active rTMS.
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Device: active rTMS
rTMS delivers magnetic stimulation to the brain by using an electromagnet to generate a current that can penetrate the scalp and skull.
Behavioral: Inpatient admission All subjects will be admitted to the hospital for a brief detoxification period followed by 3 weeks of abstinence.
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Sham Comparator: Sham Stimulation
Participants will be receiving sham stimulation with a smaller coil housed within the rTMS device.
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Behavioral: Inpatient admission
All subjects will be admitted to the hospital for a brief detoxification period followed by 3 weeks of abstinence.
Device: sham rTMS The sham coil setting is designed to mimic the auditory artifact and the scalp sensations evoked by the real coil, and to produce activation of facial muscles similar to the effect of a real H coil, without stimulating the brain itself.
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Ages Eligible for Study: | 22 Years to 55 Years (Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contact: Jonathan Wai, MD | 646-774-7654 | jonathan.wai@nyspi.columbia.edu |
United States, New York | |
New York State Psychiatric Institute | Recruiting |
New York, New York, United States, 10032 | |
Contact: Jonathan Wai |
Principal Investigator: | Jonathan Wai | New York State Psychiatric Institute |
Tracking Information | |||||||
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First Submitted Date ICMJE | January 9, 2019 | ||||||
First Posted Date ICMJE | January 18, 2019 | ||||||
Last Update Posted Date | May 24, 2021 | ||||||
Actual Study Start Date ICMJE | June 24, 2019 | ||||||
Estimated Primary Completion Date | December 30, 2022 (Final data collection date for primary outcome measure) | ||||||
Current Primary Outcome Measures ICMJE |
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Original Primary Outcome Measures ICMJE | Same as current | ||||||
Change History | |||||||
Current Secondary Outcome Measures ICMJE |
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Original Secondary Outcome Measures ICMJE | Same as current | ||||||
Current Other Pre-specified Outcome Measures | Not Provided | ||||||
Original Other Pre-specified Outcome Measures | Not Provided | ||||||
Descriptive Information | |||||||
Brief Title ICMJE | The Effect of rTMS to the Prefrontal Cortex in Alcohol Use Disorder | ||||||
Official Title ICMJE | The Effect of rTMS to the Prefrontal Cortex in Alcohol Use Disorder | ||||||
Brief Summary | The goal of this study is to investigate a treatment approach for alcohol use disorder (AUD) using a novel form of brain stimulation called deep repetitive transcranial magnetic stimulation (rTMS). The investigators will be targeting frontal regions of the brain that are important for memory and decision making. These brain regions have been shown to be impaired in patients with AUD. Previous studies have mostly used rTMS to a different frontal brain region that is not as deep. These studies have shown that rTMS can reduce craving for alcohol, but there is a lack of research showing that rTMS impacts alcohol consumption. | ||||||
Detailed Description | This study aims to examine the effect of rTMS on alcohol drinking behavior in an observed laboratory setting. Participants with AUD will be recruited and admitted to the inpatient unit for the whole study. After a brief detoxification period, they will receive 3 weeks of rTMS while in the research unit. Before and after the 3 weeks of stimulation, participants will participate in a decision-making experiment where they can choose to have an alcoholic drink or the equivalent amount of money that the drink would cost (alcohol self-administration sessions). The investigators will examine their response to alcohol, as well as their performance on tasks that relate to impulsivity and memory. Participants will also undergo an MRI scan (with spectroscopy) before and after the stimulation period to look at changes in the medial prefrontal cortex of the brain. Participants will then meet with a study physician for 6 weeks after the study for assessments of alcohol use and medical management sessions. | ||||||
Study Type ICMJE | Interventional | ||||||
Study Phase ICMJE | Not Applicable | ||||||
Study Design ICMJE | Allocation: Randomized Intervention Model: Parallel Assignment Intervention Model Description: active vs. sham stimulation Masking: Triple (Participant, Care Provider, Investigator)Masking Description: double-blind Primary Purpose: Treatment
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Condition ICMJE | Alcohol Use Disorder | ||||||
Intervention ICMJE |
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Study Arms ICMJE |
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Publications * | Not Provided | ||||||
* Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline. |
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Recruitment Information | |||||||
Recruitment Status ICMJE | Recruiting | ||||||
Estimated Enrollment ICMJE |
44 | ||||||
Original Estimated Enrollment ICMJE |
32 | ||||||
Estimated Study Completion Date ICMJE | December 30, 2022 | ||||||
Estimated Primary Completion Date | December 30, 2022 (Final data collection date for primary outcome measure) | ||||||
Eligibility Criteria ICMJE |
Inclusion Criteria:
Exclusion Criteria:
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Sex/Gender ICMJE |
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Ages ICMJE | 22 Years to 55 Years (Adult) | ||||||
Accepts Healthy Volunteers ICMJE | No | ||||||
Contacts ICMJE |
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Listed Location Countries ICMJE | United States | ||||||
Removed Location Countries | |||||||
Administrative Information | |||||||
NCT Number ICMJE | NCT03809286 | ||||||
Other Study ID Numbers ICMJE | 7691 | ||||||
Has Data Monitoring Committee | Yes | ||||||
U.S. FDA-regulated Product |
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IPD Sharing Statement ICMJE | Not Provided | ||||||
Responsible Party | Jonathan Wai, New York State Psychiatric Institute | ||||||
Study Sponsor ICMJE | New York State Psychiatric Institute | ||||||
Collaborators ICMJE | Not Provided | ||||||
Investigators ICMJE |
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PRS Account | New York State Psychiatric Institute | ||||||
Verification Date | May 2021 | ||||||
ICMJE Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP |