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NCT03281629

Circuitry-Guided Smoking Cessation in Schizophrenia

Completed NA Results posted Last updated 18 January 2023
What this trial tests

NA trial testing Active TMS stimulation in Smoking Cessation in 44 participants. Completed in 15 February 2022.

Timeline
19 October 2018
Primary endpoint
28 February 2021
15 February 2022

Quick facts

Lead sponsorUniversity of Maryland, Baltimore
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposeother
Enrollment44
Start date19 October 2018
Primary completion28 February 2021
Estimated completion15 February 2022
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of Maryland, Baltimore

Who can join

Adults 18 to 60, any sex, with Smoking Cessation or Nicotine Addiction. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Cigarette Per Day Primary · 7 months

Cigarette per day (CPD) is measured to index smoking reduction and cessation. The change of CPD between baseline and end-of-treatment (1-month time point), 3-month follow up (4-month time point) and 6-month follow up (7-month time point) are reported. Negative values of the change of CPD indicate reductions in cigarette consumption.

Baseline versus End-of-Treatment (1 month)
GroupValue95% CI
Active TMS Stimulation-3.2± 4.9
Sham TMS Stimulation-3.0± 5.1
Baseline versus 3-month follow up (4 months time point)
GroupValue95% CI
Active TMS Stimulation-2.71± 3.10
Sham TMS Stimulation-2.50± 3.32
Baseline versus 6-month follow up (7 months time point)
GroupValue95% CI
Active TMS Stimulation-2.50± 2.04
Sham TMS Stimulation-3.50± 4.95
Functional Magnetic Resonance Imaging (fMRI) Secondary · 4 months

Resting-state functional connectivity (rsFC) obtained from fMRI is used to evaluate the TMS effect on smoking cessation. The strength of rsFC was first defined by correlation coefficient (r). Because the distribution of r values is highly skewed, z scores (normally distributed) were computed via fisher r-to-z transform. The z score central value (i.e., z score of 0) represents no relationship between the two brain regions. A positive (negative) z score indicates a positive (negative) association between the two brain regions. According to our pilot data determined from a separate study, strong

Baseline versus End-of-Treatment (1 month time point)
GroupValue95% CI
Active TMS Stimulation0.025± 0.047
Sham TMS Stimulation-0.014± 0.047
Baseline versus 3-month follow up (4 months time point)
GroupValue95% CI
Active TMS Stimulation0.044± 0.045
Sham TMS Stimulation-0.034± 0.011
Cotinine Secondary · 1 month

Cotinine level is an objective index of smoking status. Higher level of cotinine indicates more nicotine consumption. The change of cotinine level between baseline and end-of-treatment (1-month time point) is reported. Cotinine data were not collected at 3-month follow up (4-month time point) or 6-month follow up (7-month time point).

GroupValue95% CI
Active TMS Stimulation-112± 1114
Sham TMS Stimulation31± 561
End-expired Carbon Monoxide (CO) Secondary · 1 month

End-expired CO measure is an instant measure of smoking status. Higher CO level indicates more nicotine consumption. The change of CO level between baseline and end-of-treatment (1-month time point) is reported. No CO data were collected at 3-month follow up (4-month time point) or 6-month follow up (7-month time point).

GroupValue95% CI
Active TMS Stimulation-0.67± 9.04
Sham TMS Stimulation-2.40± 4.50
Normalized Gamma Power of Auditory Static State Response (ASSR) From Electroencephalography (EEG) Secondary · 4 months

EEG is used to evaluate the brain activities that are corresponding to the TMS. Auditory static state response (ASSR) at gamma frequency (i.e., 40 Hz) is obtained from the EEG recording. The gamma power of ASSR was normalized as the ratio between the power at 40 Hz (i.e., gamma power) and the power of its neighboring frequencies (i.e., 39 and 41 Hz). Increased normalized gamma ASSR is usually related to the improvement of psychosis symptoms. The change of ASSR between baseline and end-of-treatment (1-month time point) and 3-month follow up (4-month time point) are reported. No EEG data were co

Baseline versus End-pf-Treatment (1 month time point)
GroupValue95% CI
Active TMS Stimulation24.0± 37.0
Sham TMS Stimulation-38.0± 64.0
Baseline versus 3-month follow up (4 months time point)
GroupValue95% CI
Active TMS Stimulation-5.5± 15.5
Sham TMS Stimulation35.1± 32.8

Adverse events — posted to ClinicalTrials.gov

Time frame: From baseline to the time when the participant completes or quits the study (up to 7 months).. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Active TMS Stimulation
Serious: 0/18 (0%)
Deaths: 0/18
Sham TMS Stimulation
Serious: 0/12 (0%)
Deaths: 1/12
Other adverse events (7 terms — click to expand)

ReactionSystemActive TMS StimulationSham TMS Stimulation
Facial muscle twitchingMusculoskeletal and connective tissue disorders
Eye blinksMusculoskeletal and connective tissue disorders
headacheNervous system disorders
PainGeneral disorders
Uncomfortable click soundsEar and labyrinth disorders
DizzinessNervous system disorders
NauseaGastrointestinal disorders

Data from ClinicalTrials.gov NCT03281629 adverse events section.

Sponsor's own description

In a double-blinded, randomized, parallel controlled design, patients with schizophrenia spectrum disorder will be exposed to active or sham repetitive transcranial magentic stimulation (TMS) which was guided by functional magnetic resonance image (MRI). Smoking reduction/cessation and brain functional connectivity changes will be assessed at baseline, different stages of rTMS and/or follow-ups.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Combining neuroimaging and brain stimulation to test alternative causal pathways for nicotine addiction in schizophrenia.
    Du X, Choa FS, Chiappelli J, Bruce H, et al · · 2024 · cited 5× · PMID 38453003 · DOI 10.1016/j.brs.2024.02.020
  2. Trends of Brain Stimulation Research in Substance Use Disorder: A Review of ClinicalTrials.gov Registered Trials and Their Publications.
    Biswas T, Singh GK, Mishra P, Mishra BR, et al · · 2026 · cited 1× · PMID 39677515 · DOI 10.1177/02537176241300195

Verify or expand the search:

Other recruiting trials for Smoking Cessation

Currently open trials in the same condition.

Other University of Maryland, Baltimore trials

Trials by the same sponsor.

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