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โ† Trials
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Personalized Brain Stimulation to Help Veterans Quit Smoking

RecruitingNAAges 18 Years - 70 YearsAllVA Office of Research and Development
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In plain words

What the trial is, and whether it could suit you

Cigarette smoking is a significant public health concern for Veterans. Encouraging smoking cessation continues to be a top priority for the Veterans' Administration as Veterans who use tobacco experience negative health effects, including cancer, heart disease, and mental disorders. Despite the efficacy of current evidence-based pharmacotherapies and psychotherapies for smoking cessation, alternative treatments are critically needed. Repetitive transcranial magnetic stimulation (rTMS) is a non-invasive form of brain stimulation, US FDA-approved for smoking cessation. In this protocol, the investigators propose comparing the two rTMS protocols (standard TMS vs. precision TMS) to find a better treatment parameter for smoking cessation in Veterans. Identifying an efficacious rTMS protocol would benefit Veterans who want to quit smoking.

Sign in to get the eligibility rules as simple questions to take to your doctor.

๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: * Veteran * Individuals who smoke 10 or more cigarettes per day and have a CO level \> 10 ppm indicative of recent smoking * Those who have not received substance abuse treatment within the previous 30 days * Those who have been stable on psychotropic medications for at least three months * For females, those who test non-pregnant and use adequate birth control * Those who are willing to provide informed consent * Those who can comply with protocol requirements and likely complete all study procedures * Those who are motivated to quit smoking (based on responses of "very likely" or "somewhat likely" in the motivation questionnaire Exclusion Criteria: * Current moderate to severe substance use of any psychoactive substances other than nicotine or caffeine, as defined by DSM-V criteria * Contraindications to MRI (e.g., metal in the skull, orbital or intracranial cavity, or claustrophobia) * Contraindications to rTMS (history of a seizure or epilepsy) * A history of autoimmune, endocrine, viral, or vascular disorders affecting the brain * History or MRI evidence of neurological disorder that would lead to local or diffuse brain lesions or significant physical impairment * Unstable cardiac disease, uncontrolled hypertension, severe renal or liver insufficiency, or sleep apnea * Major Axis I disorders diagnosed according to DSM-V criteria, such as bipolar affective disorder, schizophrenia, dementia, or major depression * Regarding the Veteran population, the investigators will enroll smokers who have PTSD * Current use of other forms of nicotine delivery, such as nicotine patches or electronic cigarettes * Currently prescribed bupropion and/or varenicline
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What it tests

  • Transcranial Magnetic Stimulation
  • Personalized-image-guided and E-field-modeling dose rTMS (precision TMS)
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Where

1 site
Ralph H. Johnson VA Medical Center, Charleston, SC
Charleston, United States
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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