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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05628805
Other study ID # 2022-0747
Secondary ID
Status Recruiting
Phase Early Phase 1
First received
Last updated
Start date November 1, 2022
Est. completion date February 17, 2025

Study information

Verified date February 2024
Source Children's Hospital Medical Center, Cincinnati
Contact Molly Griffith
Phone 513-636-9669
Email molly.griffith@cchmc.org
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Decades of Tourette Syndrome (TS) neuroimaging research has revealed abnormal cortical and subcortical motor system network, hypothesized to result from maladaptive plasticity. Repetitive transcranial magnetic stimulation ([r]TMS) is a promising technology that utilizes the concept of neuroplasticity to modulate brain circuits. TMS modulation has the distinct advantage in terms of its non-invasive nature. Furthermore, unique stimulation paradigms such as intermittent theta-burst repetitive TMS (iTBS) allows for short stimulation time (<3 min). Using a sham-controlled protocol, the investigators propose modulating pre-SMA output using iTBS, based on our prior data of abnormal pre-SMA-mediated motor system regulation. hypothesize pre-SMA modulation results in increased pre-SMA-mediated motor inhibition. Enhancing these inhibitory measures with pre-SMA-iTBS provides the basis for improving inhibitory function in TS patients, leading to our long-term goal of neuro-stimulation to achieve clinical tic reduction.


Recruitment information / eligibility

Status Recruiting
Enrollment 30
Est. completion date February 17, 2025
Est. primary completion date December 31, 2024
Accepts healthy volunteers No
Gender All
Age group 10 Years to 21 Years
Eligibility Inclusion Criteria: Participants of any sex, race, or ethnicity meeting all criteria listed below will be included in the study: 1. Aged 10-21 years 2. Fluent in English 3. DSM-5 diagnosis of TS, confirmed by the clinical team 4. Able to participate in the informed consent process, provide voluntary informed consent/assent and provide a spontaneous narrative description of the key elements of the study. 5. Clinical stability: determined by a physician, no switch of psychotropic medications or increase in dosage in the last 14 days from TMS treatment start; no change in other therapeutic interventions in last 14 days from TMS treatment start. Exclusion Criteria: 1. Any neurodevelopmental, psychiatric condition other than TS, ADHD, or OCD, or mild anxiety based on review of K-SADS. Note - if an exclusionary psychiatric diagnosis is suspected based on K-SADS, the research physician will follow up with the parent and referral will be made to psychology or psychiatry as appropriate. 2. Presence of metallic foreign bodies or implanted medical devices. 3. Not meeting inclusion criteria as described above 4. Non-fluency in English, as English is the language in the validated clinical questionnaires, and the participant must be able to understand real-time instructions from the study staff

Study Design


Intervention

Device:
iTBS
intermittent theta burst stimulation with TMS

Locations

Country Name City State
United States Cincinnati Children's Hospital Medical Center Cincinnati Ohio

Sponsors (2)

Lead Sponsor Collaborator
Children's Hospital Medical Center, Cincinnati Tourette Association of America

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary change in cortical silent period (cSP) cSP is a biomarker of inhibitory motor physiology On the same day, we will assess change in cSP prior to active (or sham) iTBS treatment and immediately after iTBS treatment
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