Status:

RECRUITING

Deep Repetitive Transcranial Magnetic Stimulation for Cannabis Use Disorder

Lead Sponsor:

St. Joseph's Healthcare Hamilton

Conditions:

Cannabis Use Disorder

Eligibility:

All Genders

25-65 years

Phase:

NA

Brief Summary

There is a credible basis for lateral prefrontal cortex and insula deep repetitive transcranial magnetic stimulation (dTMS) stimulation as a treatment for cannabis use disorder (CUD), but no studies t...

Detailed Description

Deep repetitive transcranial magnetic stimulation (dTMS) is a technique that stimulates areas of the brain using magnetic pulses and is an approved treatment for several mental health and substance us...

Eligibility Criteria

Inclusion

  • Adult, age 25-65
  • DSM-5 CUD, moderate or higher (4+ DSM-5 symptoms)
  • 4 or more days of cannabis use per week
  • Reports inhalation as one route of administration
  • Treatment-seeking (i.e., self-reported readiness to change of 5 or greater on a 0-10 readiness ruler)
  • Stable domicile and reliable transportation, and willingness to attend in-person visits at SJHH Hamilton.

Exclusion

  • Current psychotic symptoms, history of schizophrenia-spectrum disorders or bipolar disorder, or current PTSD
  • Active suicidality (past 3 months) or history of severe suicidality (i.e., requiring hospitalization)
  • Any other mental health condition deemed incompatible by the team
  • High risk alcohol involvement and/or 4+ symptoms of alcohol use disorder
  • Unstable management of an existing mental health condition or anticipation of a change to the treatment over the next 3 months
  • Current unstable medical condition (e.g., diabetes)
  • rTMS Contraindications: intracranial or metal implants in the head or nearby regions that cannot be safely removed; history of epilepsy or seizures; pregnancy (female participants only); pacemaker and/or implantable cardioverter-defibrillators).
  • Medication contraindications (e.g., bupropion \>300 mg/day due to risk of seizures, benzodiazepine equivalent dose to lorazepam \>2 mg/day).
  • History of recurrent headache or migraine (past year)
  • Significant literacy, visual, or hearing problems
  • Co-enrollment in a clinical drug trial

Key Trial Info

Start Date :

March 26 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2025

Estimated Enrollment :

10 Patients enrolled

Trial Details

Trial ID

NCT06114212

Start Date

March 26 2024

End Date

December 1 2025

Last Update

January 8 2025

Active Locations (1)

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1

St. Joseph's Healthcare Hamilton

Hamilton, Ontario, Canada, L8N 3K7