Noninvasive brain stimulation to improve impulse control in ADHD

ADHD PreSMART: ADHD PreSMA Response inhibition Therapy

NIH-funded research Cincinnati Childrens Hosp Med Ctr · NIH-11120990

This project tests whether short, repeated sessions of painless brain stimulation to a control area of the brain can help teens with ADHD reduce impulsive behavior.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionCincinnati Childrens Hosp Med Ctr NIH-funded
Lab location1 site (Cincinnati, United States)
Project IDNIH-11120990 on NIH RePORTER

What this research studies

You would come to the clinic for twice-daily sessions of a noninvasive brain stimulation technique (accelerated intermittent theta-burst stimulation, iTBS) aimed at the pre-supplementary motor area, a brain region involved in stopping actions. The early phase measures brain and behavioral markers (using TMS and EEG) to see if the stimulation changes inhibitory brain networks; a later phase looks at whether those changes improve real-world response control. Sessions are sham-controlled, meaning some people receive a placebo-like procedure so researchers can compare effects. The work builds on preliminary data suggesting these brain signals can be shifted by pre-SMA stimulation.

Who could benefit from this research

Good fit: Ideal candidates are teenagers with ADHD who continue to struggle with response inhibition or impulsive behavior despite usual treatments.

Not a fit: Very young children, adults outside the trial age range, people without ADHD, or those with medical exclusions such as implanted metal/electronic devices or uncontrolled seizures may not benefit or be eligible.

Why it matters

Potential benefit: If successful, this could offer a non-drug, noninvasive way to reduce impulsivity and improve self-control in adolescents with ADHD.

How similar studies have performed: Prior TMS and EEG studies have shown that brain stimulation can change inhibitory network signals, but using accelerated iTBS targeted to the pre-SMA to improve ADHD symptoms is relatively new and not yet proven.

Where this research is happening

Cincinnati, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.