Targeted rTMS to rebalance brain circuits to help people quit smoking

RTMS manipulates imbalanced drive-reward and executive control circuitry for smoking cessation

NIH-funded research Medical University of South Carolina · NIH-11293412

This project tests whether targeted repetitive transcranial magnetic stimulation (rTMS) on two brain areas can help adults who smoke reduce cravings and quit.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionMedical University of South Carolina NIH-funded
Lab location1 site (Charleston, United States)
Project IDNIH-11293412 on NIH RePORTER

What this research studies

If you join, you will have brain scans while looking at smoking cues and while trying not to smoke, then be randomly assigned to one of three groups: a sham (placebo) rTMS, active low-frequency rTMS to the medial orbital frontal cortex (mOFC), or active low-frequency rTMS to the dorsolateral prefrontal cortex (DLPFC). The team will use fMRI to guide the stimulation target and model the electric field for precise targeting. Treatment sessions involve short, noninvasive magnetic stimulation sessions combined with cue exposure, and the initial phase plans to enroll about 45 participants. Follow-up visits will track cravings, cigarette use, and ability to remain abstinent.

Who could benefit from this research

Good fit: Adults who currently smoke cigarettes, meet criteria for tobacco use disorder, want help quitting, and are willing to undergo MRI scans and rTMS sessions are ideal candidates.

Not a fit: People who are not trying to quit, who have MRI/TMS contraindications (like certain metal implants or seizures), or who cannot attend in-person visits are unlikely to benefit from participation.

Why it matters

Potential benefit: If successful, this could provide a non-drug brain stimulation option that reduces craving and improves smoking quit rates.

How similar studies have performed: Previous rTMS studies have shown promise by reducing cue-induced craving, lowering cigarette use, and increasing quit rates, but optimal brain targets and stimulation parameters remain unproven.

Where this research is happening

Charleston, 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.