Clinical trial Recruiting at 1 site Interventional Ages 19 to 65

Combined real-time fMRI neurofeedback and TMS for alcohol use disorder

Official title: A Combined Neurofeedback-TMS Intervention for Alcohol Use Disorder

Run by Auburn University · NCT05621538 · Data updated 2026-11-12

This project tests whether adding real-time fMRI neurofeedback and/or transcranial magnetic stimulation (TMS) to usual treatment helps adults in treatment for alcohol use disorder reduce drinking and cravings.

More Alcohol Use Disorder trials

Quick facts

Study typeInterventional
Ages19 Years to 65 Years
SexAll
Enrollment90 (estimated)
SponsorAuburn University
Academic / other
Locations1 site (Auburn, Alabama)
StatusRecruiting
StartedOctober 1, 2025
Main results expectedMarch 31, 2026
Study endsMarch 31, 2026
Registry record updatedOctober 7, 2025
Trial IDNCT05621538 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 19–65 who are currently receiving treatment for alcohol use disorder and can safely undergo MRI and TMS procedures are the intended participants.

Probably not a fit

People with MRI or TMS contraindications (metal implants, seizure history, active withdrawal), those with psychosis or family history of schizophrenia, or those not engaged in treatment are unlikely to benefit or be eligible.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Adults ages 19–65 who are receiving treatment for alcohol use disorder come to an initial visit and then once weekly for four weeks for an intervention session that may include real-time fMRI neurofeedback, TMS, or sham versions of those interventions. Sessions are designed as supplemental, and the intervention arms include active and yoked-sham neurofeedback and active and sham TMS. Participants are followed monthly by remote contact for up to 12 months and asked to return for MRI follow-ups at 6 and 12 months. The protocol excludes people with MRI or TMS contraindications, active alcohol withdrawal, or psychotic illness or family history of schizophrenia.

Why it matters

Potential benefit: If successful, this approach could provide an additional non-pharmacologic option to help reduce drinking and cravings when added to standard treatment.

How similar studies have gone: Previous research on TMS or fMRI neurofeedback alone has shown mixed but sometimes promising effects on craving, while combined neurofeedback-plus-TMS interventions remain largely novel and less tested.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Age 19-65
2. Receiving treatment for Alcohol Use Disorder

Exclusion Criteria:

1. MRI Contraindications

   1. Presence of metal in the body that would make having a 7T MRI unsafe (including facial tattoos)
   2. Claustrophobia, such that individual would be unable to stay in the MRI for up to 1 hr
   3. Hearing loss, including tinnitus, that might be made worse by MRI or TMS
2. TMS Contraindications

   1. Has ever had a seizure, or has a family history of epilepsy
   2. Taking medications or substances that lower the seizure threshold
   3. Implanted devices that are in the head or rely on physiological signals
   4. History of neurological disease, such as stroke or brain tumor
   5. Head injury with loss of consciousness greater than 30 minutes
   6. Actively withdrawing from alcohol
3. Family history of schizophrenia or presence of psychotic symptoms

Where it's running

  • Auburn University
    Auburn, Alabama, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.