Examining how the orbitofrontal cortex affects decision-making

Testing the Contribution of Orbitofrontal Cortex Networks to Decision-making

NA · Northwestern University · NCT05111223

This study is testing how changing the activity in certain brain areas affects decision-making in people by using brain stimulation and imaging techniques.

Quick facts

PhaseNA
Study typeInterventional
Enrollment120 (estimated)
Ages18 Years to 40 Years
SexAll
SponsorNorthwestern University (other)
Locations1 site (Chicago, Illinois)
Trial IDNCT05111223 on ClinicalTrials.gov

What this trial studies

This research examines the role of orbitofrontal cortex (OFC) networks in decision-making using a combination of functional magnetic resonance imaging (fMRI) and non-invasive transcranial magnetic stimulation (TMS). The study employs a randomized, between-subjects design to modulate activity within anterior and posterior OFC networks and assess their distinct contributions to outcome-guided behavior. Participants will undergo TMS before conditioning and during a devaluation test while being exposed to olfactory stimuli.

Who should consider this trial

Good fit: Ideal candidates are healthy, right-handed individuals aged 18 to 40 who are fluent in English.

Not a fit: Patients with significant neurological or psychiatric conditions, or those with smell or taste dysfunction, may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could enhance our understanding of decision-making processes and inform treatments for decision-making impairments.

How similar studies have performed: While the specific approach of using TMS to study OFC networks is relatively novel, similar studies have shown promise in understanding brain function and decision-making.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age between 18 and 40 years old
* Right-handed
* Fluent English speakers

Exclusion Criteria:

* History of significant neurological conditions (e.g., epilepsy, dementia, multiple sclerosis, brain tumors, etc.)
* History of major psychiatric conditions (e.g., general anxiety disorder, depression, schizophrenia, obsessive-compulsive disorder, post-traumatic stress disorder, attention deficit hyperactivity disorder, substance use disorder, etc.)
* Significant medical illnesses (e.g., cancer, meningitis, chronic obstructive pulmonary disease, cardiovascular disease, etc.)
* Significant cerebrovascular risk factors (e.g., hypertension, diabetes, elevated cholesterol, etc.)
* Current use of psychoactive medications (e.g., barbiturates, benzodiazepines, chloral hydrate, haloperidol, lithium, carbamazepine, phenytoin, citalopram, escitalopram, fluoxetine, diazepam, etc.)
* Smell or taste dysfunction
* History of significant allergies requiring hospitalization for treatment
* History of severe asthma requiring hospitalization for treatment
* Habitual smoking
* History of eating disorders (e.g., anorexia nervosa, bulimia nervosa, binge-eating disorder, etc.)
* Dieting or fasting
* Magnetic implants (e.g., shunts or stents, aneurysm clips, surgical clips, cochlear implants, metal bone/joint pins, plates and screws, eyelid spring or wires, etc.)
* Electronic devices (e.g., implanted cardiac defibrillator, cardiac pacemaker, deep brain/spinal cord or nerve stimulator, internal electrodes/wires, medication infusion devices, etc.)
* History of metal working without proper eye protection, or injury with metal shrapnel or metal slivers
* Claustrophobia
* Pregnancy
* Predisposition to seizures (e.g., personal history of seizures, family history of seizures epilepsy, pregnancy, alcoholism, etc.)
* Use of medications that increase the likelihood of seizures (e.g., bupropion SR, citalopram, duloxetine, ketamine, gamma-hydroxybutyrate, etc.)
* History of surgical procedures performed on the brain or spinal cord
* History of severe head trauma followed by loss of consciousness
* History of fainting spells or syncope
* Hearing problems or tinnitus

Where this trial is running

Chicago, Illinois

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: Healthy

Last reviewed 2026-05-15 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.