Noninvasive brain stimulation for cervical dystonia using continuous theta-burst in a sham-controlled trial
Official title: The Effect of Noninvasive Brain Stimulation on Symptoms of Cervical Dystonia
Run by Fondazione Policlinico Universitario Campus Bio-Medico · NCT07681284 · Data updated 2026-11-12
This study tests whether delivering continuous theta-burst stimulation to the brain can reduce neck dystonia symptoms compared with sham stimulation.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 85 Years |
| Sex | All |
| Enrollment | 26 (estimated) |
| Sponsor | Fondazione Policlinico Universitario Campus Bio-Medico Academic / other |
| Locations | 1 site (Roma, Roma) |
| Status | Recruiting |
| Started | July 6, 2026 |
| Main results expected | May 6, 2028 |
| Study ends | May 6, 2028 |
| Registry record updated | September 17, 2026 |
| Trial ID | NCT07681284 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18-85 with idiopathic cervical dystonia, stable BoNT treatment status (last injection at least two months prior)
✕Probably not a fit
Patients with non-idiopathic dystonia, recent head/neck trauma, other neurological or major psychiatric conditions, or contraindications to TMS/MRI may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
In this parallel-group, randomized, double-blind trial, participants with idiopathic cervical dystonia will receive bilateral continuous theta-burst stimulation or sham stimulation over eight days (32 sessions total). The primary outcome is change in the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) from baseline to several follow-up points. Outcomes are assessed by investigators who are blinded to treatment, with the interventionists not blinded due to feasibility. The study builds on prior work exploring functional brain networks linked to cervical dystonia.
Why it matters
Potential benefit: If successful, treatment could offer a noninvasive option to help reduce cervical dystonia symptoms.
How similar studies have gone: Previous TMS trials in cervical dystonia have shown mixed results with small samples; this study uses a network-informed targeting approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria * Aged between 18 and 85 years * Diagnosis of idiopathic cervical dystonia made by an expert physician * Last botulinum toxin injection administered at least two months before the start of participation in the study (Albanese, Abbruzzese et al. 2015) Exclusion Criteria * Head or neck trauma occurring less than 12 months before the onset of dystonia * Acquired dystonia (e.g., drug-induced, brain lesions or trauma) * History of major psychiatric disorders (e.g., bipolar disorder, schizophrenia, obsessive-compulsive disorder) * History of neurological diseases other than CD (e.g., epilepsy, Parkinson's disease) * Other contraindications for TMS or brain MRI (e.g., metal in the head) * Pregnant or breastfeeding women * History of substance abuse or dependence
Where it's running
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Università Campus Bio-Medico
Roma, Roma, Italy Recruiting
Study contacts
- Principal investigator: Vincenzo Di Lazzaro, MD — Campus Bio-Medico Hospital
- Study coordinator: Daniel T Corp, PhD
- Email: danieltcorp@gmail.com
- Phone: +393445660971
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Targeted Focused Ultrasound for Cervical Dystonia
This trial tests whether applying theta burst focused ultrasound to brain regions GPi or DN, or a sham, can help people with cervical dystonia.
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Vibration to improve head posture in cervical dystonia
This trial will test whether stronger vibration applied to the neck muscles helps correct abnormal head posture in people with cervical dystonia.
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Adding zinc to Botox for cervical dystonia
This will test whether taking daily zinc citrate after a Botox injection helps people with cervical dystonia keep symptom relief longer.
-
IPN10200 treatment for cervical dystonia in adults
This trial will test whether a single injection of IPN10200 (one of two doses) reduces neck posture problems, pain, and disability better than placebo in adults with cervical dystonia.
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Using Valbenazine with Botulinum Toxin for Cervical Dystonia
This study is testing if adding a medication called valbenazine to botulinum toxin injections can help people with cervical dystonia feel better and improve their quality of life.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.