Clinical trial Recruiting at 1 site Interventional Ages 18 to 55

Optimizing TMS Pulse Protocols for Reward Processing in Smokers

Official title: Determining the Optimal Pulse Protocol for TMS Induced Change in Reward Positivity

Run by Rutgers, The State University of New Jersey · NCT06695884 · Data updated 2026-11-12

This study is trying out different brain stimulation techniques to see if they can help smokers manage their cravings and make better decisions.

Quick facts

Study typeInterventional
Ages18 Years to 55 Years
SexAll
Enrollment42 (estimated)
SponsorRutgers, The State University of New Jersey
Academic / other
Locations1 site (Newark, New Jersey)
StatusRecruiting
StartedAugust 1, 2024
Main results expectedAugust 31, 2026
Study endsAugust 31, 2026
Registry record updatedNovember 18, 2025
Trial IDNCT06695884 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are nicotine-dependent individuals aged 18 to 55 who are in stable mental and physical health.

Probably not a fit

Patients with contraindications to MRI or rTMS, or those with a history of neurological disorders, may not benefit from this study.

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

What this trial studies

This study aims to identify the most effective transcranial magnetic stimulation (TMS) pulse protocols to modulate reward activity in nicotine-dependent individuals. It will involve a randomized controlled design with two sessions, where participants will receive either excitatory or inhibitory TMS protocols while engaging in decision-making tasks. The study will also assess the impact of these protocols on craving levels and decision-making capacity. Participants will be required to abstain from smoking for four hours prior to each session to ensure accurate measurement of outcomes.

Why it matters

Potential benefit: If successful, this study could lead to improved treatment strategies for nicotine use disorder by enhancing reward processing and decision-making in smokers.

How similar studies have gone: Other studies have shown promise in using TMS for modulating reward processing, suggesting potential success for this approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Nicotine dependent individuals (according to the Alcohol, Smoking and Substance Involvement Screening Test nicotine dependence score).
2. Be between the ages of 18 and 55 years old.
3. Not received substance abuse treatment within the previous 30 days.
4. Be in stable mental and physical health.
5. If female, test non-pregnant.
6. No evidence of focal or diffuse brain lesion on MRI.
7. Be willing to provide informed consent.
8. Be able to comply with protocol requirements and likely to complete all study procedures.

Exclusion Criteria:

1. Contraindication to MRI (e.g., presence of metal in the skull, orbits or intracranial cavity, claustrophobia).
2. Contraindication to rTMS (history of neurological disorder or seizure, increased intracranial pressure, brain surgery, or head trauma with loss of consciousness for \> 15 minutes, implanted electronic device, metal in the head, or pregnancy).
3. History of autoimmune, endocrine, viral, or vascular disorder affecting the brain.
4. History or MRI evidence of neurological disorder that would lead to local or diffuse brain lesions or significant physical impairment.
5. Life time history of mental disorders such as: Bipolar Affective disorder (BPAD), Schizophrenia, Post-traumatic Stress disorder (PTSD) or Dementia or Major Depression.
6. uninterruptable central nervous system medication

Where it's running

  • Rutgers University - Newark
    Newark, New Jersey, 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.