Clinical trial Recruiting at 1 site Interventional Ages 12 to 14

Understanding how anxiety affects substance use in adolescents

Official title: Adverse Adolescent Pathways to Substance Use

Run by University of North Carolina, Chapel Hill · NCT06977178 · Data updated 2026-11-12

This study is trying to see how anxiety affects substance use in kids aged 12-14 by looking at their brain activity and stress responses.

Quick facts

Study typeInterventional
Ages12 Years to 14 Years
SexAll
Enrollment180 (estimated)
SponsorUniversity of North Carolina, Chapel Hill
Academic / other
Locations1 site (Chapel Hill, North Carolina)
StatusRecruiting
StartedFebruary 20, 2024
Main results expectedJune 30, 2029
Study endsJune 30, 2030
Registry record updatedNovember 3, 2026
Trial IDNCT06977178 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adolescents aged 12-14 who exhibit symptoms of anxiety and have not engaged in substance use.

Probably not a fit

Patients with severe emotional disturbances, psychosis, or those who have used substances more than three times 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 investigates the relationship between anxiety symptoms and adverse pathways to substance use in adolescents aged 12-14. It aims to explore how changes in neural connectivity and physiological stress responses during adolescence contribute to this relationship. Participants will undergo neuroimaging, complete questionnaires, and have their physiological responses monitored during a stress-inducing task. The study will recruit 200 youth, focusing on those at high risk for substance use based on specific behavioral and emotional characteristics.

Why it matters

Potential benefit: If successful, this study could lead to better prevention strategies for substance use in adolescents with anxiety.

How similar studies have gone: Other studies have shown promising results in understanding the links between anxiety and substance use, making this approach both relevant and potentially impactful.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Male or female
* 12-14 years old,
* Report symptoms of anxiety
* Understand and sign an assent, and parents will sign a permission and a consent document in English
* Meets study hearing and vision requirements
* Substance use naïve

Exclusion Criteria:

* Has any foreign metal objects or implants as determined by the safety questionnaires (e.g., bone screws, shunts or body piercing that can't be removed, etc.)
* Has been diagnosed with psychosis or a severe emotional disturbance.
* Has used alcohol, tobacco, or marijuana more than 3 times.
* Is pregnant. Girls who self-report pregnancy may not participate in the stress evaluation or the MRI scan.
* Is taking any medications that directly alter cardiovascular function (e.g., propranolol or other beta blockers).
* Any current or lifetime treatment with antipsychotic medication.
* Has had a head injury that resulted in a loss of consciousness for more than 5 minutes.
* Is planning to get non-removable metal braces.
* Impaired intellectual functioning (full-scale intelligence quotient \<70).
* Past or current history of a clinically significant central nervous system that could confound brain imaging evaluations.

Where it's running

  • The University of North Carolina at Chapel Hill School of Medicine
    Chapel Hill, North Carolina, 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.