About this trial
Patients with schizophrenia spectrum disorder (SSD) will be exposed to active repetitive transcranial magnetic stimulation (rTMS) from F8 coil or active rTMS from H coil for smoking cessation. Smoking and brain functional connectivity changes will be assessed at baseline, different stages of rTMS and/or follow-ups.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male and female between ages 22-65 years
Ability to give written informed consent
Smoking in the last one year or more and average cigarette per day ≥ 5 in the past 4 weeks
Diagnosed with schizophrenia-spectrum disorder and Evaluation to Sign Consent (ESC) above10.
Disqualifiers
Persons with a first-degree relative with inherited epilepsy, seizure disorder, or seizures or persons who answer "yes" to any of the parts (A. - G.) of Question 3 of an epilepsy screening questionnaire.
Had smoking cessation treatment, clinical trial, or nicotine replacements within the past four weeks.
Significant alcohol or other drug use (substance dependence within 6 months or substance abuse within 1 month) other than nicotine or marijuana dependence.
Any major medical illnesses that may affect normal brain functioning. Examples of these conditions include, but not limited to, stroke, CNS infection or tumor, other significant brain neurological conditions.
Trial design
Parallel
Treatments tested in this trial
active F8-coil delivered rTMS
DeviceMultiple trains of rTMS in a day, for multiple days.
active H-coil delivered rTMS
DeviceMultiple trains of rTMS in a day, for multiple days.
Treatment groups
Trial outcomes
Primary outcomes
Resting-state functional connectivity (rsFC) from functional magnetic resonance imaging (fMRI)
The strength of rsFC from fMRI is used to represent the brain activities that are corresponding to the TMS effect on smoking reduction/cessation.
Cigarette per day
Cigarette per day (CPD) is measured to index smoking reduction and cessation.
Secondary outcomes
Fagerstrom Test for Nicotine Dependence (FTND)
Fagerstrom Test for Nicotine Dependence (FTND) represents the severity of nicotine severity.
nicotine/creatinine
nicotine/creatinine is a index of smoking status.
End-expired carbon monoxide (CO)
End-expired CO measure is an instant measure of smoking status.
Sponsors and contacts
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The University of Texas Health Science Center, Houston
Lead sponsor
National Institute on Drug Abuse (NIDA)
Collaborator