ClinicalTrials.gg
CompletedNCT02126124Updated Dec 4, 2020

Evaluation of Deep Transcranial Magnetic Stimulation (DTMS) With the H-ADD Coil as an Aid to Smoking Cessation.

A Phase 3 interventional study of Sham Treatment and Active dTMS Treatment in Smoking Cessation, sponsored by Brainsway. Completed at 18 sites in 3 countries. Open to participants aged 22 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-12-04.

Sponsored by Brainsway · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
224
Allocation
Randomized
Ages
22 Years to 70 Years
Sex
All
01

Study summary

The purpose of the study is to evaluate the safety and efficacy of DTMS compared to sham treatment as an aid to smoking cessation in chronic, heavy (>10 cigarettes/day) cigarette smokers.

Read the detailed description

This is a multi center, randomized, double blind study to evaluate the safety and effectiveness of the device as an aid to smoking cessation. Treatment will be administered over a 6 week period and follow-up assessments will be conducted at 4 months. The clinical study design includes multiple measurements of safety and effectiveness parameters. The design is meant to demonstrate that the device shows superiority compared to sham treatment over six treatment weeks, at the 4 months follow up.

02

Conditions studied

  • Smoking Cessation

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Keywords

  • Brainsway, dTMS, Deep Transcranial Magnetic Stimulation, Smoking Cessation
03

In context

Smoking Cessation

1,581 studies on the registry are indexed under Smoking Cessation; 198 are open to participants now.

This study's planned enrollment of 224 is above the median of 164 across 1,423 interventional studies indexed under Smoking Cessation.

Browse Smoking Cessation studies →

Lead sponsor

Brainsway is the lead sponsor of 21 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
22 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male or female subjects, 22-70 years old.
  • Chronic, heavy (>10 cigarettes/day) smokers, who smoke for more than 1 year, with no period of abstinence for greater than 3 months during the past year.
  • Subjects who are motivated to quit smoking (with responses "very likely," or "somewhat likely" to the motivation questionnaire).
  • Satisfactory answers on safety screening questionnaire for transcranial magnetic stimulation (Keel 2001).
  • Gave for participation in the study.

Exclusion criteria

Exclusion Criteria:

  • Currently on Nicotine Replacement Therapy (NRT) or smoking cessation drugs (e.g., Zyban, Chantix, etc.) or undergoing behavioral smoking cessation interventions
  • Cognitive or functional disability, diagnosed according to criteria.
  • Active psychiatric disorder according to DSM IV (Axis I and Axis II) criteria within the last year.
  • Current alcohol or other substance abuse or dependence.
  • Alcohol or other substance abuse or dependence during the last 12 months before recruitment.
  • Subject is smoking any other form of tobacco or other substances.
  • Subject is taking psychotropic medications on a regular basis.
  • Subjects with a high risk for severe violence or suicidality as assessed during the screening interview.
  • Subjects who suffer from an unstable physical disease such as high blood pressure (>150 mmHg systolic / diastolic > 110 mmHg) or acute, unstable cardiac disease.
  • History of epilepsy or seizure (EXCEPT those therapeutically induced by ECT).
  • Increased risk of seizure for any reason, including prior diagnosis of increased intracranial pressure (such as after large infarctions or trauma), or history of significant head injury or trauma with loss of consciousness for > 5 minutes.
  • History of any metal in the head (outside the mouth).
  • Metallic particles in the eye, implanted cardiac pacemaker or any intracardiac lines, implanted neurostimulators, intracranial implant (e.g., aneurysm clips, shunts, stimulators, cochlear implants, or electrodes) or implanted medical pumps.
  • Individuals with a significant neurological disorder or insult including, but not limited to:

    • Any condition likely to be associated with increased intracranial pressure
    • Space occupying brain lesion
    • History of cerebrovascular accident
    • within two years
    • Cerebral aneurysm
    • Dementia
    • score of less than or equal to 24
    • Parkinson's disease
    • Huntington's chorea
    • Multiple sclerosis
  • Subjects suffering from frequent and severe migraine headaches.
  • Subjects suffering from significant hearing loss.
  • Subjects taking pro-convulsant medications (e.g., antidepressants or antipsychotic medications).
  • Previous treatment with TMS.
  • Subjects who cannot communicate reliably with the investigator or who are not likely to cope with the requirements of the experiment.
  • Participation in a clinical trial within the last 30 days before the beginning of this clinical trial or similar participation in another clinical trial.
  • Known or suspected pregnancy or lactation.
  • Women of and not using a medically accepted form of when engaging in sexual intercourse.
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
224 participants (estimated)

Study arms

  • Active comparator
    Active dTMS Treatment

    Brainsway Deep TMS Treatment

    Device: Active dTMS Treatment

  • Sham comparator
    Sham Treatment

    Brainsway Sham Treatment

    Device: Sham Treatment

Interventions

  • DeviceSham Treatment

    In the sham treatment, the electrical field induced by the sham coil cannot invoke any action potentials and if no action potentials are induced, then the electric field is insignificant and there is no treatment effect on the the brain.

    Also known as: Brainsway Sham Treatment

  • DeviceActive dTMS Treatment

    Deep Transcranial Magnetic Stimulation (dTMS) is a new form of TMS which allows direct stimulation of deeper neuronal pathways than the standard TMS. The Brainsway Coil is a novel dTMS coil desigend to allow deeper brain stimulation without significant increase of electric fields induced in superficial cortical regions.

    Also known as: Brainsway Deep TMS Treatment

06

What researchers measure

Primary outcomes

  1. Continuous Quit Rate

    The primary objective is to compare the four-week continuous quit rate (CQR), representing abstinence during a consecutive 4 week period during the treatment phase, between the two treatment groups.

    Time frame: 4 week

Secondary outcomes

  1. Number of Cigarettes Smoked Per Day

    The secondary objective is to compare number of cigarettes smoked per day (per diary data) for all subjects.

    Time frame: 4 Weeks

Other outcomes

  1. Long term CQR

    Long-term continuous quit rates (CQR) at four months.

    Time frame: 4 Months

  2. Withdrawal Symptoms

    Effect on withdrawal symptoms as measured by weekly scales measuring nicotine craving and dependence/withdrawal, including Fagerstrom Test for Nicotine Dependence (FTND), Minnesota Nicotine Withdrawal Scale Self-Report (MNWS), Tobacco Craving Questionnaire-Short Form (TCQ-SF) and Nicotine Craving Scale.

    Time frame: 6 Weeks

07

Study locations

18 sites
  • Pacific Institute of Medical Research
    Los Angeles, California 90024, United States
  • University of California - San Diego Medical Center
    San Diego, California 92103, United States
  • TMS Center of Colorado
    Denver, Colorado 80222, United States
  • University of Florida College of Medicine
    Gainesville, Florida 32611, United States
  • Advanced Mental Health Care Inc. - Juno Beach
    Juno Beach, Florida 33408, United States
  • Advanced Mental Health Care Inc. - Royal Palm Beach
    Royal Palm Beach, Florida 33411, United States
  • McLean Hospital - TMS Services
    Belmont, Massachusetts 02478, United States
  • Premier Psychiatric Group
    Lincoln, Nebraska 68526, United States
  • Premier Psychiatric Group
    Omaha, Nebraska 68130, United States
  • Mount Sinai Hospital
    New York, New York 10029, United States
  • Columbia University / New York State Psychiatric Institute
    New York, New York 10032, United States
  • Lindner Center of HOPE, University of Cinicnnati College of Medicine
    Cincinnati, Ohio 45040, United States
  • Medical University Of South Carolina (MUSC)
    Charleston, South Carolina 29425, United States
  • Senior Adults Specialty Research
    Austin, Texas 78757, United States
  • Center for Addiction and Mental Health (CAMH)
    Toronto, Ontario, Canada
  • Soroka Medical Center
    Beer Sheva, Israel
  • Beer Yaacov Mental Health Center
    Beer Yaacov, Israel
  • Lev Hasharon
    Netanya, Israel
08

References and documents

Publications

  • Zangen A, Moshe H, Martinez D, Barnea-Ygael N, Vapnik T, Bystritsky A, Duffy W, Toder D, Casuto L, Grosz ML, Nunes EV, Ward H, Tendler A, Feifel D, Morales O, Roth Y, Iosifescu DV, Winston J, Wirecki T, Stein A, Deutsch F, Li X, George MS. Repetitive transcranial magnetic stimulation for smoking cessation: a pivotal multicenter double-blind randomized controlled trial. World Psychiatry. 2021 Oct;20(3):397-404. doi: 10.1002/wps.20905. PubMed 34505368 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Aug 2014 to primary completion in Nov 2019, 62 months.

Of 31 phase 3 interventional studies under Smoking Cessation, half reached primary completion within 29 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 60. This study's 62 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 27, 2014
First posted
Apr 29, 2014
StartActual
Aug 20, 2014
Primary completionActual
Nov 14, 2019
CompletionActual
Nov 14, 2019
Last update
Dec 4, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 4, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02126124
Lead sponsor
Brainsway
Responsible party
Sponsor
First posted
Apr 29, 2014
Start date
Aug 20, 2014
Primary completion
Nov 14, 2019
Completion
Nov 14, 2019
Last update
Dec 4, 2020

Study contacts

Mark George, MD
principal investigator · Medical University of South Carolina
Abraham Zangen, PhD
principal investigator · Soroka University Medical Center
Kathleen Brady, MD., PhD
principal investigator · Medical University of South Carolina

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Nov 2019. You cannot join it, but the record below documents what was studied.

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