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RecruitingNCT06960083Updated Jul 21, 2026

Transcranial Magnetic Stimulation in Misophonia

An interventional study of Transcranial Magnetic Stimulation (TMS) in Misophonia, sponsored by Icahn School of Medicine at Mount Sinai. Recruiting at 1 site in United States. Open to participants aged 18 Years to 55 Years. Per ClinicalTrials.gov, last updated 2026-07-21.

Sponsored by Icahn School of Medicine at Mount Sinai · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2025; still recruiting 1 year 1 month later.
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
01

Study summary

The purpose of the project is to assess the efficacy of parietal transcranial magnetic stimulation in misophonia. N=60 participants will undergo two transcranial magnetic stimulation sessions: one inhibitory and another excitatory. During both sessions, the parietal region will be stimulated. Participants will perform computerized tasks immediately before and after the stimulation, while EEG, heart rate, and skin temperature will be recorded. These recordings will be used to assess if TMS can be used to improve tolerance to misophonia triggers.

02

Conditions studied

  • Misophonia

Keywords

  • Misophonia
  • Transcranial Magnetic Stimulation
  • Crossover trial
  • Single session
  • EEG
03

In context

Lead sponsor

Icahn School of Medicine at Mount Sinai is the lead sponsor of 764 studies on the registry; 181 are open to participants now.

Of its 121 completed or terminated interventional studies of FDA-regulated products, 82 (68%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Hypersensitive to presence of a specific sound, which may be accompanied by irritation, anger/outbursts, or fear.
  • Must be between the ages of 18 - 55.
  • Must be fluent in English since the study's instructions, surveys, and tasks will be in English.

Exclusion criteria

Exclusion Criteria:

  • Epilepsy or previous episode of convulsion or seizure.
  • Previous episode of fainting spell or syncope.
  • Head trauma.
  • Hearing problems.
  • Cochlear implant.
  • Metal in the brain, skull, or anywhere else in the body (e.g., splinters, fragments, clips, etc.).
  • Implanted neurostimulator (e.g., DBS, epidural/subdural, VNS).
  • Presence of cardiac pacemaker or intracardiac lines.
  • Presence of medication infusion device.
  • Use of pro-convulsant or epileptogenic medications.
  • Pregnancy. The risks associated with TMS exposure during gestation have not been studied extensively. We wish to safeguard the health of potential participants and their children.
  • Lactation. The risks associated with TMS during lactation and its effects on infant development have not been studied. We wish to safeguard the health of potential participants and their children.
  • Presence of Mania, Psychosis, Antisocial Personality Disorder, Borderline Personality Disorder, and Suicidal Ideation.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
60 participants (estimated)

Study arms

  • Active comparator
    Inhibitory-Excitatory (IE) then Excitatory-Inhibitory (EI)

    Participants in this group will receive an inhibitory TMS in the first session and an excitatory TMS in the second session. The two sessions will be separated by 72 hours.

    Other: Transcranial Magnetic Stimulation (TMS)

  • Active comparator
    Excitatory-Inhibitory (EI) then Inhibitory-Excitatory (IE)

    Participants in this group will receive an excitatory TMS in the first session and an inhibitory TMS in the second session. The two sessions will be separated by 72 hours.

    Other: Transcranial Magnetic Stimulation (TMS)

Interventions

  • OtherTranscranial Magnetic Stimulation (TMS)

    Transcranial Magnetic Stimulation (TMS) is an FDA-approved non-invasive brain stimulation technology. It is currently used for treating depression. Applications to other disorders such as OCD and anxiety using TMS are currently under investigation. TMS will be administered for 25 minutes.

06

What researchers measure

Primary outcomes

  1. Unpleasantness Rating Scale

    Participants will be presented with a slider with extremes labelled as extremely unpleasant and extremely pleasant. Ratings will be provided for audio clips and visual cues. Full scale from 0-100, higher score indicates more unpleasantness

    Time frame: after each session, 72 hours apart (each session is 2 hours)

Secondary outcomes

  1. Heart Rate

    The heart rate (number of beats per minute) will be measured using a wristwatch worn by the participant.

    Time frame: after each session, 72 hours apart (each session is 2 hours)

  2. Skin Conductance Response

    Skin conductance, a measure capturing the amount of sweat, will be measured using a wristwatch worn by the participant.

    Time frame: after each session, 72 hours apart (each session is 2 hours)

  3. EEG P1-N1-P2 Complex Peak Amplitude

    Amplitude (microvolts) of P1, N1, and P2 peaks measured in the parietal region

    Time frame: after each session, 72 hours apart (each session is 2 hours)

  4. EEG P1-N1-P2 Complex Peak Latency

    Latency (milliseconds) of P1, N1, and P2 peaks measured in the parietal region

    Time frame: after each session, 72 hours apart (each session is 2 hours)

  5. EEG Frequency Band Amplitude

    Amplitude (decibel) in theta (4-8 Hz), alpha (8-13 Hz), and beta (13-30 Hz) frequency bands in the parietal region

    Time frame: after each session, 72 hours apart (each session is 2 hours)

  6. EEG Frequency Band Inter-Trial Coherence

    Coherence (unitless) across trials in theta (4-8 Hz), alpha (8-13 Hz), and beta (13-30 Hz) frequency bands in the parietal region

    Time frame: after each session, 72 hours apart (each session is 2 hours)

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — All of the individual participant data collected during the trial, after deidentification.

Supporting information: Study protocol, Sap

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06960083
Lead sponsor
Icahn School of Medicine at Mount Sinai
Responsible party
Parul Jain (Fellow, Icahn School of Medicine at Mount Sinai) — Principal investigator
First posted
May 7, 2025
Start date
Sep 2, 2025
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Jul 21, 2026

Study contacts

Shama Patel
Contact
shama.patel@mssm.edu
347-670-4878
Parul Jain, PhD
Contact
parul.jain@mssm.edu
212-824-8992
Parul Jain, PhD
principal investigator · Icahn School of Medicine at Mount Sinai

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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