ClinicalTrials.gg
RecruitingNCT07216872Updated Oct 27, 2026

Safety and Effectiveness of the BrainsWay Deep Transcranial Magnetic Stimulation (Deep TMS) for Treatment and Reduction of Heavy Drinking in Individuals With of Alcohol Use Disorder (AUD)

An interventional study of Deep TMS (DTMS) and Sham (No Treatment) in Alcohol Use Disorder, Alcoholism and Alcohol Abuse, sponsored by Brainsway. Recruiting at 11 sites in 3 countries. Open to participants aged 18 Years to 86 Years. Per ClinicalTrials.gov, last updated 2026-10-27.

Sponsored by Brainsway · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2025; still recruiting 1 year later.
Updated Oct 27, 2026Site recruiting status changed1 site addedGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
186
Allocation
Randomized
Ages
18 Years to 86 Years
Sex
All
01

Study summary

The study will compare alcohol use in two groups of subjects. One group will be assigned to the Deep TMS treatment and the other group will be assigned to the sham treatment. This is a prospective, 6-month, double blind, randomized, controlled, multi-center trial in outpatients recruited in both academic and private research centers. The study population will consist of subjects diagnosed with moderate to severe AUD. The study is comprised of three phases:

  1. Pre-study Screening and Baseline Phase
  2. Acute Treatment Phase and
  3. Maintenance Treatment and Follow up Phase

Subjects of all ethnic and gender categories, ages ranging between 18-86 years will be screened for study eligibility according to the inclusion and exclusion criteria. Subjects who meet the eligibility criteria and are willing to sign an informed consent form will be enrolled in the study. The subjects' demographic and baseline characteristics, as well as their overall medical condition will be assessed prior to treatment administration.

Eligible patients will be randomized with a 1:1 ratio to one of two study groups (treatment or sham) and stratified by site. Randomization will be employed to avoid bias in the assignment of subjects to treatment group. All subjects will undergo the same treatment regimen, regardless of the assigned treatment group. The acute treatment phase will include 15 treatment visits over a period of 3-5 weeks.

The Maintenance Treatment \& Follow-up phase will include one treatment visit per week from the end of the Acute Treatment Phase until the 6 month follow-up visit.

At each treatment session, prior to stimulation onset, alcohol related cues will be presented to the subject. After the offset of the alcohol cue presentation, active or sham Deep TMS stimulation will be administered.

The study design is directed towards a comparison between active treatment and sham, up to 4 months and 6 months follow-up. Efficacy will be assessed using the primary efficacy measure of the percent heavy drinking days during months 2, 3 and 4, based on the Time Line Follow Back (TLFB) reporting and supportive PEth results. Additionally, several subject assessment scales will be used during the course of the study to assess alcohol use and alcohol craving.

Safety will be assessed, including monitoring the severity, causality and frequency of all adverse events, vital signs, and physical and neurological examination.

02

Conditions studied

  • Alcohol Use Disorder
  • Alcoholism
  • Alcohol Abuse
  • Alcohol Dependence
  • Alcohol Abuse/Dependence
  • Alcohol Addiction

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Keywords

  • alcohol use disorder
  • alcoholism
  • alcohol abuse
  • alcohol dependence
  • alcohol addiction
  • DTMS
  • rfTMS
  • Brainsway
03

In context

Alcoholism

1,674 studies on the registry are indexed under Alcoholism; 331 are open to participants now.

This study's planned enrollment of 186 is above the median of 88 across 1,428 interventional studies indexed under Alcoholism.

Browse Alcoholism 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
18 Years to 86 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  1. Male or female subjects, 18-86 years old.
  2. Subjects diagnosed with AUD and who meet criteria for moderate (4-5 out of the 12 symptoms) to severe (> 6 out of the 12 symptoms) AUD according to the diagnostic criteria as determined by a licensed clinician according to the DSM-5 criteria, and verified with the Mini International Neuropsychiatric Interview (Standard MINI version 7.0.2).
  3. Subjects who have a history of at least 24 heavy drinking days during the 90 days prior to screening, based on TLFB.
  4. Treatment seeking individuals with a treatment goal of achieving abstinence or reducing heavy drinking.
  5. Subjects able to understand and provide signed , and able to adhere to the requirements and restrictions of this protocol.
  6. Satisfactory answers on safety screening questionnaire for transcranial magnetic stimulation.

Exclusion criteria

Exclusion Criteria:

  1. Subjects diagnosed with schizophrenia or chronic psychotic disorder as determined by a licensed clinician according to the criteria, and verified with the Mini International Neuropsychiatric Interview (Standard MINI version 7.0.2).
  2. Subjects with present suicidal risk as assessed by the investigator or significant suicide risk based on MADRS item 10 score of 4 or 6, or a history of attempted suicide in the last year.
  3. Subjects who initiated treatment with any of the following medications which are known to effect alcohol consumption, within 30 days of the Screening visit: acamprosate, baclofen, buprenorphine, disulfiram, gabapentin, naltrexone, topiramate and varenicline.
  4. Subjects with a significant medical illness that is not well controlled (e.g., hepatic impairment, diabetes, hypertension, heart disease, septicemia, active tuberculosis, progressive neoplasm, frequent and severe migraine headaches, etc.).
  5. Subjects experiencing acute alcohol withdrawal. This will be determined using the Clinical Institute Withdrawal Assessment of Alcohol - revised (CIWA-Ar) wherein subjects with a value of >7 will not be permitted to receive TMS on that day to mitigate any potential risk of a seizure. Treatments may be rescheduled and CIWA-AR and alcohol breath tests may be reassessed, although if more than the allowed treatment sessions are missed, the subject will be withdrawn from the study.
  6. Subjects with a history of epilepsy or seizure (not including history of alcohol withdrawal seizure, ECT induced seizures, or childhood febrile seizures).
  7. Individuals with a first-degree relative family history of seizure.
  8. Subjects with a high risk for severe violence or suicidality as assessed during the screening interview.
  9. Conductive, ferromagnetic or other magnetic-sensitive metals implanted in the head (outside the mouth) or within 10 cm of the treatment coil (e.g., cochlear implants, implanted electrodes/stimulators, aneurysm clips or coils, stents, bullet fragments, shrapnel, surgical clips, fragments from welding or metal work).
  10. Subjects with cardiac pacemakers or active implantable electrodes/neurostimulators within 30 cm of the treatment coil.
  11. Subjects 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
  12. Subjects suffering from significant hearing loss.
  13. Previous treatment with TMS within one year.
  14. Subject's motor threshold cannot be located or is > 58%.
  15. Participation in another clinical investigation in which a device or drug has been used within 4 weeks of screening.
  16. If participating in psychotherapy, subject is not in stable treatment for at least 3 months prior to entry into the study or anticipates a change in the frequency of therapeutic sessions, or the therapeutic focus over the duration of the rTMS trial.
  17. Known or suspected pregnancy or planning to become pregnant.
  18. 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.

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.

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.

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
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
186 participants (estimated)

Study arms

  • Experimental
    Treatment group

    The treatment group will receive active, Deep TMS treatment.

    Device: Deep TMS (DTMS)

  • Sham comparator
    Control group

    The Control group will receive inactive, sham treatment.

    Device: Sham (No Treatment)

Interventions

  • DeviceDeep TMS (DTMS)

    The Deep TMS group will receive 30 active sessions in 15 visits (i.e., 2 treatments per visit) over a period of 3-5 weeks in the Acute Treatment Phase. In the Maintenance Treatment \& Follow-up phase subjects will receive one treatment session per week from the end of the Acute Treatment Phase until the 6-month follow-up visit. All treatment sessions will consist of 2 treatments per day with a 30 minute interval in between. Each treatment will last approximately 20 minutes.

  • DeviceSham (No Treatment)

    The control group will receive 30 Sham sessions in 15 visits (i.e., 2 treatments per visit) over a period of 3-5 weeks in the Acute Treatment Phase. In the Maintenance Treatment \& Follow-up phase subjects will receive one treatment session per week from the end of the Acute Treatment Phase until the 6-month follow-up visit. All treatment sessions will consist of 2 treatments per day with a 30 minute interval in between. The control group will receive inactive/sham treatment with identical parameters to the Deep TMS treatment.

06

What researchers measure

Primary outcomes

  1. Difference in proportion of patients who attain zero (0) heavy drinking days

    The difference in the proportion of patients who attain zero (0) heavy drinking days in the Treatment group versus the Sham control group in months 2, 3 and 4 following initiation of the Acute Phase, based on TLFB reporting and supportive PEth results. Month 1 is considered a "Grace Period" as this is the time during which the full treatment dose of the Acute Phase is being delivered.

    Time frame: 2-4 months

07

Study locations

9 of 11 sites recruiting
  • Alpha Neuron LLC
    Tuscaloosa, Alabama 35401, United States
    Recruiting
  • Kadima Neuropsychiatry
    La Jolla, California 92037, United States
    Recruiting
    • Sydney Pollard · Contactsydneyp@kadimanp.com · 858-412-4130
    • David Feifel, MD · Principal investigator
  • DTMS Center LLC
    West Palm Beach, Florida 33411, United States
    Recruiting
  • Rosecrance River North
    Chicago, Illinois 60654, United States
    Recruiting
    • Ana Isabella Ovalle · Contactaovalle@rosecrance.org · 815-720-5076
    • Puneet Lakhmani, MD · Principal investigator
  • ManuMind Interventional Psychiatry
    Woodbury, New York 11797, United States
    Recruiting
  • Optimum Wellness and TMS
    Columbus, Ohio 43215, United States
    Recruiting
    • Adam Barber · Contactaj@optimumtms.com · 614-933-4200
    • Mark Blair, MD · Principal investigator
  • Active Path Mental Health
    Portland, Oregon 97223, United States
    Terminated

    Not enrolling at this site.

  • Inner Healing Charleston
    Charleston, South Carolina 29403, United States
    Not yet recruiting
  • PsyCare
    South Charleston, West Virginia 25303, United States
    Recruiting
  • Soroka Medical Center
    Beersheba, 8410501, Israel
    Recruiting
  • Linköping University
    Linköping, Sweden
    Recruiting
    • Asa Axen · Contactasa.axen@liu.se · 46-13-282947
    • Markus Heilig, Prof. · Principal investigator
08

Updates

1 registry update since Sep 25, 2026
Sites
1 site added. 2 sites changed recruiting status (1 now terminated, 1 now recruiting)
Show 2 sites
  • Active Path Mental Health · Portland, United StatesRecruiting→Terminated
  • Linköping University · Linköping, SwedenNot yet recruiting→Recruiting
Show site
  • Inner Healing Charleston · Charleston, United States
Oct 27, 2026
Site contacts
Changed at 2 sites. See the sites
Show 2 sites
  • Active Path Mental Health · Portland, United StatesContact removed o•••@activepath.com · •••4648Contact removed (no phone or email listed)
  • Linköping University · Linköping, SwedenContact none listed→•••2947
Oct 27, 2026
Show all 1 update
  1. Oct 27, 2026
    1 site added. 2 sites changed recruiting status (1 now terminated, 1 now recruiting)
    Show 2 sites
    • Active Path Mental Health · Portland, United StatesRecruiting→Terminated
    • Linköping University · Linköping, SwedenNot yet recruiting→Recruiting
    Show site
    • Inner Healing Charleston · Charleston, United States
    Site contacts Changed at 2 sites. See the sites
    Show 2 sites
    • Active Path Mental Health · Portland, United StatesContact removed o•••@activepath.com · •••4648Contact removed (no phone or email listed)
    • Linköping University · Linköping, SwedenContact none listed→•••2947
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07216872
Lead sponsor
Brainsway
Responsible party
Sponsor
First posted
Oct 15, 2025
Start date
Nov 7, 2025
Primary completion
Nov 1, 2027 (estimated)
Completion
Dec 1, 2027 (estimated)
Last update
Oct 27, 2026

Study contacts

Ahava Stein
Contact
ahava@asteinrac.com
+972-9-7670002

Oversight

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

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