ClinicalTrials.gg
Not yet recruitingNCT07736742SToP-EUpdated Jul 30, 2026

Repetitive Transcranial Magnetic Stimulation for People With Etomidate Addiction (SToP-E-rTMS x Etomidate)

An interventional study of high-frequency Repetitive Transcranial Magnetic Stimulation and Repetitive transcranial magnetic stimulation in Etomidate Use Disorder and Repetitive Transcranial Magnetic Stimulation (rTMS), sponsored by The University of Hong Kong. Not yet recruiting at 1 site in Hong Kong. Open to participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2026-07-30.

Sponsored by The University of Hong Kong · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
All
01

Study summary

The goal of this clinical trial is to learn if high-frequency rTMS works to treat etomidate addiction in adults. It will also learn about the safety and tolerability of rTMS. The main questions it aims to answer are:

  • Does active rTMS reduce craving, amount of etomidate use, frequency of etomidate use, and severity of etomidate use disorder?
  • Does active rTMS improve cognitive biases related to delayed reward discounting and risk sensitivity?
  • What side-effects do participants have when receiving rTMS?

Researchers will compare active rTMS to sham rTMS to see if active rTMS works to treat etomidate addiction.

Participants will:

  • Receive active rTMS or sham rTMS over 4 weeks
  • Complete 20 rTMS sessions in total
  • Visit the clinic for treatment sessions and follow-up assessments
  • Complete assessments of etomidate use, craving, withdrawal symptoms, mood symptoms, cognition, and decision-making

Attend follow-up assessments up to 6 months after baseline

Read the detailed description

This is a 6-month, double-blind, randomized, sham-controlled pilot clinical trial evaluating high-frequency repetitive transcranial magnetic stimulation (rTMS) for people with etomidate addiction. Etomidate misuse has become an emerging public health concern, but there is currently no established treatment specifically for etomidate addiction. This study will examine whether active rTMS delivered to the left dorsolateral prefrontal cortex can reduce etomidate craving, use, and dependence severity compared with sham rTMS.

The study will enroll 40 participants with etomidate use disorder. Participants will be randomly assigned in a 1:1 ratio to receive either active rTMS or sham rTMS. Both participants and outcome assessors will be blinded to treatment allocation. The intervention consists of 20 rTMS sessions delivered over 4 weeks, followed by an observation maintenance phase with follow-up assessments up to 6 months from baseline.

The study will assess changes in etomidate use, craving, withdrawal symptoms, dependence severity, anxiety, depression, global cognition, psychomotor speed, and cognitive biases related to delayed reward discounting and risk sensitivity. These assessments will help determine whether rTMS may be a feasible and potentially effective intervention for etomidate addiction and related decision-making processes.

02

Conditions studied

  • Etomidate Use Disorder
  • Repetitive Transcranial Magnetic Stimulation (rTMS)

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Keywords

  • Etomidate
  • rTMS
  • addiction
03

In context

Behavior, Addictive

521 studies on the registry are indexed under Behavior, Addictive; 124 are open to participants now.

This study's planned enrollment of 40 is below the median of 62 across 399 interventional studies indexed under Behavior, Addictive.

Browse Behavior, Addictive studies →

Lead sponsor

The University of Hong Kong is the lead sponsor of 1,292 studies on the registry; 348 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 45 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

  • Able to read and communicate in English and/or Chinese
  • Able to give and/or able to provide an informed consent from the legal guardian (if applicable)
  • Using etomidate and/or its related analogues as the primary psychoactive substance of abuse
  • Suffering from etomidate addiction as defined by:

    1. Etomidate Use Disorder classified under "Sedative-, Hypnotic-, or Anxiolytic Use Disorder" according to the , Fifth Edition, Text Revision (DSM-5-TR) with severity ≥ 1, or
    2. Harmful Use or Dependence for etomidate classified under "Mental and behavioral disorders due to use of sedatives or hypnotics" according to the International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10), or
    3. Hazardous use, harmful use or dependence classified under "Hazardous use of sedatives, hypnotics or anxiolytics" or "Disorders due to use of sedatives, hypnotics or anxiolytics" according to the Clinical descriptions and diagnostic requirements for International Classification of Diseases 11th Revision (ICD-11) mental, behavioral, and neurodevelopmental disorders.

Exclusion criteria

Exclusion Criteria:

  • Age \< 18 years old
  • Unable to read English or Chinese
  • Unable to give
  • Had been diagnosed with the following disorders including:

    1. Neurodevelopmental Disorders:

  • : Intellectual Disabilities, Communication Disorders, Specific Learning Disorder, Autism Spectrum Disorder and Motor Disorders
  • International Statistical Classification of Diseases and Related Health Problems 11th Revision (ICD-11): Disorders of intellectual development (6A00), Developmental speech or language disorders (6A01), Autism spectrum disorder (6A02), Developmental learning disorder (6A03), Developmental motor coordination disorder (6A04), Stereotyped movement disorder (6A06), Primary tics or tic disorders (8A05.0)
  • Other DSM-5 defined Substance Use Disorder greater than moderate in severity (i.e., severity score ≥4)
  • Neurocognitive Disorders (DSM-5, or ICD-11 6D70-72 \& 6D80-86) 2. to undergo rTMS:
  • with electronic and/or magnetic implants (e.g., pacemaker, implantable cardioverter defibrillator [ICD], cerebral shunts, cochlear implant, etc.)
  • with metallic or mechanic fragments (e.g., screws, plates, stents, clips, etc.)
  • pregnant
  • with any known or history of neurological conditions including cerebral vascular accidents (CVA), epilepsy, brain tumor or space occupying lesion, etc.
  • poorly controlled or unstable diabetes mellitus
  • receiving unstable dose(s) of antipsychotics, antidepressants, benzodiazepines and/or anticonvulsants in the past 3 months
Terms in these criteria, in plain language(3)

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    Active rTMS

    Subjects receive 20 high-frequency rTMS sessions over 4 weeks.

    Device: high-frequency Repetitive Transcranial Magnetic Stimulation

  • Sham comparator
    Sham rTMS

    Subjects receive 20 Sham rTMS sessions over 4 weeks.

    Device: Repetitive transcranial magnetic stimulation

Interventions

  • Devicehigh-frequency Repetitive Transcranial Magnetic Stimulation

    high-frequency rTMS using Magventure TMS system using the Coil Cool-B70 Active/Placebo Bended Butterfly coil is delivered at the dorsolateral prefrontal cortex of consented subjects

  • DeviceRepetitive transcranial magnetic stimulation

    Sham rTMS will be delivered using the Coil Cool-B70 Active/Placebo Bended Butterfly coil, which generates a negligible magnetic field. The sham procedure will follow the same schedule as the active rTMS arm.

06

What researchers measure

Primary outcomes

  1. Change in etomidate craving

    Change in craving measured by the Craving Automated Scale-Substance from baseline to follow-up. Higher scores indicate stronger craving.

    Time frame: Baseline, Week 1, Week 4, Month 3, and Month 6

  2. Change in etomidate withdrawal symptoms

    Change in withdrawal symptoms measured by the Clinical Institute Withdrawal Assessment for Benzodiazepines from baseline to follow-up.

    Time frame: Baseline, Week 1, Week 4, Month 3, and Month 6

  3. Change in amount of etomidate use

    Change in the amount of etomidate use over the past 30 days measured by the Beat Drugs Fund Evaluation Question Set No. 5 and substance use interview from baseline to follow-up.

    Time frame: Baseline, Week 1, Week 4, Month 3, and Month 6

  4. Change in frequency of etomidate use

    Change in the frequency of etomidate use over the past 30 days measured by the Beat Drugs Fund Evaluation Question Set No. 5 and substance use interview from baseline to follow-up.

    Time frame: Baseline, Week 1, Week 4, Month 3, and Month 6

  5. Change in severity of dependence

    Change in severity of dependence measured by the Severity of Dependence Scale from baseline to follow-up. Higher scores indicate greater dependence severity.

    Time frame: Baseline, Week 1, Week 4, Month 3, and Month 6

  6. Change in urine-confirmed etomidate use

    Change in etomidate use status assessed by urine test from baseline to follow-up. Urine testing will be used to assess recent etomidate use and compare biological testing results with self-reported etomidate use.

    Time frame: Baseline, Week 1, Week 4, Month 3, and Month 6

Secondary outcomes

  1. Change in anxiety symptoms

    Change in anxiety symptoms measured by the Beck Anxiety Inventory from baseline to follow-up. Higher scores indicate more severe anxiety symptoms.

    Time frame: Baseline, Week 1, Week 4, Month 3, and Month 6

  2. Change in depressive symptoms

    Change in depressive symptoms measured by the Beck Depression Inventory-II from baseline to follow-up. Higher scores indicate more severe depressive symptoms.

    Time frame: Baseline, Week 1, Week 4, Month 3, and Month 6

  3. Change in delayed reward discounting

    Change in delayed reward discounting measured by a delay discounting task from baseline to follow-up. The task assesses preference for smaller immediate rewards versus larger delayed rewards.

    Time frame: Baseline, Week 4, Month 3, and Month 6

  4. Change in risk sensitivity

    Change in risk sensitivity measured by a risk preference task from baseline to follow-up. The task assesses preference for smaller safe rewards versus larger risky rewards.

    Time frame: Baseline, Week 4, Month 3, and Month 6

  5. Change in global cognitive function

    Change in global cognitive function measured by the Montreal Cognitive Assessment-Hong Kong Chinese version or English version from baseline to follow-up. Higher scores indicate better global cognitive function.

    Time frame: Baseline, Week 4, Month 3, and Month 6

  6. Change in psychomotor speed

    Change in psychomotor speed measured by the Digit Symbol Substitution Test from baseline to follow-up. Higher scores indicate better psychomotor speed.

    Time frame: Baseline, Week 4, Month 3, and Month 6

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No — This is because of the potential legal consequences to the participants as etomidate abuse in the study locality is considered criminal.

No publications or documents are linked to this record.

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

Start is estimated for Sep 2026; primary completion for Aug 2028, 23 months later.

Of 147 non-industry interventional studies with no phase under Behavior, Addictive, half reached primary completion within 27 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 42. This study's planned 23 months is below that.

Counting every sponsor, half of 155 studies reached it within 26 months; a quarter within 10 and three quarters within 42.

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

Registered
Jul 26, 2026
First posted
Jul 30, 2026
StartEst.
Sep 1, 2026
Primary completionEst.
Aug 31, 2028
CompletionEst.
Mar 31, 2029
Last update
Jul 30, 2026
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 Jul 30, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07736742
Responsible party
Sponsor
First posted
Jul 30, 2026
Start date
Sep 1, 2026 (estimated)
Primary completion
Aug 31, 2028 (estimated)
Completion
Mar 31, 2029 (estimated)
Last update
Jul 30, 2026

Study contacts

Albert KK Chung
Contact
Chungkka@hku.hk
+85260440993
Albert KK Chung
principal investigator · Department of Psychiatry, The University of Hong Kong

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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