ClinicalTrials.gg
RecruitingNCT07887633Updated Oct 21, 2026

SONATA Dose Duration LIFU for OCD

A Phase 2 interventional study of ATTN201 - Low Intensity Focused Ultrasound in Obsessive - Compulsive Disorder, sponsored by University of Pennsylvania. Recruiting at 1 site in United States. Open to participants aged 22 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-10-21.

Sponsored by University of Pennsylvania · Phase 2, Interventional, and Device feasibility

From the registry’s dates

  • Started Sep 2026; still recruiting 1 month later.
Updated Oct 21, 2026Newly registeredGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
22 Years to 80 Years
Sex
All
01

Study summary

This study is testing a new, non-invasive brain stimulation approach for adults with Obsessive Compulsive Disorder (OCD). Researchers are evaluating the safety, tolerability, and target engagement of low-intensity focused ultrasound (LIFU) directed at a brain region called the subthalamic nucleus (STN). The ultrasound is delivered using a wearable device called ATTN201 (developed by Attune Neurosciences).

Read the detailed description

Twenty participants will take part in this randomized, sham-controlled trial. This means participants will be randomly assigned to receive either active LIFU or a sham (inactive) version of the treatment, and all participants will not know which one was given until the end of participation.

Participants will be seen multiple times a week for LIFU sessions, with a safety check completed halfway through the number of sessions. All participants will undergo MRI brain scans at the start of the study and at three follow-up checkpoints to help researchers understand how the treatment affects the brain.

02

Conditions studied

  • Obsessive - Compulsive Disorder

Keywords

  • Low Intensity Focused Ultrasound
  • LIFU
  • OCD
03

In context

Compulsive Personality Disorder

366 studies on the registry are indexed under Compulsive Personality Disorder; 67 are open to participants now.

This study's planned enrollment of 20 is below the median of 37 across 305 interventional studies indexed under Compulsive Personality Disorder.

Browse Compulsive Personality Disorder studies →

Lead sponsor

University of Pennsylvania is the lead sponsor of 1,664 studies on the registry; 236 are open to participants now.

Of its 156 completed or terminated interventional studies of FDA-regulated products, 107 (69%) have results posted.

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

04

Who can participate

Ages eligible
22 Years to 80 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. Age 22-80
  2. Meet DSM-V criteria for OCD ≥ 1 year with a Y-BOCS score ≥ 16
  3. Must be on the same stable dose(s) of OCD medication for at least 4 weeks prior to screening and throughout the course of the study

Exclusion criteria

Exclusion Criteria:

  1. Co-morbid psychiatric disorder other than depression or anxiety disorder
  2. Active suicidal risk (defined by C-SSRS)
  3. History of neurological condition
  4. Pregnant or breastfeeding, or planning to become pregnant during the study period
05

Study design

Phase
Phase 2
Primary purpose
Device feasibility
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Active Stimulation

    Participants receive low intensity focused ultrasound stimulation

    Device: ATTN201 - Low Intensity Focused Ultrasound

  • Sham comparator
    Sham Stimulation

    Participants received unfocused ultrasound, which mimic the auditory and peripheral sensations of active stimulation without delivering meaningful pressure to the brain target

    Device: ATTN201 - Low Intensity Focused Ultrasound

Interventions

  • DeviceATTN201 - Low Intensity Focused Ultrasound

    Low-intensity focused ultrasound (LIFU) will be administered using the Attune ATTN201 device. The intervention is targeted bilaterally to the Sub-thalamic Nucleus (STN) region of the brain. All participants receive 4 sessions in their assigned condition (active LIFU or Sham) and, if patient-level stopping criteria are not met, continue in that same assigned condition to a total of 8 sessions, twice weekly over approximately 4 weeks.

06

What researchers measure

Primary outcomes

  1. Participant Report of Symptoms

    The 22-item Participant Report of Symptoms questionnaire provides granular, visit-level characterization of tolerability and symptomatic response across the treatment course, complementing the primary tolerability endpoints.

    Time frame: 4 weeks

  2. Visual Analog Scale

    The Visual Analog Scale, which assesses on a scale from 0-10 the participants obsessions, compulsions, distress, depression, energy and anxiety. This survey provides granular, visit-level characterization of tolerability and symptomatic response across the treatment course, complementing the primary tolerability endpoints.

    Time frame: 4 weeks

  3. Beck Depression Inventory

    The Beck Depression Inventory (BDI-II)allows for monitoring of unintended effects on mood, given that the STN plays a role in emotional processing and provide a broader characterization of the clinical impact of treatment. The BDI-II is an assessment used to measure severity of depression

    Time frame: 4 weeks

  4. Becks Anxiety Inventory

    The Becks Anxiety Inventory (BAI) allows for monitoring of unintended effects on anxiety, given that the STN plays a role in emotional processing and provide a broader characterization of the clinical impact of treatment. The BAI is an assessment used to measure clinical anxiety.

    Time frame: 4 weeks

  5. Clinical Global Impression Scale

    The Clinical Global Impression scale asks two questions; the severity of illness and the change in illness. This scale allows a clinician completed score to monitor unintended effects on mood and anxiety. The Clinical Global Impressions - Improvement (CGI-I) scale is used to measure how much a patient's illness has improved or worsened. The Clinical Global Impressions - Severity (CGI-S) is used to measure how severe the patient's illness is.

    Time frame: 4 weeks.

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Gaur P, Casey KM, Kubanek J, Li N, Mohammadjavadi M, Saenz Y, Glover GH, Bouley DM, Pauly KB. Histologic safety of transcranial focused ultrasound neuromodulation and magnetic resonance acoustic radiation force imaging in rhesus macaques and sheep. Brain Stimul. 2020 May-Jun;13(3):804-814. doi: 10.1016/j.brs.2020.02.017. Epub 2020 Feb 21. PubMed 32289711 ↗
  • Pallanti S, Quercioli L. Treatment-refractory obsessive-compulsive disorder: methodological issues, operational definitions and therapeutic lines. Prog Neuropsychopharmacol Biol Psychiatry. 2006 May;30(3):400-12. doi: 10.1016/j.pnpbp.2005.11.028. Epub 2006 Feb 28. PubMed 16503369 ↗
  • Aubry JF, Attali D, Schafer ME, Fouragnan E, Caskey CF, Chen R, Darmani G, Bubrick EJ, Sallet J, Butler CR, Stagg CJ, Klein-Flugge MC, Yoo SS, Holland C, Treeby B, Martin E, Verhagen L, Pauly KB. ITRUSST Consensus on Biophysical Safety for Transcranial Ultrasound Stimulation. ArXiv [Preprint]. 2025 Oct 9:arXiv:2311.05359v3. PubMed 41281204 ↗
  • Darmani G, Bergmann TO, Butts Pauly K, Caskey CF, de Lecea L, Fomenko A, Fouragnan E, Legon W, Murphy KR, Nandi T, Phipps MA, Pinton G, Ramezanpour H, Sallet J, Yaakub SN, Yoo SS, Chen R. Non-invasive transcranial ultrasound stimulation for neuromodulation. Clin Neurophysiol. 2022 Mar;135:51-73. doi: 10.1016/j.clinph.2021.12.010. Epub 2021 Dec 31. PubMed 35033772 ↗
  • Stern JM, Spivak NM, Becerra SA, Kuhn TP, Korb AS, Kronemyer D, Khanlou N, Reyes SD, Monti MM, Schnakers C, Walshaw P, Keselman I, Cohen MS, Yong W, Fried I, Jordan SE, Schafer ME, Engel J Jr, Bystritsky A. Safety of focused ultrasound neuromodulation in humans with temporal lobe epilepsy. Brain Stimul. 2021 Jul-Aug;14(4):1022-1031. doi: 10.1016/j.brs.2021.06.003. Epub 2021 Jun 23. PubMed 34198105 ↗
  • Kim H, Chiu A, Lee SD, Fischer K, Yoo SS. Focused ultrasound-mediated non-invasive brain stimulation: examination of sonication parameters. Brain Stimul. 2014 Sep-Oct;7(5):748-56. doi: 10.1016/j.brs.2014.06.011. Epub 2014 Jul 2. PubMed 25088462 ↗
  • Pasquinelli C, Hanson LG, Siebner HR, Lee HJ, Thielscher A. Safety of transcranial focused ultrasound stimulation: A systematic review of the state of knowledge from both human and animal studies. Brain Stimul. 2019 Nov-Dec;12(6):1367-1380. doi: 10.1016/j.brs.2019.07.024. Epub 2019 Jul 31. PubMed 31401074 ↗
  • Yoon K, Lee W, Lee JE, Xu L, Croce P, Foley L, Yoo SS. Effects of sonication parameters on transcranial focused ultrasound brain stimulation in an ovine model. PLoS One. 2019 Oct 24;14(10):e0224311. doi: 10.1371/journal.pone.0224311. eCollection 2019. PubMed 31648261 ↗
  • Caulfield KA, Sege CT, Weaver J, Murphy KR, Passaro T, Meads K, Dadgar-Kiani E, Antonucci MU, Good C, McTeague LM. Focused ultrasound to bilateral thalamic nuclei significantly improves human cognitive attention in a frequency- and intensity-dependent manner. Brain Stimul. 2026 Sep-Oct;19(5):103171. doi: 10.1016/j.brs.2026.103171. Epub 2026 Jul 21. PubMed 42480914 ↗
  • Mallet L, Polosan M, Jaafari N, Baup N, Welter ML, Fontaine D, du Montcel ST, Yelnik J, Chereau I, Arbus C, Raoul S, Aouizerate B, Damier P, Chabardes S, Czernecki V, Ardouin C, Krebs MO, Bardinet E, Chaynes P, Burbaud P, Cornu P, Derost P, Bougerol T, Bataille B, Mattei V, Dormont D, Devaux B, Verin M, Houeto JL, Pollak P, Benabid AL, Agid Y, Krack P, Millet B, Pelissolo A; STOC Study Group. Subthalamic nucleus stimulation in severe obsessive-compulsive disorder. N Engl J Med. 2008 Nov 13;359(20):2121-34. doi: 10.1056/NEJMoa0708514. PubMed 19005196 ↗
  • Alonso P, Cuadras D, Gabriels L, Denys D, Goodman W, Greenberg BD, Jimenez-Ponce F, Kuhn J, Lenartz D, Mallet L, Nuttin B, Real E, Segalas C, Schuurman R, du Montcel ST, Menchon JM. Deep Brain Stimulation for Obsessive-Compulsive Disorder: A Meta-Analysis of Treatment Outcome and Predictors of Response. PLoS One. 2015 Jul 24;10(7):e0133591. doi: 10.1371/journal.pone.0133591. eCollection 2015. PubMed 26208305 ↗

Individual participant data

Plan to share: No — Individual participant data (IPD) will not be shared with outside researchers at this time to ensure the protection of participant privacy and to maintain strict compliance with the University of Pennsylvania Institutional Review Board (IRB) approved protocol.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Sep 2026 (actual). Primary completion is estimated for Jun 2028, 21 months after the start.

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

Registered
Sep 30, 2026
First posted
Oct 21, 2026
StartActual
Sep 15, 2026
Primary completionEst.
Jun 15, 2028
CompletionEst.
Sep 15, 2028
Last update
Oct 21, 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.
Registered
First appeared on the registry. No changes since
Oct 21, 2026
Show all 1 update
  1. Oct 21, 2026
    First appeared on the registry

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 ↗

10

Registry details

Key details

Study ID
NCT07887633
Responsible party
Katherine Scangos (Associate Professor of Psychiatry, University of Pennsylvania) — Principal investigator
First posted
Oct 21, 2026
Start date
Sep 15, 2026
Primary completion
Jun 15, 2028 (estimated)
Completion
Sep 15, 2028 (estimated)
Last update
Oct 21, 2026

Study contacts

Rishi Suresh
Contact
rishi.suresh1@pennmedicine.upenn.edu
215-746-8901
Katherine Scangos, MD, PhD
principal investigator · University of Pennsylvania

Oversight

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

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