ClinicalTrials.gg
Not yet recruitingNCT07928648LIFU-CUDUpdated Nov 10, 2026

Low Intensity Focused Ultrasound in Cocaine Use Disorder

A Phase 1 interventional study of Low Intensity Focused Ultrasound in Cocaine Use Disorder (CUD), sponsored by University of Pennsylvania. Not yet recruiting at 1 site in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-11-10.

Sponsored by University of Pennsylvania · Phase 1, Interventional, and Other

Updated Nov 10, 2026Newly registeredGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This Phase 1 study will test whether Low-Intensity Focused Ultrasound (LIFU), a non-invasive form of brain stimulation, is safe and feasible to deliver to the ventral striatum in adults with Cocaine Use Disorder (CUD), and whether it produces measurable changes in brain activity. Twenty participants will be enrolled at the University of Pennsylvania. This study is apart of the HEAL Initiative (https://www.nih.gov/heal) This study does not test whether LIFU can reduce cocaine use; it is designed only to evaluate the safety, feasibility, and neural effects of the intervention.

02

Conditions studied

  • Cocaine Use Disorder (CUD)

Keywords

  • LIFU
  • CUD
  • Cocaine
  • Low Intensity Focused Ultrasound
03

In context

Lead sponsor

University of Pennsylvania is the lead sponsor of 1,668 studies on the registry; 235 are open to participants now.

Of its 158 completed or terminated interventional studies of FDA-regulated products, 109 (69%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 65 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

  • Age 18-65 years
  • Meets criteria for moderate or severe cocaine use disorder
  • At least $100 worth of cocaine use in the past 30 days
  • Able to provide written in English
  • Able to comply with the study visit schedule and telehealth follow-ups
  • Willing to attend the Day 3 overnight CRU admission
  • Meets Penn safety criteria for research MRI (no implants, no severe claustrophobia)

Exclusion criteria

Exclusion Criteria:

  • Meets criteria for moderate or severe substance use disorder for any substance other than cocaine, alcohol, marijuana, or nicotine
  • Current diagnosis of a psychotic disorder, or another psychiatric disorder that, in the opinion of the PI, will interfere with completion of the study or place the participant at heightened risk through participation
  • Active suicidal ideation with intent and plan, as defined by a score of five on the Columbia Suicide Severity Rating Scale (C-SSRS)
  • History of epileptic seizures, with the exception of isolated febrile seizures in childhood
  • History of significant head injury with loss of consciousness > 3 minutes, or associated with skull fracture or intracranial bleeding, or abnormal MRI
  • Cognitive impairment ( \< 24) at screening
  • Structural brain abnormality on baseline MRI (as determined by radiologist review)
  • Skull anatomy or scalp characteristics that preclude safe LIFU delivery (as determined by individualized acoustic modeling)
  • Pregnancy (positive urine pregnancy test) or breastfeeding
  • Current use of medications known to substantially interact with the CNS effects being studied (e.g., benzodiazepines, opioid substitution therapy)
  • to MRI (metal implant, pacemaker, severe claustrophobia)
  • Investigator judgment that participation would not be in the participant's best interest
Terms in these criteria, in plain language(4)

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.

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.

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.

05

Study design

Phase
Phase 1
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
20 participants (estimated)

Study arms

  • Active comparator
    Active LIFU

    Participants in this arm will receive low intensity focused ultrasound

    Device: Low Intensity Focused Ultrasound

  • Sham comparator
    Sham LIFU

    Participants in this arm will receive unfocused ultrasound, which will mimic the auditory and peripheral sensations of active stimulation without delivering meaningful pressure to the brain target

    Device: Low Intensity Focused Ultrasound

Interventions

  • DeviceLow Intensity Focused Ultrasound

    This study utilizes a single-element ultrasound transducer (Sonic Concepts) positioned over the head of each participant. Transducer alignment with the target brain region is maintained throughout the session using a neuronavigation tracking system (BrainSight) referenced to reflective markers on the participant's head. Participants wear headphones playing white noise throughout the session, identical for both active and sham conditions, to mask any procedure-related auditory cues. LIFU (or sham) is applied to both sides of the brain targeting the same area of the brain (Ventral Striatum). The device has been determined by the study's regulatory reviewers to pose non-significant risk and is not FDA-approved for any indication; its use in this study is investigational.

06

What researchers measure

Primary outcomes

  1. Number of Participants With Adverse Events by Severity

    Number of participants in each arm (active LIFU, sham) with at least one adverse event, assessed using the CTCAE grade (1-5) and by relationship to the study intervention (unrelated, unlikely, possibly, probably, or definitely related).

    Time frame: 3 weeks

  2. Number of Participants With Serious Adverse Events

    Number of participants in each arm with at least one serious adverse event.

    Time frame: 3 weeks

  3. Percentage of Participants Who Complete the Full Sonication Session

    Percentage of randomized participants in each arm who receive the complete planned bilateral sonication (or sham) session.

    Time frame: 1 day

  4. Percentage of Randomized Participants Who Complete All Study Visits

    Percentage of randomized participants in each arm who complete every scheduled study visit, including the Day 4 post-sonication MRI and the Day 21 End-of-Study visit.

    Time frame: 3 weeks

  5. Percentage of Scheduled Daily CCQ-Brief Assessments Completed

    Number of Cocaine Craving Questionnaire-Brief assessments completed, divided by the number scheduled, per participant, summarized by arm.

    Time frame: 1 week

  6. Change From Baseline in Cue-Reactive BOLD Signal in Craving-Related Brain Regions on fMRI at Day 4

    Change in BOLD response to cocaine cues versus neutral cues during the cue-reactivity fMRI task, measured in four pre-specified regions: ventral striatum, dorsal anterior cingulate cortex, amygdala, and orbitofrontal cortex. Reported separately for each region and each arm.

    Time frame: 1 week

07

Study locations

1 site
08

References and documents

Publications

  • Cain JA, Spivak NM, Coetzee JP, Crone JS, Johnson MA, Lutkenhoff ES, Real C, Buitrago-Blanco M, Vespa PM, Schnakers C, Monti MM. Ultrasonic thalamic stimulation in chronic disorders of consciousness. Brain Stimul. 2021 Mar-Apr;14(2):301-303. doi: 10.1016/j.brs.2021.01.008. Epub 2021 Jan 16. No abstract available. PubMed 33465497 ↗
  • Folloni D, Verhagen L, Mars RB, Fouragnan E, Constans C, Aubry JF, Rushworth MFS, Sallet J. Manipulation of Subcortical and Deep Cortical Activity in the Primate Brain Using Transcranial Focused Ultrasound Stimulation. Neuron. 2019 Mar 20;101(6):1109-1116.e5. doi: 10.1016/j.neuron.2019.01.019. Epub 2019 Feb 11. PubMed 30765166 ↗
  • Legon W, Bansal P, Tyshynsky R, Ai L, Mueller JK. Transcranial focused ultrasound neuromodulation of the human primary motor cortex. Sci Rep. 2018 Jul 3;8(1):10007. doi: 10.1038/s41598-018-28320-1. PubMed 29968768 ↗
  • Legon W, Sato TF, Opitz A, Mueller J, Barbour A, Williams A, Tyler WJ. Transcranial focused ultrasound modulates the activity of primary somatosensory cortex in humans. Nat Neurosci. 2014 Feb;17(2):322-9. doi: 10.1038/nn.3620. Epub 2014 Jan 12. PubMed 24413698 ↗
  • Mahoney JJ 3rd, Thompson-Lake DGY, Ranjan M, Marton JL, Carpenter JS, Zheng W, Berry JH, Farmer DL, D'Haese P, Finomore VS, Tirumalai P, Mears AS, Suffridge J, Ames A, Hodder SL, Rezai AR. Low-Intensity Focused Ultrasound Targeting the Bilateral Nucleus Accumbens as a Potential Treatment for Substance Use Disorder: A First-in-Human Report. Biol Psychiatry. 2023 Dec 1;94(11):e41-e43. doi: 10.1016/j.biopsych.2023.06.031. Epub 2023 Aug 22. No abstract available. PubMed 37610405 ↗
  • Mahoney JJ, Haut MW, Carpenter J, Ranjan M, Thompson-Lake DGY, Marton JL, Zheng W, Berry JH, Tirumalai P, Mears A, D'Haese P, Finomore VS, Hodder SL, Rezai AR. Low-intensity focused ultrasound targeting the nucleus accumbens as a potential treatment for substance use disorder: safety and feasibility clinical trial. Front Psychiatry. 2023 Sep 15;14:1211566. doi: 10.3389/fpsyt.2023.1211566. eCollection 2023. PubMed 37779628 ↗

Individual participant data

Plan to share: No

09

Timeline

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

Start is estimated for Nov 2026; primary completion for Aug 2028, 21 months later.

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

Registered
Sep 30, 2026
First posted
Nov 10, 2026
StartEst.
Nov 1, 2026
Primary completionEst.
Aug 31, 2028
CompletionEst.
Sep 15, 2028
Last update
Nov 10, 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
Nov 10, 2026
Show all 1 update
  1. Nov 10, 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
NCT07928648
Responsible party
Katherine Scangos (Associate Professor of Psychiatry, University of Pennsylvania) — Principal investigator
First posted
Nov 10, 2026
Start date
Nov 1, 2026 (estimated)
Primary completion
Aug 31, 2028 (estimated)
Completion
Sep 15, 2028 (estimated)
Last update
Nov 10, 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 ↗

Not currently enrolling

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

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