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Physical ExerciseREWIREDNCT06317753

Can Exercise Rewire the Brain Addiction Circuitry?

A study testing Aerobic Exercise, Agility-Cognitive Exercise and Stretching/relaxation in people with Physical Exercise, run by University of Minho.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

The aim of the present study is to apply neuroimaging techniques to investigate how physical exercise may influence the addiction circuitry, ultimately reducing alcohol consumption and craving in youth binge drinkers. This proposal will advance knowledge on how exercise may modulate the neurocircuitry of addiction. Read more about this study

Who is it for?
Ages 18 to 24 yearsHealthy volunteers can take part
Conditions the study is for
Physical Exercise
What is being tested?
Aerobic Exercise, Agility-Cognitive Exercise and Stretching/relaxation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
No sites listed yet
Study dates
Jan 2026to Dec 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 24 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • binge drinking > or = 5 ; > or =4 for women alcoholic drinks
  • in the same time window (±2h)
  • at least once per month
  • <150 minutes of physical activity per week

Who cannot join

  • Major and/or unstable medical conditions
  • Physical limitations that may constraint the practice of exercise
  • Cardiovascular and respiratory insufficiency
  • History of traumatic brain injury or neurological disorder
  • Non-corrected sensory deficits
  • Personal history of psychopathological disorders
Show all 11Show fewer
  • Family history of alcoholism or substance abuse in first degree relatives
  • Consumption of medical drugs with psychoactive effects (e.g., sedatives or anxiolytics) during the month previous to the assessment
  • Use of illegal drugs and AUDIT scores >20
  • MRI contraindications
  • Current or previous (past year) participation in a physical exercise program

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

Adriana Sampaio, PhD contact

adriana.sampaio@psi.uminho.pt

About this study

Official title: Can Exercise Rewire the Brain Addiction Circuitry? A Randomized Trial of Exercise and Binge Drinking

The aim of the present study is to apply neuroimaging techniques to investigate how physical exercise may influence the addiction circuitry, ultimately reducing alcohol consumption and craving in youth binge drinkers. This proposal will advance knowledge on how exercise may modulate the neurocircuitry of addiction. Uncovering the neurobiological mechanisms underlying the interactive neural effects of exercise and alcohol intake may provide additional scientific insights for the development of preventive and intervention programs for youth BD and AUD.

Read the detailed description

The proposed research plan focuses on the identification of changes in the structural and functional brain parameters (e.g. volume, brain activity), in response to a physical exercise (PE) protocol, on the neurocircuitry of addiction, after a 4 month-intervention program in college binge drinkers (BDs). The main objectives of this proposal are: O1) to evaluate the potential benefits of PE on the brain structure and function, particularly in the neurocircuitry of addiction, in a sample of Portuguese college students with a binge drinking pattern of alcohol use; and O2) to determine whether the PE intervention reduces craving and alcohol consumption levels in BDs. The present project will involve: i) a pre-intervention comprehensive evaluation of behavioral (alcohol consumption), psychological (craving levels), physiological (VO2, HRV), and neurological (neuroimaging) variables; ii) a training phase consisting of 48 sessions (3 weekly sessions*16 weeks) of aerobic (exp group 1), agility-cognitive (exp group 2) exercise and stretching (control group; iii) a post-intervention evaluation of behavioral, physiological, and neurological (neuroimaging) variables; iv) and a 6 months' follow- up evaluation of behavioral, physiologicaln and cognitive variables. A randomized controlled trial will be implemented at the University of Minho. It will include a total of 60 college students with a binge drinking pattern of alcohol intake, 20 participants per condition.

Being tested
Aerobic Exercise, Agility-Cognitive Exercise, Stretching/relaxation
Keywords
Addiction circuitry, Binge drinking, Neuroimaging
Medical subject headings
Motor Activity, Binge Drinking

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Aerobic ExerciseBehavioural

    Participants allocated to the Aerobic condition will be following a 4 month-intervention aerobic exercise protocol of 3 weekly interleaved sessions with a 50 minutes duration

  • Agility-Cognitive ExerciseBehavioural

    Participants allocated to the Agility-Cognitive condition will be following a 4 month-intervention agility-cognitive exercise protocol of 3 weekly interleaved sessions with a 50 minutes duration

  • Stretching/relaxationBehavioural

    Participants allocated to the stretching control condition will be following a 4 month-intervention protocol of 1 weekly session with a 50 minutes duration

Study groups in NCT06317753
Study groupRoleWhat they receive
Experimental condition 1ExperimentalParticipants allocated to the Experimental condition 1 will be following a aerobic exercise training program.
Receives: Behavioral: Aerobic Exercise
Experimental condition 2ExperimentalParticipants allocated to the Experimental condition 2 will be following an agility-cognitive exercise training program.
Receives: Behavioral: Agility-Cognitive Exercise
Control conditionActive comparatorParticipants allocated to the Control condition will be following a stretching/relaxation training program.
Receives: Behavioral: Stretching/relaxation

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Behavioral: alcohol consumption

    Number of drinks per binge drinking episode

    Measured: Through study completion, an average of 1 year

  2. Behavioral: binge episodes

    Number of binge drinking episodes

    Measured: Through study completion, an average of 1 year

  3. Behavioral : drunkenness

    Percentage of drunkenness

    Measured: Through study completion, an average of 1 year

  4. Psychological (craving levels)

    Scores in the Alcohol Craving Questionnaire (The cutoff points for total scale points are: 12-17 = minimal desire, 18-25 = mild, 26-42 = moderate and 43 or more = severe)

    Measured: Through study completion, an average of 1 year

  5. Brain structure

    Structure-volume in liters

    Measured: Through study completion, an average of 1 year

  6. Brain structural connectivity- FA

    Structural connectivity-fractional anisotropy-scalar value between zero and one within a voxel that describes the degree of anisotropy of a diffusion process

    Measured: Through study completion, an average of 1 year

  7. Brain structural connectivity - MD

    Structural connectivity-mean diffusivity-a scalar measure between zero and one that describes the total diffusion within a voxel

    Measured: Through study completion, an average of 1 year

  8. Brain structural connectivity - AD

    Structural connectivity-axial diffusivity-a scalar measure between zero and one within a voxel that describes the magnitude of diffusion parallel to fiber tracts.

    Measured: Through study completion, an average of 1 year

  9. Brain structural connectivity - RD

    Structural connectivity-radial diffusivity-a scalar measure between zero and one within a voxel that describes the magnitude of diffusion parallel to fiber tracts.

    Measured: Through study completion, an average of 1 year

  10. Brain function

    Bold signal for Task-related fMRI

    Measured: Through study completion, an average of 1 year

  11. Brain function-resting state

    Functional connectivity for resting-state fMRI

    Measured: Through study completion, an average of 1 year

Secondary outcomes (5)
  1. Monetary Incentive Delay Task (included in the fMRI paradigm) - hits

    Accuracy, measured through the number of hits to assess the hypothetical differences in participant's level of achievement between the pretest, posttest and follow-up assessments.

    Measured: Through study completion, an average of 1 year

  2. Monetary Incentive Delay Task (included in the fMRI paradigm) - reaction time

    Reaction times, measured as seconds needed to give a response to assess the hypothetical differences in participant's level of achievement between the pretest, posttest and follow-up assessments.

    Measured: Through study completion, an average of 1 year

  3. Maximal oxygen consumption (VO2max)

    VO2max (ml/kg/min) will be measured in the pretest and posttest evaluations to assess the effects of the physical exercise protocol on cardiovascular fitness.

    Measured: Through study completion, an average of 1 year

  4. Brain-derived neurotrophic factor (BDNF)

    BDNF (pg/ml) concentrations measured in saliva will be measured in pre-intervention, post-intervention, at the midpoint of the intervention (2 months), and at the follow-up to assess the effects of the physical exercise protocol on neuroplasticity-related molecular markers.

    Measured: Through study completion, an average of 1 year

  5. Dopamine

    Dopamine (pg/ml) concentrations measured in urine will be measured in pre-intervention, post-intervention, at the midpoint of the intervention (2 months), and at the follow-up to assess the effects of the physical exercise protocol on reward-related molecular markers.

    Measured: Through study completion, an average of 1 year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Mar 2024
  2. Study startJan 2026 (estimated)
  3. Primary completionDec 2027 (estimated)
  4. Study completionDec 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
The protocol includes a randomized controlled trial with a follow-up at three months involving three groups of adolescents (18-24 Y) -experimental group 1, will be enrolled in the Aerobic program, experimental group 2 will be involved in the agility program, and an active control group that will be participating in a stretching program. Participants will be randomly assigned to each group.
Masking
None (open label)
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06317753
Sponsor's protocol ID
UMinho1
Acronym
REWIRED
Status last verified
Mar 2025
First submitted
2 Mar 2024
Last updated
3 Apr 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Aerobic Exercise, Agility-Cognitive Exercise and Stretching/relaxation in people with Physical Exercise, run by University of Minho.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 3 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Sónia Sousa, PhD (+351917824280, soniamachado@psi.uminho.pt), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Behavioral: alcohol consumption (time frame: Through study completion, an average of 1 year). The study lists 11 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Apr 2025.

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