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Alcohol Use DisorderNCT06959342

Modification of Inhibitory Control and Craving Through Transcranial Direct Current Stimulation (tDCS) as an Add-On Treatment for Substance Use Disorder

A study testing Transcranial direct current stimulation (tDCS) and Inhibition Training in people with Alcohol Use Disorder and Substance Use Disorders, run by Central Institute of Mental Health, Mannheim at 2 sites in Germany.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The aim of this project is to investigate the potential of transcranial direct current stimulation (tDCS) to reduce cognitive deficits and substance craving in individuals with substance use disorders (SUD), with a focus on alcohol use disorder (AUD). Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Alcohol Use Disorder, Substance Use Disorders
What is being tested?
Transcranial direct current stimulation (tDCS) and Inhibition Training
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
162 participants
Where
2 sitesGermany
Study dates
23 Sep 2024to 30 Sep 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 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • main diagnosis: alcohol use disorder according to DSM-5
  • patients of any gender aged 18 to 65
  • normal vision or correctable visual impairment.
  • sufficient ability to communicate verbally and in writing
  • ability to give fully informed consent after reviewing thorough written information

Who cannot join

  • withdrawal of consent
  • severe internal, neurological, or psychiatric comorbidities (e.g., lifetime schizophrenia, bipolar disorder, or other severe mental disorders according to ICD-10 and DSM-5, such as severe depression or PTSD within the last 12 months).
  • Exclusion criteria for an EEG/tDCS examination (e.g. metal implants in the head, epilepsy, etc.)
  • severe withdrawal symptoms (CIWA-R > 7)
  • alcohol intoxication (breath alcohol concentration > 0 ‰)
  • Pharmacotherapy with psychoactive substances within the last 14 days (exceptions: clomethiazole or benzodiazepines used in withdrawal treatment, provided they were discontinued at least 3 days prior; antidepressants or anxiolytics taken at stable doses).
Show all 9Show fewer
  • drug or alcohol use within the last 7 days
  • for women: pregnancy
  • suicidal tendencies or danger to others

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Germany2 sites, 2 recruiting
  • Central Institute of Mental Health

    Mannheim, 68159

    Sabine Vollstaedt-Klein, PhD, + 49 62117033912, Sabine.Vollstaedt-Klein@zi-mannheim.de

    Recruiting
  • Psychiatrisches Zentrum Nordbaden (Psychiatric Center Nordbaden)

    Wiesloch, 69168

    Sabine Vollstaedt-Klein, PhD, + 49 62117033912, Sabine.Vollstaedt-Klein@zi-mannheim.de

    Not yet recruiting

Other trials in Germany

About this study

The aim of this project is to investigate the potential of transcranial direct current stimulation (tDCS) to reduce cognitive deficits and substance craving in individuals with substance use disorders (SUD), with a focus on alcohol use disorder (AUD). Patients of any gender between the ages of 18 and 65 are examined who are in our inpatient and day clinic settings for a standard detoxification treatment program. As there are conflicting findings regarding the effective settings for tDCS as an adjunctive treatment in SUD (e.g., effects on inhibitory control seem to be sensitive to current direction), the aim is to examine and compare three different active tDCS conditions, a sham tDCS condition (placebo), inhibition training, and a control group of patients receiving only standard detoxification treatment. The aim is to identify the optimal electrode placement and current direction to positively influence both inhibitory control and craving, leading to improved treatment outcomes such as longer abstinence periods or reduced substance use after relapse.

Read the detailed description

The aim of this study is to determine the optimal electrode placement and current direction of tDCS as an adjunctive therapy for SUD to improve both inhibitory control and craving, ultimately contributing to better treatment outcomes such as longer abstinence periods and reduced substance use after relapse. To achieve this, the investigators will assess inhibitory control in SUD patients using computerized neuropsychological testing before and after multiple tDCS sessions with different stimulation protocols. In addition, the effects of tDCS on inhibitory control will be investigated by EEG recordings, focusing on the N2 and P3 components.

To ensure that tDCS stimulation occurs at exactly the same location for each stimulation session, tDCS electrodes (25 cm2) are placed at defined locations in the EEG cap (10/20 system) using saline-soaked sponges. The current is ramped up from 0.3 mA to 2 mA at a rate of 0.1 mA per second and remains at 2 mA for the duration of the active stimulation (20 min total; 0.08 mA/cm2). The tDCS sessions last 20 minutes on five consecutive days.

Four active tDCS stimulations, one sham stimulation, two active control groups and one control group without ad-on treatment are investigated. All groups receive a qualified detoxification treatment in the clinic. First, the investigators want to test whether anodal stimulation is indeed hemispherically sensitive in affecting inhibitory control, while craving reduction is independent of it. Since tDCS (with one anodal and one cathodal electrode) has a poor spatial resolution, the investigators also want to test whether tDCS has a more general effect on brain metabolism and thus on task performance. Therefore, the study includes a control group with anodal stimulation over the occipital cortex at the border with the cerebellum. In addition, computerized inhibition training will be performed to investigate the effects of active, high-frequency contact and behavioral training compared to tDCS. Participants will also receive the same protocol with sham tDCS as well as a no-intervention group to avoid confounding by placebo effects and to control whether participation in the study itself constitutes a "treatment".

On the first examination day (T1), psychometric measures are collected, neuropsychological testing is conducted, and EEG recordings are performed during a modified Go/No-Go task. Depending on group allocation, participants receive their first tDCS session, inhibition training, sham stimulation, or no intervention. On intervention days 2-4 (T2-T4), participants continue their assigned interventions. On day 5 (T5), they receive the final intervention along with another EEG measurement during the Go/No-Go task. Follow-up assessments take place via telephone at 4 weeks (T6), 8 weeks (T7), and 24 weeks (T9) to record self-reported relapse and substance use. At 12 weeks (T8), participants return for an in-person assessment, including EEG measurement during the modified Go/No-Go task.

Being tested
Transcranial direct current stimulation (tDCS), Inhibition Training
Keywords
Transcranial Direct Current Stimulation, tDCS, Inhibition Training, Electroencephalography, EEG, Inhibitory Control, Working Memory, Craving
Medical subject headings
Alcoholism, Substance-Related Disorders

What participants receive

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

  • Transcranial direct current stimulation (tDCS)Device

    Also called Sooma Medical

    tDCS sessions on five consecutive days for 20 minutes.

  • Inhibition TrainingBehavioural

    Computerized Training of inhibitory control (Go-/No-Go task with pictures of preferred alcohol) on five consecutive days.

Study groups in NCT06959342
Study groupRoleWhat they receive
right dlPFCExperimentaltDCS anodal electrode over the right dlPFC (position F4, EEG cap 10/20 system), cathodal electrode over the left dlPFC (position F3, EEG cap 10/20 system).
Receives: Device: Transcranial direct current stimulation (tDCS)
left dlPFCActive comparatortDCS anodal electrode over the left dlPFC (position F3, EEG cap 10/20 system), cathodal electrode over the right dlPFC (position F4, EEG cap 10/20 system).
Receives: Device: Transcranial direct current stimulation (tDCS)
Occipital CortexActive comparatortDCS anodal electrode over the occipital cortex (position O1, EEG cap 10/20 system), cathodal electrode over position Cz (EEG cap 10/20 system).
Receives: Device: Transcranial direct current stimulation (tDCS)
Sham tDCSSham comparatortDCS anodal electrode over the right dlPFC (position F4, EEG cap 10/20 system), cathodal electrode over the left dlPFC (position F3, EEG cap 10/20 system). The current is ramped up from 0.3mA to initially 2mA (0.1mA/s) and then immediately ramped down.
Receives: Device: Transcranial direct current stimulation (tDCS)
Computerized Inhibition TrainingActive comparatorStandardized computerized inhibition training using a go-/no-go-task with individually adapted, substance-related stimuli (wine, beer, spirits).
Receives: Behavioral: Inhibition Training
Treatment as UsualNo interventionPatients only receive standard treatment in clinic (qualified detoxification program).

What is being measured

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

  1. Inhibitory Control (Go/No-Go Task)

    Change in performance in a modified Go/No-Go task. Measures inhibitory control under varying working memory loads.

    Measured: intervention day 1 (T1), intervention day 5 (T5), follow-up after 12 weeks (T8)

  2. Inhibitory Control (EEG)

    Change in event-related potentials (ERPs), specifically the P300 and N200 components, measured by EEG during Go-/NO-GO task (32 channels with active electrodes, mBrainTrain, Belgrade, Serbia); sampling rate 1000Hz, filtered between 0.016-1000Hz, programmed in Presentation® software (Neurobehavioral Systems, Inc., Berkeley, CA, USA).

    Measured: intervention day 1 (T1), intervention day 5 (T5), follow-up after 12 weeks (T8)

  3. Craving

    Change in subjective craving according to Alcohol Urge Questionnaire and craving scale.

    Alcohol Urge Questionnaire: 7-item Likert scale ranging from "strongly disagree" to "strongly agree"). A total score is calculated by averaging the scores for each item. Higher scores indicate stronger craving.

    Craving scale: Craving from 0-100%. Higher scores indicate stronger cravings.

    Measured: intervention day 1 and 5 (T1, T5), follow-up after 4 weeks (T6), follow-up after 8 weeks (T7), follow-up after 12 weeks (T8), follow-up after 24 weeks (T9)

Secondary outcomes (1)
  1. Relapse/Alcohol Use

    Change in number of drinking days, number of abstinent days, number of days with more than 48/60g (women/men) of alcohol, cumulative amount of alcohol in grams.

    Measured: intervention day 1 and 5 (T1, T5), follow-up after 4 weeks (T6), follow-up after 8 weeks (T7), follow-up after 12 weeks (T8), follow-up after 24 weeks (T9)

Timeline

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

  1. First posted6 May 2025
  2. Study start23 Sep 2024
  3. Primary completion31 Mar 2027 (estimated)
  4. Study completion30 Sep 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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
162 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06959342
Sponsor's protocol ID
2018-561N-MA
Status last verified
May 2025
First submitted
2 Apr 2025
Last updated
4 Jun 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Stock AK, Riegler L, Chmielewski WX, Beste C. Paradox effects of binge drinking on response inhibition processes depending on mental workload. Arch Toxicol. 2016 Jun;90(6):1429-36. doi: 10.1007/s00204-015-1565-y. Epub 2015 Jul 1.

    PubMed 26126633
  • Stein M, Soravia LM, Tschuemperlin RM, Batschelet HM, Jaeger J, Roesner S, Keller A, Gomez Penedo JM, Wiers RW, Moggi F. Alcohol-specific inhibition training in patients with alcohol use disorder: a multi-centre, double-blind randomized clinical trial examining drinking outcome and working mechanisms. Addiction. 2023 Apr;118(4):646-657. doi: 10.1111/add.16104. Epub 2023 Jan 3.

    PubMed 36468408
  • Vollstadt-Klein S, Turkmen C, Grundinger N, Wieland A, Aggensteiner PM, Stock AK, Stein M, Moggi F, Bublatzky F, Kiefer F, Link T, Gerhardt S. Modification of inhibitory control and craving through transcranial direct current stimulation as an add-on treatment for substance use disorder: protocol for a randomized controlled study. BMC Psychol. 2025 Oct 13;13(1):1132. doi: 10.1186/s40359-025-03506-1.

    PubMed 41084082

Questions about this trial

What is this clinical trial studying?

A study testing Transcranial direct current stimulation (tDCS) and Inhibition Training in people with Alcohol Use Disorder and Substance Use Disorders, run by Central Institute of Mental Health, Mannheim at 2 sites in Germany.

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 5 inclusion and 9 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: looking for participants now, as of the sponsor's last update on 4 Jun 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. 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 Sabine Vollstädt-Klein, PhD (+4962117033912, Sabine.Vollstaedt-Klein@zi-mannheim.de), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Inhibitory Control (Go/No-Go Task) (time frame: intervention day 1 (T1), intervention day 5 (T5), follow-up after 12 weeks (T8)). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06959342, which also lists 3 linked publications.

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 4 Jun 2025.

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