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Healthy VolunteersMOTIVACTIONNCT07251816

Neural Bases of Motivation

A study testing Cortico-cortical paired-associative stimulation (ccPAS), Bifocal transcranial alternating current stimulation (tACS) and Combining transcranial temporal interference stimulation (tTIS) and oscillatory TMS in people with Healthy Volunteers and Motivation, run by Hospices Civils de Lyon at 1 site in France.

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

Effort-based decisions are essential in daily life but strongly impaired in apathy across various brain disorders. Now, significant research to unveil the neural causes of apathy is needed. A crucial corollary to this is the need to identify the brain network and neural mechanisms underlying effort-based decisions. Read more about this study

Who is it for?
Ages 18 to 40 yearsHealthy volunteers can take part
Conditions the study is for
Healthy Volunteers, Motivation, Action
What is being tested?
Cortico-cortical paired-associative stimulation (ccPAS), Bifocal transcranial alternating current stimulation (tACS) and Combining transcranial temporal interference stimulation (tTIS) and oscillatory TMS
Could I receive a placebo?
No, everyone receives an active treatment
How many people
204 participants
Where
1 siteFrance
Study dates
14 Jan 2026to Jan 2033
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 40 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Healthy volunteers aged between 18 and 40 years
  • Participants without confounding factors such as neural alterations related to neurological pathology, whether neurodegenerative (e.g., Alzheimer, Parkinson, Huntington, multiple sclerosis, amyotrophic lateral sclerosis), motor (e.g., dystonia, essential tremors, cerebellar syndrome), traumatic (e.g., traumatic brain injury, medulla lesion) or psychiatric pathologies, whether mood disorders (e.g., depression, bipolarity), anxious troubles (e.g., obsessional compulsive disorder, post-traumatic stress disorder), psychotic (e.g., schizophrenia, delusion), substance-related (e.g., alcool, drug or medicine addiction), food-related (e.g., anorexia, bulimia), neurodevelopmental (e.g., autism, attention-deficit with hyperactivity disorder) or personality (e.g., borderline personality disorder, antisocial personality disorder, obsessive-compulsive disorder).
  • Participants affiliated with a compulsory social security scheme.

Who cannot join

  • Persons deprived of liberty by judicial or administrative decisions.
  • Pregnant women, women in labor or breastfeeding women
  • Persons admitted to a health or social institution for purposes other than research.
  • Adults under legal protection measures (e.g., guardianship or curatorship).
  • Participation in other interventional research with an ongoing non-inclusion period.
  • Neurological or psychiatric disorders.
Show all 21Show fewer
  • Use of tricyclic antidepressants (amitriptyline, clomipramine, imipramine, nortriptyline), neuroleptics (chlorpromazine, haloperidol, risperidone, olanzapine, quetiapine), or recreational drugs within the past 48 hours.
  • Regular use of recreational drugs.
  • Sleep deprivation (< 5 hours regularly over the last 3 months)
  • Left-handedness or ambidexterity.
  • Physical injuries impacting motor tasks.
  • Presence of metal implants in the head (excluding oral fillings).
  • Presence of implanted medical devices (e.g., pacemaker).
  • Presence of metallic injuries in the eyes.
  • Claustrophobia.
  • Piercings incompatible with MRI procedures.
  • Contraindication to MRI
  • Persons who refused to be informed of eventual medical anomalies discovered by the MRI
  • Personal or family history (first-degree relatives) of epilepsy or seizures. Severe and/or frequent headaches (only for participants receiving transcranial magnetic stimulation, e.g preparatory experience 1 and experience 1)
  • Baldness impeding electrode placement (only for participants receiving transcranial electrical stimulation and EEG measurements, e.g experiments 2, 3 and 4)
  • Facial or ear pain and/or recent ear trauma (only for participants receiving transcutaneous vagal nerve stimulation, e.g experiment 5)

Trial locations and contacts

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

France1 site, 1 recruiting
  • Equipe ImpAct CRNL, INSERM U1028 CNRS UMR 5292

    Bron, 69500

    Gérard DEROSIERE, Dr, 0680872505 ext. +33, gerard.derosiere@inserm.fr

    Recruiting

Other trials in France

About this study

Effort-based decisions are essential in daily life but strongly impaired in apathy across various brain disorders. Now, significant research to unveil the neural causes of apathy is needed. A crucial corollary to this is the need to identify the brain network and neural mechanisms underlying effort-based decisions.

A fronto-striatal network and the noradrenergic system are involved in effort-based decision-making and apathy. Further, motor cortical structures may play a role in effort-based decision-making. However, the role of circuits connecting the fronto-striatal network and the noradrenergic system to the motor structures has been disregarded so far.

Read more

Non-invasive brain stimulation methods provide a unique and safe means to test the causal role of connectivity changes between fronto-subcortical and motor structures in effort-based decision-making.

It's now necessary to have an integrative, connectionnist framework to uncover the causal role of connectivity changes between fronto-subcortical and motor structures in effort-based decision-making.

The overarching goal of the present research protocol is to establish an integrative framework testing the causal role of connectivity within recurrent, bidirectional circuits between fronto-subcortical circuits and motor structures in effort-based decision-making. To achieve this overarching goal, investigators will quantifiy the causal role of effective connectivity and oscillatory synchrony in these circuits on effort-related behavior using a non-invasive brain stimulation strategy. Further, a secondary aim is to identify potential non-invasive brain stimulation methods that could increase engagement in effortful behavior, paving the way for translational clinical applications in the context of apathy.

The investigators hypothesize that effort-based decision-making in healthy subjects is governed by bidirectional interactions between fronto-subcortical circuits and motor structures such as the primary motor cortex, mediated by oscillatory synchrony in specific frequency bands (e.g., theta and gamma bands). Accordingly, they hypothesize that transient, non-invasive modulation of connectivity and oscillatory synchrony between these structures in healthy human subjects will directly modulate their decision to engage in effort. Specifically, five experiments will use complementary approaches to test the hypothesis.

Being tested
Cortico-cortical paired-associative stimulation (ccPAS), Bifocal transcranial alternating current stimulation (tACS), Combining transcranial temporal interference stimulation (tTIS) and oscillatory TMS, Transcranial direct current stimulation (tDCS), Transcutaneous vagal nerve stimulation (tVNS)
Keywords
Healthy volunteers, Motivation, Apathy, Decision-making, Effort processing
Medical subject headings
Lethargy

What participants receive

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

  • Cortico-cortical paired-associative stimulation (ccPAS)Procedure or surgery

    Transcranial magnetic stimulation (TMS)

  • Bifocal transcranial alternating current stimulation (tACS)Procedure or surgery

    Transcranial electrical stimulation (tES)

  • Combining transcranial temporal interference stimulation (tTIS) and oscillatory TMSProcedure or surgery

    Transcranial electrical stimulation and transcranial magnetic stimulation

  • Transcranial direct current stimulation (tDCS)Procedure or surgery

    Transcranial electrical stimulation

  • Transcutaneous vagal nerve stimulation (tVNS)Procedure or surgery

    Transcutaneous vagal nerve stimulation (tVNS)

  • MRIProcedure or surgery

    Magnetic Resonance Imaging

  • MEGProcedure or surgery

    Magnetoencephalography

  • PupillometryProcedure or surgery

    Measurement and analysis of changes in pupil diameter over time, providing a non-invasive and straightforward method to investigate physiological and psychological processes. Using an eye tracker or pupillometer equipped with infrared cameras, pupil size is measured with high precision and temporal resolution. Pupil responses serve as a proxy for effort invigoration and are linked to multiple neuromodulatory systems, including the noradrenergic system. Recordings will be conducted throughout both experiments, with participants instructed to minimize movements and blinking to ensure data quality.

  • Neuropsychological scalesBehavioural

    Different neuropsychological scales will be administered to assess various psychological and behavioral dimensions relevant to the study, such as: the Apathy Evaluation Scale (AES): To evaluate levels of apathy ; the Depression Anxiety Stress Scale (DASS): To assess depression, anxiety, and stress ; and the Snaith-Hamilton Pleasure Scale (SHAPS): To evaluate the inability to experience pleasure.

  • EEGProcedure or surgery

    Electroencephalography

Study groups in NCT07251816
Study groupRoleWhat they receive
Experiment 1ExperimentalFirst, participant will undergo a structural magnetic resonance imaging (MRI). Then, participant will come to the scanner for 3 sessions. In each of the three sessions, participant will first perform the effort-based decision-making task in the functional (f)MRI scanner to establish baseline measures of decision behavior and connectivity. Following this, cortico-cortical paired associative stimulation will be applied using one of three conditions: 1. the supplementary motor area will be stimulated first, followed by the motor cortex. 2. the motor cortex will be stimulated first, followed by the supplementary motor area. 3. control stimulation, where the supplementary motor area will be stimulated first, followed by the motor cortex with a minimal 1 ms delay, which will not modulate effective connectivity. After stimulation, participant will again perform the effort-based decision-making task in the fMRI scanner.
Receives: Procedure: Cortico-cortical paired-associative stimulation (ccPAS); Procedure: MRI; Procedure: Pupillometry; Behavioral: Neuropsychological scales
Experiment 2ExperimentalFirst, participant will undergo a structural MRI scan. Then, participant will come for three sessions. In each session, participants will begin by performing the effort-based decision-making task while their baseline behavioral and neural activity is recorded using electroencephalography (EEG). Following this initial task, bifocal transcranial alternating current stimulation (tACS) will be applied under one of three conditions: 1. real, in-phase stimulation to synchronize oscillations between the supplementary motor area and motor cortex; 2. real, in-phase stimulation to synchronize oscillations between the orbitofrontal cortex and motor cortex; 3. control stimulation, where oscillations between the supplementary motor area and the motor cortex are applied in antiphase. Participant will perform the decision-making task during the stimulation. After the stimulation, participant will repeat the decision-making task with EEG recording.
Receives: Procedure: Bifocal transcranial alternating current stimulation (tACS); Procedure: MRI; Procedure: Pupillometry; Behavioral: Neuropsychological scales; Procedure: EEG
Experiment 3ExperimentalFirst, participant will undergo a structural MRI scan. Then, participants will come to the lab to record electroencephalography (EEG) for three sessions. In each session, participant will begin by performing the effort-based decision-making task with EEG recording. Following this initial task, combined oscillatory magnetic stimulation and temporal interference stimulation will be applied under one of three conditions: 1. real oscillatory magnetic stimulation combined with real temporal interference stimulation; 2. control oscillatory magnetic stimulation (using a control coil, making the same noise as a real stimulation) combined with real temporal interference stimulation; 3. both control oscillatory magnetic stimulation and a control temporal interference stimulation as a control condition. Participant will perform the decision-making task during stimulation. After the stimulation, participant will repeat the decision-making task with EEG recording.
Receives: Procedure: Combining transcranial temporal interference stimulation (tTIS) and oscillatory TMS; Procedure: MRI; Procedure: Pupillometry; Behavioral: Neuropsychological scales; Procedure: EEG
Experiment 4ExperimentalParticipant will come to the MRI facilities for three sessions. In each session, participants will begin by performing the effort-based decision-making task while their baseline behavioral and neural activity is recorded using fMRI. Following this initial task, transcranial direct current stimulation will be applied under one of three conditions: 1. real anodal stimulation, 2. real cathodal stimulation, 3. control stimulation. Participant will perform the decision-making task during stimulation. Further, stimulation will be realized in the scanner using an MRI-compatible set-up, to directly measured the changes in neural activity induced by the stimulation. After the stimulation, participants will repeat the decision-making task with fMRI recording.
Receives: Procedure: Transcranial direct current stimulation (tDCS); Procedure: MRI; Procedure: Pupillometry; Behavioral: Neuropsychological scales
Experiment 5ExperimentalParticipant will come to the MRI facilities for one experimental session. In this single session, participant will first perform the task while transcutaneous vagal nerve stimulation will be applied under one of two conditions in separate blocks of trials: 1. real stimulation, aimed at modulating the activity of the locus coeruleus and influencing the noradrenergic system; 2. control stimulation, which serves as a control to account for non-specific effects of the procedure. During the stimulation, participant will continue performing the decision-making task.
Receives: Procedure: Transcutaneous vagal nerve stimulation (tVNS); Procedure: MRI; Procedure: Pupillometry; Behavioral: Neuropsychological scales
Preparatory experiment 1ExperimentalFirst, each participant will undergo a structural magnetic resonance imaging session at the CERMEP. The acquired data will be used for neuro-navigation, ensuring precise targeting of brain regions during the paired-pulse stimulation procedure. Then, participants will perform the effort-based decision-making task while paired-pulse stimulation is applied during the decision-making period. The stimulation will target circuits connecting the supplementary motor area and the motor cortex. Test pulses will be delivered to the motor cortex, either alone or preceded by a conditioning pulse to the supplementary motor area. These conditioned and unconditioned stimulations will occur at random intervals during the decision-making phase of the task. Motor-evoked potentials will be recorded with surface electromyography throughout the decision-making period.
Receives: Procedure: Cortico-cortical paired-associative stimulation (ccPAS); Procedure: MRI; Procedure: Pupillometry; Behavioral: Neuropsychological scales
Preparatory experiment 2ExperimentalFirst, participants will perform the effort-based decision-making task while MEG is used to record neural oscillatory activity (one session). This recording will take place at the MEG facility of the CERMEP, ensuring high temporal and spatial precision in capturing brain dynamics during task performance. Then, each of the participants will undergo a structural MRI scan that will be used to improve source localization during MEG data processing.
Receives: Procedure: MRI; Procedure: MEG; Procedure: Pupillometry; Behavioral: Neuropsychological scales

What is being measured

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

  1. Acceptance rates (from 0 to 100 % of acceptance) for behavioral outcomes. Connectivity and oscillatory changes for neural activity

    Acceptance rate is the participant's willingness to engage in effortful tasks for rewards and reaction times measure the rapidity to approach or avoid the effort.

    Connectivity and oscillatory changes will be analyses with imaging data

    Measured: Up to 6 months

  2. Reaction times (in ms) for behavioral outcomes. Connectivity and oscillatory changes for neural activity

    Acceptance rate is the participant's willingness to engage in effortful tasks for rewards and reaction times measure the rapidity to approach or avoid the effort.

    Connectivity and oscillatory changes will be analyses with imaging data

    Measured: Up to 6 months

Secondary outcomes (2)
  1. fMRI connectivity

    fMRI-measured effective connectivity between cerebral structures

    Measured: Up to 6 months

  2. EEG-measured synchrony

    Measured synchrony as frequency coherence between cortical structures

    Measured: Up to 6 months

Timeline

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

  1. First posted26 Nov 2025
  2. Study start14 Jan 2026
  3. Primary completionJan 2033 (estimated)
  4. Study completionJan 2033 (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
Basic science
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
204 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07251816
Sponsor's protocol ID
69HCL25_0205
Other IDs
2025-A00984-45
Acronym
MOTIVACTION
Status last verified
Jan 2026
First submitted
1 Sep 2025
Last updated
22 Jan 2026
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 Cortico-cortical paired-associative stimulation (ccPAS), Bifocal transcranial alternating current stimulation (tACS) and Combining transcranial temporal interference stimulation (tTIS) and oscillatory TMS in people with Healthy Volunteers and Motivation, run by Hospices Civils de Lyon at 1 site in France.

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 3 inclusion and 21 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 22 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. 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. 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 Gerard DEROSIERE, Dr (680872505 ext. +33, gerard.derosiere@inserm.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Acceptance rates (from 0 to 100 % of acceptance) for behavioral outcomes. Connectivity and oscillatory changes for neural activity (time frame: Up to 6 months). The study lists 2 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 22 Jan 2026.

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