Evidence map›Paper›PMID 41214823›Full record

ArticleTrials2025

Theta Burst Stimulation as a tool to decrease drinking in treatment-seeking alcohol users: study protocol for a randomized, double-blind, sham-controlled clinical trial.

Kaitlin R Kinney, Haley A Kirse, Nathanial E Stewart, Edward H Ip, Santiago Saldana, Hannah E DeMaioNewton, Michiyah Kimber, Hilary R Smith, Heather E Douglas, Drew D Kiraly and 2 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04154111 (Theta Burst Stimulation as a Tool to Decrease Drinking in Treatment-seeking Alcohol Users), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04154111 nacompletednot on this map

Theta Burst Stimulation as a Tool to Decrease Drinking in Treatment-seeking Alcohol Users

TypeinterventionalSponsorWake Forest University Health SciencesRan2020 to 2026Enrolled147ConditionsAlcohol Use Disorder, Alcohol Abuse, Alcohol Dependence, CravingArmsReal TBS to the vmPFC, Sham TBS to the vmPFC, Real TBS to the dlPFC, Sham TBS to the dlPFC
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Kaitlin R KinneyDepartment of Translational Neuroscience, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Haley A KirseDepartment of Translational Neuroscience, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Nathanial E StewartDepartment of Translational Neuroscience, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Edward H IpDepartment of Biostatistics and Data Science, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Santiago SaldanaDepartment of Biostatistics and Data Science, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Hannah E DeMaioNewtonDepartment of Translational Neuroscience, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Michiyah KimberDepartment of Translational Neuroscience, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Hilary R SmithDepartment of Translational Neuroscience, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Heather E DouglasDepartment of Psychiatry, Atrium Health Wake Forest Baptist Hospital, High Point, NC, USA.
Drew D KiralyDepartment of Translational Neuroscience, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Colleen A Hanlon *Department of Translational Neuroscience, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Merideth A Addicott *Department of Translational Neuroscience, Wake Forest University School of Medicine, Winston-Salem, NC, USA. maddicot@wakehealth.edu.

Funding

Wake Forest Translational Alcohol Research Center (WF-TARC)P50AA026117 · NIAAA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Jeffrey L. Weiner · 2018 to 2026
$16.2M
MULTI-DISCIPLINARY TRAINING IN THE BIOLOGY OF ALCOHOLISMT32AA007565 · NIAAA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BRIAN A MCCOOL · 1994 to 2026
$10.1M
Longitudinal Investigation of TMS as a Tool to Improve Alcohol Treatment OutcomesR01AA027705 · NIAAA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ADDICOTT, MERIDETH A., LAURIENTI, PAUL · 2019 to 2023
$3.4M
NIAAA NIH HHS P50 AA026117NIAAA NIH HHS R01 AA027705NIAAA NIH HHS T32 AA007565
6 · The paper itself

Abstract

backgroundAlcohol use disorder (AUD) remains a prevalent and challenging condition, with current behavioral and pharmaceutical treatments yielding limited success and high relapse rates. Non-invasive neuromodulation techniques, such as transcranial magnetic stimulation (TMS), offer promising therapeutic alternatives. TMS has demonstrated efficacy in modulating brain circuits associated with the limbic system and cognitive control, both critical in AUD pathology. While the dorsolateral prefrontal cortex (DLPFC) and medial prefrontal cortex (MPFC) have been identified as potential TMS targets, no studies have evaluated both sites against a sham condition in a single trial. This randomized, double-blind, sham-controlled clinical trial addresses this gap by evaluating the efficacy of multi-session intermittent theta burst stimulation (iTBS) applied to either the DLPFC or MPFC in reducing alcohol consumption, alcohol craving, and brain reactivity to alcohol cues.

methodsOne hundred and eighty individuals with AUD will be randomized to receive real iTBS to the MPFC, real iTBS to the DLPFC, or sham iTBS. Participants will complete 30 treatment sessions, administered in 15 daily sessions spread over 3 to 6 weeks, with pre- and post-treatment MRI scans and 3 months of follow-up. DISCUSSION: By evaluating two cortical targets and leveraging rigorous methodologies, this trial aims to generate insights that could inform future studies optimizing TMS for AUD treatment. Findings will contribute to developing standardized TMS protocols, with the potential to enhance treatment efficacy and support FDA approval, advancing TMS as an intervention for AUD.

trial registrationClinicalTrials.gov NCT04154111. Registered on November 6, 2019.

Indexed as

Alcohol DrinkingAlcoholismDorsolateral Prefrontal CortexTranscranial Magnetic StimulationAdultCravingDouble-Blind MethodFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedPrefrontal CortexRandomized Controlled Trials as TopicTheta RhythmTime FactorsAlcohol use disorderFunctional MRIIntermittent theta burst stimulationTranscranial magnetic stimulation

Identifiers

PMID41214823
PMCPMC12604150

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.