Transcranial Magnetic Stimulation for Brain Activity Monitoring

Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of Pennsylvania
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores how transcranial magnetic stimulation (TMS), which uses magnetic fields to stimulate brain cells, affects brain activity. Researchers will monitor changes using electrodes already placed in the brain when TMS is applied. The goal is to understand how brain circuits communicate and connect. This trial suits patients who have undergone or are scheduled for electrode implantation surgery to treat neurological or psychiatric conditions at Pennsylvania Hospital. Participants must be stable in their medical condition and able to follow instructions in English. As an unphased trial, this study offers patients a unique opportunity to contribute to groundbreaking research on brain communication.

Do I have to stop taking my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the study team or your doctor.

What prior data suggests that transcranial magnetic stimulation is safe for brain activity monitoring?

Research has shown that single-pulse transcranial magnetic stimulation (TMS) is generally very safe. Studies have found an excellent safety record, with common side effects being minor and manageable. Serious side effects are rare.

For example, one safety review found that single-pulse TMS did not cause seizures, even in over 100 people with brain injuries or epilepsy. Another study noted that fewer than 1% of participants stopped the treatment due to side effects.

Overall, single-pulse TMS is well-tolerated, with only mild side effects reported in most cases.12345

Why are researchers excited about this trial?

Researchers are excited about Transcranial Magnetic Stimulation (TMS) for brain activity monitoring because it offers a non-invasive way to directly stimulate and record brain activity. Unlike traditional methods that might rely on surface-level brain readings or require surgical intervention, TMS can precisely target brain regions and capture real-time neural responses through implanted electrodes. This approach could significantly enhance our understanding of brain function and the underlying mechanisms of various neurological conditions.

What evidence suggests that this TMS technique is effective for brain activity monitoring?

Research has shown that single-pulse transcranial magnetic stimulation (TMS), which participants in this trial will receive, is a safe and non-invasive method to study brain activity. Studies have found that TMS can influence brain activity for about 100 milliseconds, a relatively long duration. This makes TMS useful for understanding how brain circuits function and connect. TMS is particularly helpful for mapping how the brain controls movement and thinking. Additionally, researchers have used TMS to examine brain activity in various situations, such as brain injuries and cognitive tasks.26789

Are You a Good Fit for This Trial?

This trial is for adults aged 21 to 75 who have had, or are scheduled to have, electrodes placed in their brain for medical reasons at Pennsylvania Hospital. Participants must be medically stable, able to understand English instructions, and able to give informed consent.

Inclusion Criteria

I have had or will have brain electrode surgery at Pennsylvania Hospital.
I am between 21 and 75 years old.
3. Patients considered to be in a stable medical condition, in the opinion of the PI
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

TMS Session

Participants undergo a TMS single-pulse session with intracranial electrodes to record neural activity

1 day
1 visit (in-person)

Follow-up

Participants are monitored for safety and effectiveness after the TMS session

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Single Pulse TMS

Trial Overview

The study tests how single pulses of transcranial magnetic stimulation (TMS) affect brain activity by recording responses with implanted electrodes. This helps researchers see how TMS influences deep brain networks.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: TMSExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Pennsylvania

Lead Sponsor

Trials
2,118
Recruited
45,270,000+

Citations

Single-pulse transcranial magnetic stimulation for assessment ...

TMS is a safe and non-invasive way to study brain activity in infants and children who have experienced brain injuries around the time of birth.

Effects of single-pulse transcranial magnetic stimulation ...

Our data suggest effects of relatively long duration (∼100 ms) when TMS is applied while functional neuronal activity evolves.

The Effects of Single-Pulse Transcranial Magnetic ...

The purpose of this study is to determine the effects of TMS on the ANS. The investigator will determine whether single-pulse TMS of the primary motor cortex in ...

Single-pulse TMS functional mapping of sensorimotor ...

Research based on cortical functional mapping utilizes single-pulse TMS (spTMS), which has proven valuable for studying both cognitive and motor ...

Effects of Online Single Pulse Transcranial Magnetic ...

This manipulation with TMS of performance in a deception task appears to support a critical role for the parietal cortex in intentional false responding.

Safety and recommendations for TMS use in healthy subjects ...

Safety and recommendations for TMS use in healthy subjects and patient populations, with updates on training, ethical and regulatory issues: Expert Guidelines

Sarah H. Lisanby: Transcranial Magnetic Stimulation Safety ...

The safety profile of TMS is excellent. The common side effects tend to be minor and are easily managed. The serious side effects are rare and can be prevented ...

Transcranial Magnetic Stimulation: Safety Considerations

TMS may be delivered as a single pulse or as repeated pulses; the latter is termed repetitive. TMS (rTMS). Seizures have not been reported with single pulse TMS ...

Safety and tolerability of transcranial magnetic and direct ...

No serious adverse events occurred. Drop-outs were rare (<1%). No seizures were reported despite >100 participants having brain injuries and/or epilepsy.