Status:

ACTIVE_NOT_RECRUITING

A Pilot rTMS Trial for Neuropsychiatric Symptoms of Long-COVID

Lead Sponsor:

University of California, Los Angeles

Conditions:

Long Covid-19

PASC Post Acute Sequelae of COVID 19

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

This is a pilot randomized trial of rTMS for symptoms of fatigue and brain fog, and other neuropsychiatric symptoms of Long-COVID (Post-COVID, post-acute sequelae of COVID-19 infection, PASC). Twenty ...

Eligibility Criteria

Inclusion

  • 18+ years of age
  • Prior hx of PCR confirmed COVID-19 infection. Determined by the PI or participant's physician.
  • Subsequent development of post-acute neuropsychiatric symptoms with fatigue and brain fog as primary outcomes
  • USE of Psychotropic medications
  • Stable on psychotropic medications for 4+ months
  • Confirmed diagnosis of Long COVID
  • Subjects are willing and able to adhere to the treatment schedule and required study visits

Exclusion

  • Mentally or legally incapacitated or unable to give informed consent
  • MOCA \< or = 24
  • Infection of poor skin condition over the scalp where the rTMS device will be positioned
  • Pregnancy: Female participants will be tested for pregnancy at baseline and agree to use a medically acceptable form of birth control throughout the study, for women younger than 60.
  • Lifetime history of diagnosed bipolar disorder; psychosis, such as schizophrenia, schizophreniform, or schizoaffective disorder; intellectual disability (intellectual developmental disorder); organic brain damage; or suicide attempts in the past 24 months.
  • Severe MDD with suicidality of Psychosis- excluded
  • As-needed use of benzodiazepines and beta-blockers will be permitted but discouraged during assessment days.
  • Current abuse or dependence on alcohol or any illicit drug of abuse (disorder in last 6 months). Any recent use of cocaine or opiates will also be exclusionary.
  • Participants with asthma or with a history of serious, uncontrolled medical illness or instability (including significant cardio-pulmonary disease, organic brain including significant cardio-pulmonary syndrome, pre-existing dementia, seizure disorder, cerebrovascular disease, and diabetes)
  • Taking medications known to lower seizure thresholds (Clozaril/ Wellbutrin)
  • Neurological conditions that include epilepsy, cerebrovascular disease, dementia, increased intracranial pressure, having a history of repetitive or severe head trauma, or primary or secondary tumors in the central nervous system.
  • Presence of an implanted metallic and magnetic-sensitive medical device present in the body scan, including but not limited to a cochlear implant, infusion pump, implanted cardioverter defibrillator, pacemaker, vagus nerve stimulator, aneurysm clip, metal prosthesis, or metal aneurysm clips or coils, staples, or stents.

Key Trial Info

Start Date :

January 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 31 2025

Estimated Enrollment :

10 Patients enrolled

Trial Details

Trial ID

NCT06586398

Start Date

January 1 2025

End Date

December 31 2025

Last Update

November 18 2025

Active Locations (1)

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UCLA Semel Institute

Los Angeles, California, United States, 90095