Actively Recruiting

Phase Not Applicable
Age: 18Years - 50Years
All Genders
NCT06003036

Accelerated Transcranial Magnetic Stimulation for People With Schizophrenia Treated With Clozapine

Led by Deepak K. Sarpal, M.D. · Updated on 2026-04-13

30

Participants Needed

1

Research Sites

134 weeks

Total Duration

On this page

Sponsors

D

Deepak K. Sarpal, M.D.

Lead Sponsor

N

National Institute of Mental Health (NIMH)

Collaborating Sponsor

AI-Summary

What this Trial Is About

In this study, the investigators will examine whether a type of repetitive transcranial magnetic stimulation called accelerated intermittent theta burst stimulation (iTBS) can augment neurocognition in individuals who receive treatment with clozapine. Following a baseline evaluation and magnetic resonance imaging (MRI), participants will undergo a session of iTBS +MRI and session of sham delivery + MRI. The order for these sessions will be blinded and randomized. The investigators predict that accelerated iTBS will enhance neurocognition relative to sham delivery.

CONDITIONS

Official Title

Accelerated Transcranial Magnetic Stimulation for People With Schizophrenia Treated With Clozapine

Who Can Participate

Age: 18Years - 50Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • A current diagnosis of schizophrenia or schizoaffective disorder based on DSM-5 criteria
  • Age between 18 and 50 years
  • At least four months of treatment with clozapine
  • History of at least two unsuccessful antipsychotic treatment trials
  • Ability and willingness to provide informed consent
  • Clinically optimized clozapine dose unchanged for at least one month, with a minimum of 150 mg per day
Not Eligible

You will not qualify if you...

  • Serious neurological or medical condition or treatment affecting the brain
  • Significant risk of suicidal or homicidal behavior
  • Cognitive or language impairments preventing informed consent
  • Pregnancy or within six weeks postpartum
  • Prior treatment with electroconvulsive therapy
  • Contraindications to MRI, such as having a pacemaker
  • Moderate or severe substance use disorder verified by DSM-5, including alcohol use disorder
  • History of seizures or seizure disorder related to clozapine use
  • Concurrent use of bupropion with clozapine
  • Previous problems with intermittent theta burst or transcranial magnetic stimulation

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

UPMC Western Psychiatric Hospital/University of Pittsburgh

Pittsburgh, Pennsylvania, United States, 15213

Actively Recruiting

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Research Team

T

Tori Blazinski

CONTACT

D

Deepak Sarpal

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

CROSSOVER

Primary Purpose

BASIC_SCIENCE

Number of Arms

2

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Accelerated Transcranial Magnetic Stimulation for People With Schizophrenia Treated With Clozapine | DecenTrialz