Cerebellar Involvement in Alcohol Use Disorder Study

This study is looking into how a part of your brain called the cerebellum is involved in alcohol use disorder (AUD). Researchers want to understand how the cerebellum affects the brain's reward system and if a treatment called cerebellar transcranial direct current stimulation (tDCS) can help. tDCS is a safe, non-invasive procedure that uses gentle electrical currents to change brain activity. The study aims to see if tDCS can reduce alcohol cravings and change brain responses to alcohol cues. You may be able to join if you are between 25 and 55 years old, have completed at least 8 years of education, and are fluent in English. People with other drug use disorders (except nicotine and caffeine) or certain medical conditions cannot participate. The study plans to enroll 122 participants.

Study design
This is an interventional study, meaning participants will receive a specific treatment. It plans to enroll 122 participants to understand the cerebellum's role in AUD and the effects of tDCS.
What's involved
The primary endpoints, such as craving for alcohol and brain activation, are measured at 28 minutes. The trial record does not specify the total number of visits or the overall duration of participation.
Compensation
Not stated in the trial record.
Follow-up
The primary endpoints are measured at 28 minutes, but the record does not specify any follow-up beyond this time.

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NCT05732207

Cerebellar Involvement in Alcohol Use Disorder (AUD)

Recruiting
NAAges 25–55InterventionalBasic science
Johns Hopkins University
~122 participants
Updated 2026-05-11 on ClinicalTrials.gov
What's tested:cerebellar transcranial direct current stimulation

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Craving for alcohol during the cue reactivity task as assessed by a rating scale
Measured over 28 minutes
+9 more outcomes measured
Alcohol Use Disorder
1 sites across 1 states
Maryland1
  • John E Desmond, PhD · PRINCIPAL_INVESTIGATOR · Johns Hopkins University

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Eligibility criteria

Inclusion

completed at least 8 years of education

Exclusion

Estimated Intelligence Quotient (IQ) \< 90
less than 5th grade reading level
Left handed
Non-fluent in English
current drug use disorder other than alcohol (except nicotine and caffeine) and or recent drug use in the last 90 days
Positive breath alcohol level at time of MRI scan or discrepancies between alcohol biomarker and self-report that cannot be resolved
Exhibiting symptoms of alcohol withdrawal on visit 1 assessment
Significant current psychiatric distress and or treatment
History of any central nervous system disorder, presence of a seizure disorder, or use of anticonvulsant medication in the past 3 months
any serious medical condition detected on assessment or by medical record review; or have liver function tests more than three times normal at screening
History of metal implantation that would preclude MRI scanning; or other implants, pumps, pacemakers that would be contraindications for MRI scanning
Abnormal MRI scan or history of significant closed head trauma
Evidence of dementia
For women, pregnancy
  • Craving for alcohol during the cue reactivity task as assessed by a rating scale28 minutes

    Participants will view blocks of pictures of alcohol and non-alcohol beverages, as well as control pictures and periods of rest. Participant rating of alcohol craving are obtained during the picture presentations using one of 5 buttons placed under their fingers, where 5 (thumb) = Extreme, 4=Severe, 3=Moderate, 2=Mild, 1=None

  • Resting state functional connectivity during tDCS28 minutes

    Participants will rest quietly during tDCS administration

  • Brain activation to alcohol cues28 minutes

    Participants will view blocks of pictures of alcohol and non-alcohol beverages, as well as control pictures and periods of rest. Brain activation will be measured from the fMRI signal on alcohol minus non-alcohol conditions.

  • Brain functional connectivity to alcohol vs non-alcohol cues28 minutes

    A psychophysiological interaction (PPI) analysis will be used to determine if brain connectivity between the cerebellum and reward areas changes when viewing alcohol versus non-alcohol pictures

  • Brain activation related to reward prediction during the monetary incentive task18 minutes

    The monetary incentive task is performed during fMRI scanning. Two different cue symbols (dollar sign vs circle) will cue participants to expect a $1 or $0 reward shortly after they press a button in response to seeing an "X" on the screen. These expectations will be learned in an initial Learning phase, where one symbol is always rewarded with $1 and the other with $0, and participants will be tested to ensure that they have learned the appropriate expectations. This Learning phase will be followed by a Testing phase in which the amount of reward (on reward trials) can be greater than, less than, or equal to expectation. Brain activation during reward prediction will be measured by the post-cue activation on dollar sign versus circle trials.

  • Brain functional connectivity related to reward prediction during the monetary incentive task18 minutes

    The monetary incentive task is performed during fMRI scanning. Two different cue symbols (dollar sign vs circle) will cue participants to expect a $1 or $0 reward shortly after they press a button in response to seeing an "X" on the screen. These expectations will be learned in an initial Learning phase, where one symbol is always rewarded with $1 and the other with $0, and participants will be tested to ensure that they have learned the appropriate expectations. This Learning phase will be followed by a Testing phase in which the amount of reward (on reward trials) can be greater than, less than, or equal to expectation. Functional connectivity between the cerebellum and reward structures during reward prediction will be measured by a PPI analysis that measures post-cue functional connectivity on dollar sign versus circle trials.

  • Brain activation to reward prediction error during the monetary incentive task18 minutes

    Two different symbols (circle vs triangle) will cue participants to expect a $1 or $0 reward shortly after they press a button in response to seeing an "X" on the screen. These expectations will be learned in an initial Learning phase, where one symbol is always rewarded with $1 and the other with $0, and participants will be tested to ensure that they have learned the appropriate expectations. This Learning phase will be followed by a Testing phase in which the amount of reward (on reward trials) can be greater than, less than, or equal to expectation. Brain activation to reward prediction error will be measured from the activation observed after the participant receives feedback on his/her winnings, by contrasting trials in which reward obtained is equal to the amount expected versus not equal to the amount expected.

  • brain functional connectivity to reward prediction error during the monetary incentive task18 minutes

    Two different symbols (circle vs triangle) will cue participants to expect a $1 or $0 reward shortly after they press a button in response to seeing an "X" on the screen. These expectations will be learned in an initial Learning phase, where one symbol is always rewarded with $1 and the other with $0, and participants will be tested to ensure that they have learned the appropriate expectations. This Learning phase will be followed by a Testing phase in which the amount of reward (on reward trials) can be greater than, less than, or equal to expectation. Functional connectivity between the cerebellum and reward structures to reward prediction error will be measured using a PPI on the connectivity that is observed after the participant receives feedback on his/her winnings, by contrasting trials in which reward obtained is equal to the amount expected versus not equal to the amount expected.

  • Percentage of trials with a conditioned response during the classical eyeblink conditional task21 minutes

    Eyeblink conditioning involves pairing a neutral stimulus, e.g. an auditory conditioned stimulus (CS), with an air puff to the eye region. This unconditioned stimulus (US) evokes an unconditioned response (UR) that is detected by measuring the eyeblink. After repeated pairings of the CS and US, participants learn to blink in response to the conditioned stimulus and before air puff onset. The CS-US pairing dependent eyeblink that anticipates the onset of the US is referred to as the conditioned response (CR).

  • Mean time (in milliseconds) at which peak of conditioned response occurs during the classical eyeblink conditional task21 minutes

    Eyeblink conditioning involves pairing a neutral stimulus, e.g. an auditory conditioned stimulus (CS), with an air puff to the eye region. This unconditioned stimulus (US) evokes an unconditioned response (UR) that is detected by measuring the eyeblink. After repeated pairings of the CS and US, participants learn to blink in response to the conditioned stimulus and before air puff onset. The CS-US pairing dependent eyeblink that anticipates the onset of the US is referred to as the conditioned response (CR).