Optimizing Accelerated TMS for Chronic Pain

This study is testing a new way to treat chronic pain using a device called the MagVenture X100 Pro transcranial magnetic stimulation system. This system delivers a special type of brain stimulation called accelerated intermittent theta burst stimulation (aiTBS). Researchers will personalize where the stimulation is given on your brain to target areas involved in pain. The goal is to see if this treatment is safe and effective in reducing chronic pain. You might be able to join if you are 18 or older, have had chronic pain for at least 12 months, and your pain hasn't improved with at least two different pain medications. The main way they will measure success is by looking at changes in your pain intensity after 3 months.

Study design
This is an interventional study planning to enroll 30 participants. It is not specified if it is randomized or blinded.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
The primary endpoint measures change in pain intensity at 3 months, suggesting follow-up for at least this duration.

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NCT07103135

Optimizing Accelerated TMS for Chronic Pain With Thompson Sampling

Recruiting
PHASE1Ages 18+InterventionalTreatment
University of Minnesota
~30 participants
Updated 2026-03-27 on ClinicalTrials.gov
What's tested:MagVenture X100 Pro transcranial magnetic stimulation system

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Change in pain intensity
Measured over 3 months
Chronic Pain
1 sites across 1 states
Minnesota1
  • Alexander B Herman, MD, PhD · PRINCIPAL_INVESTIGATOR · University of Minnesota
  • David Darrow · PRINCIPAL_INVESTIGATOR · University of Minnesota

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Eligibility criteria

Inclusion

Ages 18 years or older
Ability to provide written informed consent
Ability to read and to communicate verbally and in writing in English
Chronic pain persisting for at least 12 months
Pain refractory to oral pain medication (defined as failing at least two different medication classes)
Average pain intensity of ≥5 on the Numerical Rating Scale (NRS) over the past two weeks
Stable pain medication regimen for at least 4 weeks prior to enrollment
Willing and able to attend all study visits and comply with study procedures

Exclusion

Current substance use disorder (except for nicotine or cannabis) as determined by DSM-5 criteria
Active suicidal ideation with intent or plan as determined by the Columbia-Suicide Severity Rating Scale (C-SSRS)
Lifetime history of bipolar disorder, schizophrenia, or other psychotic disorder as determined by medical history
Self-reported unstable medical conditions that would pose increased risks for TMS or MRI
Pregnancy (as determined by urine pregnancy test) or planned pregnancy during the study period
Contraindications to TMS, including:
History of seizure or epilepsy
Metallic implants in the head (excluding dental fillings)
Cardiac pacemaker or other implanted medical devices
History of significant head trauma
History of intracranial surgery
Medication that significantly lowers seizure threshold that cannot be safely held
Contraindications to MRI, including:
Claustrophobia
Metallic implants or devices
Inability to lie flat for the duration of the scan
Current use of high-dose opioids (\>90 morphine milligram equivalents daily)
Participation in another clinical trial of an investigational medication or device within 30 days prior to enrollment
Any condition that, in the investigator\'s opinion, would make it unsafe or difficult for the participant to complete the study
  • Change in pain intensity3 months

    measured by the Numerical Rating Scale (NRS) from baseline to after completion of the trial (approximately 3 months). For the NRS, the scores range from 0 to 10, where 0 indicates no pain (better outcome) and 10 is the worst pain that the participant can imagine (worse outcome)