University of Pennsylvania
This Phase 1 study will test whether Low-Intensity Focused Ultrasound (LIFU), a non-invasive form of brain stimulation, is safe and feasible to deliver to the ventral striatum in adults with Cocaine Use Disorder (CUD), and whether it produces measurable changes in brain activity. Twenty participants will be enrolled at the University of Pennsylvania. This study is apart of the HEAL Initiative (https://www.nih.gov/heal) This study does not test whether LIFU can reduce cocaine use; it is designed only to evaluate the safety, feasibility, and neural effects of the intervention.
Inclusion Criteria: * Age 18-65 years * Meets DSM-5 criteria for moderate or severe cocaine use disorder * At least $100 worth of cocaine use in the past 30 days * Able to provide written informed consent in English * Able to comply with the study visit schedule and telehealth follow-ups * Willing to attend the Day 3 overnight CRU admission * Meets Penn safety criteria for research MRI (no contraindicated implants, no severe claustrophobia) Exclusion Criteria: * Meets DSM-5 criteria for moderate or severe substance use disorder for any substance other than cocaine, alcohol, marijuana, or ni…
This study utilizes a single-element ultrasound transducer (Sonic Concepts) positioned over the head of each participant. Transducer alignment with the target brain region is maintained throughout the session using a neuronavigation tracking system (BrainSight) referenced to reflective markers on the participant's head. Participants wear headphones playing white noise throughout the session, identical for both active and sham conditions, to mask any procedure-related auditory cues. LIFU (or sham) is applied to both sides of the brain targeting the same area of the brain (Ventral Striatum). The device has been determined by the study's regulatory reviewers to pose non-significant risk and is not FDA-approved for any indication; its use in this study is investigational.
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