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Effects of Repetitive Transcranial Magnetic Stimulation on Two Cerebellar Targets (StimCervelet)

2026年4月27日 更新者:University Hospital, Strasbourg, France

Effects of Repetitive Transcranial Magnetic Stimulation (rTMS) on Two Cerebellar Targets (Lobule VIII vs. CRUS I/II)

The purpose of this study is to understand how different areas of the cerebellum (a part of the brain) control different functions and how they can be influenced by non-invasive brain stimulation.

While researchers know that repetitive Transcranial Magnetic Stimulation (rTMS) can have positive effects on conditions like stroke and schizophrenia, they do not yet fully understand which specific stimulation settings work best or which exact parts of the cerebellum should be targeted for different symptoms.

This study compares the effects of stimulation on two specific regions:

  • Lobule VIII: Linked to movement and motor learning.
  • CRUS I/II: Linked to attention, thinking (cognition), and predicting the timing of events.By comparing these areas, researchers hope to gain the information needed to develop better treatments for neurological and psychiatric disorders.

This is a randomized, double-blind study involving 40 healthy volunteers. Participants will be split into two groups:

  • Group 1: Receives "exciting" (activity-increasing) stimulation.
  • Group 2: Receives "inhibiting" (activity-decreasing) stimulation.

Each participant will attend three different test sessions in a random order:

  • rTMS targeting Lobule VIII
  • rTMS targeting CRUS I/II
  • Placebo (Sham) stimulation that looks and feels like the real thing but does not affect the brain.

During each session, researchers will use brain imaging (fMRI) and computerized tasks to measure changes in brain connectivity and performance in motor and cognitive activities.

There is no direct medical benefit to the participants. However, the results will help scientists create better therapies for patients with brain-related health issues The risks are considered minimal. Common side effects of rTMS include temporary mild headaches or a clicking sound during stimulation. MRI scans can sometimes cause mild discomfort or a feeling of closed-in spaces (claustrophobia). Researchers have put safety measures in place, such as hearing protection and constant medical supervision during scans, to minimize these risks.

調査の概要

研究の種類

介入

入学 (推定)

40

段階

  • 適用できない

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究連絡先

  • 名前:Anne GIERSCH
  • 電話番号:+33 +33(0)3 88 11 64 71
  • メール:giersch@unistra.fr

研究場所

      • Strasbourg、フランス、67091
        • Hopitaux Universitaires de Strasbourg
        • コンタクト:

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

  • 大人

健康ボランティアの受け入れ

はい

説明

Inclusion Criteria:

  • Subject, male or female, aged between 18 and 60 years inclusive
  • Subject affiliated with or a beneficiary of a social security health insurance scheme
  • Subject has dated and signed the informed consent form prior to the start of any trial-related procedures
  • For women of childbearing potential, a negative urinary pregnancy test and the use of effective contraception throughout the duration of the study

Exclusion Criteria:

  • Subject with substance use disorders (as defined by the DSM-5)
  • Subject having taken benzodiazepines and related compounds (within the period preceding inclusion, for a duration equivalent to 5 half-lives of the product), cannabis (within the 2 months preceding inclusion), or hallucinogenic substances (within the period preceding inclusion, for a duration equivalent to 5 half-lives of the product)
  • Subject suffering from a neurological pathology or sequelae
  • Subject with Attention-Deficit/Hyperactivity Disorder (ADHD)
  • Subject with Borderline Personality Disorder
  • Subject presenting with disabling sensory impairments, specifically a visual acuity (corrected, if applicable) < 0.8 (due to the use of visual materials; Freiburg Vision Test, Bach 1996; verified during an examination at the screening visit)
  • Subject deprived of liberty or under legal protection
  • Subject under guardianship or trusteeship
  • Pregnant or breastfeeding woman (verified by a urinary test at the screening visit)
  • Subject within an exclusion period defined by another clinical study or participating in a study likely to impact the results of the research
  • Subject presenting a contraindication for fMRI or rTMS: presence of non-removable ferromagnetic bodies, prostheses, pacemakers, implanted medication pumps, vascular clips or stents, heart valves or ventricular shunts, certain intracerebral clips, cochlear implants, history of seizures (epilepsy), or skin breach/pathology at the point of contact with the electrodes
  • Subject with a history of major neurological or psychiatric disease with current psychotropic medication (i.e., antipsychotics, benzodiazepines and related compounds, or hypnotics)

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

研究はどのように設計されていますか?

デザインの詳細

  • 主な目的:基礎科学
  • 割り当て:ランダム化
  • 介入モデル:クロスオーバー割り当て
  • マスキング:トリプル

武器と介入

参加者グループ / アーム
介入・治療
実験的:1 - Lobule VIII - Crus I/II - Sham Sequence - Excitatory
Participants receive active rTMS to Lobule VIII in the first session, followed by active rTMS to Crus I/II in the second, and Sham stimulation in the third.
Either excitatory (e.g., iTBS) or inhibitory (e.g., cTBS) depending on the assigned group.
Participants receive rTMS targeting the Crus I/II of the cerebellum. Either excitatory (e.g., iTBS) or inhibitory (e.g., cTBS) depending on the assigned group.
The coil looks and sounds identical to the active coil and is placed in the same positions (counterbalanced between Lobule VIII and Crus I/II sites). It provides the physical sensation and auditory "click" of TMS without delivering a significant magnetic field to the brain tissue, maintaining the study's double-blind integrity.
他の名前:
  • プラセボ
  • シャム

Participants perform three computerized tasks to evaluate the functional impact of the rTMS:

  • Visuomotor Task: A joystick-based task assessing motor coordination and learning (linked to Lobule VIII).
  • Temporal Prediction Task: A visual task requiring the participant to predict the timing of an event (linked to Crus I/II).
  • Mental Imagery & Finger Tapping: A task assessing the cognitive representation of movement.
実験的:2 - Lobule VIII - Sham - Crus I/II Sequence - Excitatory
Participants receive active rTMS to Lobule VIII, followed by Sham stimulation, and finally active rTMS to Crus I/II.
Either excitatory (e.g., iTBS) or inhibitory (e.g., cTBS) depending on the assigned group.
Participants receive rTMS targeting the Crus I/II of the cerebellum. Either excitatory (e.g., iTBS) or inhibitory (e.g., cTBS) depending on the assigned group.
The coil looks and sounds identical to the active coil and is placed in the same positions (counterbalanced between Lobule VIII and Crus I/II sites). It provides the physical sensation and auditory "click" of TMS without delivering a significant magnetic field to the brain tissue, maintaining the study's double-blind integrity.
他の名前:
  • プラセボ
  • シャム

Participants perform three computerized tasks to evaluate the functional impact of the rTMS:

  • Visuomotor Task: A joystick-based task assessing motor coordination and learning (linked to Lobule VIII).
  • Temporal Prediction Task: A visual task requiring the participant to predict the timing of an event (linked to Crus I/II).
  • Mental Imagery & Finger Tapping: A task assessing the cognitive representation of movement.
実験的:3 - Crus I/II - Lobule VIII - Sham Sequence - Excitatory
Participants receive active rTMS to Crus I/II, followed by active rTMS to Lobule VIII, and finally Sham stimulation.
Either excitatory (e.g., iTBS) or inhibitory (e.g., cTBS) depending on the assigned group.
Participants receive rTMS targeting the Crus I/II of the cerebellum. Either excitatory (e.g., iTBS) or inhibitory (e.g., cTBS) depending on the assigned group.
The coil looks and sounds identical to the active coil and is placed in the same positions (counterbalanced between Lobule VIII and Crus I/II sites). It provides the physical sensation and auditory "click" of TMS without delivering a significant magnetic field to the brain tissue, maintaining the study's double-blind integrity.
他の名前:
  • プラセボ
  • シャム

Participants perform three computerized tasks to evaluate the functional impact of the rTMS:

  • Visuomotor Task: A joystick-based task assessing motor coordination and learning (linked to Lobule VIII).
  • Temporal Prediction Task: A visual task requiring the participant to predict the timing of an event (linked to Crus I/II).
  • Mental Imagery & Finger Tapping: A task assessing the cognitive representation of movement.
実験的:4 - Crus I/II - Sham - Lobule VIII Sequence - Excitatory
Participants receive active rTMS to Crus I/II, followed by Sham stimulation, and finally active rTMS to Lobule VIII.
Either excitatory (e.g., iTBS) or inhibitory (e.g., cTBS) depending on the assigned group.
Participants receive rTMS targeting the Crus I/II of the cerebellum. Either excitatory (e.g., iTBS) or inhibitory (e.g., cTBS) depending on the assigned group.
The coil looks and sounds identical to the active coil and is placed in the same positions (counterbalanced between Lobule VIII and Crus I/II sites). It provides the physical sensation and auditory "click" of TMS without delivering a significant magnetic field to the brain tissue, maintaining the study's double-blind integrity.
他の名前:
  • プラセボ
  • シャム

Participants perform three computerized tasks to evaluate the functional impact of the rTMS:

  • Visuomotor Task: A joystick-based task assessing motor coordination and learning (linked to Lobule VIII).
  • Temporal Prediction Task: A visual task requiring the participant to predict the timing of an event (linked to Crus I/II).
  • Mental Imagery & Finger Tapping: A task assessing the cognitive representation of movement.
実験的:5 - Sham - Lobule VIII - Crus I/II Sequence - Excitatory
Participants receive Sham stimulation first, followed by active rTMS to Lobule VIII and active rTMS to Crus I/II.
Either excitatory (e.g., iTBS) or inhibitory (e.g., cTBS) depending on the assigned group.
Participants receive rTMS targeting the Crus I/II of the cerebellum. Either excitatory (e.g., iTBS) or inhibitory (e.g., cTBS) depending on the assigned group.
The coil looks and sounds identical to the active coil and is placed in the same positions (counterbalanced between Lobule VIII and Crus I/II sites). It provides the physical sensation and auditory "click" of TMS without delivering a significant magnetic field to the brain tissue, maintaining the study's double-blind integrity.
他の名前:
  • プラセボ
  • シャム

Participants perform three computerized tasks to evaluate the functional impact of the rTMS:

  • Visuomotor Task: A joystick-based task assessing motor coordination and learning (linked to Lobule VIII).
  • Temporal Prediction Task: A visual task requiring the participant to predict the timing of an event (linked to Crus I/II).
  • Mental Imagery & Finger Tapping: A task assessing the cognitive representation of movement.
実験的:6 - Sham - Crus I/II - Lobule VIII Sequence - Excitatory
Participants receive Sham stimulation first, followed by active rTMS to Crus I/II and active rTMS to Lobule VIII
Either excitatory (e.g., iTBS) or inhibitory (e.g., cTBS) depending on the assigned group.
Participants receive rTMS targeting the Crus I/II of the cerebellum. Either excitatory (e.g., iTBS) or inhibitory (e.g., cTBS) depending on the assigned group.
The coil looks and sounds identical to the active coil and is placed in the same positions (counterbalanced between Lobule VIII and Crus I/II sites). It provides the physical sensation and auditory "click" of TMS without delivering a significant magnetic field to the brain tissue, maintaining the study's double-blind integrity.
他の名前:
  • プラセボ
  • シャム

Participants perform three computerized tasks to evaluate the functional impact of the rTMS:

  • Visuomotor Task: A joystick-based task assessing motor coordination and learning (linked to Lobule VIII).
  • Temporal Prediction Task: A visual task requiring the participant to predict the timing of an event (linked to Crus I/II).
  • Mental Imagery & Finger Tapping: A task assessing the cognitive representation of movement.
実験的:1 - Lobule VIII - Crus I/II - Sham Sequence - inhibitory
Either excitatory (e.g., iTBS) or inhibitory (e.g., cTBS) depending on the assigned group.
Participants receive rTMS targeting the Crus I/II of the cerebellum. Either excitatory (e.g., iTBS) or inhibitory (e.g., cTBS) depending on the assigned group.
The coil looks and sounds identical to the active coil and is placed in the same positions (counterbalanced between Lobule VIII and Crus I/II sites). It provides the physical sensation and auditory "click" of TMS without delivering a significant magnetic field to the brain tissue, maintaining the study's double-blind integrity.
他の名前:
  • プラセボ
  • シャム

Participants perform three computerized tasks to evaluate the functional impact of the rTMS:

  • Visuomotor Task: A joystick-based task assessing motor coordination and learning (linked to Lobule VIII).
  • Temporal Prediction Task: A visual task requiring the participant to predict the timing of an event (linked to Crus I/II).
  • Mental Imagery & Finger Tapping: A task assessing the cognitive representation of movement.
実験的:2 - Lobule VIII - Sham - Crus I/II Sequence - inhibitory
Either excitatory (e.g., iTBS) or inhibitory (e.g., cTBS) depending on the assigned group.
Participants receive rTMS targeting the Crus I/II of the cerebellum. Either excitatory (e.g., iTBS) or inhibitory (e.g., cTBS) depending on the assigned group.
The coil looks and sounds identical to the active coil and is placed in the same positions (counterbalanced between Lobule VIII and Crus I/II sites). It provides the physical sensation and auditory "click" of TMS without delivering a significant magnetic field to the brain tissue, maintaining the study's double-blind integrity.
他の名前:
  • プラセボ
  • シャム

Participants perform three computerized tasks to evaluate the functional impact of the rTMS:

  • Visuomotor Task: A joystick-based task assessing motor coordination and learning (linked to Lobule VIII).
  • Temporal Prediction Task: A visual task requiring the participant to predict the timing of an event (linked to Crus I/II).
  • Mental Imagery & Finger Tapping: A task assessing the cognitive representation of movement.
実験的:3 - Crus I/II - Lobule VIII - Sham Sequence - inhibitory
Either excitatory (e.g., iTBS) or inhibitory (e.g., cTBS) depending on the assigned group.
Participants receive rTMS targeting the Crus I/II of the cerebellum. Either excitatory (e.g., iTBS) or inhibitory (e.g., cTBS) depending on the assigned group.
The coil looks and sounds identical to the active coil and is placed in the same positions (counterbalanced between Lobule VIII and Crus I/II sites). It provides the physical sensation and auditory "click" of TMS without delivering a significant magnetic field to the brain tissue, maintaining the study's double-blind integrity.
他の名前:
  • プラセボ
  • シャム

Participants perform three computerized tasks to evaluate the functional impact of the rTMS:

  • Visuomotor Task: A joystick-based task assessing motor coordination and learning (linked to Lobule VIII).
  • Temporal Prediction Task: A visual task requiring the participant to predict the timing of an event (linked to Crus I/II).
  • Mental Imagery & Finger Tapping: A task assessing the cognitive representation of movement.
実験的:4 - Crus I/II - Sham - Lobule VIII Sequence - Inhibitory
Either excitatory (e.g., iTBS) or inhibitory (e.g., cTBS) depending on the assigned group.
Participants receive rTMS targeting the Crus I/II of the cerebellum. Either excitatory (e.g., iTBS) or inhibitory (e.g., cTBS) depending on the assigned group.
The coil looks and sounds identical to the active coil and is placed in the same positions (counterbalanced between Lobule VIII and Crus I/II sites). It provides the physical sensation and auditory "click" of TMS without delivering a significant magnetic field to the brain tissue, maintaining the study's double-blind integrity.
他の名前:
  • プラセボ
  • シャム

Participants perform three computerized tasks to evaluate the functional impact of the rTMS:

  • Visuomotor Task: A joystick-based task assessing motor coordination and learning (linked to Lobule VIII).
  • Temporal Prediction Task: A visual task requiring the participant to predict the timing of an event (linked to Crus I/II).
  • Mental Imagery & Finger Tapping: A task assessing the cognitive representation of movement.
実験的:5 - Sham - Lobule VIII - Crus I/II Sequence - Inhibitory
Either excitatory (e.g., iTBS) or inhibitory (e.g., cTBS) depending on the assigned group.
Participants receive rTMS targeting the Crus I/II of the cerebellum. Either excitatory (e.g., iTBS) or inhibitory (e.g., cTBS) depending on the assigned group.
The coil looks and sounds identical to the active coil and is placed in the same positions (counterbalanced between Lobule VIII and Crus I/II sites). It provides the physical sensation and auditory "click" of TMS without delivering a significant magnetic field to the brain tissue, maintaining the study's double-blind integrity.
他の名前:
  • プラセボ
  • シャム

Participants perform three computerized tasks to evaluate the functional impact of the rTMS:

  • Visuomotor Task: A joystick-based task assessing motor coordination and learning (linked to Lobule VIII).
  • Temporal Prediction Task: A visual task requiring the participant to predict the timing of an event (linked to Crus I/II).
  • Mental Imagery & Finger Tapping: A task assessing the cognitive representation of movement.
実験的:6 - Sham - Crus I/II - Lobule VIII Sequence - Inhibitory
Either excitatory (e.g., iTBS) or inhibitory (e.g., cTBS) depending on the assigned group.
Participants receive rTMS targeting the Crus I/II of the cerebellum. Either excitatory (e.g., iTBS) or inhibitory (e.g., cTBS) depending on the assigned group.
The coil looks and sounds identical to the active coil and is placed in the same positions (counterbalanced between Lobule VIII and Crus I/II sites). It provides the physical sensation and auditory "click" of TMS without delivering a significant magnetic field to the brain tissue, maintaining the study's double-blind integrity.
他の名前:
  • プラセボ
  • シャム

Participants perform three computerized tasks to evaluate the functional impact of the rTMS:

  • Visuomotor Task: A joystick-based task assessing motor coordination and learning (linked to Lobule VIII).
  • Temporal Prediction Task: A visual task requiring the participant to predict the timing of an event (linked to Crus I/II).
  • Mental Imagery & Finger Tapping: A task assessing the cognitive representation of movement.

この研究は何を測定していますか?

主要な結果の測定

結果測定
メジャーの説明
時間枠
Change in Resting-State Functional Connectivity (RSFC) Measured by functional Magnetic Resonance Imaging (fMRI, expressed as Fisher's z-transformed correlation coefficients) within Cerebellar-Thalamo-Frontal and Cerebellar-Parieto-Motor Networks.
時間枠:Baseline (Pre-stimulation) and 1-hour post-stimulation
Functional imaging data will be pre-processed according to standard procedures: slice-timing correction, intra-run spatial realignement, inter-run realignement, distortion and motion artifact correction, band-pass filtering to remove physiological noise, and normalization into the MNI common space, followed by smoothing using FSL and SPM12 software.Subsequently, the signal within the networks of interest will be extracted using the "Conn" toolbox and compared using a General Linear Model (GLM). Connectivity maps will be generated from specific "seed" regions of interest (Crus I/II and lobule VIII), where each voxel value corresponds to the correlation with the seed region.
Baseline (Pre-stimulation) and 1-hour post-stimulation

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始 (推定)

2026年9月1日

一次修了 (推定)

2030年1月2日

研究の完了 (推定)

2030年1月2日

試験登録日

最初に提出

2026年4月17日

QC基準を満たした最初の提出物

2026年4月27日

最初の投稿 (実際)

2026年5月1日

学習記録の更新

投稿された最後の更新 (実際)

2026年5月1日

QC基準を満たした最後の更新が送信されました

2026年4月27日

最終確認日

2026年4月1日

詳しくは

本研究に関する用語

個々の参加者データ (IPD) の計画

個々の参加者データ (IPD) を共有する予定はありますか?

いいえ

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米国FDA規制医薬品の研究

いいえ

米国FDA規制機器製品の研究

いいえ

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