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Low Intensity Focused Ultrasound in Cocaine Use Disorder

Cocaine Use Disorder (CUD)

THE QUICK READ

What this study involves

The registry does not currently label this study as recruiting. Ask about its status before planning a screening visit.

Study type
Interventional
Phase
Phase 1
Age range
18 years - 65 years
Sex eligible
All sexes
Healthy volunteers
Not accepted
Participants
20 Estimated

These are starting points, not an eligibility decision. The research team must review the full requirements.

About the research

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.

Who may be able to participate?

The list below is the sponsor’s full registry wording. It can include conditions, prior treatment, test results and other requirements. A match in search does not mean you qualify.

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 nicotine
  • Current diagnosis of a psychotic disorder, or another psychiatric disorder that, in the opinion of the PI, will interfere with completion of the study or place the participant at heightened risk through participation
  • Active suicidal ideation with intent and plan, as defined by a score of five on the Columbia Suicide Severity Rating Scale (C-SSRS)
  • History of epileptic seizures, with the exception of isolated febrile seizures in childhood
  • History of significant head injury with loss of consciousness \> 3 minutes, or associated with skull fracture or intracranial bleeding, or abnormal MRI
  • Cognitive impairment (MoCA \< 24) at screening
  • Structural brain abnormality on baseline MRI (as determined by radiologist review)
  • Skull anatomy or scalp characteristics that preclude safe LIFU delivery (as determined by individualized acoustic modeling)
  • Pregnancy (positive urine pregnancy test) or breastfeeding
  • Current use of medications known to substantially interact with the CNS effects being studied (e.g., benzodiazepines, opioid substitution therapy)
  • Contraindication to MRI (metal implant, pacemaker, severe claustrophobia)
  • Investigator judgment that participation would not be in the participant's best interest
Understand screening

Treatment, groups and participation

The registry may describe treatments and study duration without a complete visit calendar. Ask the study team for the exact schedule, procedures, risks, costs and alternatives. Keep your usual care plan unless your treating clinician tells you otherwise.

Assignment
Random assignment
Masking
Double masked
Active LIFU

Participants in this arm will receive low intensity focused ultrasound

Device: Low Intensity Focused Ultrasound

Sham LIFU

Participants in this arm will receive unfocused ultrasound, which will mimic the auditory and peripheral sensations of active stimulation without delivering meaningful pressure to the brain target

Device: Low Intensity Focused Ultrasound

Low Intensity Focused Ultrasound DEVICE

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.

Prepare your questions

What researchers are measuring

Outcome measures describe what is being studied. They are not proof that a treatment works.

Primary measures

Number of Participants With Adverse Events by Severity

Time frame: 3 weeks

Number of participants in each arm (active LIFU, sham) with at least one adverse event, assessed using the CTCAE grade (1-5) and by relationship to the study intervention (unrelated, unlikely, possibly, probably, or definitely related).

Number of Participants With Serious Adverse Events

Time frame: 3 weeks

Number of participants in each arm with at least one serious adverse event.

Percentage of Participants Who Complete the Full Sonication Session

Time frame: 1 day

Percentage of randomized participants in each arm who receive the complete planned bilateral sonication (or sham) session.

Percentage of Randomized Participants Who Complete All Study Visits

Time frame: 3 weeks

Percentage of randomized participants in each arm who complete every scheduled study visit, including the Day 4 post-sonication MRI and the Day 21 End-of-Study visit.

Percentage of Scheduled Daily CCQ-Brief Assessments Completed

Time frame: 1 week

Number of Cocaine Craving Questionnaire-Brief assessments completed, divided by the number scheduled, per participant, summarized by arm.

Change From Baseline in Cue-Reactive BOLD Signal in Craving-Related Brain Regions on fMRI at Day 4

Time frame: 1 week

Change in BOLD response to cocaine cues versus neutral cues during the cue-reactivity fMRI task, measured in four pre-specified regions: ventral striatum, dorsal anterior cingulate cortex, amygdala, and orbitofrontal cortex. Reported separately for each region and each arm.

No results are flagged as posted.

Review the complete result tables and limitations in the official record.

Open official results ↗

Research locations (1)

The overall study status and a local site’s status can differ. Confirm that location’s availability before traveling.

1 locations

University of PennsylvaniaPhiladelphia, Pennsylvania, United StatesStatus unknown
Katherine Scangos, MD, PhDPRINCIPAL_INVESTIGATOR
View location on map ↗

Study team and timeline

Lead sponsor
University of Pennsylvania
Study start
Nov 1, 2026 Estimated
Primary completion
Aug 31, 2028 Estimated
Study completion
Sep 15, 2028 Estimated
First posted
Nov 10, 2026 Actual
Last updated
Nov 10, 2026 Actual

Official study contacts

Official study title

Low-Intensity Focused Ultrasound (LIFU) Neuromodulation of the Ventral Striatum in Cocaine Use Disorder

A HUMAN NEXT STEP

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Source: ClinicalTrials.gov API v2. Information is submitted by sponsors and investigators. NLM does not approve the safety or science of all listed studies. Registry disclaimer.

Retrieved: Nov 12, 2026 · Last registry update: Nov 10, 2026