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Completed

NCT Number: NCT06919172

iTBS/fMRI Study of Apex Control

The objective of this study is to examine the effect of transcranial magnetic stimulation (TMS) on the prefrontal cortex and posterior parietal cortex.

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Key information

Age range

18 year–30 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

FSU MRI Facility, Tallahassee, Florida, United States

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About this study

The Comprehensive Control Task (CCT) was designed to examine hierarchical control in a single, well-controlled factorial task. On each trial, participants view a letter surrounded by a colored shape at a particular screen location. Color cues the relevant feature, letter or location, for a block of trials. The first trial of a block requires a decision of whether the stimulus is the first position of a circular sequence (sequence start). Subsequent trials require a decision of whether the viewed stimulus follows the previous stimulus in a circular sequence (sequence 1-back). The letter sequence (T-A-B-L-E-T) and spatial sequence (Top-Bottom Right-Left-Right-Bottom Left-Top) are difficulty-matched.

Shape cues the task to perform. Squares indicate the standard baseline task, and each block begins and ends with baseline trials. Different shapes indicate sub-tasks. In Switching blocks, shape-switches (e.g. from square to circle or circle to square) cue the sequence start task. Shape-repeats cue the sequence 1-back task. In Planning blocks, triangle shapes indicate that the stimulus can be ignored (automatic "no" response). All the while, the last square-shaped stimulus must be retained as a reference for the next square-shaped stimulus. Finally, in Dual blocks, diamond shapes indicate switching (sequence start) and also planning. The reversion back to square shapes requires sequence matching to the distal, previous square.

The design is factorial with stimulus-domain x contextual control x temporal control orthogonally manipulated. Full details of the CCT have been previously described in published work.

The focus in this study will be comparison of MFG-TMS, IPL-TMS, and S1-TMS in an interleaved fMRI-TMS-fMRI design. The logic is to test the apical status of the MFG/IPL through the extent to which TMS impacts other PFC/PPC areas and behavior.

Each experiment will begin with 1 session of the CCT with fMRI to localize TMS targets. Each participant will then perform 3 counter-balanced sessions wherein a different site will be targeted by TMS followed immediately by fMRI on the CCT.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Between the ages of 18 and 30
  • Right-handed
  • Native English speaker or fluent by the age of 6

Exclusion criteria

  • History of psychiatric disorders
  • History of neurological disorders
  • Receiving medications for psychiatric or neurological disorders
  • Familial history of epilepsy
  • Taking any drugs or medications that are pro-epileptic
  • Tinnitus
  • Women who are pregnant

Treatment and study plan

Transcranial Magnetic Stimulation

Device

Transcranial magnetic stimulation delivered to the scalp targeting specific brain structures via stereotactic guidance.

Primary outcomes

  1. Change in PFC-PPC activation

    Time frame: baseline, pre-intervention and immediately after intervention

    blood oxygenation level dependent (BOLD) signal in areas of the prefrontal and posterior parietal cortex assessed with functional magnetic resonance imaging (fMRI) [note, this measure has no units]

  2. Change in PFC-PPC effective connectivity

    Time frame: baseline, pre-intervention and immediately after intervention

    effective connectivity among areas of the prefrontal and posterior parietal cortex in the blood oxygenation level dependent (BOLD) signal assessed with functional magnetic resonance imaging (fMRI) [note, this measure has no units]

Secondary outcomes

  1. Change in contextual control speed

    Time frame: baseline, pre-intervention and immediately after intervention

    behavioral performance (reaction time in milliseconds) on conditions involving contextual control in the comprehensive control task

  2. Change in contextual control accuracy

    Time frame: baseline, pre-intervention and immediately after intervention

    behavioral performance (reaction time in milliseconds) on conditions involving contextual control in the comprehensive control task

  3. Change in temporal control speed

    Time frame: baseline, pre-intervention and immediately after intervention

    behavioral performance (reaction time in milliseconds) on conditions involving temporal control in the comprehensive control task

  4. Change in temporal control accuracy

    Time frame: baseline, pre-intervention and immediately after intervention

    behavioral performance (percent correct) on conditions involving temporal control in the comprehensive control task

Sponsors and collaborators

Lead sponsor

Florida State University

Other

Collaborators

  • National Institute of Mental Health (NIMH)

Registry information

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Apr 9, 2025
Registry last updated
Jun 17, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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