Roflumilast + TMS for Brain Plasticity

AM
Overseen ByAlexander McGirr, MD PhD
Age: 18 - 65
Sex: Any
Trial Phase: Phase 1
Sponsor: University of Calgary
Stay on Your Current MedsYou can continue your current medications while participating
Approved in 2 JurisdictionsThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests whether combining a drug called roflumilast with repetitive transcranial magnetic stimulation (rTMS) can improve brain function by enhancing brain cell communication. The goal is to determine if this approach can boost synaptic plasticity, which involves how brain cells adapt and communicate, potentially aiding in treating conditions like depression. Participants will receive either roflumilast or a placebo before undergoing rTMS to the motor cortex, the brain area controlling movement. The trial seeks healthy individuals with no chronic medical conditions or current psychiatric concerns. As a Phase 1 trial, the research focuses on understanding how the treatment works in people, offering participants a chance to be among the first to experience this novel approach.

Will I have to stop taking my current medications?

The trial requires that you stop taking any medications that have serious interactions with roflumilast, such as abametapir, apalutamide, and others listed in the exclusion criteria. If you are on any of these medications, you would need to stop them to participate.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Studies have shown that repetitive transcranial magnetic stimulation (rTMS) is generally well-tolerated and can help the brain adapt and change. This technique has been linked to improvements in memory and movement skills.

Roflumilast, a medication tested with rTMS, affects a specific enzyme in the brain important for memory and brain function. The FDA has already approved roflumilast for treating chronic obstructive pulmonary disease (COPD), indicating a known safety record when used correctly.

In summary, combining roflumilast with rTMS appears promising and is generally considered safe based on current research. However, this trial is in an early stage, so the exact safety and effectiveness for this specific use are still under investigation. Researchers will closely monitor participants to ensure their safety during the trial.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about the combination of Roflumilast and theta-burst stimulation for brain plasticity because it offers a novel approach to enhancing brain function. Roflumilast is a medication that targets the PDE4 enzyme, which plays a role in brain signaling and plasticity. Unlike standard treatments that may not directly enhance brain plasticity, this method combines a drug known for its cognitive benefits with a non-invasive brain stimulation technique, potentially leading to improved brain adaptability and recovery. This innovative combination could open new avenues for treating neurological conditions by enhancing the brain's natural ability to reorganize and heal.

What evidence suggests that this trial's treatments could be effective for enhancing brain plasticity?

Research shows that repetitive transcranial magnetic stimulation (rTMS) can enhance brain function by helping brain cells adapt and communicate more effectively. In this trial, some participants will receive rTMS combined with Roflumilast, a drug targeting Phosphodiesterase 4 (PDE4), a part of cell communication that might support these changes. Although specific data on using Roflumilast with rTMS is not yet available, studies indicate that rTMS alone can improve movement and memory. The researchers hope that adding Roflumilast could amplify these benefits by influencing brain cell signaling. Early studies suggest positive results, making this combination a promising area for further research.12367

Are You a Good Fit for This Trial?

This trial is for individuals interested in participating in a study on brain plasticity. Specific eligibility criteria are not provided, but typically participants would be healthy adults or those with conditions affecting brain function who meet inclusion and exclusion criteria set by the researchers.

Inclusion Criteria

Healthy individuals (no chronic medical conditions)

Exclusion Criteria

Current psychiatric concerns
Lactation
Allergy to roflumilast or any of its non-medicinal ingredients
See 9 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1 visit

Treatment

Participants receive either roflumilast or placebo followed by theta-burst stimulation to the primary motor cortex

2.5 hours per session, separated by at least 1 week
Multiple sessions (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

1 week

What Are the Treatments Tested in This Trial?

Interventions

  • Roflumilast
Trial Overview The study tests if Roflumilast, a drug that targets intracellular regulation of synaptic plasticity, can enhance the effects of two types of transcranial magnetic stimulation (TMS) on motor cortex activity compared to placebo.
How Is the Trial Designed?
4Treatment groups
Experimental Treatment
Placebo Group
Group I: Intermittent Theta-Burst Stimulation with RoflumilastExperimental Treatment2 Interventions
Group II: Continuous Theta-Burst Stimulation with RoflumilastExperimental Treatment2 Interventions
Group III: Intermittent Theta-Burst Stimulation with PlaceboPlacebo Group2 Interventions
Group IV: Continuous Theta-Burst Stimulation with PlaceboPlacebo Group2 Interventions

Roflumilast is already approved in United States, European Union for the following indications:

🇺🇸
Approved in United States as Daliresp for:
🇪🇺
Approved in European Union as Daliresp for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Calgary

Lead Sponsor

Trials
827
Recruited
902,000+

Published Research Related to This Trial

In a chronic stroke patient, 5 days of low-frequency rTMS on the intact motor cortex led to improvements in motor function and neuropsychological symptoms without any adverse effects.
Neuroimaging revealed that these improvements were linked to changes in brain activity, specifically a reduction in hyperactivity and reorganization in the opposite hemisphere, suggesting a mechanism of neuroplasticity that supports recovery.
Behavioral and neuroplastic effects of low-frequency rTMS of the unaffected hemisphere in a chronic stroke patient: a concomitant TMS and fMRI study.Salatino, A., Berra, E., Troni, W., et al.[2014]
A study involving 97 participants, including 58 individuals with traumatic brain injury (TBI), suggests that using multimodal neuroimaging to customize transcranial magnetic stimulation (TMS) treatments is feasible and may enhance treatment effectiveness.
The research indicates that TBI is a complex condition with varying anatomical features, and tailoring TMS based on neuroimaging data could help in understanding and improving treatment outcomes for individuals with TBI and co-occurring conditions.
Customizing TMS Applications in Traumatic Brain Injury Using Neuroimaging.Herrold, AA., Siddiqi, SH., Livengood, SL., et al.[2021]
Repetitive transcranial magnetic stimulation (rTMS) significantly improved both depressive and cognitive symptoms in 33 patients with treatment-resistant depression (TRD) after 20 sessions of treatment.
While rTMS treatment increased serum levels of brain-derived neurotrophic factor (BDNF) and glial cell-derived neurotrophic factor (GDNF), these changes were associated with symptom improvement but not significantly, suggesting rTMS may help normalize these neurotrophic factors in TRD patients.
Neurotrophic Factor Levels and Cognitive Functions before and after the Repetitive Transcranial Magnetic Stimulation in Treatment Resistant Depression.Demiroz, D., Cicek, IE., Kurku, H., et al.[2022]

Citations

Roflumilast + TMS for Brain Plasticity · Info for ParticipantsWhile specific data on Roflumilast combined with TMS is not available, the effectiveness of rTMS in enhancing brain function suggests potential benefits when ...
Roflumilast attenuates neuroinflammation post retinal ...Intermittent theta-burst stimulation improves motor function by inhibiting neuronal pyroptosis and regulating microglial polarization via tlr4/nfκb/nlrp3 ...
3.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/39595072/
Harnessing Brain Plasticity: The Therapeutic Power of ...This narrative review explores the mechanisms of rTMS and TBS, which enhance neuroplasticity and functional improvement.
Pharmacological and Mechanistic Interventions for ...In an open-label very small study of iTBS (intermittent Theta Burst Stimulation), improvement in verbal memory and motor performance was ...
Opportunities for use of neuroimaging in de-risking drug ...Here we examine the key variables important for success in using neuroimaging for precision psychiatry from the lens of biotechnology and pharmaceutical ...
Abstract, 2025Currently, there are no proven interventions to improve patient outcome after TBI. Transcranial electrical stimulation, a non-invasive neuromodulation technique ...
Role of cyclic nucleotides and their downstream signaling ...Cyclic nucleotides are important for neuroplasticity and memory function. Altered cyclic nucleotide signaling is implicated in memory dysfunction.
Unbiased ResultsWe believe in providing patients with all the options.
Your Data Stays Your DataWe only share your information with the clinical trials you're trying to access.
Verified Trials OnlyAll of our trials are run by licensed doctors, researchers, and healthcare companies.
Terms of Service·Privacy Policy·Cookies·Security