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Brain-Stomach Circuits in Chronic Nausea

RecruitingHealthy volunteers welcome

TMS Neuromodulation of Brain-to-Stomach Circuits in Chronic Nausea

Who can join

Ages 21 to 60 · All sexes · Healthy volunteers welcome

Full eligibility criteria
Inclusion Criteria:

* Adults between ages 21-60 years old, with and without CNVS diagnosis per self-report.

Exclusion Criteria:

* body mass index (BMI) \> 30
* pregnancy or intention to become pregnant
* past or present chemotherapy
* diagnosis of gastric (stomach) cancer
* any kind of gastric (stomach) surgery
* current use of GLP-1 receptor agonists (e.g. Ozempic, Trulicity)
* medications which significantly lower seizure thresholds (e.g. bupropion (Wellbutrin), fluoxetine (Prozac), or tramadol (Ultram))
* implantable devices, such as a pacemakers or nerve stimulators
* history of head injury that required hospitalization, metal in the skull, or neurologic disease such as stroke, history of seizures or history of syncope (fainting or passing out)
* neurodegenerative disease (Multiple Sclerosis, Parkinson's or Alzheimer's Disease)
* ongoing psychosis or altered cognitive status status (e.g. hearing sounds or seeing visions that are not there, or feeling confused or suffering from memory lapses)
* history of cardiovascular (i.e., heart attack), pulmonary (i.e., need for supplemental oxygen), or endocrine disease (e.g. diabetes)
* current enrollment in another study using Transcranial Magnetic Stimulation (TMS)
* current use of drugs such as amphetamines, methamphetamine, Ecstasy, Ketamine, Angel Dust/PCP, cocaine, or drinking 3 or more alcoholic drinks per day
* For healthy subjects only: chronic history of gastrointestinal symptoms (e.g., nausea, indigestion, bloating, abdominal pain)
* For CNVS subjects only: diagnosis of gastric motility disorder (e.g. gastroparesis/slow stomach emptying) or history of bowel obstruction (i.e., chronic partial small bowel obstruction)

About the study

The goal of this study is to determine whether stimulation of the brain-stomach connection can influence stomach activity in healthy adults and in individuals suffering from chronic nausea. The main questions it aims to answer are:

* What are the best brain sites to influence the stomach? * What are the effects of different stimulation patterns on stomach activity? * Does the stimulation affect the sensation of nausea in participants suffering from chronic nausea?

Researchers will use a non-invasive method of brain stimulation called Transcranial Magnetic Stimulation (TMS) and will record stomach responses with skin electrodes on the abdomen.

Participants will:

* Visit the clinic at least once, and for up to 9 times more over the course of several months. * Receive TMS while sitting in a chair similar to a dentist's chair. * Drink water or consume a test meal during each study visit.

What is being tested

Sponsor: David Levinthal · Participants: 219 · Started: Jan 28, 2026

Contact the study team

Official record on ClinicalTrials.gov — NCT07276035

Locations in the U.S.

PennsylvaniaUniversity of Pittsburgh Medical Center, Pittsburgh

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.