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Restoration of Consciousness With Ultrasonic Deep Brain Stimulation During Anesthetic Sedation

Restoration of Consciousness With Ultrasonic Deep Brain Stimulation During Anesthetic Sedation

Status
Recruiting
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07221539
Enrollment
168
Registered
2025-10-28
Start date
2025-10-24
Completion date
2030-10-31
Last updated
2025-10-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Mental Function

Keywords

Anesthesia, Propofol, Dexmedetomidine, fMRI, ultrasound, Healthy Volunteers

Brief summary

The purpose of this study is to see if mental functions take place during different levels of anesthesia using two commonly used drug (propofol and dexmedetomidine) and will include low-intensity focused ultrasound pulsation (LIFUP) to stimulate specific areas of the brain while undergoing functional Magnetic Resonance Imaging (fMRI or brain imaging), which shows areas in the brain involved in thinking at different depths of anesthesia. That is, ultrasound is being used to stimulate the brain and multiple pictures will be taken of the brain. As a result of this study, we expect to gain a deeper understanding of mental function during different levels of anesthesia, and to evaluate if the use of ultrasonic brain stimulation accelerates return to consciousness.

Detailed description

The FDA determined this trial is a non-significant risk (NSR) device study. Although Propofol and Dexmedetomidine, which are FDA-approved drugs for use in patients undergoing an anesthetic for medical treatment, will be used in this trial, the FDA determined that the trial will not be studying these drugs. Rather, the FDA determined this trial will be studying the NSR device. To ensure consistency with the FDA's determination, the field for U.S. FDA-regulated Drug in this record has been marked as No.

Interventions

PROCEDUREPropofol for fMRI

Propofol infusion

PROCEDUREDexmedetomidine for fMRI

Dexmedetomidine infusion

DEVICEDorsolateral prefrontal cortex (DLPFC) pulsation

BXPulsar 1002 low-intensity focused ultrasound pulsation (LIFUP) on the DFPFC

DEVICEAnterior insular cortex (AIC) pulsation

BXPulsar 1002 LIFUP to AIC

DEVICECentral thalamus (CT) pulsation

BXPulsar 1002 LIFUP to CT

Sponsors

National Institute of General Medical Sciences (NIGMS)
CollaboratorNIH
University of Michigan
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
Yes

Inclusion criteria

* Healthy study participants with American Society of Anesthesiologists (ASA) Physical Status Classification System-1 status * The participants will be right-handed adults * Body mass index (BMI) less than 30. * All subjects will be English speakers.

Exclusion criteria

* Medical contraindication to MRI scanning; are unable to undergo MRI scanning because of possible pregnancy or currently breastfeeding, * BMI\>30, * metallic substances in the body, claustrophobia, anxiety, or cardiopulmonary disease; or have an intracranial structural abnormality on T1-weighted MRI scans. * History of allergy to propofol, dexmedetomidine, any components of propofol or dexmedetomidine, eggs or egg products, soybean or soybean products, * Neurological, cardiovascular, or pulmonary illness; * Significant head injury with loss of consciousness; * Learning disability or other developmental disorder; sleep apnea or any severe snoring history; gastroesophageal reflux disease (GERD) or heartburn; pancreatitis or a history of pancreatitis, or sensory/motor loss sufficient to interfere with performance of the study; epilepsy/seizure disorder (including a history of seizures) or stroke (including a history of stroke). * Participants with tattoos in the head or neck region will be excluded from study; other tattoos are subject to determination by investigators based on their assessment regarding participant safety. * Recent food or liquid intake (within 8 hours). * History of drug use, have a positive drug screen, are unwilling to abstain from alcohol for 24 hours prior to dosing, or have a current history of nicotine use. -----Negative pregnancy test result, if applicable. * Potential participants who have participated in a clinical trial using an investigational drug or device within 30 days will be considered for enrollment after 30 days.

Design outcomes

Primary

MeasureTime frame
Functional connectivity (e.g., Pearson correlation coefficient) of Blood Oxygen Level Dependent (BOLD) time coursesUp to 90 minutes

Secondary

MeasureTime frame
Grip force (in mmHg) of participants' hand squeezing on a rubber ball in response to instructionsUp to 90 minutes

Countries

United States

Contacts

Primary ContactAaron Ellis
aaronel@med.umich.edu734-647-8129
Backup ContactAmy McKinney
adrongo@med.umich.edu734-647-8129

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026