Evidence map›Paper›PMID 40887128›Full record

ArticleBMJ open2025

CannChange: a protocol for a feasibility study using fMRI-based neurofeedback to change the neurobiology of craving in cannabis use disorder.

Ethan Murphy, Amir Hossein Dakhili, Saampras Ganesan, Andrew Zalesky, Rebecca Glarin, Hannah Thomson, Anastasia Paloubis, Sunjeev K Kamboj, Bradford A Moffat, Govinda Poudel and 2 more

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Ethan MurphyNeuroscience of Addiction and Mental Health Program, Healthy Brain and Mind Research Centre, School of Behavioral and Health Sciences, Faculty of Health, Australian Catholic University, Fitzroy, Victoria, Australia.
Amir Hossein DakhiliNeuroscience of Addiction and Mental Health Program, Healthy Brain and Mind Research Centre, School of Behavioral and Health Sciences, Faculty of Health, Australian Catholic University, Fitzroy, Victoria, Australia.
Saampras GanesanDepartment of Psychiatry, The University of Melbourne, Melbourne, Victoria, Australia.
Andrew ZaleskyDepartment of Psychiatry, Melbourne Medical School, University of Melbourne, Melbourne, Victoria, Australia.
Rebecca GlarinMelbourne Node of the National Imaging Facility, Department of Radiology, The University of Melbourne, Melbourne, Victoria, Australia.
Hannah ThomsonNeuroscience of Addiction and Mental Health Program, Healthy Brain and Mind Research Centre, School of Behavioral and Health Sciences, Faculty of Health, Australian Catholic University, Fitzroy, Victoria, Australia.
Anastasia PaloubisNeuroscience of Addiction and Mental Health Program, Healthy Brain and Mind Research Centre, School of Behavioral and Health Sciences, Faculty of Health, Australian Catholic University, Fitzroy, Victoria, Australia.
Sunjeev K KambojClinical Psychopharmacology Unit, Research Department of Clinical, Educational and Health Psychology, University College London, London, UK.
Bradford A MoffatMelbourne Node of the National Imaging Facility, Department of Radiology, The University of Melbourne, Melbourne, Victoria, Australia.
Govinda PoudelMary MacKillop Institute of Health Research, Australian Catholic University, Melbourne, Victoria, Australia.
Chao Suo *BrainPark, Turner Institute for Brain and Mental Health, Monash University, Clayton, Victoria, Australia.
Valentina Lorenzetti *Neuroscience of Addiction and Mental Health Program, Healthy Brain and Mind Research Centre, School of Behavioral and Health Sciences, Faculty of Health, Australian Catholic University, Fitzroy, Victoria, Australia valentina.lorenzetti@gmail.com.ORCID http://orcid.org/0000-0002-5917-7068

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCannabis use disorder (CUD) affects ∼33 million people globally and can be underscored by intense cravings to use cannabis, which can trigger compulsive use and relapse. Functional MRI (fMRI) evidence demonstrates hyperactivity of addiction brain pathways during cannabis cue-reactivity, consistent with prominent neuroscientific theories of addiction, particularly within the anterior cingulate cortex (ACC). The ACC also emerges as a key region of real-time fMRI-based neurofeedback (fMRI-neurofeedback) studies demonstrating voluntary changes during cravings in persons who use substances. However, this notion is untested in CUD. METHODS AND ANALYSIS: We aim to develop a protocol that tests the feasibility of fMRI-neurofeedback to enable persons with a moderate-to-severe CUD to increase the activity of the ACC during cannabis-induced craving to provide mechanistic insights on treatment targets; and decrease ACC activity during cue-induced craving to pave the way for reducing brain reactivity. The primary outcome measure is the change in ACC activity during fMRI-neurofeedback compared with a non-regulation condition. ETHICS AND DISSEMINATION: This feasibility study has been approved by the Human Research Ethics Committee of Australian Catholic University. On completion, the findings from this study will be published in academic journals, presented at conferences and disseminated to clinicians and to individuals who use cannabis. The results from this feasibility study have the potential to inform the conduct of powered trials to examine how fMRI-neurofeedback can identify and reduce craving-related brain dysfunction in CUD.

Indexed as

CravingGyrus CinguliMagnetic Resonance ImagingMarijuana AbuseNeurofeedbackAdultBrainCuesFeasibility StudiesFemaleHumansMaleBrainCannabisCravingMagnetic Resonance ImagingNeurofeedback

Identifiers

PMID40887128
PMCPMC12406938

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.