Control and Reward Circuits in Obsessive Compulsive Disorder
Control & Reward Circuits as Targets for Repetitive Thoughts and Behaviors
1 other identifier
interventional
80
1 country
1
Brief Summary
The purpose of this study is to examine the brain functioning of OCD patients and healthy controls before and after treatment with Exposure and Response Prevention (EXRP) therapy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Oct 2014
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 18, 2014
CompletedFirst Posted
Study publicly available on registry
August 20, 2014
CompletedStudy Start
First participant enrolled
October 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2018
CompletedMarch 13, 2019
March 1, 2019
3.7 years
August 18, 2014
March 12, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change from baseline in brain activation (fMRI) and fractional anisotropy (Diffusion tensor imaging) after therapy
Baseline & approximately 10 weeks later
Secondary Outcomes (1)
Change in reaction times and correct responses on Stop signal reaction time task
Baseline and approximately 10 weeks later, at second scan
Study Arms (1)
Patients with OCD
EXPERIMENTALBehavioral: Exposure \& Response Prevention (EX/RP)
Interventions
Exposure and Response Prevention (EX/RP) is a type of Cognitive Behavioral Treatment for treating OCD.
Eligibility Criteria
You may qualify if:
- Male and females with OCD aged 18-55
- Diagnostic and Statistical Manual of Mental Disorders (DSM-5) Diagnosis of OCD
- Not on psychotropic medication
You may not qualify if:
- Presence of metallic devices or dental braces in the body that are contraindicators for MR imaging
- Comorbid psychiatric conditions that significantly elevate the risk of study participation (e.g. psychotic disorders, bipolar disorder, evidence of dementia or other cognitive disorder, suicidality)
- Unstable medical conditions that need attention and would make participation in the study unsafe (e.g. very high blood pressure)
- Use of psychotropic medication
- Females who are pregnant or post-menopausal
- \- Male and females aged 18-55
- Presence of metallic devices or dental braces in the body that are contraindicators for MR imaging
- Any psychiatric diagnosis
- Use of psychotropic medication
- Diagnosis of OCD in a first degree relative
- Females who are pregnant or post-menopausal
- Unstable medical conditions that need attention and would make participation in the study unsafe (e.g. very high blood pressure)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
NY State Psychiatric Institute
New York, New York, 10032, United States
Related Publications (3)
Wheaton MG, Kalanthroff E, Mandel M, Marsh R, Simpson HB. Neurocognitive performance in obsessive-compulsive disorder before and after treatment with cognitive behavioral therapy. J Behav Ther Exp Psychiatry. 2025 Jun;87:102019. doi: 10.1016/j.jbtep.2025.102019. Epub 2025 Jan 20.
PMID: 39879875DERIVEDShi TC, Pagliaccio D, Cyr M, Simpson HB, Marsh R. Network-based functional connectivity predicts response to exposure therapy in unmedicated adults with obsessive-compulsive disorder. Neuropsychopharmacology. 2021 Apr;46(5):1035-1044. doi: 10.1038/s41386-020-00929-9. Epub 2021 Jan 14.
PMID: 33446895DERIVEDPagliaccio D, Middleton R, Hezel D, Steinman S, Snorrason I, Gershkovich M, Campeas R, Pinto A, Van Meter P, Simpson HB, Marsh R. Task-based fMRI predicts response and remission to exposure therapy in obsessive-compulsive disorder. Proc Natl Acad Sci U S A. 2019 Oct 8;116(41):20346-20353. doi: 10.1073/pnas.1909199116. Epub 2019 Sep 23.
PMID: 31548396DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Blair Simpson, MD, Ph.D
New York State Psychiatric Institute
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor of Psychiatry-Columbia University Medical Center, Columbia University; Director of Anxiety Disorders Clinic & Center for OCD and Related Disorders
Study Record Dates
First Submitted
August 18, 2014
First Posted
August 20, 2014
Study Start
October 1, 2014
Primary Completion
June 1, 2018
Study Completion
August 1, 2018
Last Updated
March 13, 2019
Record last verified: 2019-03