NCT02568709

Brief Summary

The specific aim of this proposal is to investigate the neurophysiological mechanisms of oxytocin's (OT) prosocial effects in patients with schizophrenia and healthy subjects using magnetoencephalography. Hypothesis A: When OT is administered to patients with schizophrenia, fear-related amygdala hyperreactivity and fusiform gyrus (FG) and anterior cingulate cortex (ACC) hypoactivity will be normalized. Hypothesis B: When OT is administered to patients with schizophrenia, the decreased functional connectivity (FC) between the amygdala, FG, and ACC will be normalized. By elucidating the neurophysiological mechanisms of OT administration on emotional face processing, investigators will bee able to:

  1. 1.understand the pathophysiology of the functionally debilitating social cognitive deficits of schizophrenia,
  2. 2.test the efficacy of OT in normalizing the neural abnormalities underlying these social deficits, and
  3. 3.develop and optimize novel treatments for these currently untreatable deficits.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
40

participants targeted

Target at P25-P50 for early_phase_1 schizophrenia

Timeline
Completed

Started Feb 2012

Longer than P75 for early_phase_1 schizophrenia

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 1, 2012

Completed
3.7 years until next milestone

First Submitted

Initial submission to the registry

September 29, 2015

Completed
7 days until next milestone

First Posted

Study publicly available on registry

October 6, 2015

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2016

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2016

Completed
Last Updated

May 21, 2019

Status Verified

May 1, 2019

Enrollment Period

4.8 years

First QC Date

September 29, 2015

Last Update Submit

May 17, 2019

Conditions

Keywords

OxytocinSyntocinonSocial CognitionSchizophreniaMagnetoencephalography (MEG)

Outcome Measures

Primary Outcomes (1)

  • Change in MEG neural activation patterns

    During tasks in which participants will see and hear various stimuli, investigators will measure the change in neural activity in the amygdala, the dorsal anterior cingulate cortex, as well as the fusiform gyrus using the MEG scanner.

    Oxytocin and placebo administration days at least 1-week apart

Secondary Outcomes (10)

  • Change in performance on Facial Recognition Task

    Oxytocin and placebo administration days at least 1-week apart

  • Change in performance on International Affective Picture System (IAPS) task

    Oxytocin and placebo administration days at least 1-week apart

  • UCLA Loneliness Scale

    1 day

  • Experiences in Close Relationships-Relationship Structures (ECR-RS) Questionnaire

    1 day

  • Childhood Trauma Questionnaire (CTQ)

    1 day

  • +5 more secondary outcomes

Study Arms (2)

Interventional

ACTIVE COMPARATOR

40 IU Oxytocin

Drug: Oxytocin

Saline Nasal Spray

PLACEBO COMPARATOR

Placebo Comparator

Drug: Saline Nasal Spray

Interventions

40 IU of the oxytocin will be administered intranasally for a one time dose at the beginning of the visit.

Also known as: Syntocinon
Interventional

40 IU of the saline nasal spray will be administered once at the beginning of the visit.

Also known as: Placebo
Saline Nasal Spray

Eligibility Criteria

Age18 Years - 40 Years
Sexmale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • years of age
  • Male
  • Must comprehend English
  • Meet DSM-IV criteria for schizophrenia, schizophreniform or schizoaffective disorder
  • None or only minor changes to medications in the past week
  • Able to use nasal spray
  • Must be capable of providing informed consent
  • Clinically stable
  • years of age
  • Male
  • Must comprehend English
  • No diagnosis of mental disorder according to DSM-IV TR
  • Able to use nasal spray
  • Must be capable of providing informed consent
  • Clinically stable

You may not qualify if:

  • Female
  • Active substance abuse or dependence as determined by a Urine Toxicology Drug Screening
  • DSM-IV diagnosis of any disorder other than schizophrenia
  • Medical conditions (atrophic rhinitis, recurrent nose bleeds and cranial surgical procedures (hypophysectomy), congestion or sinus problems that could interfere with the study as per the opinion of the investigator
  • Hearing deficits
  • A pacemaker, extensive dental work, or any magnetic metal implants
  • Any history of severe brain trauma

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of California, San Francisco

San Francisco, California, 94143, United States

Location

MeSH Terms

Conditions

Schizophrenia

Interventions

Oxytocin

Condition Hierarchy (Ancestors)

Schizophrenia Spectrum and Other Psychotic DisordersMental Disorders

Intervention Hierarchy (Ancestors)

Pituitary Hormones, PosteriorPituitary HormonesPeptide HormonesHormonesHormones, Hormone Substitutes, and Hormone AntagonistsPeptidesAmino Acids, Peptides, and Proteins

Study Officials

  • Josh D Woolley, MD/PhD

    University of California San Francisco, San Francisco Veterans Affairs Medical Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
early phase 1
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

September 29, 2015

First Posted

October 6, 2015

Study Start

February 1, 2012

Primary Completion

December 1, 2016

Study Completion

December 1, 2016

Last Updated

May 21, 2019

Record last verified: 2019-05

Locations