NCT02709161

Brief Summary

The purpose of this study is to determine the clinical efficacy of augmenting cognitive-behavioral therapy with real-time functional magnetic resonance imaging neurofeedback (rtfMRI-nf) training to increase the amygdala's response to positive autobiographical memories.

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
36

participants targeted

Target at P25-P50 for not_applicable major-depressive-disorder

Timeline
Completed

Started Oct 2016

Typical duration for not_applicable major-depressive-disorder

Geographic Reach
1 country

1 active site

Status
terminated

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

March 10, 2016

Completed
5 days until next milestone

First Posted

Study publicly available on registry

March 15, 2016

Completed
7 months until next milestone

Study Start

First participant enrolled

October 1, 2016

Completed
3.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2020

Completed
4.7 years until next milestone

Results Posted

Study results publicly available

December 27, 2024

Completed
Last Updated

December 27, 2024

Status Verified

December 1, 2024

Enrollment Period

3.5 years

First QC Date

March 10, 2016

Results QC Date

November 12, 2024

Last Update Submit

December 3, 2024

Conditions

Keywords

neurofeedbackmajor depressive disorderamygdala

Outcome Measures

Primary Outcomes (1)

  • Beck Depression Inventory (BDI-II)

    The Beck Depression Inventory is a self-report questionnaire consisting of 21 questions assessing depressive symptoms. Scores can range from 0-63 with higher scores indicating more severe depression.

    10 weeks

Secondary Outcomes (1)

  • PROMIS Item Bank v1.0 - Depression

    10 weeks

Study Arms (2)

real-time fMRI neurofeedback: Amygdala

EXPERIMENTAL

Amygdala neurofeedback - attempt to upregulate the left amygdala during positive autobiographical memory recall via real time fMRI neurofeedback from the amygdala. Two sessions will be performed one week apart.

Device: real-time fMRI neurofeedback: Amygdala

real-time fMRI neurofeedback: HIPS

ACTIVE COMPARATOR

HIPS neurofeedback - attempt to upregulate the left horizontal segment of the intraparietal sulcus (HIPS), a region not involved in emotional processing, during positive autobiographical memory recall via real time fMRI neurofeedback from the HIPS. Two sessions will be performed one week apart.

Device: real-time fMRI neurofeedback: HIPS

Interventions

Participants are shown activity from their left amygdala in real time and are instructed to increase the level of activity in that region by thinking of positive autobiographical memories

real-time fMRI neurofeedback: Amygdala

Participants are shown activity from their left horizontal segment of the intraparietal sulcus in real time and are instructed to increase the level of activity in that region by thinking of positive autobiographical memories

real-time fMRI neurofeedback: HIPS

Eligibility Criteria

Age18 Years - 55 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • right-handed adults
  • ages 18 - 55
  • primary diagnosis of MDD for recurrent MDD who are currently depressed
  • able to give written informed consent prior to participation
  • unmedicated OR are stable on an unsuccessful antidepressant regime (at least 4 weeks to ensure symptoms are stable). Effective medications will not be discontinued for the purposes of the study.

You may not qualify if:

  • clinically significant or unstable cardiovascular, pulmonary, endocrine, neurological, gastrointestinal illness or unstable medical disorder
  • alcohol and/or substance dependence (other than nicotine) within 12 months prior to screening
  • history of traumatic brain injury
  • currently pregnant or breast feeding
  • unable to complete questionnaires written in English
  • current (within 3 weeks of testing) use of any antipsychotics, anticonvulsants, stimulants, benzodiazepines, beta-blockers, or other medications (except antidepressants) likely to influence cerebral blood flow. Effective medications will not be discontinued for the purposes of the study. I
  • diagnosis of psychotic or organic mental disorder, bipolar I or II disorder.
  • eye problems or difficulties in corrected vision.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Pittsburgh

Pittsburgh, Pennsylvania, 15261, United States

Location

Related Publications (1)

  • Compere L, Siegle GJ, Lazzaro S, Strege M, Canovali G, Barb S, Huppert T, Young K. Real-time functional magnetic resonance imaging neurofeedback training of amygdala upregulation increases affective flexibility in depression. J Psychiatry Neurosci. 2023 Jun 20;48(3):E232-E239. doi: 10.1503/jpn.220208. Print 2023 May-Jun.

MeSH Terms

Conditions

Depressive Disorder, Major

Condition Hierarchy (Ancestors)

Depressive DisorderMood DisordersMental Disorders

Results Point of Contact

Title
Kymberly Young
Organization
University of Pittsburgh

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Assistant Professor of Psychiatry

Study Record Dates

First Submitted

March 10, 2016

First Posted

March 15, 2016

Study Start

October 1, 2016

Primary Completion

April 1, 2020

Study Completion

April 1, 2020

Last Updated

December 27, 2024

Results First Posted

December 27, 2024

Record last verified: 2024-12

Locations