NCT04148261

Brief Summary

This study investigates the effects of two hormones called epinephrine and cortisol on how the brain processes emotional material using functional MRI to measure brain activity. The study hopes to learn how epinephrine and cortisol affect the brain differently in depressed and non-depressed individuals.

Trial Health

15
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Timeline
Completed

Started Dec 2020

Status
withdrawn

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

October 30, 2019

Completed
2 days until next milestone

First Posted

Study publicly available on registry

November 1, 2019

Completed
1.1 years until next milestone

Study Start

First participant enrolled

December 1, 2020

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2022

Completed
Last Updated

October 6, 2021

Status Verified

September 1, 2021

Enrollment Period

2 years

First QC Date

October 30, 2019

Last Update Submit

September 29, 2021

Conditions

Outcome Measures

Primary Outcomes (1)

  • Sadness-induced subgenual cingulate activity as measured by functional magnetic resonance imaging

    2 hours

Study Arms (4)

Healthy Arm, CORT + EPI, then PLB + EPI

ACTIVE COMPARATOR

Healthy participant will receive cortisol pill and epinephrine infusion

Drug: Hydrocortisone Acetate (CORT)Drug: Epinephrine Sulfate (EPI)

Healthy Arm, PLB + EPI, then CORT + EPI

ACTIVE COMPARATOR

Healthy participant will receive placebo pill and epinephrine infusion

Drug: Epinephrine Sulfate (EPI)Drug: Placebo (PLB)

Depression Arm, CORT + EPI, then PLB + EPI

EXPERIMENTAL

Depressed participant will receive cortisol pill and epinephrine infusion

Drug: Hydrocortisone Acetate (CORT)Drug: Epinephrine Sulfate (EPI)

Depression Arm, PLB + EPI, then CORT + EPI

EXPERIMENTAL

Depressed participant will receive placebo pill and epinephrine infusion

Drug: Epinephrine Sulfate (EPI)Drug: Placebo (PLB)

Interventions

Participants will receive a single dose of hydrocortisone at a dosage of 0.65 mg/kg

Also known as: Cortef
Depression Arm, CORT + EPI, then PLB + EPIHealthy Arm, CORT + EPI, then PLB + EPI

Participants will receive a continuous infusion of epinephrine at a dosage of 80 ng/kg/min

Also known as: Adrenalin
Depression Arm, CORT + EPI, then PLB + EPIDepression Arm, PLB + EPI, then CORT + EPIHealthy Arm, CORT + EPI, then PLB + EPIHealthy Arm, PLB + EPI, then CORT + EPI

Participants will receive a placebo

Depression Arm, PLB + EPI, then CORT + EPIHealthy Arm, PLB + EPI, then CORT + EPI

Eligibility Criteria

Age21 Years - 55 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Weight of less than 280 pounds
  • HAM-D Score of greater than 7 for depression participants

You may not qualify if:

  • Psychotropic medications
  • Recent surgery
  • Endocrine disorders
  • Liver disease
  • Kidney disease
  • Thyroid disorder
  • History of malaria
  • Tuberculosis
  • Osteoporosis
  • Glaucoma or cataracts
  • Chronic expressed infections (herpes, HIV, etc)
  • History of congestive heart failure
  • History of recurring seizures
  • Stomach ulcers
  • Comorbid psychosis
  • +18 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Depression

Interventions

hydrocortisone acetateHydrocortisoneepinephrine sulfateEpinephrine

Condition Hierarchy (Ancestors)

Behavioral SymptomsBehavior

Intervention Hierarchy (Ancestors)

PregnenedionesPregnenesPregnanesSteroidsFused-Ring CompoundsPolycyclic Compounds11-HydroxycorticosteroidsHydroxycorticosteroidsAdrenal Cortex HormonesHormonesHormones, Hormone Substitutes, and Hormone Antagonists17-HydroxycorticosteroidsEthanolaminesAmino AlcoholsAlcoholsOrganic ChemicalsAminesBiogenic MonoaminesBiogenic AminesCatecholaminesCatecholsPhenolsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbons

Study Officials

  • Keith Sudheimer, Ph.D.

    Stanford University

    PRINCIPAL INVESTIGATOR
0

Study Design

Study Type
interventional
Phase
early phase 1
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
BASIC SCIENCE
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 30, 2019

First Posted

November 1, 2019

Study Start

December 1, 2020

Primary Completion

December 1, 2022

Study Completion

December 1, 2022

Last Updated

October 6, 2021

Record last verified: 2021-09

Data Sharing

IPD Sharing
Will not share