Deep Brain Stimulation of the Nucleus Accumbens as a Novel Treatment in Severe Opioid Addiction

NCT ID: NCT01245075

Last Updated: 2016-12-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

EARLY_PHASE1

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-01-31

Study Completion Date

2017-12-31

Brief Summary

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The main objective of this study is to assess the efficacy of bilateral deep brain stimulation (DBS) of the Nucleus accumbens (NAc) as a novel treatment in severe opioid addiction. The included patients have been treated so far with a substitute in form of methadone.

Our hypothesis is that bilateral DBS of the NAc will significantly reduce the craving for heroin and thus enable the patients to decrease their Levomethadone-dosage substantially.

Detailed Description

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Conditions

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Addiction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Deep Brain Stimulation

Stimulator setting is ON

Group Type ACTIVE_COMPARATOR

Deep brain stimulation

Intervention Type OTHER

Deep brain stimulation on

Placebo

Stimulator setting is OFF

Group Type SHAM_COMPARATOR

Placebo

Intervention Type OTHER

deep brain stimulation off

Interventions

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Deep brain stimulation

Deep brain stimulation on

Intervention Type OTHER

Placebo

deep brain stimulation off

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age \> 18 years
* Proficiency in the German language
* Long lasting heroin addiction (fulfilled diagnostic-criteria according to DSM-IV,ICD-10)
* At least one detoxication-treatment without a long-term period of abstinence has already taken place
* Long-term inpatient treatment to support abstinence have occurred
* Free patient's decision / Informed Consent (existing comprehensive ability in meaning, methodology and execution of the study and ability of acceptance)
* If prior medication, stable dosage of psychopharmacological drugs over the last three months, which shall, after checking be retained during the study
* Substitution treatment with constant dose within the last three months before study inclusion

Exclusion Criteria

* Hospitalization by PsychKG
* Clinical relevant psychiatric comorbidity (schizophrenic psychoses, bipolar affective diseases, severe personality disorder)
* Contraindications of a MRI-examination, e.g. implanted cardiac pacemaker/ heart defibrillator
* Current and in the last six months existent paranoid-hallucinated symptomatology
* Foreign aggressiveness in the last six months
* Verbal IQ \< 85 (evaluated with the German Mehrfachauswahl-Intelligenz-Test (MWT-A/B))
* Stereotactic respectively neurosurgical intervention in the past
* Neoplastical neurological diseases
* Contraindications of a stereotactic operation, e.g. increased bleeding-disposition, cerebrovascular diseases (e.g. arteriovenous malfunction, aneurysms, systemic vascular diseases)
* Serious and instable organic diseases (e.g. instable coronal heart disease)
* tested positively for HIV
* pregnancy and/or lactation
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Jens Kuhn

OTHER

Sponsor Role lead

Responsible Party

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Jens Kuhn

Prof. Dr.

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Veerle Visser-Vandewalle, MD

Role: PRINCIPAL_INVESTIGATOR

University of Cologne

Jens Kuhn, MD

Role: PRINCIPAL_INVESTIGATOR

University of Cologne

Locations

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University of Cologne

Cologne, , Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Jens Kuhn, MD

Role: CONTACT

Phone: ++49221-478-4005

Email: [email protected]

Veerle Visser-Vandewalle, MD

Role: CONTACT

Phone: ++49221-478-82792

Email: [email protected]

References

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Baldermann JC, Schuller T, Huys D, Becker I, Timmermann L, Jessen F, Visser-Vandewalle V, Kuhn J. Deep Brain Stimulation for Tourette-Syndrome: A Systematic Review and Meta-Analysis. Brain Stimul. 2016 Mar-Apr;9(2):296-304. doi: 10.1016/j.brs.2015.11.005. Epub 2015 Dec 29.

Reference Type DERIVED
PMID: 26827109 (View on PubMed)

Other Identifiers

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10-090

Identifier Type: -

Identifier Source: org_study_id