Trial Outcomes & Findings for Sex/Gender Differences in Risk and Resilience to PTSD; Implication of Oxytocin (NCT NCT01963078)

NCT ID: NCT01963078

Last Updated: 2018-12-11

Results Overview

Bold signal response to facial recognition task was contrasted between oxytocin and saline administrations. Participants with PTSD and Resilient Controls each underwent 2 sets of scanning procedures, one with placebo and one with Oxytocin. Participants were randomly assigned to received Oxytocin on Day 1 or Day 2, and placebo on the opposite day, to mitigate crossover effects. Outcome measure is change in bold signal response between the two days; bold signal response on placebo was subtracted from bold signal response on Oxytocin to obtain change score.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

38 participants

Primary outcome timeframe

Days 1 and 2

Results posted on

2018-12-11

Participant Flow

Participants were recruited primarily through media advertisements and flyers.

Participant milestones

Participant milestones
Measure
PTSD Placebo Day 1, Oxytocin Day 2
Participants PTSD will self-administer matching placebo (containing all ingredients except OT) at 10:30 a.m. on Day 1 of study procedures, approximately 45-minutes prior the scanning sessions. This dose and timing of administration were selected based on similar fMRI studies (Domes, et al., 2007; Domes, et al., 2010; Kirsch, et al., 2005). Placebo
PTSD Oxytocin Day 1, Placebo Day 2
Participants with PTSD will self-administer 24 IUs of OT nasal spray at 10:30 a.m. on Day 1 of study procedures, approximately 45-minutes prior the scanning sessions. This dose and timing of administration were selected based on similar fMRI studies (Domes, et al., 2007; Domes, et al., 2010; Kirsch, et al., 2005). Oxytocin
Resilient Placebo Day 1, Oxytocin Day 2
Resilient controls will self-administer matching placebo spray at 10:30 a.m. on Day 1 of study procedures, approximately 45-minutes prior the scanning sessions. This dose and timing of administration were selected based on similar fMRI studies (Domes, et al., 2007; Domes, et al., 2010; Kirsch, et al., 2005). Placebo
Resilient Oxytocin Day 1, Placebo Day 2
Resilient controls will self-administer 24 IUs of OT nasal spray at 10:30 a.m. on Day 1 of study procedures, approximately 45-minutes prior the scanning sessions. This dose and timing of administration were selected based on similar fMRI studies (Domes, et al., 2007; Domes, et al., 2010; Kirsch, et al., 2005). Oxytocin
Overall Study
STARTED
9
10
10
9
Overall Study
COMPLETED
8
9
9
7
Overall Study
NOT COMPLETED
1
1
1
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Sex/Gender Differences in Risk and Resilience to PTSD; Implication of Oxytocin

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
PTSD Placebo Day 1, Oxytocin Day 2
n=9 Participants
Participants PTSD will self-administer matching placebo (containing all ingredients except OT) at 10:30 a.m. on Day 1 of study procedures, approximately 45-minutes prior the scanning sessions. This dose and timing of administration were selected based on similar fMRI studies (Domes, et al., 2007; Domes, et al., 2010; Kirsch, et al., 2005). Placebo
PTSD Oxytocin Day 1, Placebo Day 2
n=10 Participants
Participants with PTSD will self-administer 24 IUs of OT nasal spray at 10:30 a.m. on Day 1 of study procedures, approximately 45-minutes prior the scanning sessions. This dose and timing of administration were selected based on similar fMRI studies (Domes, et al., 2007; Domes, et al., 2010; Kirsch, et al., 2005). Oxytocin
Resilient Placebo Day 1, Oxytocin Day 2
n=10 Participants
Resilient controls will self-administer matching placebo spray at 10:30 a.m. on Day 1 of study procedures, approximately 45-minutes prior the scanning sessions. This dose and timing of administration were selected based on similar fMRI studies (Domes, et al., 2007; Domes, et al., 2010; Kirsch, et al., 2005). Placebo
Resilient Oxytocin Day 1, Placebo Day 2
n=9 Participants
Resilient controls will self-administer 24 IUs of OT nasal spray at 10:30 a.m. on Day 1 of study procedures, approximately 45-minutes prior the scanning sessions. This dose and timing of administration were selected based on similar fMRI studies (Domes, et al., 2007; Domes, et al., 2010; Kirsch, et al., 2005). Oxytocin
Total
n=38 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Age, Categorical
Between 18 and 65 years
9 Participants
n=5 Participants
10 Participants
n=7 Participants
10 Participants
n=5 Participants
9 Participants
n=4 Participants
38 Participants
n=21 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
5 Participants
n=7 Participants
5 Participants
n=5 Participants
7 Participants
n=4 Participants
22 Participants
n=21 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
5 Participants
n=7 Participants
5 Participants
n=5 Participants
2 Participants
n=4 Participants
16 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=5 Participants
3 Participants
n=7 Participants
2 Participants
n=5 Participants
3 Participants
n=4 Participants
11 Participants
n=21 Participants
Race (NIH/OMB)
White
6 Participants
n=5 Participants
7 Participants
n=7 Participants
8 Participants
n=5 Participants
5 Participants
n=4 Participants
26 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Region of Enrollment
United States
9 Count of Participants
n=5 Participants
10 Count of Participants
n=7 Participants
10 Count of Participants
n=5 Participants
9 Count of Participants
n=4 Participants
38 Count of Participants
n=21 Participants

PRIMARY outcome

Timeframe: Days 1 and 2

Population: Population analyzed are participants who completed both scans and had usable MRI data.

Bold signal response to facial recognition task was contrasted between oxytocin and saline administrations. Participants with PTSD and Resilient Controls each underwent 2 sets of scanning procedures, one with placebo and one with Oxytocin. Participants were randomly assigned to received Oxytocin on Day 1 or Day 2, and placebo on the opposite day, to mitigate crossover effects. Outcome measure is change in bold signal response between the two days; bold signal response on placebo was subtracted from bold signal response on Oxytocin to obtain change score.

Outcome measures

Outcome measures
Measure
PTSD Placebo Day 1, Oxytocin Day 2
n=8 Participants
Participants PTSD will self-administer matching placebo (containing all ingredients except OT) at 10:30 a.m. on Day 1 of study procedures, approximately 45-minutes prior the scanning sessions. This dose and timing of administration were selected based on similar fMRI studies (Domes, et al., 2007; Domes, et al., 2010; Kirsch, et al., 2005). Placebo
PTSD Oxytocin Day 1, Placebo Day 2
n=9 Participants
Participants with PTSD will self-administer 24 IUs of OT nasal spray at 10:30 a.m. on Day 1 of study procedures, approximately 45-minutes prior the scanning sessions. This dose and timing of administration were selected based on similar fMRI studies (Domes, et al., 2007; Domes, et al., 2010; Kirsch, et al., 2005). Oxytocin
Resilient Placebo Day 1, Oxytocin Day 2
n=9 Participants
Resilient controls will self-administer matching placebo spray at 10:30 a.m. on Day 1 of study procedures, approximately 45-minutes prior the scanning sessions. This dose and timing of administration were selected based on similar fMRI studies (Domes, et al., 2007; Domes, et al., 2010; Kirsch, et al., 2005). Placebo
Resilient Oxytocin Day 1, Placebo Day 2
n=7 Participants
Resilient controls will self-administer 24 IUs of OT nasal spray at 10:30 a.m. on Day 1 of study procedures, approximately 45-minutes prior the scanning sessions. This dose and timing of administration were selected based on similar fMRI studies (Domes, et al., 2007; Domes, et al., 2010; Kirsch, et al., 2005). Oxytocin
Change in Amygdala Activation- Oxy Minus Placebo
-0.01 percentage of BOLD signal change
Standard Deviation 0.36
-0.02 percentage of BOLD signal change
Standard Deviation 0.41
0.05 percentage of BOLD signal change
Standard Deviation 0.54
0.21 percentage of BOLD signal change
Standard Deviation 0.33

Adverse Events

PTSD Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

PTSD Oxytocin

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Resilient Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Resilient Oxytocin

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Megan Moran-Santa Maria

MUSC

Phone: 843-817-6233

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place