Trial Outcomes & Findings for Effect of Amygdala Neurofeedback on Depressive Symptoms and Processing Biases (NCT NCT02079610)

NCT ID: NCT02079610

Last Updated: 2017-09-25

Results Overview

Depression symptom severity rating scale. The overall score ranges on MADRS are from from 0 to 60, with higher scores indicating more severe depression. Usual cutoff points are: 0 to 6 - normal /symptom absent 7 to 19 - mild depression 20 to 34 - moderate depression \>34 - severe depression

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

36 participants

Primary outcome timeframe

baseline and 2 weeks

Results posted on

2017-09-25

Participant Flow

Participant milestones

Participant milestones
Measure
Real-time fMRI Neurofeedback: Amygdala
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. real-time fMRI neurofeedback: Amygdala: 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: HIPS
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. real-time fMRI neurofeedback: HIPS: 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.
Overall Study
STARTED
19
17
Overall Study
COMPLETED
18
16
Overall Study
NOT COMPLETED
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Real-time fMRI Neurofeedback: Amygdala
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. real-time fMRI neurofeedback: Amygdala: 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: HIPS
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. real-time fMRI neurofeedback: HIPS: 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.
Overall Study
Withdrawal by Subject
1
1

Baseline Characteristics

Effect of Amygdala Neurofeedback on Depressive Symptoms and Processing Biases

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Real-time fMRI Neurofeedback: Amygdala
n=19 Participants
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. real-time fMRI neurofeedback: Amygdala: 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: HIPS
n=17 Participants
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. real-time fMRI neurofeedback: HIPS: 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.
Total
n=36 Participants
Total of all reporting groups
Age, Continuous
32 years
STANDARD_DEVIATION 12 • n=5 Participants
31 years
STANDARD_DEVIATION 13 • n=7 Participants
31.6 years
STANDARD_DEVIATION 10.4 • n=5 Participants
Sex: Female, Male
Female
13 Participants
n=5 Participants
13 Participants
n=7 Participants
26 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
4 Participants
n=7 Participants
10 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
18 Participants
n=5 Participants
17 Participants
n=7 Participants
35 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
16 Participants
n=5 Participants
15 Participants
n=7 Participants
31 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
19 Count of participants
n=5 Participants
17 Count of participants
n=7 Participants
36 Count of participants
n=5 Participants
Montgomery-Asberg Depression Scale
23.5 units on a scale
STANDARD_DEVIATION 9.93 • n=5 Participants
23.8 units on a scale
STANDARD_DEVIATION 6.71 • n=7 Participants
23.61 units on a scale
STANDARD_DEVIATION 8.32 • n=5 Participants

PRIMARY outcome

Timeframe: baseline and 2 weeks

Population: 1 participant in each group did not complete all study visits

Depression symptom severity rating scale. The overall score ranges on MADRS are from from 0 to 60, with higher scores indicating more severe depression. Usual cutoff points are: 0 to 6 - normal /symptom absent 7 to 19 - mild depression 20 to 34 - moderate depression \>34 - severe depression

Outcome measures

Outcome measures
Measure
Real-time fMRI Neurofeedback: Amygdala
n=18 Participants
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. real-time fMRI neurofeedback: Amygdala: 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: HIPS
n=16 Participants
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. real-time fMRI neurofeedback: HIPS: 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.
Change From Baseline in Montgomery Asberg Depression Rating Scale at 2 Weeks
MADRS absolute score at Baseline
23.5 units on a scale
Standard Deviation 9.93
23.8 units on a scale
Standard Deviation 6.71
Change From Baseline in Montgomery Asberg Depression Rating Scale at 2 Weeks
MADRS absolute score at Follow-Up
11.9 units on a scale
Standard Deviation 9.02
21.9 units on a scale
Standard Deviation 8.09

SECONDARY outcome

Timeframe: baseline and 2 weeks

Population: One participant in each group did not complete all study visits

Depression symptom severity rating scale. The overall score ranges on BDI are from from 0 to 63, with higher scores indicating more severe depression. Usual cutoff points are: 0 to 13 - normal /symptom absent 14 to 19 - mild depression 20 to 28 - moderate depression \>29 - severe depression

Outcome measures

Outcome measures
Measure
Real-time fMRI Neurofeedback: Amygdala
n=18 Participants
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. real-time fMRI neurofeedback: Amygdala: 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: HIPS
n=16 Participants
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. real-time fMRI neurofeedback: HIPS: 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.
Change From Baseline Beck Depression Inventory at 2 Weeks
BDI absolute score at Baseline
27.2 units on a scale
Standard Deviation 10.7
26.6 units on a scale
Standard Deviation 13.4
Change From Baseline Beck Depression Inventory at 2 Weeks
BDI absolute score at Follow-up
16.1 units on a scale
Standard Deviation 9.66
24.3 units on a scale
Standard Deviation 12.3

SECONDARY outcome

Timeframe: baseline and 2 weeks

Population: One participant in each group did not complete all study visits

Depression symptom severity rating scale. The overall score ranges on HDRS are from from 0 to 50, with higher scores indicating more severe depression. Usual cutoff points are: 0 to 7 - normal /symptom absent 8 to 16 - mild depression 17 to 23 - moderate depression \>24 - severe depression

Outcome measures

Outcome measures
Measure
Real-time fMRI Neurofeedback: Amygdala
n=18 Participants
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. real-time fMRI neurofeedback: Amygdala: 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: HIPS
n=16 Participants
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. real-time fMRI neurofeedback: HIPS: 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.
Change From Baseline Hamilton Rating Scale for Depression at 2 Weeks
HDRS absolute score at Baseline
19.4 units on a scale
Standard Deviation 7.87
19.1 units on a scale
Standard Deviation 4.39
Change From Baseline Hamilton Rating Scale for Depression at 2 Weeks
HDRS absolute score at Follow-up
10.4 units on a scale
Standard Deviation 7.06
17.2 units on a scale
Standard Deviation 4.99

Adverse Events

Real-time fMRI Neurofeedback: Amygdala

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

Real-time fMRI Neurofeedback: HIPS

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

Kymberly Young, PhD

University of Pittsburgh School of Medicine

Phone: 412-648-6179

Results disclosure agreements

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