Effects of Pregnenolone on Perceived Social Isolation

NCT ID: NCT02826577

Last Updated: 2024-05-16

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

34 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-05-01

Study Completion Date

2022-12-21

Brief Summary

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No studies to date have examined the effects of pregnenolone on hypervigilance for social threat in individuals with perceived social isolation (PSI). We therefore are conducting a double-blind randomized research study combining three validated behavioral paradigms on social threat attention, perception of others, and emotion regulation with high-density electrical neuroimaging to probe the neuro-circuitry of social threat processing in young adults high in perceived social isolation two hours after the oral administration of 175mg pregnenolone (N = 24), 400mg of pregnenolone (N = 24), or placebo (N = 24). Such research has the potential to yield important insights into the neurobehavioral mechanisms of pregnenolone on hypervigilance for social threat and perception of others--- a first key step toward the development of adjunctive pregnenolone therapy in individuals with PSI.

Detailed Description

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Conditions

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Perceived Social Isolation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Pregnenolone 175mg

\- Single dose of 175mg

Group Type ACTIVE_COMPARATOR

Pregnenolone 175mg

Intervention Type DRUG

Single Dose 175mg

Pregnenolone 400mg

\- Single dose of 400mg

Group Type ACTIVE_COMPARATOR

Pregnenolone 400mg

Intervention Type DRUG

Single Dose 400mg

Placebo

\- Single dose of placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Single Dose

Matched healthy controls

\- No intervention

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Pregnenolone 175mg

Single Dose 175mg

Intervention Type DRUG

Pregnenolone 400mg

Single Dose 400mg

Intervention Type DRUG

Placebo

Single Dose

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age 21-80
* At least a score of 42 on the UCLA Loneliness scale.
* Right handed
* Normal or corrected eye sight

Exclusion Criteria

* Medical history of cancer
* Steroid use
* Psychotropic drugs
* History of heart irregularities
* Have a counter indication to EEG
* Age \<21 or \>32
* Score less than 42 on UCLA loneliness scale
* Left handed
* Meet MINI criteria for anything but untreated major depressive disorder
* Uncorrected vision
* Current or past neurological disorder including epilepsy or traumatic brain injury
* Have a counter indication to electrical neuroimaging
* Under hormonal therapy (including, but not limited to, testosterone)
* Unstable mental illness
* History of bipolar disorder, schizophrenia, or psychotic disorder
* Current or recent (past 3 months) substance use or dependence
* Currently taking any medications that may have unfavorable interactions with pregnenolone
Minimum Eligible Age

21 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Chicago

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Stephanie Cacioppo, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Chicago

Locations

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University of Chicago

Chicago, Illinois, United States

Site Status

Countries

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United States

References

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Cacioppo S, Cacioppo JT. Why may allopregnanolone help alleviate loneliness? Med Hypotheses. 2015 Dec;85(6):947-52. doi: 10.1016/j.mehy.2015.09.004. Epub 2015 Sep 5.

Reference Type BACKGROUND
PMID: 26365247 (View on PubMed)

Cacioppo S, Capitanio JP, Cacioppo JT. Toward a neurology of loneliness. Psychol Bull. 2014 Nov;140(6):1464-504. doi: 10.1037/a0037618. Epub 2014 Sep 15.

Reference Type BACKGROUND
PMID: 25222636 (View on PubMed)

Pibiri F, Nelson M, Guidotti A, Costa E, Pinna G. Decreased corticolimbic allopregnanolone expression during social isolation enhances contextual fear: A model relevant for posttraumatic stress disorder. Proc Natl Acad Sci U S A. 2008 Apr 8;105(14):5567-72. doi: 10.1073/pnas.0801853105. Epub 2008 Apr 7.

Reference Type BACKGROUND
PMID: 18391192 (View on PubMed)

Porcu P, O'Buckley TK, Leslie Morrow A, Adinoff B. Differential hypothalamic-pituitary-adrenal activation of the neuroactive steroids pregnenolone sulfate and deoxycorticosterone in healthy controls and alcohol-dependent subjects. Psychoneuroendocrinology. 2008 Feb;33(2):214-26. doi: 10.1016/j.psyneuen.2007.11.003. Epub 2007 Dec 21.

Reference Type BACKGROUND
PMID: 18096321 (View on PubMed)

Rasmusson AM, Pinna G, Paliwal P, Weisman D, Gottschalk C, Charney D, Krystal J, Guidotti A. Decreased cerebrospinal fluid allopregnanolone levels in women with posttraumatic stress disorder. Biol Psychiatry. 2006 Oct 1;60(7):704-13. doi: 10.1016/j.biopsych.2006.03.026. Epub 2006 Aug 24.

Reference Type BACKGROUND
PMID: 16934764 (View on PubMed)

Crowley SK, O'Buckley TK, Schiller CE, Stuebe A, Morrow AL, Girdler SS. Blunted neuroactive steroid and HPA axis responses to stress are associated with reduced sleep quality and negative affect in pregnancy: a pilot study. Psychopharmacology (Berl). 2016 Apr;233(7):1299-310. doi: 10.1007/s00213-016-4217-x. Epub 2016 Feb 9.

Reference Type BACKGROUND
PMID: 26856852 (View on PubMed)

Gross JJ, John OP. Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. J Pers Soc Psychol. 2003 Aug;85(2):348-62. doi: 10.1037/0022-3514.85.2.348.

Reference Type BACKGROUND
PMID: 12916575 (View on PubMed)

Marx CE, Keefe RS, Buchanan RW, Hamer RM, Kilts JD, Bradford DW, Strauss JL, Naylor JC, Payne VM, Lieberman JA, Savitz AJ, Leimone LA, Dunn L, Porcu P, Morrow AL, Shampine LJ. Proof-of-concept trial with the neurosteroid pregnenolone targeting cognitive and negative symptoms in schizophrenia. Neuropsychopharmacology. 2009 Jul;34(8):1885-903. doi: 10.1038/npp.2009.26. Epub 2009 Apr 1.

Reference Type BACKGROUND
PMID: 19339966 (View on PubMed)

Pinna G, Costa E, Guidotti A. Fluoxetine and norfluoxetine stereospecifically and selectively increase brain neurosteroid content at doses that are inactive on 5-HT reuptake. Psychopharmacology (Berl). 2006 Jun;186(3):362-72. doi: 10.1007/s00213-005-0213-2. Epub 2006 Jan 24.

Reference Type BACKGROUND
PMID: 16432684 (View on PubMed)

van Broekhoven F, Verkes RJ. Neurosteroids in depression: a review. Psychopharmacology (Berl). 2003 Jan;165(2):97-110. doi: 10.1007/s00213-002-1257-1. Epub 2002 Nov 6.

Reference Type BACKGROUND
PMID: 12420152 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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16-0834

Identifier Type: -

Identifier Source: org_study_id

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