Oxytocin, Trauma Disclosure and Intrusions

NCT ID: NCT03425929

Last Updated: 2018-02-08

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

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-06-01

Study Completion Date

2017-03-18

Brief Summary

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Severe traumatic experiences such as falling victim to assault, torture, or rape have deleterious effects. Clinical manifestations include intrusions, avoidance behavior, and hyperarousal, which are associated, at a circuit level, with hyperfunction of the amygdala and hypofunction of prefrontal cortex (PFC) subregions. In up to 50 % of the cases, resilience is not sufficient and trauma-exposed individuals develop posttraumatic stress disorder (PTSD). Oxytocin (OXT) is a hypothalamic peptide hormone that exerts anxiolytic effects. Recent clinical trials provide preliminary evidence that post-trauma administration of OXT could be effective as a preventive intervention for PTSD in a subsample of individuals exhibiting early PTSD symptoms prior to the onset of the disorder. However, the underlying neurobiological mechanisms are unclear. Therefore, the rationale of the present project is to expose a sample of healthy participants to experimental trauma in order to explore the circuit mechanisms by which OXT influences, and interferes with, traumatic experience. Functional magnetic resonance imaging (fMRI) will be employed in order to elucidate the long-term effects of intranasal OXT on trauma-induced intrusions, amygdala and PFC responses during an emotional face matching task and resting state functional connectivity.

Detailed Description

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Participants will be exposed to an experimental trauma (i.e. a highly aversive movie) at days 1 and 4 of the study. After the first experimental trauma and after the first functional magnetic resonance imaging (fMRI) measurement, the participants will receive intranasal OXT or placebo in three different groups (1. OXT for six days, 2. OXT for three days and then placebo for three days, 3. placebo for six days). The same fMRI tasks will be used after the first and second trauma exposure (i.e. one measurement before the treatment and one measurement after three days of treatment).

Conditions

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Healthy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Oxytocin (6 days)

Intranasal administration, 24 international units (IU) oxytocin for three days after the first trauma movie exposure and three days after the second trauma movie exposure (24 IU per day)

Group Type ACTIVE_COMPARATOR

Oxytocin

Intervention Type DRUG

Intranasal administration, 24 international units (IU) oxytocin.

Oxytocin (3 days)

Intranasal administration, 24 international units (IU) oxytocin for three days after the first trauma movie exposure (24 IU per day) and placebo nasal spray for three days after the second trauma movie exposure

Group Type ACTIVE_COMPARATOR

Oxytocin

Intervention Type DRUG

Intranasal administration, 24 international units (IU) oxytocin.

Placebo

Placebo nasal spray for six days

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

The placebo nasal sprays contain identical ingredients except for the peptide itself.

Interventions

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Oxytocin

Intranasal administration, 24 international units (IU) oxytocin.

Intervention Type DRUG

Placebo

The placebo nasal sprays contain identical ingredients except for the peptide itself.

Intervention Type DRUG

Other Intervention Names

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syntocinon

Eligibility Criteria

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Inclusion Criteria

* Healthy female volunteers
* Right-handed

Exclusion Criteria

* Current or past psychiatric disease
* Current or past physical illness
* Psychoactive medication
* Hormonal contraception
* MRI contraindication (e.g. metal in body, claustrophobia)
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University Hospital, Bonn

OTHER

Sponsor Role lead

Responsible Party

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Rene Hurlemann

Vice Chair of the Department of Psychiatry and Chair of the Medical Psychology Division

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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René Hurlemann, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Bonn

Locations

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Department of Psychiatry, University of Bonn

Bonn, , Germany

Site Status

Countries

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Germany

Related Links

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http://renehurlemann.squarespace.com/welcome/

Neuromodulation of Emotion (NEMO) research group

Other Identifiers

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PROXY

Identifier Type: -

Identifier Source: org_study_id

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