Effects of Seven Day Prucalopride Administration in Healthy Volunteers

NCT ID: NCT03572790

Last Updated: 2022-11-18

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

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-06-11

Study Completion Date

2019-05-17

Brief Summary

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This study will investigate whether seven days administration of the serotonin receptor subtype 4 (5-HT4) partial agonist prucalopride has effects on emotional processing and neural activity in healthy volunteers, compared to placebo administration. Using an experimental medicine approach, the effects of prucalopride on cognitive biomarkers of antidepressant action will be characterised. In a double-blind design, participants will be randomised to receive seven days administration of either prucalopride (1mg daily) or placebo. All participants will come for a Screening visit, Research Visit One (including an MRI scan) and Research Visit Two (including measures of emotional processing and non-emotional cognition). The primary study hypothesis is that seven-day prucalopride administration will have positive effects on emotional processing and reward sensitivity. A secondary hypothesis is that seven-day prucalopride administration will alter non-emotional cognition. Finally, the study will test the hypothesis that seven day prucalopride administration will alter neural activity during an emotional faces task and a memory task.

Detailed Description

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Conditions

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Molecular Mechanisms of Pharmacological Action Depression Depressive Disorder Mood Disorders Mental Disorders Antidepressive Agents Cognition

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants will be randomly allocated to one of two groups (prucalopride or placebo). Participants in the prucalopride group will receive 1mg once daily for seven days. Participants in the placebo group will receive a lactose placebo once daily for seven days. Note that the study is not assessing the safety or efficacy of prucalopride, rather it is using prucalopride to assess the behavioural and neural effects of 5-HT4 partial agonists.
Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Prucalopride

Group Type EXPERIMENTAL

Prucalopride

Intervention Type DRUG

1mg prucalopride capsule, once daily for seven days

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Lactose placebo capsule, once daily for seven days

Interventions

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Prucalopride

1mg prucalopride capsule, once daily for seven days

Intervention Type DRUG

Placebo

Lactose placebo capsule, once daily for seven days

Intervention Type OTHER

Other Intervention Names

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Resolor

Eligibility Criteria

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Inclusion Criteria

* Participant is willing and able to give informed consent for participation in the study
* Male or female
* Aged 18-40 years
* Sufficiently fluent English to understand and complete the task
* Right handed
* Body Mass Index in the range of 18-30
* Not currently taking any medications (except the contraceptive pill)

Exclusion Criteria

* Not fluent in English
* Any past or current Axis 1 DSM-V psychiatric disorder
* Current usage of psychoactive medication (except the contraceptive pill, the Depo-Provera injection or the progesterone implant)
* Current usage of any medication that will influence the MRI scan
* Current or past history of drug or alcohol dependency
* Currently pregnant or breastfeeding
* Study visits due to take place during the pre-menstrual week (female participants asked details of their menstrual cycle to schedule the study outside this week)
* Not right handed
* Body Mass Index outside the range of 18-30
* History of cardiac, thyroid, or liver problems
* An autoimmune disorder
* Current, or a history of, gastro-intestinal disorder or irritable bowel syndrome
* Epilepsy
* Known lactate deficiency or any other problem absorbing lactose, galactose, or glucose
* Participation in a study which uses the same computer tasks as those used in the present study
* Participation in a study that involves the use of a medication within the last three months
* Smoker \> 5 cigarettes per day
* Typically drinks \> 6 caffeinated drinks per day
* Any contraindication to MRI scanning (e.g. metal objects in the body, pacemakers, significant claustrophobia)
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Oxford

OTHER

Sponsor Role lead

Responsible Party

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drsusannahmurphy

Senior Research Fellow

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Susannah E Murphy, DPhil

Role: PRINCIPAL_INVESTIGATOR

University of Oxford

Locations

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University of Oxford

Oxford, , United Kingdom

Site Status

Countries

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United Kingdom

References

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de Cates AN, Martens MAG, Wright LC, Gibson D, Spitz G, Gould van Praag CD, Suri S, Cowen PJ, Murphy SE, Harmer CJ. 5-HT4 Receptor Agonist Effects on Functional Connectivity in the Human Brain: Implications for Procognitive Action. Biol Psychiatry Cogn Neurosci Neuroimaging. 2023 Nov;8(11):1124-1134. doi: 10.1016/j.bpsc.2023.03.014. Epub 2023 Apr 23.

Reference Type DERIVED
PMID: 37098409 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Related Links

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http://www.perloxford.org

Psychopharmacology and Emotion Research Laboratory

Other Identifiers

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Pruc_7d

Identifier Type: -

Identifier Source: org_study_id

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