Trial Outcomes & Findings for Morning Light Treatment for Traumatic Stress: The Role of Amygdala Reactivity (NCT NCT04117347)

NCT ID: NCT04117347

Last Updated: 2024-12-27

Results Overview

Participants completed the Emotional Faces Assessment Task (EFAT) during the fMRI scan. The average blood-oxygen-level-dependent (BOLD) signal change between the display of negative faces versus display of shapes was derived for the left and right amygdala separately. Higher levels indicate greater amygdala reactivity to negative faces versus display of shapes.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

50 participants

Primary outcome timeframe

Baseline and treatment week 2 and treatment week 4

Results posted on

2024-12-27

Participant Flow

Four participants withdrew after study enrollment but before randomization.

Participant milestones

Participant milestones
Measure
Light Therapy A Via the Re-Timer®
-15 minutes/day Light therapy A via the Re-Timer®: Subjects conducted light treatment in the mornings at home.
Light Therapy B Via the Re-Timer®
-30 minutes/day Light therapy B via the Re-Timer®: Subjects conducted light treatment in the mornings at home.
Light Therapy C Via the Re-Timer®
-60 minutes/day Light therapy C via the Re-Timer®: Subjects conducted light treatment in the mornings at home.
Overall Study
STARTED
15
15
16
Overall Study
COMPLETED
14
13
15
Overall Study
NOT COMPLETED
1
2
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Light Therapy A Via the Re-Timer®
-15 minutes/day Light therapy A via the Re-Timer®: Subjects conducted light treatment in the mornings at home.
Light Therapy B Via the Re-Timer®
-30 minutes/day Light therapy B via the Re-Timer®: Subjects conducted light treatment in the mornings at home.
Light Therapy C Via the Re-Timer®
-60 minutes/day Light therapy C via the Re-Timer®: Subjects conducted light treatment in the mornings at home.
Overall Study
Adverse Event
0
0
1
Overall Study
No time for study
0
2
0
Overall Study
Family emergency
1
0
0

Baseline Characteristics

Data from some participants were lost due to poor task performance in the fMRI. This included 0 participants in the Light Therapy A group (15 minute), 1 participant in the Light Therapy B group (30 minute) and 2 participants in the Light Therapy C group (60 minute).

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Light Therapy A Via the Re-Timer®
n=15 Participants
-15 minutes/day Light therapy A via the Re-Timer®: Subjects conducted light treatment in the mornings at home.
Light Therapy B Via the Re-Timer®
n=15 Participants
-30 minutes/day Light therapy B via the Re-Timer®: Subjects conducted light treatment in the mornings at home.
Light Therapy C Via the Re-Timer®
n=16 Participants
-60 minutes/day Light therapy C via the Re-Timer®: Subjects conducted light treatment in the mornings at home.
Total
n=46 Participants
Total of all reporting groups
Age, Continuous
34.10 years
STANDARD_DEVIATION 12.03 • n=15 Participants
36.45 years
STANDARD_DEVIATION 10.58 • n=15 Participants
30.69 years
STANDARD_DEVIATION 8.85 • n=16 Participants
33.68 years
STANDARD_DEVIATION 10.57 • n=46 Participants
Sex: Female, Male
Female
12 Participants
n=15 Participants
12 Participants
n=15 Participants
10 Participants
n=16 Participants
34 Participants
n=46 Participants
Sex: Female, Male
Male
3 Participants
n=15 Participants
3 Participants
n=15 Participants
6 Participants
n=16 Participants
12 Participants
n=46 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=15 Participants
2 Participants
n=15 Participants
1 Participants
n=16 Participants
4 Participants
n=46 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
14 Participants
n=15 Participants
13 Participants
n=15 Participants
15 Participants
n=16 Participants
42 Participants
n=46 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=15 Participants
0 Participants
n=15 Participants
0 Participants
n=16 Participants
0 Participants
n=46 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=15 Participants
0 Participants
n=15 Participants
1 Participants
n=16 Participants
2 Participants
n=46 Participants
Race (NIH/OMB)
Asian
0 Participants
n=15 Participants
1 Participants
n=15 Participants
2 Participants
n=16 Participants
3 Participants
n=46 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=15 Participants
0 Participants
n=15 Participants
0 Participants
n=16 Participants
0 Participants
n=46 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=15 Participants
1 Participants
n=15 Participants
0 Participants
n=16 Participants
3 Participants
n=46 Participants
Race (NIH/OMB)
White
12 Participants
n=15 Participants
12 Participants
n=15 Participants
13 Participants
n=16 Participants
37 Participants
n=46 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=15 Participants
1 Participants
n=15 Participants
0 Participants
n=16 Participants
1 Participants
n=46 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=15 Participants
0 Participants
n=15 Participants
0 Participants
n=16 Participants
0 Participants
n=46 Participants
Region of Enrollment
United States
15 Participants
n=15 Participants
15 Participants
n=15 Participants
16 Participants
n=16 Participants
46 Participants
n=46 Participants
fMRI BOLD signal change in amygdala
fMRI BOLD signal change in left amygdala
0.1311 beta weight
STANDARD_DEVIATION 0.0816 • n=15 Participants • Data from some participants were lost due to poor task performance in the fMRI. This included 0 participants in the Light Therapy A group (15 minute), 1 participant in the Light Therapy B group (30 minute) and 2 participants in the Light Therapy C group (60 minute).
0.1410 beta weight
STANDARD_DEVIATION 0.0822 • n=14 Participants • Data from some participants were lost due to poor task performance in the fMRI. This included 0 participants in the Light Therapy A group (15 minute), 1 participant in the Light Therapy B group (30 minute) and 2 participants in the Light Therapy C group (60 minute).
0.2065 beta weight
STANDARD_DEVIATION 0.1333 • n=14 Participants • Data from some participants were lost due to poor task performance in the fMRI. This included 0 participants in the Light Therapy A group (15 minute), 1 participant in the Light Therapy B group (30 minute) and 2 participants in the Light Therapy C group (60 minute).
0.1589 beta weight
STANDARD_DEVIATION 0.1047 • n=43 Participants • Data from some participants were lost due to poor task performance in the fMRI. This included 0 participants in the Light Therapy A group (15 minute), 1 participant in the Light Therapy B group (30 minute) and 2 participants in the Light Therapy C group (60 minute).
fMRI BOLD signal change in amygdala
fMRI BOLD signal change in right amygdala
0.1611 beta weight
STANDARD_DEVIATION 0.1577 • n=15 Participants • Data from some participants were lost due to poor task performance in the fMRI. This included 0 participants in the Light Therapy A group (15 minute), 1 participant in the Light Therapy B group (30 minute) and 2 participants in the Light Therapy C group (60 minute).
0.1800 beta weight
STANDARD_DEVIATION 0.0936 • n=14 Participants • Data from some participants were lost due to poor task performance in the fMRI. This included 0 participants in the Light Therapy A group (15 minute), 1 participant in the Light Therapy B group (30 minute) and 2 participants in the Light Therapy C group (60 minute).
0.1858 beta weight
STANDARD_DEVIATION 0.0812 • n=14 Participants • Data from some participants were lost due to poor task performance in the fMRI. This included 0 participants in the Light Therapy A group (15 minute), 1 participant in the Light Therapy B group (30 minute) and 2 participants in the Light Therapy C group (60 minute).
0.1753 beta weight
STANDARD_DEVIATION 0.1147 • n=43 Participants • Data from some participants were lost due to poor task performance in the fMRI. This included 0 participants in the Light Therapy A group (15 minute), 1 participant in the Light Therapy B group (30 minute) and 2 participants in the Light Therapy C group (60 minute).

PRIMARY outcome

Timeframe: Baseline and treatment week 2 and treatment week 4

Population: Four participants discontinued the study after randomization: 2 no time for study (Light Therapy B group -30 minute), 1 family emergency (Light Therapy A group - 15 minute), 1 light-triggered headaches (Light Therapy C group - 60 minute). Some participants were not scanned at week 2 due to various reasons (e.g. weather, available funding).

Participants completed the Emotional Faces Assessment Task (EFAT) during the fMRI scan. The average blood-oxygen-level-dependent (BOLD) signal change between the display of negative faces versus display of shapes was derived for the left and right amygdala separately. Higher levels indicate greater amygdala reactivity to negative faces versus display of shapes.

Outcome measures

Outcome measures
Measure
Light Therapy A Via the Re-Timer®
n=14 Participants
-15 minutes/day Light therapy A via the Re-Timer®: Subjects conducted light treatment in the mornings at home.
Light Therapy B Via the Re-Timer®
n=12 Participants
-30 minutes/day Light therapy B via the Re-Timer®: Subjects conducted light treatment in the mornings at home.
Light Therapy C Via the Re-Timer®
n=13 Participants
-60 minutes/day Light therapy C via the Re-Timer®: Subjects conducted light treatment in the mornings at home.
Change in Amygdala Reactivity as Measured by Blood-oxygen-level-dependent (BOLD) Functional Magnetic Resonance Imaging (fMRI) Signal
After 4 weeks of light treatment (right amygdala)
0.1087 beta weights
Standard Deviation 0.1159
0.1107 beta weights
Standard Deviation 0.1141
0.1303 beta weights
Standard Deviation 0.0905
Change in Amygdala Reactivity as Measured by Blood-oxygen-level-dependent (BOLD) Functional Magnetic Resonance Imaging (fMRI) Signal
Baseline (left amygdala)
0.1287 beta weights
Standard Deviation 0.0842
0.1532 beta weights
Standard Deviation 0.0828
0.2134 beta weights
Standard Deviation 0.1362
Change in Amygdala Reactivity as Measured by Blood-oxygen-level-dependent (BOLD) Functional Magnetic Resonance Imaging (fMRI) Signal
After 2 weeks of light treatment (left amygdala)
0.1048 beta weights
Standard Deviation 0.0770
0.1248 beta weights
Standard Deviation 0.0855
0.0806 beta weights
Standard Deviation 0.1582
Change in Amygdala Reactivity as Measured by Blood-oxygen-level-dependent (BOLD) Functional Magnetic Resonance Imaging (fMRI) Signal
After 4 weeks of light treatment (left amygdala)
0.1155 beta weights
Standard Deviation 0.0927
0.1191 beta weights
Standard Deviation 0.1047
0.1375 beta weights
Standard Deviation 0.1399
Change in Amygdala Reactivity as Measured by Blood-oxygen-level-dependent (BOLD) Functional Magnetic Resonance Imaging (fMRI) Signal
Baseline (right amygdala)
0.1437 beta weights
Standard Deviation 0.1480
0.1969 beta weights
Standard Deviation 0.0882
0.1899 beta weights
Standard Deviation 0.0830
Change in Amygdala Reactivity as Measured by Blood-oxygen-level-dependent (BOLD) Functional Magnetic Resonance Imaging (fMRI) Signal
After 2 weeks of light treatment (right amygdala)
0.1104 beta weights
Standard Deviation 0.0715
0.1176 beta weights
Standard Deviation 0.1042
0.1012 beta weights
Standard Deviation 0.0716

Adverse Events

Light Therapy A Via the Re-Timer®

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

Light Therapy B Via the Re-Timer®

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

Light Therapy C Via the Re-Timer®

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Light Therapy A Via the Re-Timer®
n=15 participants at risk
-15 minutes/day Light therapy A via the Re-Timer®: Subjects conducted light treatment in the mornings at home.
Light Therapy B Via the Re-Timer®
n=15 participants at risk
-30 minutes/day Light therapy B via the Re-Timer®: Subjects conducted light treatment in the mornings at home.
Light Therapy C Via the Re-Timer®
n=16 participants at risk
-60 minutes/day Light therapy C via the Re-Timer®: Subjects conducted light treatment in the mornings at home.
General disorders
Light-triggered headache
0.00%
0/15 • 4 weeks
0.00%
0/15 • 4 weeks
6.2%
1/16 • 4 weeks

Additional Information

Dr. Helen Burgess

University of Michigan

Phone: 734-615-8303

Results disclosure agreements

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