Cognitive Process-based Real-time fMRI Neurofeedback in MDD and Rumination

NCT ID: NCT04941066

Last Updated: 2023-01-18

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

44 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-01

Study Completion Date

2022-03-31

Brief Summary

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The purpose of this study is to assess the feasibility and efficacy of real-time fMRI neurofeedback for rumination.

Detailed Description

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Neuroimaging MRI techniques for measuring brain structure, tissue composition, and Blood Oxygenation Level Dependent functional Magnetic Resonance imaging (BOLD fMRI) will be used to measure task-dependent and task-independent brain hemodynamic and electrophysiological changes in human subjects with major depressive disorders (MDD).

After being informed about the study and potential risks, all participants giving written informed consent will undergo one session of the cognitive process-based fMRI neurofeedback (CNF) targeting the rumination-related brain functional connectivity, and a one-week follow-up. Participants will be randomized in a double-blind manner (participant and investigator) in a 1:1 ratio to Active (receiving feedback from their own brain activity) or Sham (receiving artificially generated feedback).

Conditions

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Depression Anxiety

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants are randomly assigned to a cognitive process-based real-time fMRI neurofeedback (CNF) or a sham condition.
Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Active neurofeedback

Receiving feedback signals from the rumination-related brain functional connectivity.

Group Type EXPERIMENTAL

Active neurofeedback

Intervention Type BEHAVIORAL

The session will be done on an individual basis. The active group will receive neurofeedback training from the rumination-related brain functional connectivity.

Sham neurofeedback

Receiving artificially generated feedback signals.

Group Type SHAM_COMPARATOR

Sham neurofeedback

Intervention Type BEHAVIORAL

The session will be done on an individual basis. The sham group will receive neurofeedback training from an artificially generated random feedback signal.

Interventions

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Active neurofeedback

The session will be done on an individual basis. The active group will receive neurofeedback training from the rumination-related brain functional connectivity.

Intervention Type BEHAVIORAL

Sham neurofeedback

The session will be done on an individual basis. The sham group will receive neurofeedback training from an artificially generated random feedback signal.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Good general health
* DSM-5 diagnosis of major depressive disorder (MDD)

Exclusion Criteria

* Pregnancy

Medical Conditions:

* Moderate to severe traumatic brain injury (\>30 min. loss of consciousness or \>24 hours posttraumatic amnesia) or other neurocognitive disorder with evidence of neurological deficits.
* Presence of co-morbid medical conditions not limited to but including cardiovascular (e.g., history of acute coronary event, stroke) and neurological diseases (e.g., Parkinson's disease), as well as pain disorders.
* Presence of an uncontrolled medical condition that is deemed by the investigators to interfere with the proposed study procedures, or to put the study participant at undue risk.

Psychiatric Disorders:

* Current severe suicidal ideation or attempt within the past 12 months.
* Psychosis
* Bipolar disorder
* Substance abuse or dependence within the previous 6 months

Contraindications for MRI:

* Bodily implants of unsafe paramagnetic materials such as pace-makers and aneurysm clips.
* Claustrophobia that is severe enough to preclude MRI scanning.

Medications:

* Evidence of recreational drug use from a urine test.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Laureate Institute for Brain Research, Inc.

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Salvador Guinjoan, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Laureate Institute for Brain Research

Locations

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Laureate Institute for Brain Research

Tulsa, Oklahoma, United States

Site Status

Countries

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United States

Other Identifiers

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2021-002

Identifier Type: -

Identifier Source: org_study_id

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