Presynaptic Imaging in Major Depressive Episodes After COVID-19

NCT ID: NCT06086366

Last Updated: 2023-10-17

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

UNKNOWN

Total Enrollment

90 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-08-22

Study Completion Date

2025-09-10

Brief Summary

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The goal of this observational study focuses on understanding and addressing a subset of persistent neuropsychiatric symptoms occurring within 3 months after mild to moderate COVID-19 infection (COVID-DNP). COVID-DNP encompasses major depressive episodes (MDE) with or without additional neuropsychiatric symptoms.

Detailed Description

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Participants will undergo two positron emission tomography (PET) scans, one \[11C\]DTBZ scan (for vesicular monoamine transporter 2 (VMAT2) and one \[18F\]SDM8 scan (for synaptic vesicle glycoprotein 2A (SV2A)), as well as one magnetic resonance imaging (MRI) scan.

The main question\[s\] it aims to answer are:

1. The investigators will determine if VMAT2 binding potential (VMAT2 BPND) is reduced in ventral striatum and dorsal putamen in COVID-DNP.
2. The investigators will determine if SV2A total distribution volume (SV2A VT) is reduced in ventral striatum and dorsal putamen in COVID-DNP

Conditions

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Long COVID Major Depressive Disorder Major Depressive Episode

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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COVID-DNP

Participants that have recovered from mild or moderate COVID-19 respiratory symptoms and have a new onset major depressive episode (MDE).

[11C]DTBZ PET scan

Intervention Type OTHER

One \[11C\]DTBZ scan for vesicular monoamine transporter 2 (VMAT2)

[18F]SDM8 PET scan

Intervention Type OTHER

One \[18F\]SDM8 scan for synaptic vesicle glycoprotein 2A (SV2A)

MRI scan

Intervention Type OTHER

One MRI scan

Healthy Control

Participants in good physical health, age- and sex-matched to Group 1 and 2 participants.

[11C]DTBZ PET scan

Intervention Type OTHER

One \[11C\]DTBZ scan for vesicular monoamine transporter 2 (VMAT2)

[18F]SDM8 PET scan

Intervention Type OTHER

One \[18F\]SDM8 scan for synaptic vesicle glycoprotein 2A (SV2A)

MRI scan

Intervention Type OTHER

One MRI scan

Interventions

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[11C]DTBZ PET scan

One \[11C\]DTBZ scan for vesicular monoamine transporter 2 (VMAT2)

Intervention Type OTHER

[18F]SDM8 PET scan

One \[18F\]SDM8 scan for synaptic vesicle glycoprotein 2A (SV2A)

Intervention Type OTHER

MRI scan

One MRI scan

Intervention Type OTHER

Eligibility Criteria

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Exclusion Criteria

* Age 18 to 75.
* Good general physical health with no active medical conditions based on self-report (except migraine or PASC).


* Use of antidepressants in the previous month (6 weeks for fluoxetine).
* Use of stimulant medication affecting dopamine release in the previous month
* Use of antipsychotics in the previous month
* History of neurological disease (except migraine, and PASC) based on self-report
* Use of medications or herbal products or natural health products with central nervous system effects in past 2 weeks based on self-report
* Presence of cigarette smoking in the past two months, based on self-report
* Lifetime diagnosis of severe Substance or Alcohol Use Disorder, or diagnosis of mild to moderate Substance or Alcohol Use Disorder in the past two years, based on self-report and verified by the Research Version of Structured Clinical Interview for Diagnostic and Statistical Manual-5 (SCID-5-RV)
* Use of recreational drugs, including marijuana, in the past two months, based on self-report and verified by the Research Version of Structured Clinical Interview for Diagnostic and Statistical Manual-5 (SCID-5-RV)
* Positive urine drug or cotinine screen at any timepoint during the study
* History of psychotic symptoms secondary to schizophrenia, schizophreniform, bipolar disorder, or brief psychotic disorder prior to COVID-19, based on self-report and verified by the Research Version of Structured Clinical Interview for Diagnostic and Statistical Manual-5 (SCID-5-RV)
* Currently pregnant, based on self-report or positive pregnancy test at any timepoint during the study, in females (in our PET Centre females up to 65 years of age are given a urine pregnancy test prior to every PET scan)
* Breastfeeding (for females)
* Current disorders of coagulation, blood or ongoing use of anticoagulant medication, based on self-report
* Claustrophobia, based on self-report
* Weight over 400lbs and height over 7ft (requirements for fitting in the scanners and hospital gowns)
* Presence of metal implant, object or electrical devices that are contraindicated for MRI, based on self-report
* Severe allergic reaction to alcohol
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Centre for Addiction and Mental Health

OTHER

Sponsor Role lead

Responsible Party

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Jeff Meyer

Scientist and Head, Neurochemical Imaging Program in Mood and Anxiety Disorders, Brain Health Imaging Centre, Campbell Family Mental Health Research Institute

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jeffrey Meyer, M.D., PhD

Role: PRINCIPAL_INVESTIGATOR

Centre for Addiction and Mental Health

Locations

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Centre for Addiction and Mental Health

Toronto, Ontario, Canada

Site Status RECRUITING

Countries

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Canada

Central Contacts

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Karida Liu

Role: CONTACT

416-535-8501 ext. 39674

Jeffrey Meyer

Role: CONTACT

416-535-8501 ext. 34007

Facility Contacts

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Yuhan Liu

Role: primary

(416) 535-8501 ext. 39674

Other Identifiers

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REB#201/2022

Identifier Type: -

Identifier Source: org_study_id

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