Researching the Effectiveness of a Alivis, a Digital Health Application for Borderline Personality Disorder

NCT ID: NCT06601907

Last Updated: 2024-09-26

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

RECRUITING

Clinical Phase

NA

Total Enrollment

470 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-09-23

Study Completion Date

2026-09-30

Brief Summary

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This randomized controlled trial (RCT) with 470 patients diagnosed with Borderline Personality Disorder (BPD) aims to investigate the effectiveness of the unguided digital therapeutic alivis for patients with BPD as defined in DSM-5. Inclusion criteria are: male, female or non-binary, age 18-65 years, diagnosis of BPD (confirmed by SCID-5-PD), borderline severity score (cut-off) of ≥ 1.07 on the Borderline Symptoms List 23 (BSL-23), stable treatment (psychotherapy, medication, no treatment, …) for at least 30 days at the time of inclusion, consent to emergency plan for suicidal crises, consent to participation, and sufficient German language skills. Exclusion criteria are: Plans to change in treatment (psychotherapy, medication, …) in the upcoming 6 months after inclusion, comorbid diagnosis of substance use disorder or lifetime diagnosis of psychotic disorder, physical condition that can cause severe psychiatric symptoms, acute decompensation of mental health, BMI \<15, and prior use of the digital intervention priovi.

Patients will be randomized and allocated to either an intervention group, in which they will receive access to alivis in addition to treatment as usual (TAU; n=235), or to a control group, in which they will receive access to TAU (n=235).

The primary endpoint will be BPD symptoms with three months post-allocation (T1) being the primary timepoint for assessment of effectiveness. Six (T2) and twelve (T3) months post-allocation will be used as follow-up assessment of endpoints. Secondary endpoints will be depressive symptoms, anxiety symptoms, costs caused due to the patient's BPD, social functioning, health-related quality of life, and patient activation.

Detailed Description

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Conditions

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Borderline Personality Disorder (BPD)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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alivis + TAU

Participants in the intervention group will receive access to alivis in addition to treatment as usual (TAU) for 12 months.

Group Type EXPERIMENTAL

alivis

Intervention Type BEHAVIORAL

alivis is an interactive online program for independent use by users with Borderline Personality Disorder. It focuses on recognized treatment elements from Dialectical Behavior Therapy, Schema Therapy, Acceptance and Commitment Therapy, and Mindfulness Self-Compassion Therapy.

TAU

Participants in the control group will receive access to treatment as usual (TAU) only. They will receive access to alivis after their last study visit (T3; 12 months after randomization).

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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alivis

alivis is an interactive online program for independent use by users with Borderline Personality Disorder. It focuses on recognized treatment elements from Dialectical Behavior Therapy, Schema Therapy, Acceptance and Commitment Therapy, and Mindfulness Self-Compassion Therapy.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of BPD
* Borderline severity score (cut-off) of ≥ 1.07 on the BSL-23
* Stable treatment (e.g., psychotherapy, medication, no treatment) for at least 30 days at the time of inclusion
* Consent to emergency plan for suicidal crises
* Consent to participation
* Sufficient knowledge of the German language

Exclusion Criteria

* Plans to change treatment (e.g., psychotherapy, medication) in the upcoming 6 months after inclusion
* Comorbid diagnosis of substance use disorder
* Lifetime diagnosis of psychotic disorder like schizophrenia or schizoaffective disorder (except non-transitory paranoid ideas that can be concomitant with BPD and in which the ability to test reality is mostly preserved)
* Diagnosis of a physical condition that can cause serious psychiatric symptoms
* Acute decompensation of mental health symptoms, e.g. acute manic state or acute suicidality
* BMI \< 15
* Current psychiatric day-care or inpatient treatment
* Prior use of the digital intervention priovi
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Zentrum für Integrative Psychiatrie

UNKNOWN

Sponsor Role collaborator

Gaia AG

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jan Philipp Klein, Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

Universität zu Lübeck, Zentrum für Integrative Psychiatrie

Locations

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GAIA

Hamburg, , Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Gitta A Jacob, PD Dr.

Role: CONTACT

+49 40 349930 374

Antje Riepenhausen, PhD

Role: CONTACT

Facility Contacts

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Gitta A Jacob, PD Dr.

Role: primary

+49 40 349930 374

Other Identifiers

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alivis RCT 2024

Identifier Type: -

Identifier Source: org_study_id

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