Deep Brain Stimulation for Obsessive-compulsive Disorder

NCT ID: NCT06628752

Last Updated: 2024-10-17

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

RECRUITING

Clinical Phase

NA

Total Enrollment

26 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-09-11

Study Completion Date

2030-12-31

Brief Summary

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The goal of this clinical trial is to evaluate the treatment method of deep brain stimulation (DBS) in patients diagnosed with severe and treatment-resistant obsessive-compulsive disorder (OCD). DBS will be administered into the brain area of the bed nucleus of stria terminalis (BNST).

The main research questions are:

* Does active DBS in BNST reduce OCD symptoms (primary outcome)?
* Does active DBS in BNST reduce anxiety or depressive symptoms and improve the level of daily function?

The participants will be randomized to active or sham DBS in the BNST for six months and we will measure the outcomes before DBS surgery, and six months post-surgery. After the randomization phase, the participants will enter an open-label phase and receive continuous DBS in BNST. Yearly follow-ups will be conducted. The outcomes will be measured through interviews using validated psychometric scales.

Detailed Description

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Conditions

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Obsessive-Compulsive Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized controlled trial.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors
The participant and the outcome assessor are blinded to whether the participant receives active or sham stimulation.

Study Groups

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Active stimulation

Deep brain stimulation - active stimulation

Group Type ACTIVE_COMPARATOR

Deep brain stimulation

Intervention Type DEVICE

Stimulation through a device implanted bilaterally into deep brain structures.

Sham stimulation

Deep brain stimulation - no stimulation

Group Type SHAM_COMPARATOR

Deep brain stimulation

Intervention Type DEVICE

Stimulation through a device implanted bilaterally into deep brain structures.

Interventions

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Deep brain stimulation

Stimulation through a device implanted bilaterally into deep brain structures.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* OCD diagnosed according to the criteria in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV).
* The patients should have received at least 16 sessions of cognitive behavioral therapy, tried three different serotonergic antidepressants in adequate doses for three months, and one serotonergic antidepressant in combination with a neuroleptic drug.
* Severe OCD symptoms: YBOCS ≥ 25 points.
* Substantial incapacity because of his/her symptoms.
* Duration of symptoms: 5 years minimum.
* Understand the consequences of participation in the study and give informed written consent.

Exclusion Criteria

* Not being able to understand the consequences of the treatment.
* Diagnosed with intellectual disability according to DSM-IV.
* Not meeting the requirements for the neurosurgery procedure.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Region Västerbotten

OTHER_GOV

Sponsor Role collaborator

Umeå University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Patric Blomstedt, Professor

Role: STUDY_CHAIR

Umeå University

Locations

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Umeå University

Umeå, Västerbotten County, Sweden

Site Status RECRUITING

Countries

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Sweden

Central Contacts

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Viktoria Johansson, PhD

Role: CONTACT

+46-90-786 50 00

Matilda Naesstrom, PhD

Role: CONTACT

+46-90-786 50 00

Facility Contacts

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Viktoria Johansson, PhD

Role: primary

+46-90-786 50 00

Matilda Naesstrom, PhD

Role: backup

+46-90-786 50 00

Patric Blomstedt, Professor

Role: backup

Other Identifiers

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19-2018

Identifier Type: -

Identifier Source: org_study_id

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