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Clinical Trials/NCT04384562
NCT04384562
Completed
Not Applicable

Studying the Role of Brain Molecules for Decision Making

University of Zurich1 site in 1 country160 target enrollmentDecember 17, 2020

Overview

Phase
Not Applicable
Intervention
Methylphenidate
Conditions
Decision Making
Sponsor
University of Zurich
Enrollment
160
Locations
1
Primary Endpoint
Response time data
Status
Completed
Last Updated
last year

Overview

Brief Summary

The aim of the present project is to elucidate the neuropharmacological mechanisms underlying value (choice preference) and attention (choice randomness) processing in humans. More specifically, the investigators test whether dopaminergic, noradrenergic and cholinergic interventions affect neural and behavioral processing of valuation and attention during decision-making. The investigators do this by up-regulating dopaminergic, noradrenergic or cholinergic neurotransmission pharmacologically through administration of methylphenidate, reboxetine, or nicotine. We test the hypothesis that methylphenidate, reboxetine, or nicotine reduce choice randomness and that this effect is underpinned by an effect on attention and/or value processing.

Detailed Description

To simultaneously assess and dissociate choice preference and randomness in stable environments, the investigators plan to use two tasks: (1) a variant of the RISKGARP task, a well-established risky decision-making task and (2) a modified Becker-DeGroot-Marshak task that measures choice preference and the width of preference representations with the range of willingness to pay procedure (range-WTP). Note that wider representations should result in more choice randomness. The investigators will assess choice randomness also by repeating the same decision questions several times within each task and by relating the preferences measured by the RISKGARP task to those measured by the range-BDM task by using the same options in both tasks. To assess the impact of changing environments and learning on choice preference and randomness, participants will perform two established exploration/exploitation tasks. One (3) is a foraging task that has been combined with different pharmacological manipulations and the other (4) is a variant of the four-armed bandit task, which allows distinguishing value- or information-based exploration from random choice. Blood and saliva samples may be taken. Blood samples may be used to determine levels of the administrated substances and to assess genetic variation. Saliva samples may be used to determine cortisol and testosterone levels.

Registry
clinicaltrials.gov
Start Date
December 17, 2020
End Date
December 13, 2021
Last Updated
last year
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Physically and psychiatrically healthy (as defined by exclusion criteria) men and women aged 18-35 years
  • Ability and willingness to participate in the study
  • Willingness to not eat or drink any food/beverage containing caffeine or alcohol 12 hours prior to the administration of study medication (asked in screening session)
  • Willingness to not eat or drink grapefruit or grapefruit related citrus fruits (e.g., Seville oranges, pomelos) from 7 days prior to the administration of study medication (asked in screening session)
  • Good command of English language (be able to understand the task instructions and in the unlikely case of adverse effects inform the examiner)
  • Signed informed consent

Exclusion Criteria

  • Serious past brain disease or injury
  • Frequent headaches (of any sort, \> 1/week) or migraine (irrespective of frequency)
  • History of epileptic seizures
  • Any neurological disorder
  • Surgery to head or heart (MRI safety, potential metal pieces)
  • Pacemaker, hearing aid or neurostimulator (MRI safety, metal pieces)
  • Known cardiac or cardiovascular disease or anomaly
  • Family history of sudden death due to cardiac arrhythmia
  • High or low blood pressure, history of heart attack, infrequent heartbeat
  • Respiratory problems (including difficulty with breathing through the nose)

Arms & Interventions

Dopamine reuptake inhibitor

Participants in the dopamine reuptake inhibitor group will be asked to take one pill containing 20 mg methylphenidate 1.5 hours before the experimental session. One hour later (30 minutes before testing begins), participants will be asked to chew a placebo gum.

Intervention: Methylphenidate

Dopamine reuptake inhibitor

Participants in the dopamine reuptake inhibitor group will be asked to take one pill containing 20 mg methylphenidate 1.5 hours before the experimental session. One hour later (30 minutes before testing begins), participants will be asked to chew a placebo gum.

Intervention: Placebo gum

Noradrenaline reuptake inhibitor

Participants in the noradrenaline reuptake inhibitor group will be asked to take one pill containing 4 mg reboxetine 1.5 hours before the experimental session. One hour later (30 minutes before testing begins), participants will be asked to chew a placebo gum.

Intervention: Reboxetine

Noradrenaline reuptake inhibitor

Participants in the noradrenaline reuptake inhibitor group will be asked to take one pill containing 4 mg reboxetine 1.5 hours before the experimental session. One hour later (30 minutes before testing begins), participants will be asked to chew a placebo gum.

Intervention: Placebo gum

Cholinergic receptor agonist

Participants in the cholinergic receptor agonist group will be asked to take a placebo pill 1.5 hours before the experimental session. One hour later (30 minutes before testing begins), participants will be asked to chew a gum with 2 mg of nicotine.

Intervention: Nicotine gum

Cholinergic receptor agonist

Participants in the cholinergic receptor agonist group will be asked to take a placebo pill 1.5 hours before the experimental session. One hour later (30 minutes before testing begins), participants will be asked to chew a gum with 2 mg of nicotine.

Intervention: Placebo pill

Placebo

Participants in the placebo group will be asked to take a placebo pill 1.5 hours before the experimental session. One hour later (30 minutes before testing begins), participants will be asked to chew a placebo gum.

Intervention: Placebo pill

Placebo

Participants in the placebo group will be asked to take a placebo pill 1.5 hours before the experimental session. One hour later (30 minutes before testing begins), participants will be asked to chew a placebo gum.

Intervention: Placebo gum

Outcomes

Primary Outcomes

Response time data

Time Frame: All participants perform decision-making tasks after drug/placebo administration in the main experimental session lasting about 1 hour.

Response times are measured from experimental tasks. The investigators calculate how long participants take to make decisions in each trial.

Choice data

Time Frame: All participants perform decision-making tasks after drug/placebo administration in the main experimental session lasting about 1 hour.

Choice data made by participants are measured from the experimental tasks. More specifically, the investigators calculate choice preferences, such as the percentage of trials in which participants chose options with probabilistic outcomes in the RISKGARP task and the bids they made in the Range-WTP task, the percentage of exploitative/explorative choices in the four-armed bandit task, and the leaving time in the foraging task. Moreover, the investigators determine choice sub-optimality, such as the number of choices violating transitivity in the RISKGARP task, the inconsistency of bids in repeated trials in the Range-WTP task, the percentage of selecting the worst option in the four-armed bandit task, and the difference between optimal leaving time and actual leaving time in the foraging task.

Secondary Outcomes

  • The size of pupil dilation(Pupil size is measured in the main experimental session before drug/placebo administration and through study completion lasting about 1 hour.)

Study Sites (1)

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