Deep Brain Stimulation of Nucleus Accumbens for Methamphetamine Addiction
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Treatment Methamphetamine Addiction
- Sponsor
- Ruijin Hospital
- Enrollment
- 10
- Locations
- 1
- Primary Endpoint
- change in 10-point visual analog scale of carving
- Last Updated
- 7 years ago
Overview
Brief Summary
The main objective of this study is to assess the efficacy of bilateral deep brain stimulation (DBS) of the Nucleus Accumbens(NAc) as a novel treatment in severe methamphetamine addiction. Our hypothesis is that bilateral DBS of the NAc will significantly reduce the craving for methamphetamine.
Investigators
Bomin Sun
Director of the Department of Functional Neurosurgery
Ruijin Hospital
Eligibility Criteria
Inclusion Criteria
- •DSM-IV-TR diagnosis of Drug addiction disorder;
- •Age 18-65 years old;
- •Proficiency in Mandarin language;
- •Failure to detox more than three times;
- •Capacity to provide informed consent (understanding of the study purpose and methods);
Exclusion Criteria
- •Multidrug abuse and formation of addiction;
- •Serious and unstable organic diseases (e.g. unstable coronal heart disease);
- •Any history of seizure disorder or hemorrhagic stroke;
- •Past stereotactic neurosurgical intervention;
- •Neurological disease (Abnormal PET-CT, MRI, EEG)
- •Contraindications of MRI-examination, e.g. implanted cardiac pacemaker/ heart defibrillator;
- •Contraindications of stereotactic intervention, e.g. increased bleeding disposition, cerebrovascular diseases (e.g. arteriovenous malfunction, aneurysms, systemic vascular diseases);
- •HIV positive;
- •Pregnancy and/or lactation;
Outcomes
Primary Outcomes
change in 10-point visual analog scale of carving
Time Frame: Baseline (preoperative),3 months,6 months, 12 months
The score of scale is from 0 to 10. 0 represents no carving for drug, 10 means the greatest degree of carving for drug.
change in Obsessive Compulsive Drug Use Scale
Time Frame: Baseline (preoperative),3 months,6 months, 12 months
Secondary Outcomes
- Change in the Hamilton Anxiety Scale(Baseline(preoperative),3 months, 6 months, 12months)
- Change in the Hamilton Depression Scale(Baseline(preoperative),3 months, 6 months, 12 months)
- Change in the Quality of Life Assessment (SF-36)(Baseline(preoperative),3 months, 6 months, 12 months)
- Chang in Pittsburgh Sleep Quality Index(Baseline(preoperative),3 months,6 months, 12 months)
- Neuropsychological measures(Scores of cognitive battery)(Baseline(preoperative),6 months,12 months)
- Side Effect(Baseline(preoperative),3 months, 6 months, 12months)
- Change in World Health Organization Quality of Life-BREF(WHO-BREF)(Baseline(preoperative),3 months,6 months, 12 months)
- Change in Fagerstrom Test of Nicotine Dependence(FTND)(Baseline(preoperative),3 months,6 months, 12 months)