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Clinical Trials/NCT04926961
NCT04926961CompletedNot Applicable

Testing the Contribution of Orbitofrontal Cortex Networks to Reward Identity Learning

Northwestern University1 site in 1 country42 target enrollmentStarted: June 16, 2021Last updated:
Conditions
Interventions

Trial Snapshot

Phase
Not Applicable
Status
Completed
Enrollment
42
Locations
1
Primary Endpoint
Blood oxygen level-dependent (BOLD) responses

Study Overview

Brief Summary

This research study examines the contribution of orbitofrontal cortex (OFC) networks to learning reward identity expectations.

Detailed Description

This study is designed to examine the contribution of OFC networks to reward identity learning. It will use network-targeted TMS to test whether OFC is necessary for reward identity learning. Healthy human subjects will perform a three-reward reversal learning task after either TMS or sham stimulation while fMRI data are acquired. This is a randomized, within-subject, cross-over study.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Crossover
Primary Purpose
Basic Science
Masking
Single (Participant)

Eligibility Criteria

Ages
18 Years to 50 Years (Adult)
Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • •Age between 18 and 50 years old
  • •Right-handed
  • •Fluent English speakers

Exclusion Criteria

  • •History of significant neurological conditions (e.g., epilepsy, dementia, multiple sclerosis, brain tumors, etc.)
  • •History of major psychiatric conditions (e.g., general anxiety disorder, depression, schizophrenia, obsessive-compulsive disorder, post-traumatic stress disorder, attention deficit hyperactivity disorder, alcoholism, etc.)
  • •Significant medical illnesses (e.g., cancer, meningitis, chronic obstructive pulmonary disease, cardiovascular disease, etc.)
  • •Significant cerebrovascular risk factors (e.g., hypertension, diabetes, elevated cholesterol, etc.)
  • •Current use of psychoactive medications (e.g., barbiturates, benzodiazepines, chloral hydrate, haloperidol, lithium, carbamazepine, phenytoin, citalopram, escitalopram, fluoxetine, diazepam, etc.)
  • •Smell or taste dysfunction
  • •History of significant allergies requiring hospitalization for treatment
  • •History of severe asthma requiring hospitalization for treatment
  • •Habitual smoking
  • •Magnetic implants (e.g., shunts or stents, aneurysm clips, surgical clips, cochlear implants, metal bone/joint pins, plates and screws, eyelid spring or wires, etc.)
  • •Electronic devices (e.g., implanted cardiac defibrillator, cardiac pacemaker, deep brain/spinal cord or nerve stimulator, internal electrodes/wires, medication infusion devices, etc.)
  • •History of metal working without proper eye protection, or injury with metal shrapnel or metal slivers
  • •Claustrophobia
  • •Pregnancy
  • •Predisposition to seizures (e.g., personal history of seizures, family history of seizures epilepsy, pregnancy, alcoholism, etc.)
  • •Use of medications that increase the likelihood of seizures (e.g., bupropion, citalopram, duloxetine, ketamine, gamma-hydroxybutyrate, etc.)
  • •History of surgical procedures performed on the brain or spinal cord
  • •History of severe head trauma followed by loss of consciousness
  • •History of fainting spells or syncope
  • •Hearing problems or tinnitus

Arms & Interventions

Real stimulation first, then sham stimulation

Experimental

Participants will first be delivered real TMS stimulation. Then on a separate day, participants will be delivered sham TMS stimulation.

Intervention: Sham transcranial magnetic stimulation (TMS) (Device)

Real stimulation first, then sham stimulation

Experimental

Participants will first be delivered real TMS stimulation. Then on a separate day, participants will be delivered sham TMS stimulation.

Intervention: Real transcranial magnetic stimulation (TMS) (Device)

Sham stimulation first, then real stimulation

Experimental

Participants will first be delivered sham TMS stimulation. Then on a separate day, participants will be delivered real TMS stimulation.

Intervention: Sham transcranial magnetic stimulation (TMS) (Device)

Sham stimulation first, then real stimulation

Experimental

Participants will first be delivered sham TMS stimulation. Then on a separate day, participants will be delivered real TMS stimulation.

Intervention: Real transcranial magnetic stimulation (TMS) (Device)

Outcomes

Primary Outcomes

Blood oxygen level-dependent (BOLD) responses

Time Frame: 1 hour

Blood oxygen level-dependent (BOLD) responses measured using functional magnetic resonance imaging (fMRI) during the reversal learning task.

Percentage of correct outcome predictions

Time Frame: 1 hour

Percentage of correct outcome predictions in response to predictive cues during the reversal learning task.

Secondary Outcomes

No secondary outcomes reported

Investigators

Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Christina Zelano

Assistant Professor

Northwestern University

Study Sites (1)

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