MedPath

Target Engagement and Response to Oxytocin

Phase 4
Active, not recruiting
Conditions
Schizophrenia
Interventions
Drug: Oxytocin nasal spray
Behavioral: Health Management
Drug: Placebo nasal spray
Behavioral: Social Cognition Skills Training
Registration Number
NCT03245437
Lead Sponsor
University of California, Los Angeles
Brief Summary

This study will measure whether the engagement of intranasal oxytocin with a brain target is related to effects on learning during a social cognition training program.

Detailed Description

The study will determine whether oxytocin (OT) administration 30 min before a training session enhances the learning of social information in the context of a social cognitive skills training (SCST) program, and it will test a possible mediator of this effect. Subjects with psychotic disorders will be randomized to one of four groups in a 2 by 2 factorial design: OT with SCST; Placebo with SCST; OT with training control condition; placebo with training control condition. Target engagement will be measured in an OT challenge (placebo versus OT one week apart) prior to baseline assessment. The measure of target engagement will be EEG mu suppression while observing biological motion. A social cognition battery will be administered at baseline, at midpoint after 6 weeks of SCST, and at completion of training at 12 weeks. The battery will include measures of social cue identification and mentalizing.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
120
Inclusion Criteria
  • Schizophrenia or schizoaffective disorder
  • stable on an antipsychotic medication
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Exclusion Criteria
  • positive pregnancy test history of head injury
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Oxytocin with SCSTOxytocin nasal sprayOxytocin with SCST (active condition)
Oxytocin with Health ManagementHealth ManagementAdministration of OT with control psychosocial treatment
Placebo with SCSTPlacebo nasal sprayAdministration of Placebo with active psychosocial treatment
Placebo with HMPlacebo nasal sprayAdministration of Placebo with control psychosocial treatment
Oxytocin with SCSTSocial Cognition Skills TrainingOxytocin with SCST (active condition)
Oxytocin with Health ManagementOxytocin nasal sprayAdministration of OT with control psychosocial treatment
Placebo with SCSTSocial Cognition Skills TrainingAdministration of Placebo with active psychosocial treatment
Placebo with HMHealth ManagementAdministration of Placebo with control psychosocial treatment
Primary Outcome Measures
NameTimeMethod
Social Cognition Composite Score16 weeks

We will assess social cognition in two subdomains: (1) social cue identification (Managing Emotions component of Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT) branch 1, Ekman, Profile of Nonverbal Sensitivity (PONS); and (2) mentalizing (The Awareness of Social Inference Test (TASIT). and Empathic accuracy) (see below). The primary summary measure for each test will be mean-centered and standardized to create a Z-score. These Z-scores will be averaged to create a single composite score for social cognition that will serve as the primary outcome measure.

Secondary Outcome Measures
NameTimeMethod
Composite score of non-social cognition from the MATRICS Consensus Cognitive Battery16 weeks

Standardized z-score

Trial Locations

Locations (1)

UCLA

🇺🇸

Los Angeles, California, United States

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