MedPath

Double Blind Randomized, Monocentric, Cross-over, Placebo-controlled Study to Evaluate the Effect of Morphine and Naloxone on Motivation (MBBAnalgesic)

Phase 2
Completed
Conditions
Healthy
Interventions
Drug: 50 mL of sodium chloride (0,9%)
Registration Number
NCT02267304
Lead Sponsor
Institut National de la Santé Et de la Recherche Médicale, France
Brief Summary

The aim of the current study is to examine the role of the opioïd system on the cognitive parameters of motivation. They are embedded in a conceptual framework of motivation that merges decision-making and reinforcement learning theories. Every action is conceived as path from one state to another. The different states are associated to different values (positive for rewards and negative for punishments), and the different actions to different costs (risk, effort and delay). The tasks are designed such that the sensitivity to the state and action parameters can be inferred by fitting computational models.The primary objective is to characterize the effect of Morphine 0,05mg/kg and Naloxone 10mg on cost accumulation slope, assessed in an effort management task, in which participants are asked to squeeze a hand grip during 30 seconds at varying level of effort in order to win monetary payoff. Secondary objectives are to characterize the effect of Morphine 0,05mg/kg and Naloxone 10mg on other cognitive parameters of motivation (assessed with a motivational battery that includes rating, choice and learning tasks).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
37
Inclusion Criteria
  • Man or woman, age ≥ 18 and < 50
  • Weight between 50 kg and 90 kg.
  • No contraindication to effort
  • No evolutive pathology that could interfere with the current study signed consent
  • medical insurance ("sécurité sociale")
Exclusion Criteria
  • Age < 18 or > 50
  • Smokers
  • Person under curatorship, or guardianship, or with civil rights deprivation
  • History of neurologic or psychiatric pathology
  • Chronic or actual consumption of alcohol, or psychotropic drugs
  • pregnancy, breastfeeding
  • Woman of childbearing potential without effective contraception
  • Liver failure
  • Severe Cardiovascular Disorders
  • Severe Cerebrovascular Discorders
  • Morphine (or Naloxone) hypersensitivity/addiction
  • Treatment contraindicated: morphine dérivatives, neuroleptics, barbiturate, benzodiazepine, anxiolytics, hypnotics, antidepressant, antihistamine, antihypertensives, beta blocker, baclofen, thalidomide
  • Enzyme inducers, (rifampicine, ...)
  • Treatment that can interfere with the performance of the subject: beta2 adrenergic agonists, analgesics, corticosteroïds, anti-inflammatory drugs, ...

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Morphine/placebo/naxoloneNaloxone 10mg-
Morphine/placebo/naxolone50 mL of sodium chloride (0,9%)-
Morphine/placebo/naxoloneMorphine 0,05mg/kg-
placebo/naxolone/morphine50 mL of sodium chloride (0,9%)-
placebo/naxolone/morphineMorphine 0,05mg/kg-
Naxolone/morphine/placebo50 mL of sodium chloride (0,9%)-
Naxolone/morphine/placeboMorphine 0,05mg/kg-
Naxolone/morphine/placeboNaloxone 10mg-
placebo/naxolone/morphineNaloxone 10mg-
Primary Outcome Measures
NameTimeMethod
Cost Accumulation Slope (AU.)15 min after first placebo injection, 15 min after morphine (respectively naloxone) injection

The primary Outcome measure is the change in this parameter between the placebo condition and the morphine (respectively naloxone) condition.This parameter will be infered from the time spent in a effort period versus a rest period within trials of an effort managing task, for each subjects.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

CIC Neurologie GHPS

🇫🇷

Paris, France

© Copyright 2025. All Rights Reserved by MedPath