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临床试验/NCT04789148
NCT04789148招募中1 期

Effects of Intranasal Oxytocin in Patients With Arginine-vasopressin Deficiency - A Pilot Study

Elizabeth Austen Lawson2 个研究点 分布在 1 个国家目标入组 40 人开始时间: 2025年9月10日最近更新:
干预措施
相关药物

试验速览

阶段
1 期
状态
招募中
发起方
入组人数
40
试验地点
2
主要终点
Dot-probe task - anxious behavior between low dose oxytocin and placebo

研究概览

简要总结

This is a randomized, double-blind, placebo-controlled crossover pilot study of single-dose intranasal oxytocin (6 IU and 24 IU) vs. placebo in adult men and women (aged 18 years and above) with arginine-vasopressin deficiency to evaluate the effect of oxytocin on anxiety, depression, and socioemotional functioning (Part A), with an optional randomized, double-blind, placebo-controlled 2-week repeated dose substudy of intranasal oxytocin 6 IU or placebo (Part B).

Following a screening visit to determine eligibility, participants will return for three main study visits in Part A. During the main study visits, study participants will receive either oxytocin or placebo, followed by assessments of emotional behavior.

In Part A, thirty participants will be equally randomized to one of six possible groups:

  1. 6 IU oxytocin - 24 IU oxytocin - placebo
  2. 6 IU oxytocin - placebo - 24 IU oxytocin
  3. 24 IU oxytocin - 6 IU oxytocin - placebo
  4. 24 IU oxytocin - placebo - 6 IU oxytocin
  5. placebo - 6 IU oxytocin - 24 IU oxytocin
  6. placebo - 24 IU oxytocin - 6 IU oxytocin

Following completion of the Part A crossover portion of the study, in Part B participants may also choose to continue participation in an optional, randomized, double-blind, placebo-controlled substudy of intranasal oxytocin 6 IU or placebo three times a day for two weeks, followed by assessments of emotional behavior.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Crossover
主要目的
Basic Science
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age 18 and above
  • Arginine-vasopressin deficiency
  • Normal FT4 or T4
  • Normal serum/plasma sodium
  • Stable hormone replacement

排除标准

  • Active substance use disorder within the last 6 months
  • History of psychosis
  • Suicidal behavior and/or active suicidal ideation with plan and/or intent, e.g., suicidal ideation of type 4 or type 5 as assessed by the Columbia Suicide Severity Rating Scale (C-SSRS), in the last month
  • Medication changes within 4 weeks of enrollment or planned medication changes during the study
  • History of chronic nasal obstruction or local pathology in nostril pathway which, in the opinion of the investigator, would prevent appropriate nasal administration of the study drug.
  • History of cardiac disease, including arrhythmias, coronary heart disease, coronary artery spasms, valvular heart disease, hypertrophic cardiomyopathy (hypertension is not exclusionary)
  • History of chronic kidney disease stage III and above
  • History of liver cirrhosis
  • Pregnancy or breastfeeding within the last 8 weeks
  • Unwilling to use a medically acceptable form of contraception throughout the study period (female of child-bearing potential only)
  • Any significant illness, condition, drug or medical device that the Investigator determines could interfere with study participation, data collection, or safety

研究组 & 干预措施

Part A Arm 1

Experimental

Main visit 1: 6 IU intranasal oxytocin; Main visit 2: 24 IU intranasal oxytocin; Main visit 3: intranasal placebo

干预措施: Intranasal Oxytocin (IN-OXT) (Drug)

Part A Arm 2

Experimental

Main visit 1: 6 IU intranasal oxytocin; Main visit 2: intranasal placebo; Main visit 3: 24 IU intranasal oxytocin

干预措施: Intranasal Oxytocin (IN-OXT) (Drug)

Part A Arm 3

Experimental

Main visit 1: 24 IU intranasal oxytocin; Main visit 2: 6 IU intranasal oxytocin; Main visit 3: intranasal placebo

干预措施: Intranasal Oxytocin (IN-OXT) (Drug)

Part A Arm 4

Experimental

Main visit 1: 24 IU intranasal oxytocin; Main visit 2: intranasal placebo; Main visit 3: 6 IU intranasal oxytocin

干预措施: Intranasal Oxytocin (IN-OXT) (Drug)

Part A Arm 5

Experimental

Main visit 1: intranasal placebo; Main visit 2: 6 IU intranasal oxytocin; Main visit 3: 24 IU intranasal oxytocin

干预措施: Intranasal Oxytocin (IN-OXT) (Drug)

Part A Arm 6

Experimental

Main visit 1: intranasal placebo; Main visit 2: 24 IU intranasal oxytocin; Main visit 3: 6 IU intranasal oxytocin

干预措施: Intranasal Oxytocin (IN-OXT) (Drug)

Part B Arm 1

Active Comparator

Intranasal oxytocin 6 IU three times a day for 14 days

干预措施: Intranasal Oxytocin (IN-OXT) (Drug)

Part A Arm 2

Experimental

Main visit 1: 6 IU intranasal oxytocin; Main visit 2: intranasal placebo; Main visit 3: 24 IU intranasal oxytocin

干预措施: Placebo (Drug)

Part A Arm 1

Experimental

Main visit 1: 6 IU intranasal oxytocin; Main visit 2: 24 IU intranasal oxytocin; Main visit 3: intranasal placebo

干预措施: Placebo (Drug)

Part A Arm 3

Experimental

Main visit 1: 24 IU intranasal oxytocin; Main visit 2: 6 IU intranasal oxytocin; Main visit 3: intranasal placebo

干预措施: Placebo (Drug)

Part A Arm 4

Experimental

Main visit 1: 24 IU intranasal oxytocin; Main visit 2: intranasal placebo; Main visit 3: 6 IU intranasal oxytocin

干预措施: Placebo (Drug)

Part A Arm 5

Experimental

Main visit 1: intranasal placebo; Main visit 2: 6 IU intranasal oxytocin; Main visit 3: 24 IU intranasal oxytocin

干预措施: Placebo (Drug)

Part A Arm 6

Experimental

Main visit 1: intranasal placebo; Main visit 2: 24 IU intranasal oxytocin; Main visit 3: 6 IU intranasal oxytocin

干预措施: Placebo (Drug)

Part B Arm 2

Experimental

Intranasal placebo three times a day for 14 days

干预措施: Placebo (Drug)

结局指标

主要结局

Dot-probe task - anxious behavior between low dose oxytocin and placebo

时间窗: 20 minutes following intervention at each main visit

Difference in response times (in milliseconds) to dots appearing in the location of the previously shown negative versus the neutral face between 6 IU oxytocin vs placebo in the dot-probe task.

Dot-probe task - anxious behavior between low dose oxytocin and placebo

时间窗: 20 minutes following intervention at each main visit

Difference in response times (in milliseconds) to dots appearing in the location of the previously shown negative versus the neutral face between 6 IU oxytocin vs placebo in the dot-probe task.

次要结局

  • Socioemotional functioning - Emotion recognition task between all three interventions(40 minutes following intervention at each main visit)
  • Dot-probe task - anxious behavior between all three interventions(20 minutes following intervention)
  • Depressive behavior - probabilistic reward task between all three interventions(30 minutes following intervention at each main visit)
  • Socioemotional functioning - Emotion recognition task between all three interventions(40 minutes following intervention at each main visit)

研究者

发起方
Elizabeth Austen Lawson
申办方类型
Other
责任方
Sponsor Investigator
主要研究者

Elizabeth Austen Lawson

Associate Professor of Medicine, Harvard Medical School; Director, Interdisciplinary Oxytocin Research Program, Neuroendocrine Unit, Massachusetts General Hospital

Massachusetts General Hospital

研究点 (2)

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