Pharmaco-Neuroimaging Studies of Approach/Avoidance Behaviors and Post-Mortem Studies: Pharmacological Manipulation

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-45
SponsorMclean Hospital

About this trial

The study will investigate whether a nociceptin receptor antagonist will normalize neural and behavioral processes of approach/avoidance decision-making in unmedicated individuals with major depressive disorder (MDD) and anxiety disorders. More specifically, the study aims to investigate dysregulation within (1) corticostriatal-midbrain circuitry and (2) nociceptin/orphanin FQ peptide and the nociceptin receptor (NOPR).

Eligibility criteria

Qualifiers

DSM-5 diagnostic criteria for MDD, Generalized Anxiety Disorder, Social Phobia, Panic Disorder, Post Traumatic Stress (diagnosed using the SCID-5)

Written informed consent

For MDD subjects, a baseline Hamilton Depression Rating Scale score > 16 (17-item version)

Right-handed

Disqualifiers

Subjects with suicidal ideation where outpatient treatment is determined unsafe by the study clinician

Pregnant women or women of childbearing potential who are not using a medically accepted means of contraception

Serious or unstable medical illness, including cardiovascular, hepatic, renal, respiratory, endocrine, neurologic or hematologic disease

History of seizure disorder

Trial design

Treatments tested in this trial

  • Nociceptin Receptor Antagonist
  • Aversive stimuli

Treatment groups

112 Participants
are divided into 4 treatment groups

Sponsors and collaborators

Mclean Hospital

Lead sponsor

National Institute of Mental Health (NIMH)

Collaborator

Massachusetts General Hospital

Collaborator

Massachusetts Institute of Technology

Collaborator

University of Washington

Collaborator

Brown University

Collaborator