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PINS Stimulator System to Treat Severe Anorexia Nervosa

Primary Purpose

Anorexia Nervosa

Status
Unknown status
Phase
Early Phase 1
Locations
Study Type
Interventional
Intervention
Deep Brain Stimulation
Sponsored by
Beijing Pins Medical Co., Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Anorexia Nervosa

Eligibility Criteria

20 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Female or male patients aged 20-60 years.
  2. Diagnosis of anorexia nervosa, restricting or binge-purging subtype, as defi ned in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR).
  3. Chronicity or treatment resistance shown by some or all of:

    • A pattern of 3 years' duration of relentless unresponsiveness to repeated voluntary hospital admissions, characterised by failure to complete treatment or immediate weight relapse after treatment.
    • A pattern of increasing medical instability, accompanied by refusal to participate in or a pattern of poor response to intensive expert treatment and increasing medical acuity, lasting at least 2 years and including at least two episodes of involuntary feeding.
    • A pattern of chronic stable anorexia nervosa that has lasted at least 10 years.
    • Able to provide informed consent.
  4. Able to comply with all testing, follow-ups, and study appointments and protocols.

Exclusion Criteria:

  1. Person with consciousness disorder on opioid abstinence, seriously aggressive, heavily dehydrated and intending to commit suicide.
  2. Patients with serious liver and kidney dysfunction, pulmonary decompensation, or complicated with serious damage in other systems.
  3. Patients with serious infectious disease.
  4. Patients with history of serious neurological or psychiatrical diseases.
  5. Person with history of HIV infection or serious malnutrition.
  6. Dependent upon and addicted to multiple drugs.
  7. Any contraindication to MRI or PET scanning.
  8. Body-mass index less than 13.
  9. Attended some other trials within one year.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Deep Brain Stimulation

    Arm Description

    DBS Implant and stimulation Intervention: Device: Deep Brain Stimulation

    Outcomes

    Primary Outcome Measures

    Eating Disorder Related Preoccupations and Rituals

    Secondary Outcome Measures

    Hamilton Depression Rating Scale
    Health Survey Short Form (SF-36)

    Full Information

    First Posted
    September 27, 2014
    Last Updated
    October 13, 2016
    Sponsor
    Beijing Pins Medical Co., Ltd
    Collaborators
    Beijing Tiantan Hospital
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02263404
    Brief Title
    PINS Stimulator System to Treat Severe Anorexia Nervosa
    Official Title
    PINS Stimulator System to Treat Severe Anorexia Nervosa
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    August 2016
    Overall Recruitment Status
    Unknown status
    Study Start Date
    December 2016 (undefined)
    Primary Completion Date
    December 2018 (Anticipated)
    Study Completion Date
    December 2018 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Beijing Pins Medical Co., Ltd
    Collaborators
    Beijing Tiantan Hospital

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    Anorexia Nervosa (AN) has the highest mortality of any psychiatric disorder and a paucity of effective treatments. AN becomes intractable in around 20%, resulting in huge individual and healthcare costs. The study will help patients with severe AN using DBS. Individuals with severe intractable AN will be eligible to take part in the study.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Anorexia Nervosa

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Early Phase 1
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    16 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Deep Brain Stimulation
    Arm Type
    Experimental
    Arm Description
    DBS Implant and stimulation Intervention: Device: Deep Brain Stimulation
    Intervention Type
    Device
    Intervention Name(s)
    Deep Brain Stimulation
    Other Intervention Name(s)
    Rechargeable Neurostimulator
    Intervention Description
    DBS Implant Stimulation
    Primary Outcome Measure Information:
    Title
    Eating Disorder Related Preoccupations and Rituals
    Time Frame
    Change from baseline in Eating Disorder Related Preoccupations and Rituals scores at 3 months, 6 months and 12 months
    Secondary Outcome Measure Information:
    Title
    Hamilton Depression Rating Scale
    Time Frame
    Change from baseline at 3 months, 6 months and 12 months
    Title
    Health Survey Short Form (SF-36)
    Time Frame
    Change from baseline at 3 months, 6 months and 12 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    20 Years
    Maximum Age & Unit of Time
    60 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Female or male patients aged 20-60 years. Diagnosis of anorexia nervosa, restricting or binge-purging subtype, as defi ned in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR). Chronicity or treatment resistance shown by some or all of: A pattern of 3 years' duration of relentless unresponsiveness to repeated voluntary hospital admissions, characterised by failure to complete treatment or immediate weight relapse after treatment. A pattern of increasing medical instability, accompanied by refusal to participate in or a pattern of poor response to intensive expert treatment and increasing medical acuity, lasting at least 2 years and including at least two episodes of involuntary feeding. A pattern of chronic stable anorexia nervosa that has lasted at least 10 years. Able to provide informed consent. Able to comply with all testing, follow-ups, and study appointments and protocols. Exclusion Criteria: Person with consciousness disorder on opioid abstinence, seriously aggressive, heavily dehydrated and intending to commit suicide. Patients with serious liver and kidney dysfunction, pulmonary decompensation, or complicated with serious damage in other systems. Patients with serious infectious disease. Patients with history of serious neurological or psychiatrical diseases. Person with history of HIV infection or serious malnutrition. Dependent upon and addicted to multiple drugs. Any contraindication to MRI or PET scanning. Body-mass index less than 13. Attended some other trials within one year.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Jia Fumin, PhD
    Phone
    +86 010-59361265
    Email
    pins_medical@163.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Li Luming, PhD
    Organizational Affiliation
    Tsinghua University
    Official's Role
    Study Chair

    12. IPD Sharing Statement

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    PINS Stimulator System to Treat Severe Anorexia Nervosa

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