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Impact of Immune Challenge on Triple Network Connectivity in Humans

Primary Purpose

Major Depression

Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Salmonella typhi vaccination
Placebo
Sponsored by
NHS Greater Glasgow and Clyde
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Major Depression

Eligibility Criteria

18 Years - 50 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. Written informed consent
  2. Aged 18 - 50 years old
  3. Male

Exclusion Criteria:

  1. Female
  2. History/family history of medical or/and Axis I DSM IV condition
  3. Received typhoid vaccination within the last 3 years
  4. Taken oral antibiotics/antiinflammatory agents within the previous 2 weeks
  5. Current Smokers
  6. Contraindication for MRI scans
  7. Contraindication for Salmonella typhi vaccination
  8. Known hypersensitivity to a Vi antigen containing vaccine.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Placebo Comparator

    Arm Label

    Typhoid vaccination

    Placebo

    Arm Description

    Salmonella typhi vaccination

    0.9% sodium chloride

    Outcomes

    Primary Outcome Measures

    Functional connectivity measured using resting state functional MRI BOLD time series cross correlations between the network nodes.

    Secondary Outcome Measures

    Correlation of functional connectivity measures with circulating serum cytokines and POMS/ BDI scores using multivariate general linear models

    Full Information

    First Posted
    January 7, 2016
    Last Updated
    January 8, 2016
    Sponsor
    NHS Greater Glasgow and Clyde
    Collaborators
    University of Glasgow
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02653235
    Brief Title
    Impact of Immune Challenge on Triple Network Connectivity in Humans
    Official Title
    Exploring the Impact of Peripheral Immune Challenge on the "Triple Network" and "Dorsal Nexus" Functional Connectivity in Humans
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    January 2016
    Overall Recruitment Status
    Unknown status
    Study Start Date
    January 2016 (undefined)
    Primary Completion Date
    September 2016 (Anticipated)
    Study Completion Date
    January 2017 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    NHS Greater Glasgow and Clyde
    Collaborators
    University of Glasgow

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Acquiring, processing and utilising "information" is crucial to any mental function -including seemingly simple daily functions. Collectively called 'cognitive functions', these processes are a result of different regions of the brain acting together. Disruption of these cognitive functions increases the risk of development of mental health problem. Recently it has been proposed that inflammatory pathways may contribute to disorders of cognition and behaviour like depression. This is largely due to research showing that those with inflammatory conditions like arthritis are more likely to develop mental health problems like depression. Conversely, those who suffer from mental health problems (even in the absence of inflammatory conditions) have large amounts of inflammatory molecules in the blood. Studies in animals suggest that inflammation outside the brain can reach and affect the brain in a number of ways. So, does inflammation play a role in the development of cognitive and behavioural symptoms? What are the pathways involved? The current project tries to address this question. Specifically, the investigators intend to use modern scanning techniques to examine the effect of inducing a low grade inflammation (using a commonly used typhoid vaccine) to see how the inflammation affects how different regions of the act together to perform cognitive functions.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Major Depression

    7. Study Design

    Primary Purpose
    Basic Science
    Study Phase
    Not Applicable
    Interventional Study Model
    Crossover Assignment
    Masking
    ParticipantOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    20 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Typhoid vaccination
    Arm Type
    Active Comparator
    Arm Description
    Salmonella typhi vaccination
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    0.9% sodium chloride
    Intervention Type
    Biological
    Intervention Name(s)
    Salmonella typhi vaccination
    Intervention Type
    Biological
    Intervention Name(s)
    Placebo
    Primary Outcome Measure Information:
    Title
    Functional connectivity measured using resting state functional MRI BOLD time series cross correlations between the network nodes.
    Time Frame
    6 hours
    Secondary Outcome Measure Information:
    Title
    Correlation of functional connectivity measures with circulating serum cytokines and POMS/ BDI scores using multivariate general linear models
    Time Frame
    6 hours

    10. Eligibility

    Sex
    Male
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    50 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Written informed consent Aged 18 - 50 years old Male Exclusion Criteria: Female History/family history of medical or/and Axis I DSM IV condition Received typhoid vaccination within the last 3 years Taken oral antibiotics/antiinflammatory agents within the previous 2 weeks Current Smokers Contraindication for MRI scans Contraindication for Salmonella typhi vaccination Known hypersensitivity to a Vi antigen containing vaccine.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Rajeev Krishnadas, MBBS, MRCPsych, MD, PhD
    Email
    rajeev.krishnadas@glasgow.ac.uk

    12. IPD Sharing Statement

    Plan to Share IPD
    No
    Citations:
    PubMed Identifier
    32532687
    Citation
    Stefanov K, McLean J, McColl A, Basu N, Cavanagh J, Krishnadas R. Mild Inflammation in Healthy Males Induces Fatigue Mediated by Changes in Effective Connectivity Within the Insula. Biol Psychiatry Cogn Neurosci Neuroimaging. 2020 Sep;5(9):865-874. doi: 10.1016/j.bpsc.2020.04.005. Epub 2020 Apr 22.
    Results Reference
    derived

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    Impact of Immune Challenge on Triple Network Connectivity in Humans

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