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
About this trial
This is an interventional basic science trial for Major Depression
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.
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
NCT ID
NCT02653235
First Posted
January 7, 2016
Last Updated
January 8, 2016
Sponsor
NHS Greater Glasgow and Clyde
Collaborators
University of Glasgow
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
Learn more about this trial
Impact of Immune Challenge on Triple Network Connectivity in Humans
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