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Effects of Subconscious Memory Extinction in Patients With Alcohol Dependence and Its Mechanism

Primary Purpose

Alcohol Use Disorder

Status
Recruiting
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
Very brief extinction
Clearly visible extinction
Very brief neutral extinction
Sponsored by
Shenzhen Kangning Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Alcohol Use Disorder focused on measuring Alcohol, Craving, Extinction training, Subconscious

Eligibility Criteria

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

Inclusion Criteria: Adopt DSM-IV alcohol dependence diagnostic criteria; Complete detoxification treatment without obvious withdrawal symptoms; Informed consent, voluntary participation. Exclusion criteria: Acute alcohol dependence withdrawal period; Patients who meet the DSM-Ⅳ diagnosis of psychoactive substances or non-psychoactive substances other than alcohol (except nicotine); Previous acceptance experienced similar exposure therapy;

Sites / Locations

  • Shenzhen Kangning HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Sham Comparator

Active Comparator

Arm Label

Very brief extinction

Very brief neutral extinction

Clearly visible extinction

Arm Description

Enrolled participants would receive very brief extinction approximately 25 minutes per day for 2 days.

Enrolled participants would receive very brief neutral extinction for approximately 25 minutes per day for 2 days.

Enrolled participants would receive clearly visible extinction therapy for approximately 25 minutes per day for 2 days.

Outcomes

Primary Outcome Measures

Change from baseline in alcohol craving by using Visual Analog Scale of Alcohol Craving at week 1.
Alcohol-specific Visual Analog Scale is a valid measurements of craving for a alcohol. Possible scores range from 0(no craving) to 10 (want to drink imediately). Change= (week 1 score - baseline score)
Relapse rate
Percentage of participants who relapse by assuming that drinking alcohol on more than 3 days in a month in anunrestricted environment is re-drinking

Secondary Outcome Measures

Skin conductance level (SCL)
Thus skin conductance level can serve as a stable and useful index of autonomic arousal in clinical trials. Skin conductance signals are measured via electrodes placed on fingertips, arrange from 0 to 50 uS.
Pupil diameter
The pupil diameter is measured by Eyelink 1000 plus eyetracking, Pupil size data are available with every data point collected by the EyeLink 1000 Plus. To evaluate the level of accuracy obtained in pupil size measures, dots between 2.0 and 5.0 mm in diameter were laser printed.
Event-relatred potential (ERP)
An ERP is a technique that can be used to assess how the brain is functioning in response to stimulation. Event-related potentials (ERPs) are derived from electroencephalographic (EEG) measurement of neural activity. The 64-channel EEG system from Brain Products company would be used to measure P300, N400, and slow potential.

Full Information

First Posted
June 16, 2023
Last Updated
October 12, 2023
Sponsor
Shenzhen Kangning Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT05942521
Brief Title
Effects of Subconscious Memory Extinction in Patients With Alcohol Dependence and Its Mechanism
Official Title
Effects of Subconscious Memory Extinction in Patients With Alcohol Dependence and Its Mechanism
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
July 20, 2023 (Actual)
Primary Completion Date
December 2024 (Anticipated)
Study Completion Date
December 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Shenzhen Kangning Hospital

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
In this study, the subconscious memory extinction therapy based on very brief exposure is used to intervene to reduce the alcohol craving of alcohol-dependent patients, prevent relapse, and observe the psychological craving, heart rate, skin conductance, and pupil diameter changes of the patients during the brief exposure extinction. The main questions it aims to answer are: Whether subconscious extinction intervention would reduce psychological craving and alcohol relapse? What is the mechanism of subconscious extinction intervention in alcohol dependence?
Detailed Description
After being informed about the study and potential risks, all patients giving written informed consent will undergo a screening period to determine eligibility for study entry. patients who meet the eligibility requirements will be randomized in very brief extinction, clearly visible extinction, or very brief neutral extinction. This study will recruit alcohol-dependent participants aged 18-60 in the ward, observe reported subjective scores during the extinction, and record the heart rate, skin conductance, pupil diameter, and ERP changes.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Alcohol Use Disorder
Keywords
Alcohol, Craving, Extinction training, Subconscious

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantOutcomes Assessor
Allocation
Randomized
Enrollment
90 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Very brief extinction
Arm Type
Experimental
Arm Description
Enrolled participants would receive very brief extinction approximately 25 minutes per day for 2 days.
Arm Title
Very brief neutral extinction
Arm Type
Sham Comparator
Arm Description
Enrolled participants would receive very brief neutral extinction for approximately 25 minutes per day for 2 days.
Arm Title
Clearly visible extinction
Arm Type
Active Comparator
Arm Description
Enrolled participants would receive clearly visible extinction therapy for approximately 25 minutes per day for 2 days.
Intervention Type
Behavioral
Intervention Name(s)
Very brief extinction
Intervention Description
The very brief extinction presents a very short (33ms) repetitive sequence of alcohol cues, followed by a "masking" stimulus(117ms), which masks the alcohol cues. In the case of repeated exposure to alcohol stimulation, the response to the stimulation is desensitized at the level of unconscious processing.
Intervention Type
Behavioral
Intervention Name(s)
Clearly visible extinction
Intervention Description
The clearly visible extinction presents a repetitive sequence of alcohol cues(150ms) without a "masking" stimulus. In the case of repeat exposure to alcohol stimulation, the response to the stimulation is desensitized at the level of conscious processing.
Intervention Type
Behavioral
Intervention Name(s)
Very brief neutral extinction
Intervention Description
The very brief neutral extinction presents a very short (33ms) repetitive sequence of neutral cues, followed by a "masking" stimulus(117ms), which masks the neutral cues. In the case of repeated exposure to neutral stimulation, the response to the stimulation is desensitized at the level of unconscious processing.
Primary Outcome Measure Information:
Title
Change from baseline in alcohol craving by using Visual Analog Scale of Alcohol Craving at week 1.
Description
Alcohol-specific Visual Analog Scale is a valid measurements of craving for a alcohol. Possible scores range from 0(no craving) to 10 (want to drink imediately). Change= (week 1 score - baseline score)
Time Frame
baseline and week 1
Title
Relapse rate
Description
Percentage of participants who relapse by assuming that drinking alcohol on more than 3 days in a month in anunrestricted environment is re-drinking
Time Frame
Four week after intervention
Secondary Outcome Measure Information:
Title
Skin conductance level (SCL)
Description
Thus skin conductance level can serve as a stable and useful index of autonomic arousal in clinical trials. Skin conductance signals are measured via electrodes placed on fingertips, arrange from 0 to 50 uS.
Time Frame
During the intervention period
Title
Pupil diameter
Description
The pupil diameter is measured by Eyelink 1000 plus eyetracking, Pupil size data are available with every data point collected by the EyeLink 1000 Plus. To evaluate the level of accuracy obtained in pupil size measures, dots between 2.0 and 5.0 mm in diameter were laser printed.
Time Frame
During the intervention period
Title
Event-relatred potential (ERP)
Description
An ERP is a technique that can be used to assess how the brain is functioning in response to stimulation. Event-related potentials (ERPs) are derived from electroencephalographic (EEG) measurement of neural activity. The 64-channel EEG system from Brain Products company would be used to measure P300, N400, and slow potential.
Time Frame
During the intervention period

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Adopt DSM-IV alcohol dependence diagnostic criteria; Complete detoxification treatment without obvious withdrawal symptoms; Informed consent, voluntary participation. Exclusion criteria: Acute alcohol dependence withdrawal period; Patients who meet the DSM-Ⅳ diagnosis of psychoactive substances or non-psychoactive substances other than alcohol (except nicotine); Previous acceptance experienced similar exposure therapy;
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Xiaojian Jia
Phone
+8613823797115
Email
94205638@qq.com
First Name & Middle Initial & Last Name or Official Title & Degree
Qi Wang
Phone
+8613688819667
Email
16981017@qq.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Xiaojian Jia
Organizational Affiliation
Shenzhen Kangning Hospita
Official's Role
Principal Investigator
Facility Information:
Facility Name
Shenzhen Kangning Hospital
City
Shenzhen
State/Province
Guangdong
ZIP/Postal Code
518118
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Xiaojian Jia
Phone
+8613823797115
Email
94205638@qq.com
First Name & Middle Initial & Last Name & Degree
Qi Wang
Phone
+8613688819667
Email
16981017@qq.com
First Name & Middle Initial & Last Name & Degree
Xiaojian Jia, Phd

12. IPD Sharing Statement

Plan to Share IPD
No

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Effects of Subconscious Memory Extinction in Patients With Alcohol Dependence and Its Mechanism

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