Spectroscopic Imaging at 4T: A Drug Challenge Study

AOD Effects and Consequences Clinical Trial

— CEBRA2  

Official title:

Spectroscopic Imaging of GABA and Glutamate/Glutamine in Healthy Volunteers at 4T: A Double Blind, Crossover Drug Challenge Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01577706
• Other study ID #: 2012P000197
• Status: Completed
• Phase: N/A
• First received: April 11, 2012
• Last updated: March 27, 2014
• Start date: June 2013
• Est. completion date: December 2013

Study information

• Verified date: March 2014
• Source: Mclean Hospital
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

An advanced technique for rapid magnetic resonance proton spectroscopic imaging (1H-MRSI) will be employed in a drug challenge study in healthy volunteers to spatially map and measure acute changes in the brain chemicals GABA, glutamate and glutamine after administration of a drug. Three condition will be tested in a double-blind fashion, i)depressant, ii)stimulant, iii)placebo. It is hypothesized that unique and reproducible spatial and directional metabolic response patterns will be observed, unique to each condition within the brain.

Description:

Proton magnetic resonance spectroscopy (1H MRS) is a powerful tool for assessing neurochemistry non-invasively in vivo. However, the primary shortcoming in most studies is the lack of spatial coverage afforded by the typical single-voxel design. Limits on participant tolerance and financial resources restrict single-voxel studies to an examination of one or two carefully chosen voxels per scan, thus inadequately addressing the question of focal vs. global pathophysiology. A secondary shortcoming is that most studies report on either GABA or glutamate-glutamine (Glu-Gln) due to the technically demanding spectral-editing techniques that must be implemented in order to resolve and quantify those metabolites with any accuracy.

1H MRS imaging (MRSI) can partially overcome these limitations by providing a global picture of brain chemistry rather than just the focal snapshot afforded by the single-voxel design. However, the scan time necessary for collecting enough data for adequate spatial resolution and signal-to-noise, particularly if also using specialized spectral-editing techniques, is still too lengthy. We recently developed a method that combines Spectroscopic Imaging with the MEGAPRESS-based difference-editing acquisition for optimal GABA detection as well as for optimal detection of Glu and Gln. This MEGACSI sequence will permit us to obtain the maximum amount of neurochemical information in a clinically sound scan time, while using the current state-of-the-art MRS editing methods for optimal detection of GABA, Glu, and Gln.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 30
• Est. completion date: December 2013
• Est. primary completion date: December 2013
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Male
• Age group: 21 Years to 45 Years

Eligibility

Inclusion Criteria:

• Participants will be male volunteers between the ages of 21-45

• Non-smoking participants are preferred, but will admit those who smoke less than 5 cigarettes per day

• Participants must be able to read screening materials including consent form and give informed consent

Exclusion Criteria:

• Participants cannot meet DSM-IV criteria for lifetime and/or current mood, anxiety, psychotic, and alcohol/drug use disorders as identified by the SCID

• Participants cannot be taking any prescription medication (except oral contraceptives, certain short-term anti-fungal agents, and some topical creams for dermal conditions) or nutritional supplements

• Participants cannot be taking any psychotropic medications

• Participants cannot have a history of major head trauma resulting in cognitive impairment, seizure, or other neurological disorders.

• Participants cannot have any conditions that are contraindicated for MRI

• Participants cannot have a family history of alcoholism

• Participants cannot have any abnormal blood chemistries/urinalysis results or any other medical condition that may affect drug disposition (e.g., Hepatitis C)

• Participants cannot have current or past cardiac problems, and they also cannot have a family history of sudden death or ventricular arrhythmia

• Participants who, in the investigators' judgment, will not likely be able to comply with the study protocol.

• Participants cannot have any clinically significant findings in the structural anatomic brain scans (per the MRI report read by a board-certified radiologist).

Study Design

Intervention Model: Single Group Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Basic Science

Related Conditions & MeSH terms

• AOD Effects and Consequences

Intervention

Drug:
• Alprazolam
Alprazolam, gel-capsule, 1mg, single-dose, 1-day
• Dextroamphetamine
Dextroamphetamine, gel-capsule, 20mg, single-dose, 1-day

Locations

Country	Name	City	State
United States	McLean Imaging Center, McLean Hospital	Belmont	Massachusetts

Sponsors (1)

Lead Sponsor	Collaborator
Mclean Hospital

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Magnitude of metabolite level changes throughout the brain with separate administration of Dexedrine and Alprazolam	The primary goal of this study is to assess the efficacy of an advanced spectroscopic imaging protocol in detecting changes in the levels of brain GABA, glutamate and glutamine in response to an acute drug challenge. In addition to detecting changes in metabolite levels, it is anticipated that our protocol will allow us to spatially map the distribution of these changes within the brain.	Measures taken in 20 minute intervals for 2 hours	No
Secondary	Spatial distribution of metabolite level changes throughout the brain with separate administration of Dexedrine and Alprazolam		Measures taken in 20 minute intervals for 2 hours	No