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CompletedNCT02818036Updated Jul 23, 2019Results posted

An fMRI Study of Opioid-related Changes in Neural Activity

An interventional study of Naltrexone and Placebo in Social Acceptance, sponsored by Tristen Inagaki. Completed at 1 site in United States. Open to participants aged 18 Years to 35 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-07-23.

Sponsored by Tristen Inagaki · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
82
Allocation
Randomized
Ages
18 Years to 35 Years
Sex
All
01

Study summary

The purpose of the study is to explore the effect of blocking opioids on affiliation-related neural activity.

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Conditions studied

  • Social Acceptance
03

In context

Lead sponsor

This is the only study on the registry with Tristen Inagaki as lead sponsor.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 35 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • good health
  • between the ages of 18 and 35,
  • fluent in English
  • right-handed (for the fMRI scan)

Exclusion criteria

Exclusion Criteria:

  • Self-reported current or past diagnoses of physical or mental illness.
  • Score on the Patient Health Questionnaire (depressive symptoms) above a 13
  • Positive urine drug test (for Tetrahydrocannabinol (THC), Opiates, Cocaine, Amphetamine (AMP), and Methamphetamine (mAMP))
  • Positive urine pregnancy test
  • Use of any prescription medication, except for birth control
  • Use of any over-the-counter medications on the day of the fMRI session and 24 hours after the fMRI session
  • Self-reported problems with liver functioning, including hepatitis or liver failure
  • Difficulty swallowing or taking pills
  • BMI greater than 35 or weight greater than 400 lbs
  • Claustrophobia
  • Nonremovable metal in the body
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
82 participants (actual)

Study arms

  • Experimental
    naltrexone

    single 50mg dose of naltrexone

    Drug: Naltrexone

  • Placebo comparator
    sugar pill

    single sugar pill

    Drug: Placebo

Interventions

  • DrugNaltrexone
  • DrugPlacebo
06

What researchers measure

Primary outcomes

  1. Bold Oxygen-level Dependent (BOLD) Activations in Prespecified ROIs

    In the MRI scanner, participants read sentences written by people they knew and people they did not know in a block design. Brain activity was measured as BOLD activity in response to reading sentences from known (vs. unknown) people using functional magnetic resonance imaging (FMRI). Based on a priori hypotheses, brain activity was masked to activity in structural regions-of-interest (ROIs) of the ventral striatum (VS) and middle-insula (MI).

    Time frame: approximately one hour after taking study drug

  2. Self-reported Feelings of Connection in Response to the Scanner Tasks

    feelings of social connection in response to reading sentences from known people (i.e. average of how connected, touched, warm did you feel). Feelings were reported on a scale of 1 (not at all) to 7 (very) such that higher numbers reflect greater feelings of social connection. time frame was mistakenly entered as the start of the fMRI scan, but participants reported on their feelings of social connection after the scan. Thus, the outcome measure time frame is reported as two, rather than one, hour after taking the study drug.

    Time frame: approximately two hours after taking study drug

07

Results

Posted Jul 23, 2019

Participant flow

Participant flow — Overall Study
MilestoneNaltrexoneSugar Pill
Started4240
Completed4040
Not completed20
Withdrew: Head did not fit in fmri scanner headres10
Withdrew: Withdrawal by subject10

Outcome measures

PrimaryBold Oxygen-level Dependent (BOLD) Activations in Prespecified ROIs

In the MRI scanner, participants read sentences written by people they knew and people they did not know in a block design. Brain activity was measured as BOLD activity in response to reading sentences from known (vs. unknown) people using functional magnetic resonance imaging (FMRI). Based on a priori hypotheses, brain activity was masked to activity in structural regions-of-interest (ROIs) of the ventral striatum (VS) and middle-insula (MI).

Time frame:
approximately one hour after taking study drug
Reported as:
Mean · BOLD signal
Bold Oxygen-level Dependent (BOLD) Activations in Prespecified ROIs
BOLD signalNaltrexoneSugar Pill
Bold Oxygen-level Dependent (BOLD) Activations in Prespecified ROIs0.117 ± 0.0330.2545 ± 0.061
Statistical analysis
  • Naltrexone vs Sugar Pill · t-test, 1 sided · p = <.01 (a priori threshold for significance was p\<.05)degrees of freedom = 75
PrimarySelf-reported Feelings of Connection in Response to the Scanner Tasks

feelings of social connection in response to reading sentences from known people (i.e. average of how connected, touched, warm did you feel). Feelings were reported on a scale of 1 (not at all) to 7 (very) such that higher numbers reflect greater feelings of social connection. time frame was mistakenly entered as the start of the fMRI scan, but participants reported on their feelings of social connection after the scan. Thus, the outcome measure time frame is reported as two, rather than one, hour after taking the study drug.

Time frame:
approximately two hours after taking study drug
Reported as:
Mean · scores on a scale
Self-reported Feelings of Connection in Response to the Scanner Tasks
scores on a scaleNaltrexoneSugar Pill
Self-reported Feelings of Connection in Response to the Scanner Tasks4.576 ± .8484.766 ± .895
Statistical analysis
  • Naltrexone vs Sugar Pill · t-test, 2 sided · p = .338 (a priori threshold for statistical significance was p\<.05)

Adverse events

Collected over Symptoms in response to taking the study drugs were collected approximately three hours after drug administration. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Naltrexone0/40 (0%)0/40 (0%)30/40 (75%)
Sugar Pill0/40 (0%)0/40 (0%)20/40 (50%)
Most frequent other events
Most frequent other events
EventNaltrexoneSugar Pill
FatigueGeneral disorders28/4019/40
DizzinessNervous system disorders15/404/40
HeadacheNervous system disorders10/405/40
NauseaGastrointestinal disorders6/403/40
Stomach painGastrointestinal disorders4/403/40

Baseline characteristics

2 participants were not included from the naltrexone group for final analyses

Age, Continuous
Age, Continuous(years)NaltrexoneSugar PillTotal
Mean21.90 ± 3.4922.88 ± 3.2022.39 ± 3.362
Sex: Female, Male
Sex: Female, Male(Participants)NaltrexoneSugar PillTotal
Female272148
Male131932
Race (NIH/OMB)
Race (NIH/OMB)(Participants)NaltrexoneSugar PillTotal
American Indian or Alaska Native000
Asian101222
Native Hawaiian or Other Pacific Islander000
Black or African American123
White272350
More than one race224
Unknown or Not Reported011
Body Mass Index (BMI)
Body Mass Index (BMI)(kg/m^2)NaltrexoneSugar PillTotal
Mean24.30 ± 3.6023.42 ± 2.6123.86 ± 3.15
08

Study locations

1 site
  • University of Pittsburgh
    Pittsburgh, Pennsylvania 15260, United States
09

References and documents

Publications

  • Ross LP, Andreescu C, Inagaki TK. Relationships Between Early Maternal Warmth and Social Connection: A Randomized Clinical Trial With Naltrexone. Psychosom Med. 2021 Oct 1;83(8):924-931. doi: 10.1097/PSY.0000000000000986. PubMed 34292204 ↗
  • Inagaki TK, Hazlett LI, Andreescu C. Opioids and social bonding: Effect of naltrexone on feelings of social connection and ventral striatum activity to close others. J Exp Psychol Gen. 2020 Apr;149(4):732-745. doi: 10.1037/xge0000674. Epub 2019 Aug 15. PubMed 31414860 ↗

Study documents

  • Protocol and statistical analysis plan · Aug 13, 2015

Documents are hosted by the registry — open the source record to download them.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 23, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02818036
Lead sponsor
Tristen Inagaki
Responsible party
Tristen Inagaki (Assistant Professor, University of Pittsburgh) — Sponsor-investigator
First posted
Jun 29, 2016
Start date
Aug 2016
Primary completion
Jun 21, 2018
Completion
Jun 21, 2018
Results posted
Jul 23, 2019
Last update
Jul 23, 2019
View the source record on ClinicalTrials.gov ↗

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