ClinicalTrials.gg
Status unknownNCT03424616Updated Feb 7, 2018

Deep Brain Stimulation of Nucleus Accumbens for Opioid Relapse Prevention

An interventional study of Suzhou Sceneray® DBS System in Addiction, sponsored by Tang-Du Hospital. Status unknown at 5 sites in China. Open to participants aged 18 Years to 50 Years. Per ClinicalTrials.gov, last updated 2018-02-07.

Primary conditionBehavior, Addictive(the registry's first term)UnverifiedIs this wrong?Behavior, Addictive is a broad heading, used only when no more specific condition is named. No better condition is named, so the registry's term is kept.

Sponsored by Tang-Du Hospital · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jan 2018), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
All
01

Study summary

Nucleus accumbens plays important roles in the process of opiate addiction and initial of relapse after detoxification.According to the single-centered preliminary open-labeled prospective trial results, the investigators hypothesize that bilateral stimulation of the NAc will effectively reduce the relapse of the opiate dependence.

02

Conditions studied

  • Addiction

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Keywords

  • Opiate dependence
  • Deep brain stimulation
  • Nucleus accumbens
03

In context

Behavior, Addictive Unverified

521 studies on the registry are indexed under Behavior, Addictive; 124 are open to participants now.

This study's planned enrollment of 60 is close to the median of 62 across 399 interventional studies indexed under Behavior, Addictive.

Browse Behavior, Addictive studies →

Lead sponsor

Tang-Du Hospital is the lead sponsor of 167 studies on the registry; 78 are open to participants now.

Compared within Behavior, Addictive, the registry's first condition term, which may not be this study's main condition. Counted across the registry records on this site, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 18 years old \< Age \< 50 years old
  • Moderate to severe opiates abuse disorders (fulfilled diagnostic-criteria according to )

    1. History of opiates abuse no less than 3 years
    2. Failure of at least three addiction treatments ( in hospital or compulsive rehabilitation), among which failure of methadone maintenance treatment must be met
    3. completion of detoxification ( Negative urine test for morphine, methamphetamine, ketamine and buprenorphine)
  • Free patient's decision/ (existing comprehensive ability in meaning, methodology and execution of the study and ability of acceptance, known the benefit and risk of the treatment)

Exclusion criteria

Exclusion Criteria:

  • Clinical relevant psychiatric comorbidity (schizophrenic psychoses, bipolar affective diseases, severe personality disorder)
  • of a MRI-examination, e.g. implanted cardiac pacemaker/heart defibrillator
  • Abuse of other type of drugs
  • severe cognitive impairments
  • Enrollment in other clinical trials
  • Stereotactic respectively neurosurgical intervention in the past
  • Contraindications of a stereotactic operation, e.g. increased bleeding-disposition, cerebrovascular diseases (e.g. arteriovenous malfunction, aneurysms, systemic vascular diseases)
  • Serious and instable organic diseases (e.g. instable coronal heart disease)
  • tested positively for
  • pregnancy and/or lactation
  • Severe disorders for coagulation and liver function
  • Epilepsy or other severe brain trauma or neurological impairments
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    Postoperative immediate Deep brain stimulation

    The addicts undergone the deep brain stimulation while the stimulation (Suzhou Sceneray® DBS System) was turned on 1-2 weeks postoperatively.

    Device: Suzhou Sceneray® DBS System

  • Sham comparator
    Postoperative delayed Deep brain stimulation

    The addicts undergone the deep brain stimulation while the stimulation (Suzhou Sceneray® DBS System) was off until 25 months postoperatively, during which the following up was kept, then the the stimulation was turned on 25 months postoperatively.

    Device: Suzhou Sceneray® DBS System

Interventions

  • DeviceSuzhou Sceneray® DBS System

    We plan to use the SceneRay 1242 (SceneRay, SuZhou, China) electrode with a diameter of 1.27 mm and 4 contacts. The SceneRay 1242 electrode combined with the SceneRay 1181 implantable pulse generator has the advantage of adaptive coverage area for the Ventral Capsule/Ventral Striatum, enabling simultaneous implantation in the nucleus accumbens (NAc; 2 ventral contacts) and the anterior limb of the internal capsule (ALIC; 2 dorsal contacts) with independently programmed parameters such as frequency, amplitude, and voltage; and remote and wireless programing, which allows for convenient and prompt adjustments in emergency situations.

06

What researchers measure

Primary outcomes

  1. The abstinent rate at 25 weeks after DBS stimulation on (Urine Tests)

    If the participants or their families report no less than 2 times of the drug use in each of two consecutive weeks, or the consecutive 2 times of urine tests showed positive, or lost of follow-up, the case was defined as relapse

    Time frame: At 25 weeks after DBS stimulation on

Secondary outcomes

  1. The total days of abstinence for participants

    The total days of abstinence for participants

    Time frame: Baseline (preoperative), 4 weeks, 12 weeks, 25 week after DBS stimulation on

  2. The longest duration for sustained abstinence for participants

    The longest duration for sustained abstinence for participants

    Time frame: Baseline (preoperative), 4 weeks, 12 weeks, 25 week after DBS stimulation on

  3. Visual analog scale (VAS) craving score for opioid drugs

    Ranging from 0-10,with 0 indicates no craving while 10 indicates extreme craving

    Time frame: Baseline (preoperative), 1week, 4 weeks, 12 weeks, 25 week after DBS stimulation on

  4. Body weight for participants

    Body weight for participants

    Time frame: Baseline (preoperative), 4 weeks, 12 weeks, 25 week after DBS stimulation on

  5. Hamilton Depression Scale(HAMD-17)

    17 items,Total scores\<7: normal;7\<Total scores\<17:possible depression;17\<Total scores\<24:definite depression;Total score\>24: severe depression

    Time frame: Baseline (preoperative), 1week, 4 weeks, 12 weeks, 25 week after DBS stimulation on

  6. Scaling for Opiate withdrawal symptoms

    There were 19 items for rating 19 withdrawl symptoms, with 0 indicating none and 4 indicating most severe, the total scores are obtained by summary for scores of each items, ranging from 0-76, the higher the total scores indicating the worsen opiate withdrawl symptoms.

    Time frame: Baseline (preoperative), 1week, 4 weeks, 12 weeks, 25 week after DBS stimulation on

  7. The evaluation on MATRICS-test

    Software system constructed by MATRICS company, which was used for evaluate the cognitive function of the participants

    Time frame: Baseline (preoperative), 1week, 4 weeks, 12 weeks, 25 week after DBS stimulation on

  8. The rate of positive urine test results

    times of positive urine test/ total times of urine test

    Time frame: Baseline (preoperative), 4 weeks, 12 weeks, 25 week after DBS stimulation on

  9. Hamilton Anxiety Scale (HAMA)

    14 items, Total scores\<6: normal;7\<Total scores\<14:possible anxiety;14\<Total scores\<21:definite anxiety;Total score\>21: severe anxiety

    Time frame: Baseline (preoperative), 1week, 4 weeks, 12 weeks, 25 week after DBS stimulation on

  10. Pittsburgh sleep quality index(PSQI)

    Scaling for evaluating the sleep quality, the higher total scores indicating the more difficulties on sleep, thus the higher total scores indicating the worsen sleep quality

    Time frame: Baseline (preoperative), 1week, 4 weeks, 12 weeks, 25 week after DBS stimulation on

  11. Fagerstrom Test Nicotine Dependence assessment (FTND)

    Scaling for Nicotine Dependence: The higher of scores indicating higher lever of Nicotine Dependence

    Time frame: Baseline (preoperative), 1week, 4 weeks, 12 weeks, 25 week after DBS stimulation on

  12. Social Disability Screening Schedule (SDSS)

    Scaling for Social Disability with 10 items, the higher total scores indicating the much severe social disability

    Time frame: Baseline (preoperative), 1week, 4 weeks, 12 weeks, 25 week after DBS stimulation on

  13. Activity of Daily Living Scale (ADL)

    Consists of Physical Self-maintenance Scale and Instrumental Activities of Daily Living Scale, ranging from 0-56, total scores \<14, normal; total score \>14, ADL dysfunction

    Time frame: Baseline (preoperative), 1week, 4 weeks, 12 weeks, 25 week after DBS stimulation on

  14. 36-Item Short Form Health Survey (SF-36)

    Scaling for Quality of life with 8 subscales, the higher total scores indicating the better quality of life.

    Time frame: Baseline (preoperative), 1week, 4 weeks, 12 weeks, 25 week after DBS stimulation on

07

Study locations

5 of 5 sites recruiting
  • National Institute on Drug Dependence, Peking University
    Beijing, Beijing 100191, China
    Recruiting
    • Lin Lu, M.D. · Contactlinlu@bjmu.edu.cn · +86 13801027748
    • Jie Shi, M.D. · Contact+86 13910710407
    • Lin Lu, M.D. · Principal investigator
  • Nanfang Hospital Southern Medical University
    Guangzhou, Guangdong 510515, China
    Recruiting
    • Kaijun Yang, M.D. · Contact+86 13380082493
    • Kaijun Yang, M.D. · Sub investigator
  • Department of neurosurgery, Tangdu Hospital
    Xi'an, Shaanxi 710038, China
    Recruiting
    • Guodong Gao, M.D. · Contactgguodong@fmmu.edu.cn · +86 29 84717556
    • Xuelian Wang, M.D. · Contactwxlian@fmmu.edu.cn · +86 29 84777284
    • Guodong Gao, M.D. · Principal investigator
    • Xuelian Wang, M.D. · Sub investigator
  • Ruijin Hospital
    Shanghai, Shanghai 200020, China
    Recruiting
  • West China Hospital
    Chengdu, Si Chuan 610041, China
    Recruiting
    • Wei Wang, M.D. · Contact+86 13808170699
    • Wei Wang, M.D. · Principal investigator
08

References and documents

Publications

  • Qu L, Ge S, Li N, Wang W, Yang K, Wu P, Wang X, Shi J. Clinical evaluation of deep brain stimulation of nucleus accumbens/anterior limb of internal capsule for opioid relapse prevention: protocol of a multicentre, prospective and double-blinded study. BMJ Open. 2019 Feb 13;9(2):e023516. doi: 10.1136/bmjopen-2018-023516. PubMed 30765398 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Feb 2018; primary completion for Jan 2020, 23 months later.

Of 147 non-industry interventional studies with no phase under Behavior, Addictive, half reached primary completion within 27 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 42. This study's planned 23 months is below that.

Counting every sponsor, half of 155 studies reached it within 26 months; a quarter within 10 and three quarters within 42.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 17, 2018
First posted
Feb 7, 2018
StartEst.
Feb 6, 2018
Primary completionEst.
Jan 30, 2020
CompletionEst.
Jan 30, 2020
Last update
Feb 7, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 7, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03424616
Lead sponsor
Tang-Du Hospital
Collaborators
National Institute on Drug Dependence, Peking University, Ruijin Hospital, West China Hospital, Nanfang Hospital, Southern Medical University, Peking University First Hospital
Responsible party
Sponsor
First posted
Feb 7, 2018
Start date
Feb 6, 2018 (estimated)
Primary completion
Jan 30, 2020 (estimated)
Completion
Jan 30, 2020 (estimated)
Last update
Feb 7, 2018

Study contacts

Guodong Gao, M.D.
Contact
gguodong@fmmu.edu.cn
+86 29 84717556
Lin Lu, M.D.
Contact
linlu@bjmu.edu.cn
+86 13801027748
Guodong Gao, M.D.
principal investigator · Department of neurosurgery, Tangdu Hospital
Lin Lu, M.D.
principal investigator · National Institute on Drug Dependence, Peking University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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