CClinicalTrials.gg
CompletedNCT05026398FEN&CognitionUpdated Nov 15, 2022

Fenfluramine and Cognition

A Phase 4 interventional study of Fenfluramine and Placebo in Cognitive Function, sponsored by University of Oxford. Completed at 1 site in United Kingdom. Open to participants aged 18 Years to 22 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-11-15.

Sponsored by University of Oxford · Phase 4, Interventional, and Other

From the registry’s dates

  • Primary completion was Jun 2022, 4 years 3 months ago, and no results have been posted to the registry.
Phase
Phase 4
Study type
Interventional
Enrollment
56
Allocation
Randomized
Ages
18 Years to 22 Years
Sex
All
01

Study summary

In this study, the investigators will investigate the cognitive effects of fenfluramine, a drug that directly stimulates the release of serotonin in the brain and positively modulates σ1 function. The investigators will use fenfluramine to assess the cognitive effects of modulating serotonin and σ1 function in healthy volunteers using a battery of cognitive tasks that measure learning and memory, executive functioning, reward processing, and emotional processing. The study design is double-blind, and participants will be randomised to either seven days of fenfluramine or placebo administration. All participants will attend two screening visits to assess eligibility. There are two main study visits; during the first, participants will undertake cognitive tasks and questionnaires before taking the initial study dose. One the second study visit, participants will once again complete these tasks and questionnaires after a week of fenfluramine/placebo administration.

02

Conditions studied

  • Cognitive Function

Keywords

  • Drug
  • Cognition
  • Dravet Syndrome
  • 5-HT
  • Sigma-1
  • Healthy Volunteers
03

In context

Lead sponsor

University of Oxford is the lead sponsor of 794 studies on the registry; 117 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 22 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Participant is willing and able to give informed consent for participation in the research
  • Not currently taking any medications (except the contraceptive pill)
  • Aged 18-22 years
  • Male or female
  • Sufficiently fluent English to understand and complete the task
  • Body Mass Index above 18-30
  • Weight of 40-75kg

Exclusion criteria

Exclusion Criteria:

  • Current pregnancy (as determined by urine pregnancy test taken during Screening and First Dose Visit) or breast feeding
  • Any past or current Axis 1 DSM-V psychiatric disorder
  • Clinically significant abnormal values for liver function tests, clinical chemistry, urine drug screen, blood pressure measurement and ECG. A participant with a clinical abnormality or parameters outside the reference range for the population being studied may be included only if the Investigator considers that the finding is unlikely to introduce additional risk factors and will not interfere with the study procedures
  • History of, or current medical conditions which, in the opinion of the investigator, may interfere with the safety of the participant or the scientific integrity of the study, including epilepsy/seizures, brain injury, hepatic or renal disease, severe gastro-intestinal problems, Central Nervous System (CNS) tumours, neurological conditions
  • Current or past history of drug or alcohol dependency
  • Current or past use of 3,4-Methylenedioxymethamphetamine (MDMA)
  • Use of recreational drugs (e.g. cannabis, cocaine, amphetamines) within past 3 months
  • Participation in a study which uses the same computer tasks as those in the present study (determined by asking participants about previous studies participated in during screening)
  • Participation in a study that involves the use of a medication within the last three months
  • Smoking > 5 cigarettes per day
  • Typically drinks > 6 caffeinated drinks per day (e.g. tea, coffee, coca cola, Red Bull)
  • Participant is unlikely to comply with the clinical study protocol or is unsuitable for any other reason, in the opinion of the Investigator
05

Study design

Phase
Phase 4
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
56 participants (actual)

Study arms

  • Experimental
    Fenfluramine

    Drug: Fenfluramine - 15mg twice daily oral solution for seven days

    Drug: Fenfluramine

  • Placebo comparator
    Placebo

    Placebo - 15mg twice daily oral solution for seven days

    Other: Placebo

Interventions

  • DrugFenfluramine

    Fenfluramine (30mg daily) will be dispensed in a cherry flavoured aqueous solution. Fenfluramine is both a serotonin releasing agent and sigma-1 receptor agonist. Fenfluramine is FDA approved for the treatment of Dravet syndrome, a rare form of epilepsy.

    Also known as: Fintepla (trade name), Fenfluramine Hydrochloride (ZX008)

  • OtherPlacebo

    The placebo is a liquid designed to be identical to the interventional drug fenfluramine in terms of both taste and visual appearance. It will be administered at 30mg daily and dispensed in a cherry flavoured aqueous solution

06

What researchers measure

Primary outcomes

  1. Change in Go/No-Go Task performance

    Accuracy on the Go/No-Go task

    Time frame: Immediately before initial dose (Day 1) and immediately before final visit (Day 7)

  2. Change in Auditory Verbal Learning Task

    Accuracy on AVLT (number of items recalled across blocks)

    Time frame: Immediately before initial dose (Day 1) and immediately before final visit (Day 7)

  3. Change in N-back task performance

    Accuracy on the N-back task

    Time frame: Immediately before initial dose (Day 1) and immediately before final visit (Day 7)

Secondary outcomes

  1. Changes in reward sensitivity

    Sensitivity to reward as measured by the Probabilistic Instrumental Learning Task (PILT)

    Time frame: Immediately before initial dose (Day 1) and immediately before final visit (Day 7)

  2. Changes in categorisation of emotional words

    Accuracy to categorise positive and negative descriptor words

    Time frame: Immediately before initial dose (Day 1) and immediately before final visit (Day 7)

  3. Changes in recall of emotional words

    Number of words accurately recalled

    Time frame: Immediately before initial dose (Day 1) and immediately before final visit (Day 7)

  4. Changes in recognition of emotional words

    Number of words accurately recognised

    Time frame: Immediately before initial dose (Day 1) and immediately before final visit (Day 7)

  5. Changes in recognition of emotional facial expressions

    Accuracy of emotion labels (e.g. disgusted face) assigned by participants to expressive faces which have appeared on a computer screen for a period of 500ms.

    Time frame: Immediately before initial dose (Day 1) and immediately before final visit (Day 7)

  6. Changes in visual short term memory on the Oxford Memory Test (OMT)

    Accuracy on the Oxford Memory Task

    Time frame: Immediately before initial dose (Day 1) and immediately before final visit (Day 7)

  7. Changes in visual search ability

    Accuracy during contextual cueing task (CCT)

    Time frame: Immediately before initial dose (Day 1) and immediately before final visit (Day 7)

  8. Changes in control measures of subjective state

    Ratings on the Positive and Negative Affect Schedule

    Time frame: Immediately before initial dose (Day 1) and immediately before final visit (Day 7)

07

Study locations

1 site
  • Department of Psychiatry, University of Oxford
    Oxford, United Kingdom
08

References and documents

Study documents

  • Informed consent form · Jul 28, 2021

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

Individual participant data

Plan to share: Yes — Data which has been fully de-identified may be shared with other academic and commercial organisations in the future, including those outside of the UK and the EU. Participants will be informed of this and specific consent to this is obtained within the Informed Consent Form.

Supporting information: Study protocol, Sap, Icf, Analytic code

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 15, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05026398
Lead sponsor
University of Oxford
Collaborators
Zogenix International Limited, Inc., a subsidiary of Zogenix, Inc., National Institute for Health Research, United Kingdom
Responsible party
Catherine Harmer (Prof Catherine Harmer, University of Oxford) — Principal investigator
First posted
Aug 30, 2021
Start date
Apr 12, 2021
Primary completion
Jun 22, 2022
Completion
Jun 22, 2022
Last update
Nov 15, 2022

Study contacts

Catherine J Harmer, DPhil
principal investigator · University of Oxford

Oversight

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

Not currently enrolling

This study is completed, as verified in Nov 2022. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion