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CompletedNCT06491160Updated Jan 3, 2025

Performance and FMRI BOLD Signal Changes in Impulsive Patients

An observational study in Attention Deficit Hyperactivity Disorder and Borderline Personality Disorder, sponsored by Simone Grimm. Completed at 1 site in Germany. Open to participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2025-01-03.

Sponsored by Simone Grimm · Observational

Study type
Observational
Model
Case-only
Time perspective
Cross-sectional
Enrollment
20
Ages
18 Years to 45 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 63 studies in Attention Deficit Disorder with Hyperactivity with a site in Germany — 2 open to participants now, 2 under way, none of them phase 3. Attention Deficit Disorder with Hyperactivity · Germany.

Started
2024
with 3 others
Observational
8 of 63
none open now
Registered
59th of 63
by date

Among the 63 studies in Attention Deficit Disorder with Hyperactivity with a site in Germany, this one is one of 4 that started in 2024, is one of 8 observational ones, and was the 59th registered.

Attention Deficit Disorder with Hyperactivity

1,817 studies on the registry are indexed under Attention Deficit Disorder with Hyperactivity; 295 are open to participants now.

Browse Attention Deficit Disorder with Hyperactivity studies →

Open to participants now

2 of the 63 studies in Attention Deficit Disorder with Hyperactivity with a site in Germany are open now. Recruiting first, the newest first:

All 2 open studies →

A study can be open while its sites in Germany have not opened yet or have stopped. Only those recruiting at a site in Germany →

Who these studies take

Of the 201 Attention Deficit Disorder with Hyperactivity studies recruiting now, 27 (13%) set no upper age limit and 169 (84%) stop at 75 or younger; 141 take children under 18; 55 take healthy volunteers.

This study: 18 Years to 45 Years · all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 63 studies in Attention Deficit Disorder with Hyperactivity with a site in Germany, or all of them as a file.
02

Study summary

This study is a preceding study conducted to validate the methodology for assessing impulsivity by tasks and task-based fMRI measurements in patients with Attention Deficit Hyperactivity Disorder (ADHD) or Borderline Personality Disorder (BPD).

Read the detailed description

It is planned to conduct a clinical trial to test pharmacodynamic effects of a new drug under development for impulsivity including patients with ADHD or BPD. For the preparation of this planned trial, a preceding study will be conducted. The results of this preceding study will be needed to prepare and plan the upcoming proof-of-clinical-principle-study regarding behavioral effects, involved brain regions, effect sizes, patient experience, and task design. Testing and optimizing the study procedures in advance in this preceding study will help to define the objectives and endpoints of the planned pharmacodynamic trial.

03

Conditions studied

  • Attention Deficit Hyperactivity Disorder
  • Borderline Personality Disorder

Keywords

  • Attention Deficit Hyperactivity Disorder
  • Borderline Personality Disorder
  • Functional Brain Changes
  • BOLD responses
04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

The study population includes individuals diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) and with Borderline Personality Disorder (BPD). Subjects must meet current DSM-5 criteria for ADHD or BPD as a primary diagnosis as assessed by SCID and SCID-PD. Subjects must score higher than 70 on the Barratt Impulsiveness Scale (BIS) to be included in the study.

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

  1. meet current criteria for ADHD or BPD as a primary diagnosis as assessed by SCID and SCID-PD
  2. between 18 and 45 years, inclusive
  3. BIS-11 score of ≥ 70
  4. completely fluent German speaker who, in the opinion of the Investigator, is capable of completing the fMRI and behavioral tasks
  5. must have signed the form prior to the first study-related procedure indicating they understand the purpose of, and procedures required for the study and are willing to participate in the study.

Exclusion criteria

Exclusion Criteria:

  1. Lifetime diagnosis of schizophrenia, schizoaffective disorder, schizophreniform disorder, bipolar I or II disorder, delusional disorder, or autism spectrum disorder as confirmed by the SCID at screening visit
  2. Moderate or severe substance use disorder within the last 6 months.
  3. Any other psychiatric disorder that is not currently stable in symptoms and treatment. Stable is defined as have no significant changes in symptom acuity or medication treatment in the 3 months prior to enrollment
  4. Positive results on a urine drug screen or alcohol breath test, or any signs or symptoms of acute intoxication at screening or enrollment visit
  5. A female subject with a positive pregnancy test at screening or enrollment visit
  6. Unstable medical condition, history of seizure disorders, stroke, brain tumor, or any other major neurological illness
  7. Subjects deemed to be at significant risk of serious violence or suicide based on any one of the following:

    • Significant risk of committing violent acts, homicide, serious self-harm, or suicide based on history, routine psychiatric status examination, or according to the investigator's experience OR
    • Any suicide attempt in the past 6 months (i.e. actual attempt, interrupted attempt, aborted attempt) prior to enrollment OR
    • Any suicidal ideation of type 4 or 5 in the Columbia-Suicide Severity Rating Scale (C-SSRS) in the past 6 months prior to enrollment
  8. Subjects not expected to comply with the protocol requirements or not expected to complete the trial as scheduled (that, in the investigator's opinion, makes the subject an unreliable trial subject)
  9. Concomitant use of restricted psychotropic medication. All restricted psychotropic medications must be washed out at least 5 half-lives prior to enrollment (including ADHD medications such as amphetamine or methylphenidate derivates). Allowed medications must be stable in agent, dose, and frequency for > 3 month prior to enrollment:

    • a single antidepressant of the Selective Serotonin Reuptake Inhibitor (SSRI) or Serotonin-Noradrenaline Reuptake Inhibitor (SNRI) class
    • A single second-generation antipsychotic at a low dose (1 thorazine dose equivalent or less, which translates to ≤ 2 mg/day for risperidone, 5 mg/day for olanzapine, 75 mg/day for quetiapine, 60 mg/day for ziprasidone, and 7.5 mg/day for aripiprazole)
    • Permitted sleep medications must be nightly scheduled medications (not PRN) and may include non-benzodiazepines, antihistamines, melatonin, trazodone, low dose doxepin (≤ 50mg), and low dose quetiapine (≤75mg qhs).
  10. Any to undergo an MRI radiography (e.g. history of surgery involving metal implants), including but not limited the following:

    • A planned medical treatment within the study period that might interfere with the study procedures
    • Subjects who have undergone operations to the head
    • Subjects with significant hearing impairments which, in the opinion of the investigator, may interfere with the performance of fMRI tasks
    • Subjects with a significant visual impairment including color blindness, or history of ocular treatment including corrective laser eye surgery, or ongoing condition, which in the opinion of the investigator may interfere with the performance of the behavioral or fMRI tasks
  11. Subject is a staff member or the relative of a staff member or is in a subordinate relationship with the Investigator
  12. Signs or symptoms of Post-Covid disease
  13. Inability or unwillingness to comply with study procedures, including study prohibitions and restrictions
  14. Any condition for which, in the opinion of the investigator, participation would not be in the best interest of the subject (e.g., compromise the well-being) or that could prevent, limit, or confound the protocol-specified assessments
  15. Vulnerable subject who lives in an institution on court or authority order
  16. Participation in another clinical trial.
Terms in these criteria, in plain language(3)

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.

05

Study design

Observational model
Case-only
Time perspective
Cross-sectional
Enrollment
20 participants (actual)
Patient registry
No

Groups and cohorts

  • Attention Deficit Hyperactivity Disorder

    Subjects eligible for enrolment in this study must the following criteria: 1. meet current Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for ADHD as a primary diagnosis as assessed by the Structured Clinical Interview for DSM Disorders (SCID) and the Structured Clinical Interview for DSM Personality Disorders (SCID-PD) 2. between 18 and 45 years, inclusive 3. BIS-11 score of ≥ 70

  • Borderline Personality Disorder

    Subjects eligible for enrolment in this study must meet all of the following criteria: 1. meet current DSM-5 criteria for BPD as a primary diagnosis as assessed by SCID and SCID-PD 2. between 18 and 45 years, inclusive 3. BIS-11 score of ≥ 70

06

What researchers measure

Primary outcomes

  1. Average percent BOLD signal change during the 4-Choice Serial-Reaction Time Task (4-CSRTT)

    Blood oxygen level dependent (BOLD) fMRI signal changes will be analyzed to identify brain regions with significant activation during the 4-CSRTT

    Time frame: During the 4-CSRTT on experimental day (visit number 2 (study day 1))

  2. Average percent BOLD signal change during the Stop Signal Task (SST)

    Blood oxygen level dependent (BOLD) fMRI signal changes will be analyzed to identify brain regions with significant activation during the SST

    Time frame: During the SST on experimental day (visit number 2 (study day 1))

  3. Average percent BOLD signal change during resting state

    Blood oxygen level dependent (BOLD) fMRI signal magnitude and BOLD signal standard deviation during resting state

    Time frame: During resting state on experimental day (visit number 2 (study day 1))

  4. Assessment of brain perfusion

    Change in relative and absolute cerebral blood flow are measured through Arterial Spin Labeling (ASL)

    Time frame: During asl on experimental day (visit number 2 (study day 1))

Other outcomes

  1. Correlation between BOLD signal during the 4-CSRTT and impulsivity scores on the BIS-11

    Correlation between magnitude of BOLD signal during the 4-CSRTT and impulsivity scores on the BIS-11

    Time frame: Impulsivity scores were assessed on the screening day (visit number 1 (study days -28 to -1)), while BOLD signal changes during the 4-CSRTT were measured on the experimental day (visit number 2 (study day 1))

  2. Correlation between BOLD signal during the SST and impulsivity scores on the BIS-11

    Correlation between magnitude of BOLD signal during the SST and impulsivity scores on the BIS-11

    Time frame: Impulsivity scores were assessed on the screening day (visit number 1 (study days -28 to -1)), while BOLD signal changes during the SST were measured on the experimental day (visit number 2 (study day 1))

  3. Correlation between BOLD signal during the 4-CSRTT and impulsivity scores on the S-UPPS

    Correlation between magnitude of BOLD signal during the 4-CSRTT and impulsivity scores on the S-UPPS

    Time frame: Impulsivity scores were assessed on the screening day (visit number 1 (study days -28 to -1)), while BOLD signal changes during the 4-CSRTT were measured on the experimental day (visit number 2 (study day 1))

  4. Correlation between BOLD signal during the SST and impulsivity scores on the S-UPPS

    Correlation between magnitude of BOLD signal during the SST and impulsivity scores on the S-UPPS

    Time frame: Impulsivity scores were assessed on the screening day (visit number 1 (study days -28 to -1)), while BOLD signal changes during the SST were measured on the experimental day (visit number 2 (study day 1))

  5. Reaction times in ms

    Reaction times in ms extracted from the in- scanner protocol log files

    Time frame: During all tasks on experimental day (visit number 2 (study day 1))

  6. Premature responses

    Number of premature responses extracted from the in- scanner protocol log files

    Time frame: During all tasks on experimental day (visit number 2 (study day 1))

  7. Reaction times during the 4-CSRTT after stress induction

    Task performance is measured based on the reaction times (RTs) for choices. Stress is induced using the Mannheim Multicomponent Stress Test (MMST).

    Time frame: During the 4-CSRTT after stress is induced on experimental day (visit number 2 (study day 1))

  8. Premature responses during the 4-CSRTT after stress induction

    Task performance is measured based on the number of premature responses. Stress is induced using the Mannheim Multicomponent Stress Test (MMST).

    Time frame: During the 4-CSRTT after stress is induced on experimental day (visit number 2 (study day 1))

  9. Impulsive choice ratio during the 4-CSRTT after stress induction

    Task performance is measured based on the impulsive choice ratio. Stress is induced using the Mannheim Multicomponent Stress Test (MMST).

    Time frame: During the 4-CSRTT after stress is induced on experimental day (visit number 2 (study day 1))

  10. Reaction times during the DDT after stress induction

    Task performance is measured based on reaction times (RTs) for choices. Stress is induced using the Mannheim Multicomponent Stress Test (MMST).

    Time frame: During the DDT after stress is induced on experimental day (visit number 2 (study day 1))

  11. Premature responses during the DDT after stress induction

    Task performance is measured based on the number of premature responses. Stress is induced using the Mannheim Multicomponent Stress Test (MMST).

    Time frame: During the DDT after stress is induced on experimental day (visit number 2 (study day 1))

  12. Correlation between BOLD signal and behavioral measures during 4-CSRTT

    Correlation between magnitude of BOLD signal during 4-CSRTT and behavioral measures of the 4-CSRTT

    Time frame: during the 4-CSRTT conducted in the scanner on experimental day (visit number 2 (study day 1))

  13. Correlation between BOLD signal and behavioral measures during SST

    Correlation between magnitude of BOLD signal during SST and behavioral measures of the SST

    Time frame: during the SST conducted in the scanner on experimental day (visit number 2 (study day 1))

07

Study locations

1 site
  • Charité Research Organisation GmbH
    Berlin, Germany
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Aug 2024 to primary completion in Oct 2024, 2 months.

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

Registered
Jun 6, 2024
First posted
Jul 8, 2024
StartActual
Aug 6, 2024
Primary completionActual
Oct 30, 2024
CompletionActual
Oct 30, 2024
Last update
Jan 3, 2025
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 Jan 3, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06491160
Lead sponsor
Simone Grimm
Collaborators
Charité Research Organisation GmbH, Boehringer Ingelheim
Responsible party
Simone Grimm (Prof. Dr. habil., Medical School Berlin) — Sponsor-investigator
First posted
Jul 8, 2024
Start date
Aug 6, 2024
Primary completion
Oct 30, 2024
Completion
Oct 30, 2024
Last update
Jan 3, 2025

Study contacts

Christian Keicher, Dr. med.
principal investigator · Charité Research Organisation, Berlin, Germany

Oversight

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

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This study is completed, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.

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