AzTrials
AzTrials

Sulpiride's Effect on Striatal BOLD Signal During Working Memory GatingNCT05884671

Dopamine and Cognition

A study testing Sulpiride 400 MG in people with Sulpiride's Effect on Striatal BOLD Signal During Working Memory Gating and Interaction of Sulpiride, Average Reward Rate and Evidence Accumulation, run by Donders Centre for Cognitive Neuroimaging at 1 site in Netherlands.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Rationale: To unravel the role of dopamine in gating of working memory, motivation and learning. Objective: The primary objective of this study is to isolate effects of blocking D2 receptor stimulation on gating of working memory, reinforcement learning and reward-based motivation, and their associated physiological… Read more about this study

Who is it for?
Ages 18 to 45 yearsHealthy volunteers can take part
What is being tested?
Sulpiride 400 MG
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
47 participants
Where
1 siteNetherlands
Study dates
23 Sep 2021to 12 Jul 2022
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 45 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Healthy volunteers between 18 and 45 years of age
  • Predominant right-handedness

Who cannot join

  • Presence of prolactin-dependent tumors (e.g., pituitary prolactinoma or breast cancer)
  • (History of) autonomic failure (e.g., vasovagal reflex syncope).
  • (History of) clinically significant hepatic, cardiac, obstructive respiratory, renal, cerebrovascular, cardiovascular, metabolic, ocular or pulmonary disease/disorders
  • (History of) epilepsy in adulthood (i.e. no insult after 18 years of age, no current medication for epilepsy and no insult in the last five years)
  • Diagnosis (or history of) endocrine treatment
  • Diagnosis (or history of) neuroendocrine treatment (e.g., phechromocytoma, hyperthyroidism, Cushing's syndrome)
Show all 41Show fewer
  • (History of) melanoma
  • Hypersensitivity to sulpiride
  • One first degree or two or more second degree family members with a history of sudden death or ventricular arrhythmia
  • Abnormal QT interval (assessed via ECG)
  • Uncontrolled hypertension, defined as diastolic blood pressure at rest > 95 mmHg or systolic blood pressure at rest > 180 mmHg
  • Hypotension, defined as diastolic blood pressure < 50 mm Hg or systolic < 95 mm Hg
  • or resting pulse rate < 45 beats/min
  • Diabetes
  • History of prescribed medication within the last month prior to the start of the study.
  • History of 'over the counter' medication within the last two months (with exception of occasional use of paracetamol, acetylsalicylic acid, and ibuprofen).
  • Possible pregnancy or breastfeeding
  • No appropriate contraception
  • Undiagnosed skin lesions
  • Lactose intolerance
  • Glaucoma or increased risk for glaucoma
  • Possible pregnancy or breastfeeding
  • Metal objects in or around the body (braces, pacemaker, metal fragments, hearing devices)
  • Claustrophobia
  • Diagnosis (or history of) psychiatric treatment (e.g., severe depression, anorexia nervosa, severe mood disorders, mania, schizophrenia or borderline personality disorder)
  • Diagnosis (or history of) neurological treatment
  • (History of) drug dependence (opiate, LSD, (meth)amphetamine, cocaine, solvents, or barbiturate) or alcohol dependence
  • Suicidality
  • Use of MAO inhibitor, anaesthetic, antidepressant or antipsychotic drugs within the week prior to the start of the study.
  • Average use of psychotropic medication or recreational drugs weekly or more.
  • Cannabis use within 2 weeks prior to the start of the study, and periods of more than 3 months using weekly or more in the last 6 months
  • Use of psychotropic medication, or of recreational drugs over a period of 72 hours
  • prior to the test sessions, and use of alcohol within the last 24 hours before each measurement.
  • Average use of more than 3 alcohol beverages daily.
  • Average use of psychotropic medication or recreational drugs weekly or more.
  • Habitual smoking, i.e., more than a pack of cigarettes per week and/or a self-reported inability or unease to cease smoking for 24 hours to testing.
  • Regular use of corticosteroids.
  • Abnormal hearing or (uncorrected) vision.
  • First degree family member with schizophrenia or bipolar disorder
  • Irregular sleep/wake rhythm (e.g., regular nightshifts or cross timezone travel).
  • Left handedness (because lateralisations of brain activation may differ from right-handed people).

Trial locations and contacts

1 site in 1 country.

Netherlands1 site
  • Donders Centre for Cognition, Radboud University

    Nijmegen, Gelderland

Other trials in Netherlands

About this study

Official title: Dopaminergic Mechanisms of Gating Working Memory, Learning and Motivation: a Pharmaco-fMRI Study

Rationale: To unravel the role of dopamine in gating of working memory, motivation and learning.

Objective: The primary objective of this study is to isolate effects of blocking D2 receptor stimulation on gating of working memory, reinforcement learning and reward-based motivation, and their associated physiological changes (measured with fMRI and eye tracking). The secondary objective is to assess the degree to which the effects of D2 receptor action vary as a function of proxy measures of baseline dopamine levels.

Read more

Study design: A double-blind placebo controlled within-subject design will be employed, in which young healthy participants are tested twice, once on placebo, and once on a low oral dose (400mg) of the D2 receptor antagonist sulpiride. This design and drug dose is commonly used in our lab without side effects (previously approved CMO protocols 2011/204, 2008/078 \& 2016/2646).

Study population: Healthy human participants, 18 - 45 yr old. We will recruit 46 participants.

Intervention: Participants will receive both 400 mg sulpiride and placebo, in separate sessions in a counterbalanced order.

Main study parameters/endpoints: BOLD signal measured with fMRI, and behavioural performance on cognitive tasks.

Nature and extent of the burden and risks associated with participation, benefit and group relatedness: Participants will attend 3 study sessions: A screening session and 2 pharmaco-fMRI sessions (sulpiride and placebo). Participants will complete a baseline battery of tasks and questionnaires, a structural MRI scan, as well as a battery of tasks both in and outside the scanner. On the day preceding each pharmaco-fMRI session, participants will have to adhere to some simple restrictions with respect to medication, alcohol and drug intake. On the day of testing participants will have to refrain from smoking and stimulant-containing drinks. Sulpiride can be administered safely without any relevant risk of serious adverse events and has been approved for clinical use in the Netherlands.

Read the detailed description

A more detailed description can be found in the approved research protocol as well as the pre-registrations. The links to the pre-registrations will be made available upon publication.

Being tested
Sulpiride 400 MG, Placebo

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Sulpiride 400 MGDrug

    Also called Dogmatil

    All participants will receive one single dose of 400mg sulpiride. None of the participants will receive repeated doses. In order for the fMRI data acquisition to coincide with the time-window of maximal drug effects represented by a combination of plasma kinetics and physiological effects we will administer the drug 90 minutes prior to fMRI data acquisition.

  • PlaceboDrug

    All participants will receive placebo during one of the sessions.

Study groups in NCT05884671
Study groupRoleWhat they receive
SulpirideActive comparatorAll study participants receive both placebo and the active medication (sulpiride 400mg), in a within-subjects , double-blind, randomized design.
Receives: Drug: Sulpiride 400 MG
PlaceboPlacebo comparatorAll study participants receive both placebo and the active medication (sulpiride 400mg), in a within-subjects , double-blind, randomized design.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Working memory gating task: Reaction time

    Reaction time [ms] during selective vs. non-selective input- and output-gating to assess the ability (speed) to selectively input- and output-gate working memory representations at intervention (sulpiride) versus placebo.

    Measured: Measured at intervention day 1, 115 min after the pharmacological intervention took place. Measurements are compared regarding intervention type (drug versus placebo).

  2. Working memory gating task: Reaction time

    Reaction time [ms] during selective vs. non-selective input- and output-gating to assess the ability (speed) to selectively input- and output-gate working memory representations at intervention (sulpiride) versus placebo.

    Measured: Measured at intervention day 2, 115 min after the pharmacological intervention took place. Measurements are compared regarding intervention type (drug versus placebo).

  3. Working memory gating task: Accuracy

    Accuracy [%] during selective vs. non-selective input- and output-gating to assess the ability (correctness) to selectively input- and output-gate working memory representations at intervention (sulpiride) versus placebo.

    Measured: Measured at intervention day 1, 115 min after the pharmacological intervention took place. Measurements are compared regarding intervention type (drug versus placebo).

  4. Working memory gating task: Accuracy

    Accuracy [%] during selective vs. non-selective input- and output-gating to assess the ability (correctness) to selectively input- and output-gate working memory representations at intervention (sulpiride) versus placebo.

    Measured: Measured at intervention day 2, 115 min after the pharmacological intervention took place. Measurements are compared regarding intervention type (drug versus placebo).

  5. Working memory gating task: BOLD-response

    BOLD-response to selective vs. global cues, examined for both pre- and retro-cue conditions (i.e., input- and output-gating respectively) to assess the neural response to selective working memory gating at intervention (sulpiride) versus placebo.

    Measured: Measured at intervention day 1, 115 min after the pharmacological intervention took place. Measurements are compared regarding intervention type (drug versus placebo).

  6. Working memory gating task: BOLD-response

    BOLD-response to selective vs. global cues, examined for both pre- and retro-cue conditions (i.e., input- and output-gating respectively) to assess the neural response to selective working memory gating at intervention (sulpiride) versus placebo.

    Measured: Measured at intervention day 2, 115 min after the pharmacological intervention took place. Measurements are compared regarding intervention type (drug versus placebo).

  7. Simon task: Accuracy

    Accuracy [%] during high and low average reward rate congruent and incongruent trials to assess cognitive effort investment after intervention versus placebo.

    Measured: Measured at intervention day 1, 250 min after the pharmacological intervention took place. Measurements are compared regarding intervention type (drug versus placebo).

  8. Simon task: Accuracy

    Accuracy [%] during high and low average reward rate congruent and incongruent trials to assess cognitive effort investment after intervention versus placebo.

    Measured: Measured at intervention day 2, 250 min after the pharmacological intervention took place. Measurements are compared regarding intervention type (drug versus placebo).

  9. Simon task: Reaction time

    Reaction time [ms] during high and low average reward rate congruent and incongruent trials to assess cognitive effort investment after intervention versus placebo

    Measured: Measured at intervention day 1, 250 min after the pharmacological intervention took place. Measurements are compared regarding intervention type (drug versus placebo).

  10. Simon task: Reaction time

    Reaction time [ms] during high and low average reward rate congruent and incongruent trials to assess cognitive effort investment after intervention versus placebo

    Measured: Measured at intervention day 2, 250 min after the pharmacological intervention took place. Measurements are compared regarding intervention type (drug versus placebo).

  11. Perceptual decision-making task: Accuracy

    Accuracy [%] as a function of average reward rate to assess cognitive effort investment after intervention versus placebo.

    Measured: Measured at intervention day 1, 215 min after the pharmacological intervention took place. Measurements are compared regarding intervention type (drug versus placebo).

  12. Perceptual decision-making task: Accuracy

    Accuracy [%] as a function of average reward rate to assess cognitive effort investment after intervention versus placebo.

    Measured: Measured at intervention day 2, 215 min after the pharmacological intervention took place. Measurements are compared regarding intervention type (drug versus placebo).

  13. Perceptual decision-making task: Reaction time

    Reaction time [ms] as a function of average reward rate to assess cognitive effort investment after intervention versus placebo.

    Measured: Measured at intervention day 1, 215 min after the pharmacological intervention took place. Measurements are compared regarding intervention type (drug versus placebo).

  14. Perceptual decision-making task: Reaction time

    Reaction time [ms] as a function of average reward rate to assess cognitive effort investment after intervention versus placebo.

    Measured: Measured at intervention day 2, 215 min after the pharmacological intervention took place. Measurements are compared regarding intervention type (drug versus placebo).

Secondary outcomes (11)
  1. Eye-blink rate

    Number of spontaneous eye blinks per minute, as a clinically relevant biomarker of striatal dopamine function

    Measured: Measured at baseline during intake session

  2. Operation Span test

    Number of letters remembered while performing math problems, as a parameter for working memory capacity

    Measured: Measured at baseline during intake session

  3. Digit Span test

    Accuracy score [nr of correct responses] on forward span and backward span, as a parameter for working memory capacity

    Measured: Measured at baseline during intake session

  4. Digit Span test

    Accuracy score [nr of correct responses] on forward span and backward span, as a parameter for working memory capacity

    Measured: Measured during intervention day 1 (sessions at least 14 days apart), 290 min after the pharmacological intervention took place

  5. Digit Span test

    Accuracy score [nr of correct responses] on forward span and backward span, as a parameter for working memory capacity

    Measured: Measured during intervention day 2 (sessions at least 14 days apart), 290 min after the pharmacological intervention took place

  6. Beck Depression Inventory

    Average score as indicator of depressive symptoms

    Measured: Baseline measure via online questionnaire in between first and second intervention session (these take place at least 14 days apart)

  7. Barratt Impulsiveness Scale

    Average score as indicator of impulsivity (personality trait)

    Measured: Baseline measure via online questionnaire in between first and second intervention session (these take place at least 14 days apart)

  8. Behavioural Inhibition Scale/Behavioural Activation Scale

    Average score as indicator of behavioural activation and inhibition

    Measured: Baseline measure via online questionnaire in between first and second intervention session (these take place at least 14 days apart)

  9. State and Trait Anxiety Inventory

    Average score as indicator of state and trait anxiety

    Measured: Baseline measure via online questionnaire in between first and second intervention session (these take place at least 14 days apart)

  10. Utrechtse Burnout Schaal/Maslach Burnout Inventory

    Average score as indicator of burn out

    Measured: Baseline measure via online questionnaire in between first and second intervention session (these take place at least 14 days apart)

  11. Covid-19 Stress Scales

    Average score as indicator of COVID-related stress and anxiety

    Measured: Baseline measure via online questionnaire in between first and second intervention session (these take place at least 14 days apart)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Jun 2023
  2. Study start23 Sep 2021
  3. Primary completion12 Jul 2022
  4. Study completion12 Jul 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Crossover
Model description
This is a within-subjects (i.e., crossover), double-blind, randomized placebo-controlled study.
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
47 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05884671
Sponsor's protocol ID
3017048.09
Status last verified
Sep 2023
First submitted
21 Mar 2023
Last updated
21 Sep 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Following publication, raw and processed data will be archived for scientific integrity. The data use agreement gives access to the data, provided that certain conditions set by the local institutional guidelines as well as (inter)national (EU) law are met. Data sharing will be done using the Donders Institute research data repository (http://data.donders.ru.nl) in accordance to institutional and EU guidelines.

Questions about this trial

What is this clinical trial studying?

A study testing Sulpiride 400 MG in people with Sulpiride's Effect on Striatal BOLD Signal During Working Memory Gating and Interaction of Sulpiride, Average Reward Rate and Evidence Accumulation, run by Donders Centre for Cognitive Neuroimaging at 1 site in Netherlands.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 41 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 21 Sep 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Working memory gating task: Reaction time (time frame: Measured at intervention day 1, 115 min after the pharmacological intervention took place. Measurements are compared regarding intervention type (drug versus placebo).). The study lists 14 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Sep 2023.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in