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HealthyPhase 4Caffeine-RACNCT06763172

Effects of Caffeine on Reinforcement Learning in Healthy Adults Using PET/MRI

A Phase 4 study testing Caffeine (200 mg) in people with Healthy and Caffeine, run by Hsiao-Ying Wey at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This research study aims to determine whether and how caffeine intake affects learning process through reward feedback compared to placebo. The data acquired from this study would improve our understanding on the consequence and mechanism of caffeine intake in the aspect of learning process. Read more about this study

Who is it for?
Ages 18 to 45 yearsHealthy volunteers can take part
Conditions the study is for
Healthy, Caffeine, Adenosine
What is being tested?
Caffeine (200 mg)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
12 participants
Where
1 siteUnited States
Study dates
17 May 2023to 31 Dec 2026
Phase
Phase 4
Are there results?
Not yet: the study is under way

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

  • Age ≥ 18 and ≤ 45.
  • Habitual caffeine intake ≥ 100 mg and ≤ 450 mg daily.
  • Non-smokers.
  • Clinically healthy.
  • Have normal vision or corrected to normal vision.

Who cannot join

  • Pregnant or lactating women.
  • Women using hormonal contraceptives.
  • BMI < 18.5 or > 29.9
  • Sleep disturbance or extreme chronotype.
  • Urine test positive on one of the following substances: benzoylecgonine, morphine, d-Methamphetamine, d-Amphetamine, Benzodiazepines, Secobarbital, Methadone, Buprenorphine Glucuronide, Nortriptyline, MDMA, Oxycodone, PCP, Propoxyphene, and Cannabis/THC
  • Diagnosis of depression, anxiety, psychosis, or neurologic disorders in the last 5 years.
Show all 18Show fewer
  • Heart or cardiovascular diseases.
  • Diabetes or other metabolic diseases.
  • Under chronic medications, for instance, painkiller and steroid.
  • Allergy to lactose (main ingredient of blank control dose)
  • Incapable to operate the tasks or comprehend the study information in English.
  • General MRI and PET safety exclusion criteria for all subjects:
  • Metallic foreign bodies such as cardiac pacemakers, perfusion pumps, aneurysm clips, metallic tattoos anywhere on the body, tattoos near the eye.
  • Pre-existing medical conditions including a likelihood of developing seizures or claustrophobic reactions
  • Inability to lie flat on scanner bed for about 90 min as assessed by physical examination and medical history (e.g. arthritis)
  • Recent exposure to radiation (i.e., PET from other research studies) that, when combined with this study, would be above the allowable limits
  • Pregnancy or breastfeeding: A negative serum or urine pregnancy test is required on the day of the PET procedure
  • Body weight of > 300 lbs (weight limit of the MRI scanner table)

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Hsiao-Ying Wey, PhD contact

6177241384

hsiaoying.wey@mgh.harvard.edu

United States1 site, 1 recruiting
  • Athinoula A. Martinos Center for Biomedical Imaging

    Charlestown, Massachusetts, 02129

    Hsiao-Ying Wey, PhD, 617-724-1384, hsiaoying.wey@mgh.harvard.edu

    hsiaoying.wey@mgh.harvard.edu

    Recruiting

Other trials in United States

About this study

Official title: Measure Striatal Adenosine-dopamine Receptors Interactions: from Molecule to Behaviors

This research study aims to determine whether and how caffeine intake affects learning process through reward feedback compared to placebo. The data acquired from this study would improve our understanding on the consequence and mechanism of caffeine intake in the aspect of learning process.

Participants will perform a reinforcement learning task (i.e. Probabilistic Selection Task) and a motor inhibition task (i.e. Go/NoGo task) in a brain scan. The scan will be done with the Siemens Biograph mMR positron emission tomography (PET)/ magnetic resonance imaging (MRI) 3 Tesla scanner. The PET allows us to see the changes in the "reward signals" - dopamine - in the brain using a radioactive dye called [11C]Raclopride. The MRI, on the other hand, enables us to take detailed pictures of the brain activities during cognitive tasks using a high-powered magnet. Reviewing these pictures will help us understand the influence of caffeine on reward signals and brain activities during the learning process.

Read the detailed description

Adenosine 2A receptors (A2AR) colocalize with and exerts allosteric antagonism to dopamine D2 receptors (D2R) by co-forming functional heterodimers in the striatum. Preliminary studies using positron emission tomography (PET) with [11C]Raclopride have shown increased D2/D3R availability by A2AR antagonism with caffeine and decreased D2/D3R availability by enhanced adenosine signaling during sleep deprivation, supporting the notion of A2AR-D2R interactions in vivo. However, how A2AR-D2R interactions contribute to D2R-mediated neurocognitive functions is scarcely investigated.

Reinforcement learning, a dopamine-mediated cognitive process crucially involved in various human behaviors including habit, preference, belief, and resistance to change, is often found altered in dopamine-associated disorders. For instance, hyper-dopaminergic function in the striatum, as observed in psychosis, leads to a reduction in reward learning and a blunted task-related neural activity. Through the antagonistic effect of A2AR on D2R signaling, blocking A2AR can potentially enhance D2R-mediated negative reinforcement, a.k.a. a "no-go" response. In rodents, A2AR agonists diminish reinforcement of psychostimulants, while an A2AR antagonist can facilitate reward-seeking effects of reinforcers. Hence, in this double-blind randomized crossover study, the investigators aim to use caffeine, an adenosine antagonist as well as a commonly used psychostimulant by nearly 80% of the worldwide population, to examine whether blocking A2AR will enhance D2R-modulated reinforcement learning/no-go responses through modulating D2R signaling pharmacologically.

The long-term goal of this study is to further the understanding of molecular mechanisms related to A2AR-D2R heterodimers and the clinical potential of modulating A2AR-D2R interactions. Twelve young healthy non-smokers will enroll in this study. Each participant will undergo a caffeine and a placebo condition. In each condition, participants will first go through a 6-day ambulatory washout period where participants will be asked to abstain from caffeinated dietary, alcohol, and drugs, and stay in regular bed- and wakeup time. On day 7, a PET/fMRI scan will take place at noon, and a caffeine or placebo tablet will be administered orally 20 mins prior to the scan.

Simultaneous PET/fMRI will be used to examine the association between the neurochemical changes (i.e., D2/D3R availability as quantified by [11C]Raclopride) and the hemodynamic responses (i.e., task-related blood oxygen level-dependent fMRI activity) during reinforcement learning in the caffeine condition compared to placebo. It is hypothesized that enhanced D2/D3R availability mediates the facilitating effect of caffeine on reinforcement learning. Specifically, the investigators expect that caffeine will enhance fMRI responses in reward-related brain regions, and that the increased fMRI response will positively correlate with a change in D2/D3R availability.

Being tested
Caffeine (200 mg), Placebo
Keywords
PET/fMRI

What participants receive

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

  • Caffeine (200 mg)Drug

    Caffeine (200mg) will be administered per os 20 minutes prior to the PET/fMRI data acquisition.

  • PlaceboDrug

    Also called Lactose

    Lactose tablet will be administered per os 20 minutes prior to the PET/fMRI data acquisition.

Study groups in NCT06763172
Study groupRoleWhat they receive
CaffeineExperimentalCaffeine tablet, 200mg
Receives: Drug: Caffeine (200 mg)
PlaceboPlacebo comparatorLactose tablet
Receives: Drug: Placebo

What is being measured

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

  1. Dopamine D2/D3 receptor availability

    Dopamine D2/D3 receptor availability will be measured and indexed by the [11C]Raclopride nondisplaceable binding potential (BPND).

    Measured: During the PET/fMRI scan on the study day

  2. Effects of caffeine on reinforcement learning assessed by Probabilistic Selection Task (PST) in fMRI

    Reinforcement learning and the associated brain activity will be measured using PST in a fMRI scan. The reinforcement learning is indexed by the accuracy of the task performance on the behavioral level and the hemodynamic response to reward feedback on the neural level.

    Measured: During the PET/fMRI scan on the study day

Secondary outcomes (2)
  1. Effects of caffeine on motor inhibition assessed by a Go/NoGo task in fMRI

    Motor inhibition and the associated brain activity will be examined using Go/NoGo in a fMRI scan. The reinforcement learning is indexed by the accuracy of the task performance on the behavioral level and the hemodynamic response during the inhibition of motor reactions on the neural level.

    Measured: During the PET/fMRI scan on the study day

  2. Effects of caffeine on salience measured by Salience Attribution Test (SAT)

    Participants' salience to reward stimuli linked to the Probabilistic Selection Task will be assessed using Salience Attribution Test. In the task, participants will use a visual analogue scale to indicate their estimation of the reward probability (0 to 100%) of each stimulus they have learned in the task during the scan. The salience will be indicated by the difference between their estimation and the real probability, as well as the contrast between high and low probability in estimation and in reality.

    Measured: After the PET/fMRI scan on the study day

Timeline

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

  1. First posted8 Jan 2025
  2. Study start17 May 2023
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion31 Dec 2026 (estimated)

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 4
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Crossover
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
12 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06763172
Sponsor's protocol ID
IRB2022P001681
Other IDs
1R21MH138923-01
Acronym
Caffeine-RAC
Status last verified
Jan 2025
First submitted
31 Dec 2024
Last updated
9 Jan 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Raw, subject-level data files will be submitted to NIMH Data Archive (NDA). These include \[11C\]Raclopride PET data as well as behavioral and fMRI data from Probabilistic Selection Tasks and Go/Nogo tasks. Other behavioral data e.g. Salience Attribution Tests, Karolinska Sleepiness Scale, and State-Trait Anxiety Inventory, as well as fMRI data e.g. Arterial Spin Labeling and resting state fMRI will also be included. Relevant resources, such as code used for data processing and analyses, will be made publicly available through GitHub. The main readme.md file for the project will include instructions and parameter choices to execute the codes/scripts. Code documentation will include instructions on how to access data, the name and email address of a contact person for questions, and relevant references to publications. To ensure long-term accessibility, a copy of the GitHub code repository will be archived in Zenodo at the time of publication with a digital object identifier (DOI).

Publications

  • Bedingfield JB, King DA, Holloway FA. Cocaine and caffeine: conditioned place preference, locomotor activity, and additivity. Pharmacol Biochem Behav. 1998 Nov;61(3):291-6. doi: 10.1016/s0091-3057(98)00092-6.

    PubMed 9768563
  • Moran EK, Culbreth AJ, Kandala S, Barch DM. From neuroimaging to daily functioning: A multimethod analysis of reward anticipation in people with schizophrenia. J Abnorm Psychol. 2019 Oct;128(7):723-734. doi: 10.1037/abn0000461. Epub 2019 Aug 29.

    PubMed 31464449
  • Volkow ND, Wang GJ, Telang F, Fowler JS, Logan J, Wong C, Ma J, Pradhan K, Tomasi D, Thanos PK, Ferre S, Jayne M. Sleep deprivation decreases binding of [11C]raclopride to dopamine D2/D3 receptors in the human brain. J Neurosci. 2008 Aug 20;28(34):8454-61. doi: 10.1523/JNEUROSCI.1443-08.2008.

    PubMed 18716203
  • Kaasinen V, Aalto S, Nagren K, Rinne JO. Dopaminergic effects of caffeine in the human striatum and thalamus. Neuroreport. 2004 Feb 9;15(2):281-5. doi: 10.1097/00001756-200402090-00014.

    PubMed 15076753
  • Volkow ND, Wang GJ, Logan J, Alexoff D, Fowler JS, Thanos PK, Wong C, Casado V, Ferre S, Tomasi D. Caffeine increases striatal dopamine D2/D3 receptor availability in the human brain. Transl Psychiatry. 2015 Apr 14;5(4):e549. doi: 10.1038/tp.2015.46.

    PubMed 25871974
  • Ferre S, Bonaventura J, Tomasi D, Navarro G, Moreno E, Cortes A, Lluis C, Casado V, Volkow ND. Allosteric mechanisms within the adenosine A2A-dopamine D2 receptor heterotetramer. Neuropharmacology. 2016 May;104:154-60. doi: 10.1016/j.neuropharm.2015.05.028. Epub 2015 Jun 4.

    PubMed 26051403

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Caffeine (200 mg) in people with Healthy and Caffeine, run by Hsiao-Ying Wey at 1 site in United States.

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 5 inclusion and 18 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: looking for participants now, as of the sponsor's last update on 9 Jan 2025. 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 United States. 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.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Hsiao-Ying Wey, PhD (6177241384, hsiaoying.wey@mgh.harvard.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Dopamine D2/D3 receptor availability (time frame: During the PET/fMRI scan on the study day). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06763172, which also lists 6 linked publications.

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 9 Jan 2025.

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