Deep brain stimulation (DBS) of the nucleus accumbens in treatment-refractory patients with obsessive-compulsive disorder (OCD)
| ISRCTN | ISRCTN23255677 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN23255677 |
| Secondary identifying numbers | N/A |
- Submission date
- 07/06/2006
- Registration date
- 07/06/2006
- Last edited
- 30/05/2013
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Plain English Summary
Not provided at time of registration
Contact information
Dr P.R. Schuurman
Scientific
Scientific
Academic Medical Center (AMC)
Department of Neurosurgery
P.O. Box 22660
Amsterdam
1100 DD
Netherlands
| Phone | +31 (0)20 5669111 |
|---|---|
| p.r.schuurman@amc.nl |
Study information
| Study design | Randomized, placebo-controlled trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Not specified |
| Study type | Treatment |
| Scientific title | |
| Study hypothesis | DBS in the nucleus accumbens can lead to long-term improvement of obsessive-compulsive symptoms and functioning, without unacceptable side-effects. |
| Ethics approval(s) | Not provided at time of registration |
| Condition | Obsessive-compulsive disorder (OCD) |
| Intervention | Stereotactic implantation of bilateral DBS electrodes in the nucleus accumbens. Placebo: no stimulation. |
| Intervention type | Other |
| Primary outcome measure | 1. Change on the Y-BOCS 2. Number of responders, defined as a decrease on the Y-BOCS >35% |
| Secondary outcome measures | 1. Hamilton Depression Rating Scale (HDRS-17) 2. Hamilton Anxiety Scale (HAS) 3. Symptom Checklist 90 (SCL-90) 4. Quality of life enjoyment and satisfaction questionnaire 5. Sheehan Disability Scale (SDS) 6. Clinical Global Impression (CGI) 7. Y-BOCS checklist |
| Overall study start date | 27/03/2006 |
| Overall study end date | 01/07/2007 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Lower age limit | 18 Years |
| Sex | Both |
| Target number of participants | 16 |
| Participant inclusion criteria | 1. Primary diagnosis: OCD (300.3) according to Diagnostic and Statistical Manual of Mental Disorders - Fourth Edition (DSM-IV) criteria using the mini-international neuropsychiatric interview (MINI) plus interview as a diagnostic instrument 2. Illness duration >5 years 3. Yale-Brown obsessive-compulsive scale (Y-BOCS) total >27, measured twice at least two weeks apart 4. Disabling severity with substantial functional impairment according to the DSM-IV criterion C and a global assessment of function (GAF) score of <45 5. Age 18 - 65 years 6. Written informed consent 7. Able to fully understand the consequences of the procedure (intelligence quotient [IQ] >80) 8. Dutch speaking and able to answer all study questions 9. Capable to make his or her own choice without coercion 10. Treatment refractory is defined as no response or insufficient response (still fulfilling the inclusion criteria) following: a. Two treatments with a selective serotonin reuptake inhibitor (SSRI) at a maximum dose for and least 12 weeks b. One treatment with clomipramine at the maximum dose for at least 12 weeks, with assessment of clomipramine/desmethylclomipramine plasma levels to control for sufficient bioavailability c. At least one augmentation trial with an a typical antipsychotic for 8 weeks in combination with an SSRI d. At least one (cognitive) behavioural therapy trial for 16 weeks in combination with an effective drug for the treatment of OCD |
| Participant exclusion criteria | Any of the following unstable physical conditions: Parkinson's disease, dementia, epilepsy, schizophrenia or history of psychosis, alcohol or substance abuse during last 6 months, current tic disorder, antisocial personality disorder, body dismorphic disorder, pregnancy, use of psychiatric medication other than stable use of one SSRI or clomipramine, one benzodiazepine, one atypical antipsychotic. |
| Recruitment start date | 27/03/2006 |
| Recruitment end date | 01/07/2007 |
Locations
Countries of recruitment
- Netherlands
Study participating centre
Academic Medical Center (AMC)
Amsterdam
1100 DD
Netherlands
1100 DD
Netherlands
Sponsor information
Academic Medical Center (AMC) (The Netherlands)
University/education
University/education
P.O. Box 22660
Amsterdam
1100 DD
Netherlands
"ROR" |
https://ror.org/03t4gr691 |
|---|
Funders
Funder type
University/education
Academic Medical Center (AMC)
Private sector organisation / Universities (academic only)
Private sector organisation / Universities (academic only)
- Alternative name(s)
- Academic Medical Center, AMC
- Location
- Netherlands
Results and Publications
| Intention to publish date | |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not provided at time of registration |
| Publication and dissemination plan | Not provided at time of registration |
| IPD sharing plan |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Results article | results | 01/10/2010 | Yes | No | |
| Results article | results | 01/02/2014 | Yes | No |
