Responsive Neurostimulation for PTSD

This study is looking at a new way to treat Post-Traumatic Stress Disorder (PTSD) that hasn't responded to other treatments. It uses a device called the NeuroPace® RNS® System. This device is surgically implanted in the brain, specifically in areas called the amygdala and hippocampus, which are involved in fear and memory. Researchers want to see if this device can change brain activity patterns (called spectral power analysis and oscillatory properties, and cross-frequency coupling) in people with PTSD. The study is currently unclear on its status and plans to enroll 6 men, aged 25-60, who are stable on their current PTSD medications. Participants will be followed for an average of 1 year to see how their brain activity changes.

Study design
This is an interventional study, meaning participants will receive a specific treatment. It plans to enroll 6 male participants.
What's involved
You would need to be stable on your current psychotropic medication for 2 months before the surgery and agree not to change your medication during the study. You would also participate in assessments and stimulator adjustments for 4 years.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for an average of 1 year to measure brain activity changes, and for 4 years for assessments and stimulator adjustments.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT04152993

Responsive Neurostimulation for Post-Traumatic Stress Disorder

UNKNOWN
EARLY_PHASE1Ages 25–60InterventionalTreatment
VA Greater Los Angeles Healthcare System
~6 participants
Updated 2024-05-28 on ClinicalTrials.gov
What's tested:NeuroPace® RNS® System

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Spectral power analysis and oscillatory properties
Measured over Baseline
+11 more outcomes measured
Post-Traumatic Stress Disorder
1 sites across 1 states
California1

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  • Spectral power analysis and oscillatory propertiesBaseline

    This is associated with Specific Aim 1: To determine electrophysiological biomarkers of fear, extinction and PTSD symptoms. The metric for measurement will be Better Oscillation Detection (BOSC)

  • Spectral power analysis and oscillatory propertiesthrough study completion, an average of 1 year

    This is associated with Specific Aim 1: To determine electrophysiological biomarkers of fear, extinction and PTSD symptoms. The metric for measurement will be Better Oscillation Detection (BOSC)

  • Cross-frequency coupling and power coherence comodulogramsBaseline

    This is associated with Specific Aim 1: To determine electrophysiological biomarkers of fear, extinction and PTSD symptoms. The metric for measurement will be modulation index.

  • Cross-frequency coupling and power coherence comodulogramsthrough study completion, an average of 1 year

    This is associated with Specific Aim 1: To determine electrophysiological biomarkers of fear, extinction and PTSD symptoms. The metric for measurement will be modulation index.

  • Region of Interest analysis (FDG PET)Baseline

    This is associated with Specific Aim 2: To determine engagement of fear processing neural networks by neurostimulation. The metric for measurement will be Cerebral metabolic rate of glucose (CMRglc)

  • Region of Interest analysis (FDG PET)After initial exposure session

    This is associated with Specific Aim 2: To determine engagement of fear processing neural networks by neurostimulation. The metric for measurement will be Cerebral metabolic rate of glucose (CMRglc)

  • Region of Interest analysis (FDG PET)12 months post-operatively

    This is associated with Specific Aim 2: To determine engagement of fear processing neural networks by neurostimulation. The metric for measurement will be Cerebral metabolic rate of glucose (CMRglc)

  • Alpha rhythm frequency (EEG)Baseline

    This is associated with Specific Aim 2: To determine engagement of fear processing neural networks by neurostimulation. The metric for measurement will be frequency (Hertz)

  • Alpha rhythm frequency (EEG)monthly after implantation for the first year

    This is associated with Specific Aim 2: To determine engagement of fear processing neural networks by neurostimulation. The metric for measurement will be frequency (Hertz)

  • Alpha rhythm frequency (EEG)quarterly during year 2-4

    This is associated with Specific Aim 2: To determine engagement of fear processing neural networks by neurostimulation. The metric for measurement will be frequency (Hertz)

  • Source localization (EEG)Baseline

    This is associated with Specific Aim 2: To determine engagement of fear processing neural networks by neurostimulation. The metric for measurement will be discrete dipole fitting.

  • Source localization (EEG)through study completion, an average of 1 year

    This is associated with Specific Aim 2: To determine engagement of fear processing neural networks by neurostimulation. The metric for measurement will be discrete dipole fitting.