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The Effect of a Single Dose of Lamotrigine on Brain Function in Healthy Volunteers

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University of Oxford

Status

Completed

Conditions

Healthy

Treatments

Drug: Placebos
Drug: Lamotrigine

Study type

Interventional

Funder types

Other

Identifiers

NCT04396938
R49749/RE003

Details and patient eligibility

About

This study will test whether a single dose of Lamotrigine (300mg) exerts significant effects on emotional processing, cognitive ability and neural activity in healthy volunteers compared to placebo.

Full description

Glutamate has been implicated in the aetiology of mood disorders and there is current interest in developing novel agents targeting this system. However, the role of glutamate in human emotional function is relatively unknown. Lamotrigine's pharmacological profile involves a blockade of voltage-gated sodium channels, leading to an inhibition in the release of glutamate and resulting in a general inhibitory effect on cortical neuronal function.

The current study plans to investigate the effects of modifying glutamate on emotional processing, cognitive function and neural activity. For this, 36 healthy volunteers will be recruited to the study and randomised to receive a single dose of lamotrigine (300 mg) or placebo. Two hours after drug administration, the effects of emotional processing via the use of cognitive tasks will be assessed using fMRI. This will be followed by an emotional test battery that will measure aspects of cognitive function as well.

Enrollment

36 patients

Sex

All

Ages

18 to 40 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • Male or female
  • Aged 18-40 years
  • Willing and able to give informed consent for participation in the study
  • Sufficiently fluent English to understand and complete the task

Exclusion criteria

  • Current usage of psychoactive medication
  • Current usage of the contraceptive pill
  • Any past or current Axis 1 DSM-IV psychiatric disorder
  • Significant medical condition
  • Current pregnancy or breastfeeding
  • Current or past history of drug or alcohol dependency
  • Participation in a psychological or medical study involving the use of medication within the last 3 months
  • Previous participation in a study using the same, or similar, emotional processing tasks
  • Smoker > 5 cigarettes per day
  • Typically drinks > 6 caffeinated drinks per day
  • Takes folic acid supplements
  • History of recurrent allergies and rashes
  • Contraindication to MRI (e.g. claustrophobia and metallic implants)

Trial design

Primary purpose

Basic Science

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Triple Blind

36 participants in 2 patient groups, including a placebo group

Lamotrigine
Experimental group
Description:
Single dose of Lamotrigine (300mg - capsule). In healthy volunteers.
Treatment:
Drug: Lamotrigine
Placebo
Placebo Comparator group
Description:
Placebo capsule: identical appearance to experimental capsule. In healthy volunteers.
Treatment:
Drug: Placebos

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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