Pitolisant Effects on Affect and Cognition Exploratory Study (PEACE Study)

Last updated: May 13, 2024
Sponsor: University of Oxford
Overall Status: Completed

Phase

N/A

Condition

Brain Function

Treatment

Placebo

Pitolisant 17.8 MG [Wakix]

Clinical Study ID

NCT05849675
PEACE
  • Ages 18-45
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

The goal of this study is to investigate the effects of selective histamine 3 antagonist pitolisant on brain function and cognition in healthy individuals. The main questions it aims to answer are:

  1. Does pitolisant alter functional activity in brain regions linked to reward and cognitive processing during rest or cognitive task performance?

  2. Does pitolisant alter cognitive ability across a range of psychological domains, including working memory, executive functioning and emotional processing?

Participants will undertake fMRI scanning in addition to a battery of tasks designed to measure cognitive and emotional processing after taking a single dose of pitolisant or placebo. Researchers will compare differences in functional activity, cognition and emotional processing across the pitolisant and placebo groups.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Participant is willing and able to give informed consent for participation in theresearch

  • Not currently taking any medications which may interfere with pitolisant, includingpsychoactive medications

  • Not currently using antihistaminergic medication

  • Aged 18-45 years

  • Male or female

  • Sufficiently fluent English to understand and complete cognitive tasks andquestionnaires

  • Body Mass Index above or below 18-30

  • Right handed

Exclusion

Exclusion Criteria:

  • Current pregnancy (as determined by urine pregnancy test taken during screeningvisit), planning to become pregnant or breast feeding

  • Any past or current history of severe and/or serious psychiatric disorder, includingbut not limited to schizophrenia, psychosis, bipolar affective disorder, majordepressive disorder, obsessive compulsive disorder

  • Clinically significant abnormal values for urine drug screen, blood pressuremeasurement ( in accordance with AP20 'non-invasive blood pressure') and ECG. Aparticipant with a clinical abnormality or parameters outside the reference rangefor the population being studied may be included only if the Investigator considersthat the finding is unlikely to introduce additional risk factors and will notinterfere with the study procedures

  • History of, or current medical conditions which, in the opinion of the investigator,may interfere with the safety of the participant or the scientific integrity of thestudy, including epilepsy/seizures, brain injury, hepatic or renal disease,acid-related gastro-intestinal problems, Central Nervous System (CNS) tumours,neurological conditions

  • Current or past history of drug or alcohol dependency

  • Severe lactose intolerance

  • Use of recreational drugs (e.g. cannabis, cocaine, amphetamines) within past 3months

  • Participation in a study which uses the same computer tasks as those in the presentstudy (determined by asking participants about previous studies participated induring screening) within past 3 months

  • Participation in a study that involves the use of a medication within the last threemonths

  • Smoking > 5 cigarettes per day

  • Consumption of a high amount of caffeine per day (> 400ml caffeine) (e.g., 5 or morecups of coffee)

  • Participant is unlikely to comply with the clinical study protocol or is unsuitablefor any other reason, in the opinion of the Investigator

  • Any contraindication to MRI scanning (e.g. metal objects inside the body,pacemakers, significant claustrophobia)

  • Not right handed

Study Design

Total Participants: 58
Treatment Group(s): 2
Primary Treatment: Placebo
Phase:
Study Start date:
April 01, 2023
Estimated Completion Date:
May 08, 2024

Study Description

Cognitive and affective processing are underpinned by monoaminergic neurotransmission and neurosteroid systems, yet there are many aspects of these systems that remain unknown in humans. In particular, monoaminergic histamine 3 (H3) receptors are abundant in CNS regions underpinning cognitive processing (prefrontal cortex, hippocampus, and striatum), yet the role of these receptors in humans remains unclear. Evidence from animal models suggests H3R antagonism improves cognitive functioning, however these specific effects are yet to be examined in humans. Similarly, the function of sigma-1 (σ-1) receptors in the brain is not well understood in humans despite strong evidence of pro-cognitive effects in animal models.

The study will investigate the effect of pitolisant, a dual H3R antagonist and σ-1R agonist, on cognitive and affective processing, in addition to changes in functional connectivity. These effects will be measured with a battery of neuropsychological tasks (e.g., Affective Go/No-Go Task; Adaptive dual n-back task), self-rated measures of cognitive function (PDQ), and resting state fMRI and fMRI data acquisition during the verbal n-back and memory encoding tasks.

Connect with a study center

  • Department of Psychiatry, University of Oxford

    Oxford,
    United Kingdom

    Site Not Available

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