Trial Outcomes & Findings for Neuroimaging the Effects of Intravenous Anesthetic on Amygdala Dependent Memory Processes (NCT NCT00504894)

NCT ID: NCT00504894

Last Updated: 2021-07-15

Results Overview

Three anatomical regions for which there was an a priori mechanistic hypothesis were assessed using standard small volume correction: (i) the amygdala, bilaterally; (ii) the hippocampus, bilaterally; and (iii) the parahippocampus, bilaterally. Using single-tailed t tests, a priori regions were reported as significant if the initial uncorrected voxel-wise P value was \< 0.001, and then the P value was \< 0.05 after family-wise error correction for multiple comparisons in the hypothesized anatomical region. For non-hypothesized regions outside the medial temporal lobe, findings were reported as significant if the initial uncorrected voxel-wise P value was \< 0.001, and then the P value was \< 0.05 after family-wise error correction for multiple comparisons across the whole brain. Clusters containing voxel maxima at these thresholds are reported.

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

60 participants

Primary outcome timeframe

for 90 minutes after the drug/placebo was commenced

Results posted on

2021-07-15

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo
Placebo given in low dose to gauge subject's responses to visual stimuli. Placebo: A low dose given intravenously one time for just under an hour while the subject is shown visually stimulating images in an MRI machine.
Propofol
Propofol give at 0.90 μgml-1 to gauge subject's responses to visual stimuli. Propofol: A low dose of propofol 0.90 μgml-1, given intravenously while the subject is shown visually stimulating images in an MRI machine.
Thiopental
Thiopental give at 3.0 μgml-1 to gauge subject's responses to visual stimuli. Thiopental: A low dose of thiopental 3.0 μgml-1, given intravenously while the subject is shown visually stimulating images in an MRI machine.
Overall Study
STARTED
20
21
19
Overall Study
COMPLETED
17
18
19
Overall Study
NOT COMPLETED
3
3
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
Placebo given in low dose to gauge subject's responses to visual stimuli. Placebo: A low dose given intravenously one time for just under an hour while the subject is shown visually stimulating images in an MRI machine.
Propofol
Propofol give at 0.90 μgml-1 to gauge subject's responses to visual stimuli. Propofol: A low dose of propofol 0.90 μgml-1, given intravenously while the subject is shown visually stimulating images in an MRI machine.
Thiopental
Thiopental give at 3.0 μgml-1 to gauge subject's responses to visual stimuli. Thiopental: A low dose of thiopental 3.0 μgml-1, given intravenously while the subject is shown visually stimulating images in an MRI machine.
Overall Study
fMRI technical problems
1
1
0
Overall Study
Withdrawal by Subject
0
1
0
Overall Study
Infusion technical problems
0
1
0
Overall Study
poor subject data
2
0
0

Baseline Characteristics

Neuroimaging the Effects of Intravenous Anesthetic on Amygdala Dependent Memory Processes

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=20 Participants
Placebo given in low dose to gauge subject's responses to visual stimuli. Placebo: A low dose given intravenously one time for just under an hour while the subject is shown visually stimulating images in an MRI machine.
Propofol
n=21 Participants
Propofol given at 0.90 μgml-1 to gauge subject's responses to visual stimuli. Propofol: A low dose of propofol 0.90 μgml-1, given intravenously while the subject is shown visually stimulating images in an MRI machine.
Thiopental
n=19 Participants
Thiopental give at 3.0 μgml-1 to gauge subject's responses to visual stimuli. Thiopental: A low dose of thiopental 3.0 μgml-1, given intravenously while the subject is shown visually stimulating images in an MRI machine.
Total
n=60 Participants
Total of all reporting groups
Age, Continuous
26 years
n=99 Participants
25 years
n=107 Participants
24 years
n=206 Participants
25 years
n=7 Participants
Sex: Female, Male
Female
15 Participants
n=99 Participants
14 Participants
n=107 Participants
13 Participants
n=206 Participants
42 Participants
n=7 Participants
Sex: Female, Male
Male
5 Participants
n=99 Participants
7 Participants
n=107 Participants
6 Participants
n=206 Participants
18 Participants
n=7 Participants

PRIMARY outcome

Timeframe: for 90 minutes after the drug/placebo was commenced

Population: Of the 20 placebo subjects recruited, 3 subjects' data was excluded due to technical problems or poor quality. Of the 21 propofol subjects recruited, 3 subjects' data was excluded due to technical problems, poor quality, or subject withdrawal. Of the 19 thiopental subjects recruited, no subjects' data was excluded.

Three anatomical regions for which there was an a priori mechanistic hypothesis were assessed using standard small volume correction: (i) the amygdala, bilaterally; (ii) the hippocampus, bilaterally; and (iii) the parahippocampus, bilaterally. Using single-tailed t tests, a priori regions were reported as significant if the initial uncorrected voxel-wise P value was \< 0.001, and then the P value was \< 0.05 after family-wise error correction for multiple comparisons in the hypothesized anatomical region. For non-hypothesized regions outside the medial temporal lobe, findings were reported as significant if the initial uncorrected voxel-wise P value was \< 0.001, and then the P value was \< 0.05 after family-wise error correction for multiple comparisons across the whole brain. Clusters containing voxel maxima at these thresholds are reported.

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Placebo given in low dose to gauge subject's responses to visual stimuli. Placebo: A low dose given intravenously one time for just under an hour while the subject is shown visually stimulating images in an MRI machine.
Propofol
n=18 Participants
Propofol give at 0.90 μgml-1 to gauge subject's responses to visual stimuli. Propofol: A low dose of propofol 0.90 μgml-1, given intravenously while the subject is shown visually stimulating images in an MRI machine.
Thiopental
n=19 Participants
Thiopental give at 3.0 μgml-1 to gauge subject's responses to visual stimuli. Thiopental: A low dose of thiopental 3.0 μgml-1, given intravenously while the subject is shown visually stimulating images in an MRI machine.
Blood-oxygen-level-dependent Significant Activation Cluster
Right Hippocampus
1 BOLD significantly activated clusters
0 BOLD significantly activated clusters
0 BOLD significantly activated clusters
Blood-oxygen-level-dependent Significant Activation Cluster
Left Hippocampus
1 BOLD significantly activated clusters
0 BOLD significantly activated clusters
1 BOLD significantly activated clusters
Blood-oxygen-level-dependent Significant Activation Cluster
Right Parahippocampal Cortex
0 BOLD significantly activated clusters
0 BOLD significantly activated clusters
0 BOLD significantly activated clusters
Blood-oxygen-level-dependent Significant Activation Cluster
Left Parahippocampal Cortex
0 BOLD significantly activated clusters
0 BOLD significantly activated clusters
0 BOLD significantly activated clusters
Blood-oxygen-level-dependent Significant Activation Cluster
Right Amygdala
1 BOLD significantly activated clusters
1 BOLD significantly activated clusters
1 BOLD significantly activated clusters
Blood-oxygen-level-dependent Significant Activation Cluster
Left Amygdala
1 BOLD significantly activated clusters
1 BOLD significantly activated clusters
1 BOLD significantly activated clusters

SECONDARY outcome

Timeframe: for 90 minutes after the drug/placebo was commenced

Population: Of the 20 placebo subjects recruited, 3 subjects' data was excluded due to technical problems or poor quality. Of the 21 propofol subjects recruited, 3 subjects' data was excluded due to technical problems, poor quality, or subject withdrawal. Of the 19 thiopental subjects recruited, no subjects' data was excluded.

Three anatomical regions for which there was an a priori mechanistic hypothesis were assessed using standard small volume correction: (i) the amygdala, bilaterally; (ii) the hippocampus, bilaterally; and (iii) the parahippocampus, bilaterally. Using single-tailed t tests, a priori regions were reported as significant if the initial uncorrected voxel-wise P value was \< 0.001, and then the P value was \< 0.05 after family-wise error correction for multiple comparisons in the hypothesized anatomical region. For non-hypothesized regions outside the medial temporal lobe, findings were reported as significant if the initial uncorrected voxel-wise P value was \< 0.001, and then the P value was \< 0.05 after family-wise error correction for multiple comparisons across the whole brain. Clusters containing voxel maxima at these thresholds are reported.

Outcome measures

Outcome measures
Measure
Placebo
n=17 Participants
Placebo given in low dose to gauge subject's responses to visual stimuli. Placebo: A low dose given intravenously one time for just under an hour while the subject is shown visually stimulating images in an MRI machine.
Propofol
n=18 Participants
Propofol give at 0.90 μgml-1 to gauge subject's responses to visual stimuli. Propofol: A low dose of propofol 0.90 μgml-1, given intravenously while the subject is shown visually stimulating images in an MRI machine.
Thiopental
n=19 Participants
Thiopental give at 3.0 μgml-1 to gauge subject's responses to visual stimuli. Thiopental: A low dose of thiopental 3.0 μgml-1, given intravenously while the subject is shown visually stimulating images in an MRI machine.
Blood-oxygen-level-dependent Significant Activation Cluster for Positive Sequential Memory
Right Amygdala
0 BOLD significantly activated clusters
0 BOLD significantly activated clusters
0 BOLD significantly activated clusters
Blood-oxygen-level-dependent Significant Activation Cluster for Positive Sequential Memory
Left Amygdala
1 BOLD significantly activated clusters
0 BOLD significantly activated clusters
0 BOLD significantly activated clusters
Blood-oxygen-level-dependent Significant Activation Cluster for Positive Sequential Memory
Right Hippocampus
0 BOLD significantly activated clusters
0 BOLD significantly activated clusters
1 BOLD significantly activated clusters
Blood-oxygen-level-dependent Significant Activation Cluster for Positive Sequential Memory
Left Hippocampus
1 BOLD significantly activated clusters
0 BOLD significantly activated clusters
0 BOLD significantly activated clusters
Blood-oxygen-level-dependent Significant Activation Cluster for Positive Sequential Memory
Right Parahippocampal Cortex
0 BOLD significantly activated clusters
0 BOLD significantly activated clusters
0 BOLD significantly activated clusters
Blood-oxygen-level-dependent Significant Activation Cluster for Positive Sequential Memory
Left Parahippocampal Cortex
0 BOLD significantly activated clusters
0 BOLD significantly activated clusters
1 BOLD significantly activated clusters

Adverse Events

Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Propofol

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Thiopental

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Kane Pryor

Weill Cornell Medicine

Phone: (212) 746-2953

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place