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Obsessive-Compulsive DisorderEQOLOCNCT02844049

European Study of Quality of Life in Resistant OCD Patients Treated by STN DBS

A study testing Deep Brain Stimulation in people with Obsessive-Compulsive Disorder, run by University Hospital, Grenoble at 8 sites in 4 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Obsessive-Compulsive Disorder (OCD) is among the most disabling psychiatric disorders as more than 40% of patients are resistant to the standard pharmacological and psychotherapy approaches and about 10% show severe disability and require institutionalization. Read more about this study

Who is it for?
Ages 18 to 69 years
Conditions the study is for
Obsessive-Compulsive Disorder
What is being tested?
Deep Brain Stimulation
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
8 sitesin 4 countries
Study dates
Sep 2016to Apr 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 69 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • OCD for > 5 years
  • YBOCS> 25 and/or YBOCS sub-scale >15
  • GAF< 45
  • 3 or more documented SRI trials, including clomipramine (10-12 weeks at adequate dose)
  • SRI augmentation for > 4 weeks with at least one antipsychotic and with one of the following: lithium, clonazepam
  • Adequate trial of CBT (Exposure Therapy and Response Prevention) (intolerance or >15 sessions)
  • Ability to provide informed consent

Who cannot join

  • Hoarding (if the only OCD symptom)
  • OCD with poor insight (BABS score > 12)
  • Lifetime diagnosis of psychosis or bipolar disorder;
  • Substance abuse or dependence within the previous six months;
  • Baseline Montgomery and Asberg (MADRS) suicidality item (item 10) score >2;
  • Current DSM-5 personality disorder of Cluster A (e.g., paranoid or schizotypal personality disorder) or B (e.g., borderline or antisocial personality disorder);
Show all 9Show fewer
  • Brain pathology, such as moderate or marked cerebral atrophy, stroke, tumor or previous neurosurgical procedures (i.e. capsulotomy etc), history of cognitive impairment and cognitive deterioration (Addenbrooke's Cognitive Examination ACE score of < 80).
  • Contra-indications to surgery, anaesthesia, or MRI
  • compulsory hospitalization/ care; pregnant or nursing patients

Trial locations and contacts

8 sites in 4 countries. Contact the study team or a site near you to ask about taking part.

Sandra David-tchouda, MD contact

+33476767186

SDavidTchouda@chugrenoble.fr

Sandrine Massicot, Master contact

+33476768860

smassicot@chu-grenoble.fr

8 sites in 4 countries

France5 sites, 4 recruiting
  • CHU Henri Mondor

    Créteil

    Completed
  • University Hospital of Grenoble Michallon

    Grenoble

    Mircea POLOSAN, MD PhD, 0033476765414, MPolosan@chu-grenoble.fr

    Mircea Polosan, MD PhD

    Recruiting
  • Chu Nice - Hopital Pasteur

    Nice

    Denys FONTAINE, MD, 04 92 03 84 50, fontaine.d@chu-nice.fr

    Hélène BRUCKER, 04 92 03 75 57, bruckert.h@chu-nice.fr

    Recruiting
  • APHP La Pitié Salpêtrière

    Paris

    Bruno Millet, MD PhD, 33142162894, b.millet@psl.aphp.fr

    Carine KARACHI, MD

    Recruiting
  • Ghu Sainte Anne

    Paris

    Philippe DOMENECH, MD PhD, philippe.domenech@ghu-paris.fr

    Djamila KORICHE, 0145657665, djamila.koriche@ghu-paris.fr

    Recruiting

Other trials in France

Germany1 site, 1 recruiting
  • Universitätsklinikum Köln (AöR)

    Cologne

    Veerle VISSER-VANDEWALLE, MD, +49 221 478-82793, veerle.visser-vandewalle@uk-koeln.de

    Jens KUHN, MD PhD

    Recruiting

Other trials in Germany

Sweden1 site, 1 recruiting
  • Djurfeldt

    Stockholm

    Diana DJURFELDT, MD PhD, +46 72 211 9562, diana.pascal@ki.se

    Diana DJURFELDT, MD PhD

    Recruiting

Other trials in Sweden

Switzerland1 site, 1 recruiting
  • Hôpitaux Universitaires de Genève

    Geneva

    Joao FLORES, MD, Joao.FloresAlvesDosSantos@hcuge.ch

    Shahan MOMJIAN, MD

    Recruiting

Other trials in Switzerland

About this study

Official title: European Study of Quality of Life in Resistant OCD Patients Treated by STN DBS Versus Best Medical Treatment

Obsessive-Compulsive Disorder (OCD) is among the most disabling psychiatric disorders as more than 40% of patients are resistant to the standard pharmacological and psychotherapy approaches and about 10% show severe disability and require institutionalization. These resistant patients may benefit from new surgical therapeutic approaches such as Deep Brain Stimulation (DBS) using high frequency stimulation of specific cerebral regions to modulate neural networks. Although promising, these results need nevertheless to be replicated and confirmed within a larger cohort of patients and considering a different main objective, instead of clinical improvement only. Indeed, despite a positive treatment response, adaptive functioning and quality of life may continue to be negatively impacted in OCD. Thus beyond symptom reduction, health-related quality of life (QoL) represents a more important objective of a treatment, as it includes both the individual's functional status and the individual's subjective perception of the impact of the illness on the patient's life. STN DBS induces significant clinical improvement, which may not be proportional to the QoL gain. Consequently, QoL appears to be a better outcome to target in the coming studies than clinical improvement alone. THe investigators thus propose a prospective study assessing the QoL changes of resistant OCD patients under STN DBS+BMT versus Best Medical Treatment (BMT) at 12 months, in order to assess the DBS induced gain in QoL in BMT-managed patients versus BMT alone.

Read the detailed description

The study will focus on an innovative therapeutic strategy (DBS) and on an original objective, quality of life, which is considered to better reflect the impact of a therapeutic strategy. Moreover, the study will help to define the predictive biomarkers /biosignatures of response to STN DBS in OCD.

Being tested
Deep Brain Stimulation
Keywords
Deep Brain Stimulation, Quality of Life
Medical subject headings
Obsessive-Compulsive Disorder

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Deep Brain StimulationDevice

    Also called DBS

    surgical procedure

Study groups in NCT02844049
Study groupRoleWhat they receive
Deep Brain StimulationActive comparatorDBS surgical procedure scheduled and realized
Receives: Device: Deep Brain Stimulation
Control groupNo interventionmedical treatment (psycho- and pharmaco-therapy) will continue to be given and optimized according to the defined BMT strategies and criteria

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Assessment of the impact of DBS+BMT versus BMT alone on a measure of Quality of life in resistant OCD patients at 1-year follow-up

    QOL assessment : scores at SF36

    Measured: 1 year

Secondary outcomes (22)
  1. Psychiatric assessment n°1

    clinical profile defined by score at YBOCS -Yale Brown Obsessive Compulsive Scale

    Measured: 1 year

  2. Psychiatric assessment n°2

    clinical profile defined by score at DYBOCS- Dimensional Yale Brown Obsessive Compulsive Scale

    Measured: 1 year

  3. Psychiatric assessment n°3

    clinical profile defined by score at YMRS (Young Mania Rating Scale)

    Measured: 1 year

  4. Psychiatric assessment n°4

    clinical profile defined by score at HAMA (Hamilton Rating Scale for Anxiety)

    Measured: 1 year

  5. Psychiatric assessment n°5

    clinical profile defined by score at STAI (State-Trait Anxiety Inventory)

    Measured: 1 year

  6. Psychiatric assessment n°6

    clinical profile defined by score at UPPS-P Impulsive Behavior Scale

    Measured: 1 year

  7. Psychiatric assessment n°7

    clinical profile defined by score at Clinical Global Impression (Severity of OCD)

    Measured: 1 year

  8. Assessment of the impact of DBS+BMT versus BMT alone on a measure of Functioning score n°1

    Functioning scores : GAF (Global assessment functioning scale)

    Measured: 1 year

  9. Assessment of the impact of DBS+BMT versus BMT alone on a measure of Functioning score n°2

    Functioning scores : WHODAS 2.0

    Measured: 1 year

  10. side effects

    Number of patients with side effects related to medical treatment, surgery and to stimulation

    Measured: 1 year

  11. Psychiatric markers n°1

    scores at Big Five Inventory

    Measured: 1 year

  12. Psychiatric markers n°2

    scores at BABS (BROWN ASSESSMENT OF BELIEFS SCALE)

    Measured: 1 year

  13. Neurological markers n°3

    score at UPDRS (Unified Parkinson's Disease Rating Scale)

    Measured: 1 year

  14. Neuropsychological markers n°4

    Score at OBQ-44 (Obsessive Beliefs Questionnaire)

    Measured: 1 year

  15. Neuropsychological markers n°5

    Score at MCQ (Metacognitions questionnaires)

    Measured: 1 year

  16. Neuropsychological markers n°6

    Score at URICA (University Rhode Island Change Assessment Scale)

    Measured: 1 year

  17. Neuropsychological markers

    Score at Addenbrooke Cognitive Examination (ACE) battery

    Measured: 1 year

  18. Per-op electrophysiological mapping of the STN activity n°1

    electrophysiological parameters at rest and during OCD provocative tests

    Measured: 1 year

  19. Per-op electrophysiological mapping of the STN activity n°2

    electrophysiological parameters at rest and during OCD uncertainty test

    Measured: 1 year

  20. Per-op electrophysiological mapping of the STN activity n°3

    electrophysiological parameters at rest and during OCD emotional test

    Measured: 1 year

  21. Per-op electrophysiological mapping of the STN activity n°4

    electrophysiological parameters at rest and during OCD cognitive and motor test

    Measured: 1 year

  22. Assessment of the suicidal risk under DBS+BMT vs BMT in resistant OCD

    Measure of suicidal risk with MADRS scale

    Measured: 1 year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Jul 2016 (estimated)
  2. Study startSep 2016
  3. Primary completionJul 2026 (estimated)
  4. Study completionApr 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02844049
Sponsor's protocol ID
38RC15.344
Acronym
EQOLOC
Status last verified
Nov 2023
First submitted
15 Jun 2016
Last updated
29 Nov 2023
Results posted
No
Data monitoring committee
Yes
Individual data sharing
No

Publications

  • Subramaniam M, Soh P, Vaingankar JA, Picco L, Chong SA. Quality of life in obsessive-compulsive disorder: impact of the disorder and of treatment. CNS Drugs. 2013 May;27(5):367-83. doi: 10.1007/s40263-013-0056-z.

    PubMed 23580175
  • Mallet L, Polosan M, Jaafari N, Baup N, Welter ML, Fontaine D, du Montcel ST, Yelnik J, Chereau I, Arbus C, Raoul S, Aouizerate B, Damier P, Chabardes S, Czernecki V, Ardouin C, Krebs MO, Bardinet E, Chaynes P, Burbaud P, Cornu P, Derost P, Bougerol T, Bataille B, Mattei V, Dormont D, Devaux B, Verin M, Houeto JL, Pollak P, Benabid AL, Agid Y, Krack P, Millet B, Pelissolo A; STOC Study Group. Subthalamic nucleus stimulation in severe obsessive-compulsive disorder. N Engl J Med. 2008 Nov 13;359(20):2121-34. doi: 10.1056/NEJMoa0708514.

    PubMed 19005196
  • Kohl S, Schonherr DM, Luigjes J, Denys D, Mueller UJ, Lenartz D, Visser-Vandewalle V, Kuhn J. Deep brain stimulation for treatment-refractory obsessive compulsive disorder: a systematic review. BMC Psychiatry. 2014 Aug 2;14:214. doi: 10.1186/s12888-014-0214-y.

    PubMed 25085317
  • Eitan R, Shamir RR, Linetsky E, Rosenbluh O, Moshel S, Ben-Hur T, Bergman H, Israel Z. Asymmetric right/left encoding of emotions in the human subthalamic nucleus. Front Syst Neurosci. 2013 Oct 29;7:69. doi: 10.3389/fnsys.2013.00069. eCollection 2013.

    PubMed 24194703
  • Mataix-Cols D, Fernandez de la Cruz L, Nordsletten AE, Lenhard F, Isomura K, Simpson HB. Towards an international expert consensus for defining treatment response, remission, recovery and relapse in obsessive-compulsive disorder. World Psychiatry. 2016 Feb;15(1):80-1. doi: 10.1002/wps.20299. No abstract available.

    PubMed 26833615
  • Piallat B, Polosan M, Fraix V, Goetz L, David O, Fenoy A, Torres N, Quesada JL, Seigneuret E, Pollak P, Krack P, Bougerol T, Benabid AL, Chabardes S. Subthalamic neuronal firing in obsessive-compulsive disorder and Parkinson disease. Ann Neurol. 2011 May;69(5):793-802. doi: 10.1002/ana.22222. Epub 2010 Dec 28.

    PubMed 21520240
  • Ooms P, Mantione M, Figee M, Schuurman PR, van den Munckhof P, Denys D. Deep brain stimulation for obsessive-compulsive disorders: long-term analysis of quality of life. J Neurol Neurosurg Psychiatry. 2014 Feb;85(2):153-8. doi: 10.1136/jnnp-2012-302550. Epub 2013 May 28.

    PubMed 23715912

Questions about this trial

What is this clinical trial studying?

A study testing Deep Brain Stimulation in people with Obsessive-Compulsive Disorder, run by University Hospital, Grenoble at 8 sites in 4 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 29 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in France, Germany, Sweden, Switzerland. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Sandra David-tchouda, MD (+33476767186, SDavidTchouda@chugrenoble.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Assessment of the impact of DBS+BMT versus BMT alone on a measure of Quality of life in resistant OCD patients at 1-year follow-up (time frame: 1 year). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02844049, which also lists 7 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Nov 2023.

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