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Generalized Anxiety DisorderNCT03899090

Floatation-REST (Reduced Environmental Stimulation Therapy) for Anxiety and Depression

A study testing Float pool and Float chair in people with Generalized Anxiety Disorder and Social Anxiety Disorder, run by Laureate Institute for Brain Research, Inc. at 1 site in United States.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This early-stage trial aims to examine the feasibility, tolerability, and safety of Floatation-REST (Reduced Environmental Stimulation Therapy) or an active comparison condition in 75 participants with clinical anxiety and depression. Read more about this study

Who is it for?
Ages 18 to 60 years
What is being tested?
Float pool and Float chair
Could I receive a placebo?
No, everyone receives an active treatment
How many people
75 participants
Where
1 siteUnited States
Study dates
8 Apr 2019to 31 May 2024
Phase
Interventional
Are there results?
None posted in the registry

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 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • High level of acute anxiety (OASIS score ≥ 6)
  • High anxiety sensitivity (ASI-3 total score ≥ 24)
  • If taking medication or receiving psychotherapy, must be stably undergoing treatment prior to participation (defined as having taken the medication or been in therapy for 8 weeks or longer). If taking a benzodiazepine or opioid, must be willing to abstain within 24 hours of a float session (daily users will be excluded from the study).
  • No prior Floatation-REST experience or a minimum of 1 year since previous float session
  • Seeking treatment for their anxiety/depression and willing to complete the study

Who cannot join

  • History of Bipolar Disorder, Schizophrenia spectrum or other psychotic disorders
  • Current Eating Disorder (anorexia/bulimia nervosa)
  • Current Substance Use Disorder ≥ moderate. Tobacco and Caffeine Use is allowed. Must be willing to abstain from all other substances within 24 hours of a float session.
  • Active suicidality with plan/intent
  • History of a neurological condition (e.g., epilepsy) or any other medical condition that could interfere with the protocol
  • Any skin conditions or open wounds that could cause pain when exposed to saltwater
Show all 9Show fewer
  • Uncomfortable being in water
  • Positive pregnancy test
  • Acutely intoxicated day of floating (determined via positive urine drug screen or breathalyzer)

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Laureate Institute for Brain Research

    Tulsa, Oklahoma, 74136

Other trials in United States

About this study

Official title: Investigating Floatation-REST as a Novel Technique for Reducing Anxiety and Depression

This early-stage trial aims to examine the feasibility, tolerability, and safety of Floatation-REST (Reduced Environmental Stimulation Therapy) or an active comparison condition in 75 participants with clinical anxiety and depression.

Read the detailed description

Anxiety and depression are the two most common psychiatric conditions, affecting over a quarter of the population, and representing the leading cause of disability, worldwide. More than three-quarters of patients never receive treatment, and recent meta-analyses and large-scale clinical trials suggest that only about half of patients improve with treatment, with substantially poorer outcomes and adherence in patients with comorbid anxiety and depression. Given the insufficient treatment response and adherence to currently available therapies, it is important to explore novel ways of helping patients with anxiety and depression. Floatation-REST (Reduced Environmental Stimulation Therapy) is a relatively unexplored mind-body intervention for naturally reducing physiological stress by attenuating exteroceptive sensory input to the nervous system through the act of floating supine in a pool of water saturated with Epsom salt (magnesium sulfate). Over the past decade, floating has witnessed a rapid rise in popularity, with hundreds of recreational float centers opening across America. Despite the surge in public interest and consumption, there has been little research investigation Floatation-REST, especially in clinical populations. The investigators recently completed several pilot studies in patients with comorbid anxiety and depression showing that a single float session was capable of inducing a large short-term anxiolytic and antidepressant response accompanied by a substantial improvement in mood and subjective well-being. This proposal aims to follow-up on these promising preliminary findings by investigating the feasibility, tolerability, and safety of undergoing multiple sessions of Floatation-REST or an active comparison condition in 75 participants with clinical anxiety and depression. A subset of these participants will have the opportunity to select their preference with regard to float duration and frequency, providing important information for optimizing the "dose" in future trials. Since this study is aimed at examining feasibility, tolerability, and safety, the primary endpoint is adherence (as a proxy of feasibility), and the secondary outcome measures are dropout rate (as a proxy for tolerability) and adverse effects (as a proxy for safety). An exploratory aim examines the magnitude and duration of the anxiolytic and antidepressant effects of Floatation-REST at both short-term (up to 48 hours) and long-term (up to 6 months) intervals, providing an initial indication for whether any beneficial effects are sustained beyond the float experience. The results of this early phase clinical trials will help optimize the design of a future efficacy study exploring the long-term effects of Floatation-REST.

Being tested
Float pool, Float chair
Medical subject headings
Generalized Anxiety Disorder, Phobia, Social, Panic Disorder, Agoraphobia, Stress Disorders, Post-Traumatic, Depressive Disorder, Major

What participants receive

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

  • Float poolBehavioural

    Subject floats supine in a pool of water saturated with Epsom salt in an environment which minimizes stimulation of the nervous system, including reduced light, sound, and pressure on the spinal cord.

  • Float chairBehavioural

    Subject floats supine in a zero-gravity chair in an environment which minimizes stimulation of the nervous system, including reduced light, sound, and pressure on the spinal cord.

Study groups in NCT03899090
Study groupRoleWhat they receive
Float PoolExperimentalFloating supine in a pool for a prescribed amount of time (6 total sessions, 1 hour/session, 1 session/week)
Receives: Behavioral: Float pool
Float ChairActive comparatorFloating supine in a zero-gravity chair for a prescribed amount of time (6 total sessions, 1 hour/session, 1 session/week)
Receives: Behavioral: Float chair
Float Pool PreferredExperimentalFloating supine in a pool for a preferred amount of time (6 total sessions, up to 2 hours/session, as frequently as they prefer within a 12-week period with a minimum of 24 hours between sessions)
Receives: Behavioral: Float pool

What is being measured

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

  1. Adherence

    As a proxy of feasibility, adherence for each subject = (# of sessions completed)/6.

    All subjects (in all arms of the study) are given up to 3 opportunities to reschedule missed appointments, after which they are withdrawn from the study.

    Measured: Over 6-9 week period of intervention (up to 12 weeks for preferred pool arm)

Secondary outcomes (25)
  1. Dropout rate

    As a proxy for tolerability, dropout rate for each arm = (# of subjects who are withdrawn from the study)/25.

    All subjects (in all arms of the study) are given up to 3 opportunities to reschedule missed appointments, after which they are withdrawn from the study.

    Measured: Over 6-9 week period of intervention (up to 12 weeks for preferred pool arm)

  2. Adverse effects

    As a proxy of safety, adverse effects for each subject = # of instances during the study when a subject reports elevations above mild for any negative effects on the side effect checklist (administered after each float session)

    Measured: Over 6-9 week period of intervention (up to 12 weeks for preferred pool arm)

  3. Psychological Distress on the Brief Symptom Inventory-18

    Total Score on the Brief Symptom Inventory-18 [Average change pre to post-intervention]

    Measured: Through study completion, an average of 6 months after the final float session

  4. Anxiety on the Brief Symptom Inventory-18

    Anxiety subscale [Average change pre to post-intervention]

    Measured: Through study completion, an average of 6 months after the final float session

  5. Depression on the Brief Symptom Inventory-18

    Depression subscale [Average change pre to post-intervention]

    Measured: Through study completion, an average of 6 months after the final float session

  6. Somatization on the Brief Symptom Inventory-18

    Somatization subscale [Average change pre to post-intervention]

    Measured: Through study completion, an average of 6 months after the final float session

  7. Anxiety on the clinician-rated Hamilton Anxiety Rating Scale (HAM-A)

    Total score [Average change pre to post-intervention]

    Measured: Through study completion, an average of 6 months after the final float session

  8. Depression on the clinician-rated Montgomery Åsberg Rating Scale (MADRS)

    Total score [Average change pre to post-intervention]

    Measured: Through study completion, an average of 6 months after the final float session

  9. Disability on the Sheehan Disability Scale

    Total score [Average change pre to post-intervention]

    Measured: Through study completion, an average of 6 months after the final float session

  10. Anxiety remission

    Percent of individuals by condition (chair, pool, pool-preferred) who have a HAM-A score of ≤ 7

    Measured: An average of 6 weeks after the final float session

  11. Anxiety responder

    Percent of individuals by condition (chair, pool, pool-preferred) who show a 50% reduction on HAM-A or Overall Anxiety Severity and Impairment Scale (OASIS)

    Measured: Through study completion, an average of 6 months after the final float session

  12. Depression remission

    Percent of individuals by condition (chair, pool, pool-preferred) who have a MADRS score of ≤ 9

    Measured: An average of 6 weeks after the final float session

  13. Depression responder

    Percent of individuals by condition (chair, pool, pool-preferred) who show a 50% reduction on MADRS or Patient Health Questionnaire-9 (PHQ-9)

    Measured: Through study completion, an average of 6 months after the final float session

  14. Depression on the Patient Health Questionnaire-9 (PHQ-9)

    Total score [Average change pre to post-intervention]

    Measured: Through study completion, an average of 6 months after the final float session

  15. Anxiety on the Overall Anxiety Severity and Impairment Scale (OASIS)

    Total score [Average change pre to post-intervention]

    Measured: Through study completion, an average of 6 months after the final float session

  16. Anxiety Sensitivity on the Anxiety Sensitivity Index-3R (ASI-3R)

    Total score [Average change pre to post-intervention]

    Measured: Through study completion, an average of 6 months after the final float session

  17. Positive Affect on the Positive and Negative Affect Schedule-X (PANAS-X)

    Average of Positive Affect rating change scores from pre-to-post float across all six floats for each condition (chair, pool, pool-preferred)

    Measured: Through completion of the final float session

  18. Negative Affect on the Positive and Negative Affect Schedule-X (PANAS-X)

    Average of Negative Affect rating change scores from pre-to-post float across all six floats for each condition (chair, pool, pool-preferred)

    Measured: Through completion of the final float session

  19. Serenity on the Positive and Negative Affect Schedule-X (PANAS-X)

    Average of Serenity rating change scores from pre-to-post float across all six floats for each condition (chair, pool, pool-preferred)

    Measured: Through completion of the final float session

  20. State Anxiety on the State Trait Anxiety Inventory (STAI)

    Average of STAI State Anxiety rating change scores from pre-to-post float across all six floats for each condition (chair, pool, pool-preferred)

    Measured: Through completion of the final float session

  21. Muscle Tension rating on the Visual Analog Scale (VAS)

    Average of VAS muscle tension rating change scores from pre-to-post float all six floats for each condition (chair, pool, pool-preferred)

    Measured: Through completion of the final float session

  22. Pain on the Wong-Baker Pain Scale (WBPS)

    Average of WBPS rating change from pre-to-post float across all six floats for each condition

    Measured: Through completion of the final float session

  23. Trait Anxiety on the State Trait Anxiety Inventory

    Average of STAI Trait Anxiety rating change scores from pre-to-post float across all six floats for each condition (chair, pool, pool-preferred)

    Measured: Through study completion, an average of 6 months after the final float session

  24. Cardiac interoceptive accuracy

    Average of Beat-to-squeeze consistency on cardiac interoception task

    Measured: Through completion of the final float session

  25. Heartbeat perception rating

    Average of heartbeat intensity, task difficulty, and task accuracy ratings

    Measured: Through completion of the final float session

Timeline

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

  1. First posted2 Apr 2019
  2. Study start8 Apr 2019
  3. Primary completion30 May 2023
  4. Study completion31 May 2024 (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
Model description
Participants are randomized to one of three arms: 1. floating supine in a pool for a prescribed amount of time (6 total sessions, 1 hour/session, 1 session/week) 2. floating supine in a zero-gravity chair for a prescribed amount of time (6 total sessions, 1 hour/session, 1 session/week) 3. floating supine in a pool for a preferred amount of time (6 total sessions, up to 2 hours/session, as frequently as they prefer within a 12-week period with a minimum of 24 hours between sessions)
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
75 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03899090
Sponsor's protocol ID
Float R34
Other IDs
R34AT009889
Status last verified
Oct 2023
First submitted
4 Mar 2019
Last updated
5 Oct 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Individual participant data that underlie the study results will be deidentified and shared with interested investigators using an online link

Publications

  • Garland MM, Wilson R, Thompson WK, Stein MB, Paulus MP, Feinstein JS, Khalsa SS. A randomized controlled safety and feasibility trial of floatation-REST in anxious and depressed individuals. PLoS One. 2024 Jun 6;19(6):e0286899. doi: 10.1371/journal.pone.0286899. eCollection 2024.

    PubMed 38843272
  • Garland MM, Wilson R, Thompson WK, Stein MB, Paulus MP, Feinstein JS, Khalsa SS. A randomized controlled safety and feasibility trial of floatation-REST in anxious and depressed individuals. medRxiv [Preprint]. 2023 Jun 8:2023.05.27.23290633. doi: 10.1101/2023.05.27.23290633.

    PubMed 37333146

Questions about this trial

What is this clinical trial studying?

A study testing Float pool and Float chair in people with Generalized Anxiety Disorder and Social Anxiety Disorder, run by Laureate Institute for Brain Research, Inc. at 1 site in United States.

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 5 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: status not confirmed, as of the sponsor's last update on 5 Oct 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. 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?

Results are not available in the source record.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Adherence (time frame: Over 6-9 week period of intervention (up to 12 weeks for preferred pool arm)). 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 NCT03899090, which also lists 2 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 5 Oct 2023.

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Clinical Trial NCT03899090 | AzTrials