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Acute Inflammatory Response to Psychological StressNCT04078035

Biological Response to Brief Psychological Challenge

A study testing Socio-evaluative speech task in people with Acute Inflammatory Response to Psychological Stress, run by University of Pittsburgh at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The investigators plan to conduct a crossover experimental trial examining physiological responses to a socio-evaluative speech task under laboratory conditions. Participants will attend two laboratory sessions. Read more about this study

Who is it for?
Ages 20 to 50 yearsHealthy volunteers can take part
What is being tested?
Socio-evaluative speech task
Could I receive a placebo?
No, everyone receives an active treatment
How many people
72 participants
Where
1 siteUnited States
Study dates
23 Jul 2020to 31 Jan 2022
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 20 to 50 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Generally healthy
  • Non-smokers/illicit drug users
  • Blood pressure below 140/90
  • Weight > 110 lbs
  • BMI < 30
  • Fluent in English
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  • Women -- regular menstrual cycles over the past 12 months (defined as 21- 35 days in length)
  • Able and willing to give informed consent
  • Willing to abstain from alcohol and vigorous exercise for 24 hours, from food and drinks (other than water) for 3 hours and from non-prescription medications (other than oral contraception) for 2 days before testing.
  • Willing to attend two laboratory stress testing sessions, give blood though an intravenous catheter, undergo medical evaluation and complete psychosocial questionnaires.

Who cannot join

  • Reported history of chronic systemic immune, metabolic or mitochondrial diseases, or chronic diseases that influence the central nervous, autonomic nervous or neuroendocrine systems, e.g., autoimmune disease, chronic infections, cardiovascular disease, diabetes, chronic kidney or liver disease, cancer treatment.
  • Reported psychiatric history of schizophrenia or other psychotic illness, or mood disorder.
  • Resting blood pressure > 140/90 mmHg at baseline testing.
  • Weight < 110 lbs
  • BMI equal to or greater than 30
  • Report currently taking glucocorticoid, anti-inflammatory, anti-retroviral, immunosuppressant, insulin, antiarrhythmic, antihypertensive, oral hypoglycemic, antidepressant, benzodiazepine or prescription weight loss medications or other medications known to influence the immune, autonomic or neuroendocrine systems.
Show all 12Show fewer
  • For women - Post-menopausal or irregular menstrual cycles over the past 12 months. Report current pregnancy or lactation.
  • Current smokers (defined as having smoked a cigarette in the previous 3 months).
  • Current illicit drug use (defined as reported use of illicit drugs such as marijuana, cocaine or heroin in the previous 3 months).
  • Not fluent in English (have used English in everyday speaking and reading for at least 10 years)
  • Unable or unwilling to give informed consent
  • Unwilling to abstain from alcohol and vigorous exercise for 24 hours, from food and drinks (other than water) for 3 hours and from non-prescription medications (other than oral contraception) for 2 days prior to testing.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Pittsburgh

    Pittsburgh, Pennsylvania, 15213

Other trials in United States

About this study

Official title: Transduction of Psychological Stress Into Systematic Inflammation by Mitochondrial DNA Signaling

The investigators plan to conduct a crossover experimental trial examining physiological responses to a socio-evaluative speech task under laboratory conditions. Participants will attend two laboratory sessions. At one session participants will take part in a brief laboratory stress task and at the other participants will rest for the same period. Measures of cardiovascular response will be assessed at both sessions. In addition, blood will be drawn at multiple time points across a 125 minute period to assess changes in circulating levels of cortisol, catecholamines, markers of inflammation and cell free mitochondrial DNA in response to the task. The investigators expect that the stress task will induce a specific increase in ccf-mtDNA, which will statistically mediate subsequent peak circulating Interleukin-6 and Tumor Necrosis Factor-α levels. In secondary analyses, the investigators will examine whether stress-induced increases in circulating cortisol, epinephrine, and norepinephrine levels correlate with increases in ccf-mtDNA. These studies will establish the kinetics and magnitude of psychological stress-induced ccf-mtDNA release, the association with early stress mediators, and whether ccf-mtDNA mediates the inflammatory response to acute stress in humans.

Read the detailed description

The proposed study will examine physiologic responses to acute psychological challenge in the laboratory among healthy adults. It is widely accepted that there is an increase in circulating markers of inflammation following a single bout of laboratory stress. This increase in systemic inflammation is believed to contribute to the damaging health effect of psychological stress. However, to date, the biological mechanisms by which psychological stress is transduced into inflammation are unclear. The investigators' preliminary evidence suggests that mitochondrion may play a role, with stress-induced increases in circulating levels of mitochondria- derived signaling molecules that are known to modulate immune cell function and the production of pro-inflammatory cytokines.

To test this possibility, the investigators plan to conduct a crossover experimental trial examining physiological responses to an evaluative speech task under laboratory conditions. The investigators have previously used this task to induce physiological arousal. The investigators plan to recruit 60 non-smoking volunteers (50% female, aged 20-50 years) and test these participants on two occasions separated by at least a month. On one occasion the participants will be exposed to the speech task. On the other occasion, the participants will rest quietly for the same period. Conditions will be counterbalanced. At both visits cardiovascular responses (heart rate, blood pressure, and heart rate variability) will be assessed as measures of autonomic activation before, during and after the task period. Participants will also have an intravenous catheter inserted and blood drawn at ten time points over the two hour testing period on each occasion. Blood samples will be sent to laboratories at the University of Pittsburgh and at Columbia University for the assessment of mitochondria-derived signalling molecules, inflammatory markers, and cortisol levels.

Being tested
Socio-evaluative speech task, Control, Quiet Rest

What participants receive

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

  • Socio-evaluative speech taskBehavioural

    5-minute speech task designed to induce physiological arousal in a laboratory setting.

  • Control, Quiet RestBehavioural

    5-minute quiet rest period.

Study groups in NCT04078035
Study groupRoleWhat they receive
Socio-evaluative Speech Stress, then ControlExperimentalParticipants will attend two laboratory sessions. At the first session, participants will complete a socio-evaluative speech task, which is a widely used, highly effective way to investigate stress responses in a laboratory setting. Participants will prepare and deliver a brief, 3-minute speech defending themselves against an alleged transgression (e.g., running a stop sign). The speech will be delivered in front of a video camera, a mirror and an audience (the interviewer and another staff member). Participants will be told that their non-verbal behaviors are being evaluated. At the second session, participants will rest quietly for the same period as the speech task, in the absence of the stressor.
Receives: Behavioral: Socio-evaluative speech task; Behavioral: Control, Quiet Rest
Control, then Socio-Evaluative Speech StressExperimentalParticipants will attend two laboratory sessions. At the first session, participants will rest quietly for 5 minutes. At the second session, participants will complete a socio-evaluative speech task, which is a widely used, highly effective way to investigate stress responses in a laboratory setting. Participants will prepare and deliver a brief, 3-minute speech defending themselves against an alleged transgression (e.g., running a stop sign). The speech will be delivered in front of a video camera, a mirror and an audience (the interviewer and another staff member). Participants will be told that their non-verbal behaviors are being evaluated.
Receives: Behavioral: Socio-evaluative speech task; Behavioral: Control, Quiet Rest

What is being measured

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

  1. Cell-free Mitochondrial DNA

    Serum levels of mitochondrial DNA assessed from blood samples

    Measured: 5 minutes before task, and 5, 10, 20, 30, 45, 60, 75, 90 and 120 minutes after the task.

  2. Interleukin-6

    Plasma levels of interleukin-6

    Measured: 5 minutes before to 5, 10, 20, 30, 45, 60, 75, 90, 120 post-task periods

  3. Tumor Necrosis Factor-alpha

    Plasma levels of tumor necrosis factor-alpha

    Measured: 5 minutes before to 5, 10, 20, 30, 45, 60, 75, 90, 120 post-task periods

Secondary outcomes (14)
  1. Heart Rate

    Continuous measurement of heart rate was averaged across 4 periods: last 5 minutes of baseline, 5-min task-period, first two 5 minutes post-task.

    Measured: last 5 minutes of baseline, 5-min task-period, first two 5 minutes post-task.

  2. Systolic Blood Pressure

    Blood pressure was assessed twice on 10 occasions across the protocol. The two readings on each occasion were averaged.

    Measured: 5 min pre-task and 5, 10, 20, 30, 45, 60, 75, 90, 120

  3. Diastolic Blood Pressure

    Diastolic blood pressure was assessed two times on 10 occasions across the protocol. On each occasion, the two measures were averaged.

    Measured: 5 min pre-task and 5, 10, 20, 30, 45, 60, 75, 90, 120 post task onset

  4. Cortisol

    Circulating levels of cortisol assessed by ELISA

    Measured: 5 minutes before to 10, 20, 30, 45, 60 minutes post-task periods

  5. Epinephrine

    Levels of epinephrine in plasma

    Measured: 5 minutes before to 5, 10, 20, 30, & 60 minutes post-task periods

  6. Norepinephrine

    Levels of norepinephrine in plasma

    Measured: 5 minutes before to 5, 10, 20, 30, & 60 minutes post-task periods

  7. Heart Rate Variability

    Interbeat intervals of heart rate assessed by 3-lead EKG. Measures were taken continuously from 5 minutes before the task to 10 minutes after the task. Rsults were then averaged across 4 periods: 5 minutes prior to the task, the 5-minute task period, and 5-, and 10-minutes post task

    Measured: Pre-task, task, and 1-5 and 6-10 minutes post task

  8. Fatigue

    Momentary assessment of fatigue, measured as score on the fatigue subscale on the brief Profile of Mood States questionnaire. Scores range from 0 - 20, with higher scores reflecting more fatigue.

    Measured: 2 minutes before and 2, 60, and 120 minutes post-task periods

  9. Anger

    Momentary assessment of anger, measured as score on the anger subscale on the brief Profile of Mood States questionnaire in response to the task periods. Scores range from 0 - 12, with higher scores reflecting more anger.

    Measured: 2 minutes before and 2-, 60-, and 120-minutes post-task periods

  10. Anxious Mood

    Momentary assessment of anxious mood, measured as score on the anxiety subscale on the brief Profile of Mood States questionnaire in response to the task periods. Scores range from 0 - 16, with higher scores reflecting more anxious mood.

    Measured: 2 minutes before and 2-, 60- and 120-minutes post-task periods

  11. Depressed Mood

    Momentary assessment of depressed mood, measured as score on the depression subscale on the brief Profile of Mood States questionnaire in response to the task periods. Scores range from 0 - 12, with higher scores reflecting more depressed mood.

    Measured: 2 minutes before and 2-, 60- and 120-minutes post-task periods

  12. Vigor

    Momentary assessment of vigor, measured as score on the vigor subscale on the brief Profile of Mood States questionnaire in response to the task periods. Scores range from 0 - 12, with higher scores reflecting more vigor.

    Measured: 2 minutes before and 2-, 60-, and 120-minutes post-task periods

  13. Wellbeing

    Momentary assessment of wellbeing, measured as score on the wellbeing subscale on the brief Profile of Mood States questionnaire in response to the task periods. Scores range from 0 - 12, with higher scores reflecting more wellbeing.

    Measured: 2 minutes before and 2-, 60- and 120-minutes post-task periods

  14. Calm Mood

    Momentary assessment of calm mood, measured as score on the calm subscale on the brief Profile of Mood States questionnaire in response to the task periods. Scores range from 0 - 16, with higher scores reflecting more calm mood.

    Measured: 2 minutes before and 2-, 60-, and 120-minutes post-task periods

Timeline

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

  1. First posted4 Sep 2019
  2. Study start23 Jul 2020
  3. Primary completion31 Jan 2022
  4. Study completion31 Jan 2022

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
Basic science
Allocation
Randomised
Intervention model
Crossover
Model description
The investigators propose a crossover experimental trial examining physiological responses to a socio-evaluative speech task under laboratory conditions. Participants will be tested on two occasions separated by at least 1 month. On one occasion, participants will be exposed to the speech task. On the other occasion, participants will rest quietly for the same period of time with identical assessment in the absence of the stressor. Conditions will be counterbalanced in randomized starting order across subjects.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
72 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04078035
Sponsor's protocol ID
STUDY19020140
Other IDs
R01MH119336
Status last verified
Feb 2024
First submitted
28 Aug 2019
Last updated
1 Mar 2024
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Individual deidentified participant data (including data dictionaries) will be shared. This includes all of the individual -participant data collected during the trial. In addition, the study protocol will be made available. The Co-Principal Investigators of the study will oversee all matters related to data management and archiving. Final research data will be deposited in the digital repository of the Inter-university Consortium for Political and Social Research (ICPSR), of which the University of Pittsburgh is a member, and which receives partial funding from the NIH.

Publications

  • Trumpff C, Marsland AL, Basualto-Alarcon C, Martin JL, Carroll JE, Sturm G, Vincent AE, Mosharov EV, Gu Z, Kaufman BA, Picard M. Acute psychological stress increases serum circulating cell-free mitochondrial DNA. Psychoneuroendocrinology. 2019 Aug;106:268-276. doi: 10.1016/j.psyneuen.2019.03.026. Epub 2019 Mar 28.

    PubMed 31029929
  • Trumpff C, Marsland AL, Sloan RP, Kaufman BA, Picard M. Predictors of ccf-mtDNA reactivity to acute psychological stress identified using machine learning classifiers: A proof-of-concept. Psychoneuroendocrinology. 2019 Sep;107:82-92. doi: 10.1016/j.psyneuen.2019.05.001. Epub 2019 May 7.

    PubMed 31112904

Questions about this trial

What is this clinical trial studying?

A study testing Socio-evaluative speech task in people with Acute Inflammatory Response to Psychological Stress, run by University of Pittsburgh 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 10 inclusion and 12 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: finished, as of the sponsor's last update on 1 Mar 2024. 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?

Yes. Results are posted in the registry (first posted 1 Mar 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Cell-free Mitochondrial DNA (time frame: 5 minutes before task, and 5, 10, 20, 30, 45, 60, 75, 90 and 120 minutes after the task.). The study lists 3 primary outcomes in all. 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 NCT04078035, 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 1 Mar 2024; AzTrials last refreshed its copy on 2 Nov 2026.

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