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SuicideIBBBiSNCT06047613

Inflammation and Blood Brain Barrier Integrity as Biomarkers of Suicidal Behavior

A study testing Blood samples, Hetero-questionnaires and auto-questionnaires and Magnetic Resonance Imaging (MRI) in people with Suicide and Depression, run by University Hospital, Montpellier at 1 site in France.

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 The sponsor has not verified this record for over two years, so it may be out of date.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

Recent studies have revealed an association between history of suicide attempt and inflammatory markers in both the cerebrospinal fluid and the plasma. Post mortem studies have shown an increase in microglial activation in the brain tissue of suicide victims. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Suicide, Depression
What is being tested?
Blood samples, Hetero-questionnaires and auto-questionnaires and Magnetic Resonance Imaging (MRI)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
150 participants
Where
1 siteFrance
Study dates
5 Oct 2023to Oct 2025
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 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Common inclusion criteria:

  • Aged between 18 and 55 years old,
  • Affiliated to a French National Social Security System
  • Able to understand the nature, purpose and methodology of the study
  • Able to give written informed consent

Specific inclusion criteria

Suicide attempters:

  • Subject with a main psychiatric diagnosis of current major depressive episode according to DSM-5 criteria (the existence of psychiatric comorbidities is not a non-inclusion criterion)
  • Subject with a recent history of proven suicide attempt (within the 8 days before inclusion)
  • Subject with a history of maximum 2 previous lifetime proven SA

Affective controls:

  • Subject with a main psychiatric diagnosis of current major depressive episode according to DSM-5 criteria (the existence of psychiatric comorbidities is not a non-inclusion criterion),
  • Subject without any lifetime history suicidal behavior (proven, interrupted or aborted)

Healthy controls:

  • Subject who have no current or past personal history of psychiatric disorders according to DSM5 criteria.

Non inclusion criteria

  • History of psychotic disorders
  • Diagnostic of illicit substance / alcohol use disorder within the last 6 months
  • Current inflammation-related symptoms including fever and infectious or inflammatory disease
  • Severe symptomatic or unstable medical condition (e.g., unstable endocrine or cardiovascular disease)
  • Medical disorders affecting CNS function (e.g., history of severe head trauma, epilepsy, tumor)
  • Current use of specific medications known to affect the immune system, such as corticosteroids, non-steroid anti-inflammatory drugs, aspirin and statins
  • Contraindication to MRI or impossibility to assess, or doubt about a contraindication to the MRI: metallic artificial heart valve, pacemaker, cerebrovascular clips ferromagnetic materials, metallic foreign body that can be mobilized, in particular cerebral or intraocular, prosthesis ferromagnetic, impossibility of absolute immobility in supine position, claustrophobia.
  • Vaccination in the last month
  • Law protected or deprived of liberty subject
  • Pregnant and breastfeeding women
  • BMI > 30 kg/m2
  • Having reached 6000€ annual compensation for participating to clinical trials
  • Being in exclusion period for another study

Trial locations and contacts

1 site in 1 country.

Philippe COURTET, MD PhD contact

+33 4 67 33 85 81

p-courtet@chu-montpellier.fr

France1 site, 1 recruiting
  • University hospital

    Montpellier, 34295

    Jessica DALAUDIERE, +33499614569, jessica.dalaudiere@chu-montpellier.fr

    Recruiting

Other trials in France

About this study

Recent studies have revealed an association between history of suicide attempt and inflammatory markers in both the cerebrospinal fluid and the plasma. Post mortem studies have shown an increase in microglial activation in the brain tissue of suicide victims. However the relationship between peripheral and central inflammation in suicide is probably mediated by complex biological processes that are yet elucidated. An increase of blood S100B levels (biomarker of neurovascular damage; PMID 14530574) has been reported in adolescents with suicidal ideation vs. controls and independently of psychiatric disorder.

The investigators hypothesize that peripheral inflammation may alter the blood brain barrier, which normally acts as a filter to ensure proper neuronal functioning, in suicidal patients.

They propose to investigate peripheral inflammation, neurovascular permeability and miRNAs in suicidal behavior pathophysiology as biomarkers of suicidal behavior in depression

Read the detailed description

150 participants will be enrolled, divided into 3 groups:

  • 50 Suicide attempters, i.e. currently depressed patients with a suicide attempt within the 8 last days (with a maximal lifetime number of 3 previous suicide attempts, including the most recent);
  • 50 Affective controls, i.e. currently depressed patients without any lifetime history of suicide attempt;
  • 50 Healthy controls (age- and gender-matched to patients' groups) with no lifetime history of psychiatric disorders.

The protocol includes two visits for patients (suicide attempters and affective controls) and only one visit (inclusion) for healthy controls.

The first visit is the inclusion visit (Day 0-Day 8). Day 0 is the date of the last suicide attempt for the suicide attempters group and the date of signature of the consent for the affective control and healthy control groups. All the visit exams will be performed within 8 days after Day 0.

The second visit takes place one month +/- one week after inclusion. At each visit, a clinical assessment will be performed to characterise psychopathology and suicidal characteristics. Blood samples will be obtained in order to measure inflammatory markers. An MRI will be performed on order to study white matter microstructure and brain functional connectivity networks.

Conditions
Suicide, Depression
Being tested
Blood samples, Hetero-questionnaires and auto-questionnaires, Magnetic Resonance Imaging (MRI)
Keywords
suicide, depression
Medical subject headings
Suicide, Depression

What participants receive

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

  • Blood samplesBiological

    Blood samples will be collected at both visit between 8:30 a.m. and 10 a.m. and fasting from midnight.

  • Hetero-questionnaires and auto-questionnairesOther

    Questionnaires will be administrated at both visits to assess the suicide spectrum, the depression level and some personality traits.

    Heteroquestionnaires will be administrated during a clinical interview (1h) conducted by a psychiatrist or psychologist. Autoquestionnaires (45 min) will be completed by the participant himself.

  • Magnetic Resonance Imaging (MRI)Other

    MRI will be processed (at both visits for patients and at inclusion visit for healthy controls) to study between groups white matter microstructure and brain functional connectivity networks

Study groups in NCT06047613
Study groupRoleWhat they receive
Suicide attemptersExperimentalCurrently depressed patients with a suicide attempt within the 8 last days (with a maximal lifetime number of 3 previous suicide attempt including the most recent );
Receives: Biological: Blood samples; Other: Hetero-questionnaires and auto-questionnaires; Other: Magnetic Resonance Imaging (MRI)
Affective controlsActive comparatorCurrently depressed patients without any lifetime history of suicide attempt
Receives: Biological: Blood samples; Other: Hetero-questionnaires and auto-questionnaires; Other: Magnetic Resonance Imaging (MRI)
Healthy controlsActive comparatorParticipants with no lifetime history of psychiatric disorders
Receives: Biological: Blood samples; Other: Hetero-questionnaires and auto-questionnaires; Other: Magnetic Resonance Imaging (MRI)

What is being measured

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

  1. Level of blood S100B assayed in the 3 groups, a marker of cerebral and vascular lesions.

    Measured: At inclusion

  2. Level of blood S100B assayed in the 3 groups, a marker of cerebral and vascular lesions.

    Measured: At 1 month follow-up

Secondary outcomes (42)
  1. Cytokines' concentration by multiplex ELISA (pg/ml)

    C-C motif chemokine ligand (CCL)2, CCL3, CCL4, CCL11, CCL13, CCL17, CCL20, CCL22, CCL26, C-X-C motif chemokine ligand (CXCL)10, Interleukin (IL)-1α, IL 1ß, IL-2, IL-4, IL-5, IL-6, IL-7, IL-8, IL-10, IL-12/IL-23 p40, IL-12p70, IL-13, IL-15, IL-16, IL-17A, IL- 27, IL-31, interferon (IFN)-γ, Tumor Necrosis Factor ðTNFÞ α, TNF ß and Granulocyte-Macrophage Colony-Stimulating Factor (GM-CSF)

    Measured: At inclusion

  2. Cytokines' concentration by multiplex ELISA (pg/ml)

    C-C motif chemokine ligand (CCL)2, CCL3, CCL4, CCL11, CCL13, CCL17, CCL20, CCL22, CCL26, C-X-C motif chemokine ligand (CXCL)10, Interleukin (IL)-1α, IL 1ß, IL-2, IL-4, IL-5, IL-6, IL-7, IL-8, IL-10, IL-12/IL-23 p40, IL-12p70, IL-13, IL-15, IL-16, IL-17A, IL- 27, IL-31, interferon (IFN)-γ, Tumor Necrosis Factor ðTNFÞ α, TNF ß and Granulocyte-Macrophage Colony-Stimulating Factor (GM-CSF)

    Measured: At 1 month follow-up

  3. Specific proteins measurement (pg/ml)

    Specific proteins measurement (i.e. GFAP, NFL, UHC-L1, sGPR56, S100B, MBP and related proteins) using digital or classical ELISA or western blot

    Measured: At inclusion

  4. Specific proteins measurement (pg/ml)

    Specific proteins measurement (i.e. GFAP, NFL, UHC-L1, sGPR56, S100B, MBP and related proteins) using digital or classical ELISA or western blot

    Measured: At 1 month follow-up

  5. FACS analysis on fresh blood

    Determination of the number of white cells

    Measured: At inclusion

  6. FACS analysis on fresh blood

    Determination of the number of white cells

    Measured: At 1 month follow-up

  7. FACS analysis on fresh blood

    Description of the phenotype of white cells

    Measured: At inclusion

  8. FACS analysis on fresh blood

    Description of the phenotype of white cells

    Measured: At 1 month follow-up

  9. FACS analysis on fresh blood

    Percentage of cellular inflammatory marker

    Measured: At inclusion

  10. FACS analysis on fresh blood

    Percentage of cellular inflammatory marker

    Measured: At 1 month follow-up

  11. Extraction of small and long RNA

    Use of RNA-seq, RT-qPCR and digital PCR to quantify RNA

    Measured: At inclusion

  12. Extraction of small and long RNA

    Use of RNA-seq, RT-qPCR and digital PCR to quantify RNA

    Measured: At 1 month follow-up

  13. Test of the capacity of leukocytes isolated from patients to provoke vascular inflammation and BBB permeabilization

    These experiments will be performed using an in vitro model of vascular cell co-culture. The reactivity of leukocytes to pro-inflammatory challenges and cytokines will be tested.

    Measured: At inclusion

  14. Test of the capacity of leukocytes isolated from patients to provoke vascular inflammation and BBB permeabilization

    These experiments will be performed using an in vitro model of vascular cell co-culture. The reactivity of leukocytes to pro-inflammatory challenges and cytokines will be tested.

    Measured: At 1 month follow-up

  15. White matter microstructure analysis

    The ihMT (ihMTR) and MT (MTR) ratios will be performed in the apparently normal white and gray matter regions from regional white matter and gray matter atlases

    Measured: At inclusion

  16. White matter microstructure analysis

    The ihMT (ihMTR) and MT (MTR) ratios will be performed in the apparently normal white and gray matter regions from regional white matter and gray matter atlases

    Measured: At 1 month follow-up

  17. White matter microstructure analysis

    Value of the fraction of anisotropy (FA) along the skeleton of the Tract-based spatial statistics TBSS

    Measured: At inclusion

  18. White matter microstructure analysis

    Value of the fraction of anisotropy (FA) along the skeleton of the Tract-based spatial statistics TBSS

    Measured: At 1 month follow-up

  19. White matter microstructure analysis

    Extraction by anatomical region of FA, mean, axial and radial diffusivity [FSL software)

    Measured: At inclusion

  20. White matter microstructure analysis

    Extraction by anatomical region of FA, mean, axial and radial diffusivity [FSL software)

    Measured: At 1 month follow-up

  21. White matter microstructure analysis

    Value of diffusion of blood water D* (pseudocoefficient =perfusive composante) from different region based on regional atlases

    Measured: At inclusion

  22. White matter microstructure analysis

    Value of diffusion of blood water D* (pseudocoefficient =perfusive composante) from different region based on regional atlases

    Measured: At 1 month follow-up

  23. White matter microstructure analysis

    Value of diffusion of the tissue (ADC) from different region based on regional atlases

    Measured: At inclusion

  24. White matter microstructure analysis

    Value of diffusion of the tissue (ADC) from different region based on regional atlases

    Measured: At 1 month follow-up

  25. White matter microstructure analysis

    Value of fraction of perfusion fD* ( incoherent blood signal divided by total incoherent signal) from different region based on regional atlases

    Measured: At inclusion

  26. White matter microstructure analysis

    Value of fraction of perfusion fD* ( incoherent blood signal divided by total incoherent signal) from different region based on regional atlases

    Measured: At 1 month follow-up

  27. Brain functional connectivity networks analysis : extraction of resting state functional connectivity metrics from functional atlas or by voxel

    Regional homogeneity

    Measured: At inclusion

  28. Brain functional connectivity networks analysis : extraction of resting state functional connectivity metrics from functional atlas or by voxel

    Regional homogeneity

    Measured: At 1 month follow-up

  29. Brain functional connectivity networks analysis : extraction of resting state functional connectivity metrics from functional atlas or by voxel

    Amplitude of low frequency fluctuations

    Measured: At inclusion

  30. Brain functional connectivity networks analysis : extraction of resting state functional connectivity metrics from functional atlas or by voxel

    Amplitude of low frequency fluctuations

    Measured: At 1 month follow-up

  31. Brain functional connectivity networks analysis : extraction of resting state functional connectivity metrics from functional atlas or by voxel

    Functional homotopy

    Measured: At inclusion

  32. Brain functional connectivity networks analysis : extraction of resting state functional connectivity metrics from functional atlas or by voxel

    Functional homotopy

    Measured: At 1 month follow-up

  33. Brain functional connectivity networks analysis : extraction of resting state functional connectivity metrics from functional atlas or by voxel

    Graph theory metrics

    Measured: At inclusion

  34. Brain functional connectivity networks analysis : extraction of resting state functional connectivity metrics from functional atlas or by voxel

    Graph theory metrics

    Measured: At 1 month follow-up

  35. Cerebral morphometric extraction (3DT1): automatic segmentation

    Evaluation of the volume from cerebral anatomical atlas

    Measured: At inclusion

  36. Cerebral morphometric extraction (3DT1): automatic segmentation

    Evaluation of the volume from cerebral anatomical atlas

    Measured: At 1 month follow-up

  37. Cerebral morphometric extraction (3DT1): automatic segmentation

    Evaluation of the surface from cerebral anatomical atlas

    Measured: At inclusion

  38. Cerebral morphometric extraction (3DT1): automatic segmentation

    Evaluation of the surface from cerebral anatomical atlas

    Measured: At 1 month follow-up

  39. Cerebral morphometric extraction (3DT1): automatic segmentation

    Evaluation of the cortical thickness from cerebral anatomical atlas

    Measured: At inclusion

  40. Cerebral morphometric extraction (3DT1): automatic segmentation

    Evaluation of the cortical thickness from cerebral anatomical atlas

    Measured: At 1 month follow-up

  41. Cerebral blood analysis

    Extraction of blood flow values from 3D PCASL acquisition from vascular atlas

    Measured: At inclusion

  42. Cerebral blood analysis

    Extraction of blood flow values from 3D PCASL acquisition from vascular atlas

    Measured: At 1 month follow-up

Timeline

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

  1. First posted21 Sep 2023
  2. Study start5 Oct 2023
  3. Primary completionMay 2025 (estimated)
  4. Study completionOct 2025 (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
Other
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
150 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06047613
Sponsor's protocol ID
RECHMPL22_0103
Acronym
IBBBiS
Status last verified
Nov 2023
First submitted
21 Jul 2023
Last updated
29 Nov 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Blood samples, Hetero-questionnaires and auto-questionnaires and Magnetic Resonance Imaging (MRI) in people with Suicide and Depression, run by University Hospital, Montpellier at 1 site in France.

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

Who may be eligible to take part?

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 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 1 site in France. 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?

Contact Philippe COURTET, MD PhD (+33 4 67 33 85 81, p-courtet@chu-montpellier.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Level of blood S100B assayed in the 3 groups, a marker of cerebral and vascular lesions. (time frame: At inclusion). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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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