Effect of Ghrelin on Decision-Making

NCT03198143 — Phase 1, Withdrawn, Jenny Tong, MD, MPH

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Effect of Ghrelin on Nutritional and Financial Decision-Making

RegistryNCT03198143
StatusWithdrawn - PI leaving institution
PhasePhase 1
Study typeInterventional; randomized, crossover, masking: single, health services research
SponsorJenny Tong, MD, MPH (Other)
ConditionsHealthy Volunteers, Obesity
InterventionsGhrelin, Saline (Drug)
Datesstart 2019-10-01 (estimated), primary completion 2021-02-01 (estimated), completion 2022-02-01 (estimated), first posted 2017-06-26, last updated 2020-01-27
Locations1 site in United States

Related Papers Related Patents Related Grants Related Experts
All trials for Healthy Volunteers All trials for Obesity All trials of Ghrelin All trials of Saline

-Summary

This study evaluates the effect of the "hunger hormone" ghrelin on human decision-making. Participants will be given an injection of ghrelin or saline on different study days and will then be asked to make a series of computer-based decisions. The investigators hypothesize that ghrelin will increase participant's preference for energy-dense foods and will also increase impulsiveness in decision making.

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+Detailed description

Ghrelin is a hormone made by the stomach that stimulates hunger and feeding behavior. How ghrelin affects human decision-making is poorly understood. This study will investigate the effect of ghrelin on nutrition-related and time-based decisions in humans. Participants eye movements will be tracked by a computer during the decision-making process.

+Arms and interventions

ArmTypeInterventionsDescription
Healthy Subjects - GhrelinExperimentalDrug: GhrelinHealthy subjects will arrive after consuming a standard meal 60 minutes prior to study onset. They will receive a single subcutaneous injection of human synthetic Acyl Ghrelin at the start of the study. 5 minutes post-injection, the subjects will receive written instructions and begin their first decision-making task on a computer.
Healthy Subjects - SalinePlacebo comparatorDrug: SalineHealthy subjects will arrive after consuming a standard meal 60 minutes prior to study onset. They will receive a single subcutaneous injection of 0.9% saline at the start of the study. 5 minutes post-injection, the subjects will receive written instructions and begin their first decision-making task on a computer.
Obese Subjects - GhrelinExperimentalDrug: GhrelinObese subjects will arrive after consuming a standard meal 60 minutes prior to study onset. They will receive a single subcutaneous injection of human synthetic Acyl Ghrelin at the start of the study. 5 minutes post-injection, the subjects will receive written instructions and begin their first decision-making task on a computer.
Obese Subjects - SalinePlacebo comparatorDrug: SalineObese subjects will arrive after consuming a standard meal 60 minutes prior to study onset. They will receive a single subcutaneous injection of 0.9% saline at the start of the study. 5 minutes post-injection, the subjects will receive written instructions and begin their first decision-making task on a computer.
  • Ghrelin (Drug), also known as Acylated Ghrelin, Octanoyl Ghrelin: Subjects will receive a subcutaneous injection of synthetic acyl ghrelin (12 µg/kg) at the start of the study.
  • Saline (Drug): Subjects will receive a subcutaneous injection of saline (0.9%) at the start of the study.

+Outcome measures

Primary outcomes

  • Effect of Ghrelin on food choices in Task 1. [Approximately 25 minutes]: The difference in the proportion of healthy and unhealthy choices in the Saline and Ghrelin conditions.
  • Effect of Ghrelin on temporal choices in Task 2 [Approximately 25 minutes]: The difference in the proportion of smaller sooner and larger later choices in the Saline and Ghrelin conditions

Secondary outcomes

  • Dwell time on each choice during Task 1 [Approximately 25 minutes]: For eye-tracking, total dwell time (in ms) on each item in a food choice will be compared in both experimental conditions.
  • Number of fixations on foods during Task 1 [Approximately 25 minutes]: The total number of fixations on each food option will be compared in both experimental conditions.
  • Dwell time on each choice during Task 2 [Approximately 25 minutes]: For eye-tracking, total dwell time (in ms) on each item in the monetary choice will be compared in both experimental conditions.
  • Number of fixations on foods during Task 2 [Approximately 25 minutes]: The total number of fixations on each monetary option will be compared in both experimental conditions.

+Eligibility

Sex: All, ages: 18 Years to 40 Years, accepts healthy volunteers

Inclusion Criteria:

* Ability to speak and understand English
* BMI of 18.0 - 24.9 kg/m2 or 30.0 - 50.0 kg/m2

Exclusion Criteria:

* Diagnosis of diabetes mellitus (including gestational diabetes)
* Active infections
* History of malignant or inflammatory conditions, such as rheumatoid arthritis and inflammatory bowel disease
* History of myocardial infarction or congestive heart failure
* Active liver or kidney disease
* Uncontrolled hypertension
* Pituitary or adrenal disorders or neuroendocrine tumors
* History of anorexia nervosa, bulimia, or eating disorders not otherwise specified (NOS); Score of "at risk" on the EAT-26 eating disorder screening tool
* Diagnosis of attention-deficient/hyperactivity disorder (ADHD)
* Malabsorptive gastrointestinal disease, gastroparesis, or history of gastrointestinal surgery
* Pregnancy or lactation
* Requirement of daily medications that alter gastrointestinal function (including, but not limited to, glucocorticoids, psychotropics, narcotics, and metoclopramide).
* Requirement of glasses for impaired vision (including reading glasses). Subjects who wear contact lenses for vision correction will not be excluded.
* Insufficient visual acuity to read and interpret the decision stimuli
* Insufficient motor capabilities to press a button, move the joystick, or move their eyes to indicate a response

+Locations (1)

FacilityCityCountryStatus
Duke Sociology-Psychology Building 417 Chapel DriveDurham, North CarolinaUnited States

+Investigators