About this trial
The study is a randomized, placebo-controlled design with the opioid antagonist, oral naltrexone. Following random assignment, participants will take 50mg of naltrexone or placebo once a day for 7 days. On days 1 - 7, participants complete reports of their feelings of social connection and mood in order to assess more naturalistic feelings in response to opportunities for social connection outside of the laboratory setting. Additionally, at the end of each day, they complete a physical symptoms questionnaire. On the 7th day, participants will come to the SDSU MRI scanning facility to complete tasks designed to elicit feelings of social connection in the fMRI scanner. After the scan, feelings in response to the scanner tasks will be collected.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
good health
English fluency
willing to provide contact information for 4-6 close others
willing to provide digital photographs of 2 close others
Disqualifiers
presence of medical devices, implants, or other metal objects in or on the body that cannot be removed
tattooed eyeliner
a body habitus prohibiting MRI scanning
claustrophobia
Trial design
Parallel
Treatments tested in this trial
Naltrexone Hydrochloride
Drugoral naltrexone
Placebo
Drugoral sugar pill
Treatment groups
Trial outcomes
Primary outcomes
Daily feelings of social connection via ecological momentary assessment
State feelings of social connection outside of the lab
Bold Oxygen-level Dependent (BOLD) Activations in Prespecified ROIs
In the MRI scanner, participants read sentences written by people they know and people they do not know in a block design. In a second task they view images of people they know, those they do not know, and other emotional images. Brain activity will be measured as BOLD activity in response to stimuli from known (vs. unknown) people using functional magnetic resonance imaging (FMRI). Based on a priori hypotheses, brain activity will be masked to activity in structural regions-of- interest (ROIs) of the ventral striatum (VS), middle-insula (MI), anterior cingulate cortex (ACC) and ventromedial prefrontal cortex (VMPFC).
feelings in response to neuroimaging tasks
Feelings of social connection and general positive affect in response to the neuroimaging tasks will be reported on a scale of 1 (not at all) to 7 (very)
Secondary outcomes
physical symptoms via daily diary
Physical symptoms previously associated with naltrexone will be assessed as well as the subjective experience of the symptoms.
Sponsors and contacts
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San Diego State University
Lead sponsor
National Institute on Drug Abuse (NIDA)
Collaborator