Functional MRI During Resting State in Patients with Eating Disorders

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexFemale
Age12-40
SponsorMeyer Children's Hospital IRCCS

About this trial

The goal of this observational study is to learn if clinical and neurophysiological characteristics dynamics may follow similar trends in a longitudinal characterization of patients with a diagnosis of an eating disorder.

The primary hypothesis is that the reversal of Functional Magnetic Resonance Imaging (fMRI) baseline alternations is positively associated with symptomatic amelioration.

The secondary hypothesis is that the degree of (f)MRI baseline alternations is positively associated with symptoms.

Participants will be asked to complete psychometric questionnaires, perform a fMRI and be recalled at 12 months for a follow-up.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Female sex

Age between 12 and 40 years old

Current diagnosis of Anorexia Nervosa or Bulimia Nervosa according to DSM-5-TR.

Disqualifiers

Previous or current diagnosis of schizophrenia or bipolar disorder,

Acute psychosis

Substance abuse

Severe medical comorbidities (hypercapnia, severe hypertension, cardiac arrhythmia, organ failure)

Trial population

Anorexia Nervosa or Bulimia Nervosa patients between 12 and 40 years old

Trial design

Design model

Case-only

Time perspective

Prospective

Treatments tested in this trial

  • structural and functional MRI

    Diagnostic test

    structural and functional MRI

Treatment groups

50 Participants
are divided into 4 treatment groups
Group A: Anorexia Nervosa - minors1 intervention
Group B: Bulimia Nervosa - minors1 intervention
Group C: Anorexia Nervosa - adults1 intervention
Group D: Bulimia Nervosa - adults1 intervention

Trial outcomes

Primary outcomes

1

Change in cortical thickness

Time frame
baseline, 12 months post-enrollment
2

Weight restoration

Time frame
baseline - 12 months post-enrollment
3

Child Behavior Checklist (CBCL) score

Time frame
Baseline - 12 months post enrollment
4

Children's Depression Inventory (CDI) score

Time frame
baseline, 12 months post-enrollment

Secondary outcomes

1

Change of measure of interhemispheric connectivity between corresponding areas in fMRI (Voxelwise Homotopic Connectivity - VMHC)

VMHC is a measure of interhemispheric connectivity between corresponding areas in fMRI. VMHC measures the level of symmetry, or correlation, between left/right pairs of voxels or brain areas.

Time frame
baseline, 12 months post-enrollment
2

Change in Regional Homogeneity (ReHo) index

Time frame
baseline, 12 months post-enrollment
3

Chiange in amplitude of low-frequency fluctuations (ALFF) and fractional amplitude of low-frequency fluctuations (fALFF) of the blood oxygen-level dependent (BOLD) signal in fMRI data

Time frame
baseline, 12 months post-enrollment
4

Change in connection degree between each node and other nodes (Degree of Centrality - DC) in the network in the brain.

Time frame
Baseline - 12 months post-enrollment

Other outcomes

Sponsors and contacts

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Meyer Children's Hospital IRCCS

Lead sponsor

Azienda Ospedaliero-Universitaria Careggi

Collaborator