About this trial
The study tests ATTN201, an investigational non-invasive headband that delivers low-intensity focused ultrasound (LIFU) to the subthalamic nucleus (STN) as a treatment for obsessive-compulsive disorder (OCD). It's a randomized, double-blind, 1:1 (active: sham) study with 40 total participants spanning 12-16 weeks and 14 in-person and remote visits.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Have a principal diagnosis of OCD according to the DSM-5 with duration of > 1 year
Have a Y-BOCS of > 16
Participants currently on OCD medication must be at the same stable dose(s) for at least 3 weeks prior to screening and throughout the course of the study, and must continue to be under the care of their treating psychiatrist through the duration of the study.
Be between 22 to 80 years of age (inclusive) on the day of signing informed consent.
Disqualifiers
Has a current or prior history of bipolar I or II disorder, schizophrenia or other psychotic disorder, borderline personality disorder, Tourette's disorder
Has acute suicidality or suicide attempt or self-injurious behavior in the last 6 months
Has a history of deep brain stimulation or ablative surgery
Has a history of substance abuse including alcohol use disorder in the past 6 months (except for caffeine and nicotine)
Trial design
Parallel
Treatments tested in this trial
Low Intensity Focused Ultrasound
DeviceATTN201 is an investigational, non-invasive, wearable headband containing two ultrasound transducers positioned over the temporal region of the skull. Guided by a pre-treatment MRI, the device delivers focused low-intensity ultrasound (LIFU) to the subthalamic nucleus (STN).
Sham (No Treatment)
DeviceParticipants are fitted with the same ATTN201 headband used in the active arm, and the device is operated using the same procedures and audible output as active stimulation. However, the ultrasound is unfocused and does not deliver a therapeutic effect to the brain. This sham condition is designed to be indistinguishable from active stimulation to preserve blinding of participants and study staff.
Treatment groups
Trial outcomes
Primary outcomes
Change in OCD symptom severity
Measured by the Yale-Brown Obsessive Compulsive Scale (Y-BOCS)
Incidence and severity of adverse events
Device-related and procedure-related side effects
Secondary outcomes
Change in Anxiety Symptoms
Beck Anxiety Inventory
Change in depressive symptoms
Beck Depression Inventory - II (BDI-II)
Change in global impression
Clinical global impression severity and clinical global impression improvement
Change in functional disability
Sheehan Disability Scale
Sponsors and contacts
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University of Pennsylvania
Lead sponsor
Attune Neurosciences Inc
Collaborator