Study of the Effects of Atomoxetine on Motivation

ConditionApathy
Trial statusNot yet recruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18-45
SponsorUniversity of Oxford

About this trial

This study investigates how increasing noradrenaline levels with atomoxetine affects motivation and information processing relevant to apathy. Apathy, characterised by low motivation and reduced goal-directed behaviour, is common across neuropsychiatric disorders and is associated with poorer outcomes. Atomoxetine, a noradrenaline reuptake inhibitor, has been shown to influence effort, reward learning, and decision-making; however, its effects on cognitive processes relevant to apathy remain unclear.

This study will investigate how pharmacologically increasing noradrenaline levels with atomoxetine affects different components of motivation altered in apathy, including reward processing, effort-based decision-making, goal-directed behaviour, and learning.

In a within-subject, double-blind, placebo-controlled, randomised study, forty healthy participants with varying levels of apathy will complete a computerised task battery after receiving a single dose of atomoxetine (40 mg) and placebo. Validated tasks assessing motivation, reward learning, decision-making, goal-directed behaviour, and information processing will be used to examine whether and how atomoxetine influences motivation-related cognitive processes.

Eligibility criteria

Qualifiers

Age: 18-45

Good physical health

Willing and able to give informed consent to participate in the study

Sufficient knowledge of English language to understand and complete the study tasks

Disqualifiers

Current DSM-5 axis-I diagnosis (based on SCID results at screening) or history of a severe psychological disorder such as psychotic disorder, bipolar disorder, alcohol or substance abuse, or post-traumatic stress disorder

Previous or current extended period of persistent thoughts about ending one's life (longer than 5 days) or previous suicide attempt

Clinical diagnosis of attention deficit hyperactivity disorder (ADHD) or on the waiting list for assessment

Any intake of CNS-medication in the last 6 weeks (including as part of another study)

Trial design

Treatments tested in this trial

  • Atomoxetine
  • Placebo

Treatment groups

40 Participants
are divided into 2 treatment groups

Sponsors and collaborators