Summary

Eligibility
for people ages 18 years and up (full criteria)
Location
at San Francisco, California
Dates
study started
estimated completion
Principal Investigator
by Ashley E Mason, PhDFrederick M Hecht, MD
Headshot of Ashley E Mason
Ashley E Mason
Headshot of Frederick M Hecht
Frederick M Hecht

Description

Summary

This single-arm intervention trial administers up to 4 bi-weekly whole-body hyperthermia (WBH) sessions and 8 weekly cognitive behavioral therapy (CBT) sessions to adults aged 18 years or older with major depressive disorder (MDD).

Official Title

HypErthermia as an Additional Treatment for the Biology and Experience of Depression: The HEAT BED Study

Details

Major Depressive Disorder afflicts more than 300 million people worldwide and is the leading cause of life years lost to disability. Current treatments have important limitations in efficacy and, in the case of medication, substantial side-effects. There is thus a compelling need for additional effective, well-tolerated treatments. One such potential treatment is whole-body hyperthermia (WBH). The investigators hypothesize that WBH may be particularly effective in combination with cognitive behavioral therapy (CBT), an established treatment for depression. This single-arm trial will pilot and optimize procedures for integrating WBH (4 bi -weekly sessions) with CBT (8 weekly sessions). This work holds important promise to improve treatment of depression and advance understanding of the role of integrated mind-body therapies for mood disorders.

Keywords

Major Depressive Disorder, Hyperthermia, Depressive Disorder, Depressive Disorder, Major, Cognitive Behavioral Therapy (CBT), Whole-Body Hyperthermia (WBH), Cognitive Behavioral Therapy (CBT) and Whole-Body Hyperthermia (WBH)

Eligibility

You can join if…

Open to people ages 18 years and up

  • Current major depressive episode of at least 4 weeks duration as assessed by the Structured Clinical Interview for DSM-5 (SCID) and a Beck Depression Inventory-II (BDI-II) score greater than or equal to 21 at screening
  • Age of at least 18 years old
  • Must have smartphone onto which they can download an app from Apple App or Google Play stores
  • English speaking
  • Ability to lie supine (on back) for 2 hours (required for WBH sessions)
  • Must be fully vaccinated against COVID-19

You CAN'T join if...

  • Greater than 30 percent reduction in BDI-II score between Screen 1 and Screen 2 (conducted about 1 week after Screen 1)
  • Suicide attempt within the prior 12 months and/or severe current suicidal ideation
  • Any of the following medical conditions: cardiovascular disease (other than controlled hypertension), seizure disorder, history of cerebrovascular accident (CVA) or other serious neurological condition (e.g. Parkinson's disease, multiple sclerosis, or dementia), current neoplasia, any active enclosed infection (e.g. dental abscess, joint infection), hemophilia or other cause for excessive bleeding (e.g. platelet disorder, or other medical condition that in the opinion of investigators may increase the risk of WBH)
  • Comorbid psychiatric conditions or history of comorbid psychiatric conditions that might better explain depressive symptoms, including schizophrenia, schizoaffective disorder, Bipolar Disorder I, Obsessive Compulsive Disorder, Anorexia Nervosa, Bulimia Nervosa, Alcohol Dependence, or Drug Dependence
  • Inability to fit into the sauna device
  • Known hypersensitivity to hyperthermia and/or infrared exposure
  • Breast implants
  • Pregnancy, active lactation or intention to become pregnant during the study period

Use of any:

  • Medication that might impact thermoregulatory capacity, including: diuretics, barbiturates, beta-blockers, antipsychotic agents, anti-cholinergic agents or chronic use of antihistamines, aspirin (other than low-dose ASA for prophylactic purposes)
  • Medication prescribed for the treatment of depression (antidepressant medication; ADM) including but not limited to: selective serotonin reuptake inhibitors [SSRIs], Serotonin and norepinephrine reuptake inhibitors (SNRIs), Monoamine oxidase inhibitors (MAOIs), Tricyclics (TCAs) and atypical antipsychotic and antidepressant medications. Participants must have been free of these medications for at least 4 weeks
  • Antibiotics (past 14 days), pain medication (opioids) due to procedure, e.g., dental procedure (past 14 days), emergency contraception pill (past 14 days)
  • Medication that in the judgment of the PI would increase risk of study participation or introduce excessive variance into physiological or behavioral responses to WBH
  • Recent use (multiple consecutive doses) of: non-steroidal anti-inflammatory drugs (NSAIDs), systemic corticosteroids, cytokine antagonists
  • Greater than 30 percent reduction in Beck Depression Inventory-II (BDI-II) score between Screen 1 and Screen 2
  • Has begun new psychotherapy treatment in the prior 6 weeks
  • Regular use of any nicotine products, including cigarettes, vapes, chewing tobacco, or other forms of nicotine (if use is not regular, must be willing to refrain for 24 hours before and 24 hours after each WBH session)
  • Unwilling to refrain from using marijuana products and alcohol for the 24 hours before and 24 hours after each WBH session
  • Unwilling to refrain from sauna use outside of study procedures during study participation, and must not have used a sauna for more than 20 minutes on any single occasion in the 60 days before the screen 2/baseline study visit, and must not have used a sauna in the 30 days before the screen 2/baseline study visit

Location

  • University of California San Francisco accepting new patients
    San Francisco California 94115 United States

Lead Scientists at UCSF

  • Ashley E Mason, PhD
    Ashley Mason, PhD, is an Associate Professor of Psychiatry at UCSF. She is core research faculty at the UCSF Osher Center and a provider in the UCSF Osher Center Clinic. She is the Co-Director of the UCSF Center for Obesity Assessment, Study, and Treatment (COAST). She is Director of the UCSF Sleep, Affect, and Eating (SEA) Lab.
  • Frederick M Hecht, MD
    I am trained in Internal Medicine, with additional training in clinical research methods, biostatistics, and behavioral medicine. My research focus for many years was on HIV.

Details

Status
accepting new patients
Start Date
Completion Date
(estimated)
Sponsor
University of California, San Francisco
Links
Access to e-screen for interested prospective participants
ID
NCT05041361
Study Type
Interventional
Participants
Expecting 16 study participants
Last Updated