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Insulin Resistance in the Brain’s Reward System in Long-Covid: The Missing Link Between Metabolic Dysregulation and Neuropsychiatric Impairments

Insulin Resistance in the Brain’s Reward System in Long-Covid: The Missing Link Between Metabolic Dysregulation and Neuropsychiatric Impairments

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
DRKS
Registry ID
DRKS00038636
Enrollment
100
Registered
2026-02-25
Start date
2025-07-22
Completion date
Unknown
Last updated
2026-03-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

U09.9

Interventions

Group 1: Following intranasal insulin administration, participants will undergo functional magnetic resonance imaging (fMRI) at rest and during performance of a reward task, as well as phosphorus and

Sponsors

AG Neurometabolic Circuitry, Klinik für Psychiatrie, Psychosomatik und Psychotherapie, Universitätsklinikum Frankfurt, Goethe Universität
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 65 Years

Inclusion criteria

Inclusion criteria: Control group: • Age:18-65 years • BMI: 20-40 kg/m2 • Ability to give informed consent Patients: • Age:18-65 years • BMI: 20-40 kg/m2 • Ability to give informed consent • Medical diagnosis of Post- or Long-Covid documented by a physician prior to study inclusion • Persistent or new symptoms after acute infection that interfere with daily activity > 4 weeks • Depression (BDI-II >11) or fatigue (MFIS >38)

Exclusion criteria

Exclusion criteria: Control and patient groups: • History of psychiatric, neurological, autoimmune, rheumatological, neoplastic, dermatological, metabolic disease except insulin resistance • Acute infection • Pregnancy and nursing

Design outcomes

Primary

MeasureTime frame
Alterations in reward-related brain activity (fMRI) and central metabolism (MRS) after intranasal insulin administration compared with placebo in Long-Covid patients with and without insulin resistance relative to the control group.

Secondary

MeasureTime frame
Alterations in reward learning between groups, associations between metabolic status and neuropsychiatric symptoms, and changes in mood, fatigue, and subjective state in Long-Covid patients in relation to insulin resistance compared to the control group.

Countries

Germany

Contacts

Public ContactSharmili Edwin Thanarajah

AG Neurometabolic Circuitry, Klinik für Psychiatrie, Psychosomatik und Psychotherapie, Universitätsklinikum Frankfurt, Goethe Universität

edwinthanarajah@med.uni-frankfurt.de+49 69 6301 95672

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Mar 14, 2026