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Leucine for Depression Study (L-DEP)

An Experimental Treatment Approach for Inflammation-Induced Depression

Status
Terminated
Phases
Early Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03557684
Enrollment
59
Registered
2018-06-15
Start date
2018-09-01
Completion date
2021-07-31
Last updated
2023-06-08

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

Conditions

Depression

Brief summary

Depression is very common and poses a huge disease burden. About 20% of the US population suffers from depression at lease once in their lifetime. Inflammations that are hidden inside our body as a result of aging, obesity, chronic diseases, or certain treatments (e.g., interferon for hepatitis C) appear to cause depressive symptoms and even clinical depression. Individuals with such inflammations are more likely to suffer from depression and are less likely to respond to currently available antidepressant medications. This study will test leucine, an amino acid, as a new way to mitigate depressive symptoms in response to such inflammations. This study begins with a 90-minute screening session to determine whether participants are eligible to join the main study. Those who meet the eligibility criteria will then join the main study, which will consist of taking leucine or maltodextrin (i.e., oral placebo) for 2 weeks at home and an 8-hour session at the UCLA Medical Center. A brief telephone follow-up every 3 months for 2 years with questions on mood is also planned. Approximately 90 healthy adults will be recruited for participation in the study. During the course of the study, participants will take leucine or maltodextrin for 2 weeks at home and then will be injected either lipopolysaccharide (LPS) or saline (i.e., intravenous placebo) at the UCLA Medical Center. LPS is a bacterial substance that can initiate chemical reactions that are similar to those seen in individuals with mild sickness symptoms, such as a slight increase in body temperature, muscle aches, or tiredness. It is a safe way of investigating the body's response to inflammation and how these changes may alter cognitive, emotional, or neural function. It has been given thousands of times to healthy volunteers - both younger and older adults - without any serious side effects.

Interventions

DIETARY_SUPPLEMENTleucine

amino acid leucine in powder

maltodextrin

purified bacterial wall component as an inflammatory challenge

OTHERIV placebo

0.9% saline

Sponsors

National Institute of Mental Health (NIMH)
CollaboratorNIH
University of California, Los Angeles
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
BASIC_SCIENCE
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

Participants will be required to be in good general health (as evaluated during the phone and in-person screening sessions) and aged 18 to 65 years.

Exclusion criteria

Following a structured telephone interview, prospective participants with the following conditions will not advance to the in-person screening session: presence of chronic mental or physical illness, history of allergies, autoimmune, liver, or other severe chronic diseases, current use of prescription medications such as steroids, NSAIDs, immune modifying drugs, opioid analgesics, and psychotropics, or previous history of fainting during blood draws. These inclusion and

Design outcomes

Primary

MeasureTime frameDescription
Change in Depressed Mood From BaselineAt baseline and then at 1, 1.5, 2, 3, 4, 5, and 6 hours after LPS (or saline) administrationDepression Subscale of the Short Form of the Profile of Mood States (POMS-SF): total score ranges from 0 to 32; higher values represent worse outcome, i.e., more severe depressed mood; the absolute values at each time point are presented here rather than change of values between time points; zero (0) in mean and standard deviation reflect measured data and not placeholder values.

Secondary

MeasureTime frameDescription
Change in Feelings of Social Disconnection From BaselineAt baseline and then at 1, 1.5, 2, 3, 4, 5, and 6 hours after LPS (or saline) administrationFeelings of Social Disconnection Scale: a self-report questionnaire of feelings of social disconnection with scores ranging from 0 to 28, with higher scores indicating more severe feelings of social disconnection.
Change in Fatigue From BaselineAt baseline and then at 1, 1.5, 2, 3, 4, 5, and 6 hours after LPS (or saline) administrationFatigue Subscale of the Short Form of the Profile of Mood States (POMS-SF): total score ranges from 0 to 20; higher values represent worse outcome, i.e., more severe fatigue; the absolute values at each time point are presented here rather than change of values between time points.
Change in Depressive Symptoms From BaselineAt baseline and then at 2 and 4 hours after LPS (or saline) administrationMontgomery-Asberg Depression Rating Scale (MADRS): a clinician-rated questionnaire of depressive symptoms with scores ranging from 0 to 60, with higher scores indicating more severe depressive symptoms.
Change in Memory Domains of Cognitive Function From BaselineAt baseline and then 3 hours after LPS (or saline) administrationMemory domains of cognitive function were measured using the computerized tests from CNS Vital Signs™: verbal memory using Verbal Memory Test (total scores ranging from 0 to 60; higher scores mean a better outcome); and visual memory using Visual Memory Test (total scores ranging from 0 to 60; higher scores mean a better outcome). The absolute values at each time point are presented.
Change in Non-memory Domains of Cognitive Function From BaselineAt baseline and then 3 hours after LPS (or saline) administrationNon-memory domains of cognitive function were measured using the computerized tests from CNS Vital Signs™: executive function using Stroop Test (average reaction time in milliseconds thus ranging from 0 to infinite; shorter reaction time means a better outcome); and attention using Shifting Attention Test (average reaction time for correct responses in milliseconds thus ranging from 0 to infinite; shorter reaction time means a better outcome) and Continuous Performance Test (average reaction time for correct responses in milliseconds thus ranging from 0 to infinite; shorter reaction time means a better outcome). The absolute values at each time point are presented.
Change in Confusion From BaselineAt baseline and then at 1, 1.5, 2, 3, 4, 5, and 6 hours after LPS (or saline) administrationConfusion Subscale of the Short Form of the Profile of Mood States (POMS-SF): total score ranges from 0 to 20; higher values represent worse outcome, i.e., more severe confusion; the absolute values at each time point are presented here rather than change of values between time points; zero (0) in mean and standard deviation reflect measured data and not placeholder values.

Other

MeasureTime frameDescription
Anhedonia2 hours after LPS (or saline) administrationFacial expressions and skin conductance in response to funny film clips using the iMotions®Attention Tool (iMotions Inc., Cambridge, MA) which performs automatic analysis of facial expressions from video and integrates simultaneous measurement of skin conductance
Change in Gene Expression From BaselineAt baseline and 30 minutes after LPS (or saline) administrationGenome-wide transcriptional profiling conducted using Illumina HT-12 BeadArrays
Subjective Sensitivity to Social Rejection2 hours after LPS (or saline) administrationUsing the Cyberball Social Exclusion Task, feelings of social distress to social rejection are evaluated based on a scale with the total score ranging from 0 to 48; higher values represent worse outcome, i.e., more severe social distress. The Overall Number of Participants Analyzed is different from numbers of participants reported in the Participant Flow module because some participants declined to complete this task.
Negative Bias in Facial Emotion Recognition2 hours after LPS (or saline) administrationEmotional Face Recognition Task consists in showing participants a series of black and white photographs (Ekman Pictures of facial affect), in which the facial expression is morphed from neutral to either Sad, Angry, or Happy. For each image, participants will be asked to make a forced choice about the emotion expressed, and rate their certainty.
Subjective Sensitivity to Social Acceptance2 hours after drug administrationPrior to the experimental session, participants are asked to complete a survey that contains several personality questionnaires and are video-recorded for 2-5 minutes as they discuss what they like about themselves. Participants are told that 8 people will form impressions of them by selecting personality traits to describe them. Participants then see a photograph of themselves along with a descriptive word underneath (supposedly provided by the evaluators), which is pre-rated based on desirability, and are asked to rate subjective happiness when each of the feedback items is presented. The total score of the scale ranges from 0 to 105; higher values represent better outcome, i.e., higher social reward. The Overall Number of Participants Analyzed is different from numbers of participants reported in the Participant Flow module because some participants declined to complete this task.
Reward2 hours after LPS (or saline) administrationReward Learning Task (a laboratory based probabilistic reward task that objectively measures participants' ability to modulate behavior as a function of reward)
Change in Proinflammatory Cytokines From BaselineAt baseline and then at 1, 1.5, 2, 3, 4, 5, and 6 hours after LPS (or saline) administrationPlasma proinflammatory cytokines (interleukin-1 receptor antagonist, interleukin-6, tumor necrosis factor-α, and soluble tumor necrosis factor receptor)
Change in Kynurenine Metabolites From BaselineAt baseline and then at 1, 1.5, 2, 3, 4, 5, and 6 hours after LPS (or saline) administrationPlasma tryptophan, kynurenine, quinolinic acid, and kynurenic acid

Countries

United States

Participant flow

Pre-assignment details

A total of 88 subjects were interviewed, 73 eligible, and 70 randomized. Out of these 70, 11 did not participate in the actual study (7 declined; 3 tested positive in urine toxicology on the study day, which was a pre-set exclusion criterion; 1 reported using a drug given by another study on the study day). Thus, 59 were enrolled in and started the study, an experimental provocation trial involving LPS injection, which was a necessary step for a participant to be considered enrolled and started.

Participants by arm

ArmCount
PO Leucine & IV LPS
Oral (PO) leucine 6 g twice a day for 2 weeks followed by a single intravenous (IV) bolus of lipopolysaccharide (LPS) 0.8 ng/kg of body weight leucine: amino acid leucine in powder lipopolysaccharide (LPS): purified bacterial wall component as an inflammatory challenge
23
PO Placebo & IV LPS
PO maltodextrin (placebo) twice a day for 2 weeks followed by a single IV bolus of LPS 0.8 ng/kg of body weight PO placebo: maltodextrin lipopolysaccharide (LPS): purified bacterial wall component as an inflammatory challenge
18
PO Leucine & IV Placebo
PO leucine 6 g twice a day for 2 weeks followed by a single IV bolus of 0.9% saline leucine: amino acid leucine in powder IV placebo: 0.9% saline
8
PO Placebo & IV Placebo
PO maltodextrin (placebo) twice a day for 2 weeks followed by a single IV bolus of 0.9% saline PO placebo: maltodextrin IV placebo: 0.9% saline
10
Total59

Baseline characteristics

CharacteristicPO Leucine & IV LPSPO Placebo & IV LPSPO Leucine & IV PlaceboPO Placebo & IV PlaceboTotal
Age, Continuous35.2 years
STANDARD_DEVIATION 16.3
26.8 years
STANDARD_DEVIATION 12.7
33.1 years
STANDARD_DEVIATION 12.6
31.9 years
STANDARD_DEVIATION 14.9
31.8 years
STANDARD_DEVIATION 14.6
Body-mass index24.3 kg/m^2
STANDARD_DEVIATION 4
23.6 kg/m^2
STANDARD_DEVIATION 3
26.3 kg/m^2
STANDARD_DEVIATION 2.9
25.5 kg/m^2
STANDARD_DEVIATION 4
24.6 kg/m^2
STANDARD_DEVIATION 3.6
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants1 Participants2 Participants1 Participants8 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
19 Participants17 Participants6 Participants9 Participants51 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
8 Participants9 Participants1 Participants3 Participants21 Participants
Race (NIH/OMB)
Black or African American
2 Participants0 Participants0 Participants0 Participants2 Participants
Race (NIH/OMB)
More than one race
2 Participants1 Participants0 Participants0 Participants3 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants0 Participants1 Participants0 Participants2 Participants
Race (NIH/OMB)
White
10 Participants8 Participants6 Participants7 Participants31 Participants
Region of Enrollment
United States
23 participants18 participants8 participants10 participants59 participants
Sex: Female, Male
Female
10 Participants8 Participants2 Participants4 Participants24 Participants
Sex: Female, Male
Male
13 Participants10 Participants6 Participants6 Participants35 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
0 / 230 / 180 / 80 / 10
other
Total, other adverse events
0 / 230 / 180 / 80 / 10
serious
Total, serious adverse events
0 / 230 / 180 / 80 / 10

Outcome results

Primary

Change in Depressed Mood From Baseline

Depression Subscale of the Short Form of the Profile of Mood States (POMS-SF): total score ranges from 0 to 32; higher values represent worse outcome, i.e., more severe depressed mood; the absolute values at each time point are presented here rather than change of values between time points; zero (0) in mean and standard deviation reflect measured data and not placeholder values.

Time frame: At baseline and then at 1, 1.5, 2, 3, 4, 5, and 6 hours after LPS (or saline) administration

ArmMeasureGroupValue (MEAN)Dispersion
PO Leucine & IV LPSChange in Depressed Mood From BaselineBaseline.6818182 score on a scaleStandard Deviation 1.86155
PO Leucine & IV LPSChange in Depressed Mood From Baseline3 hours.5909091 score on a scaleStandard Deviation 2.363595
PO Leucine & IV LPSChange in Depressed Mood From Baseline1 hour1.619048 score on a scaleStandard Deviation 3.879126
PO Leucine & IV LPSChange in Depressed Mood From Baseline4 hours.4285714 score on a scaleStandard Deviation 1.963961
PO Leucine & IV LPSChange in Depressed Mood From Baseline1.5 hours1.55 score on a scaleStandard Deviation 3.817894
PO Leucine & IV LPSChange in Depressed Mood From Baseline6 hours.5238095 score on a scaleStandard Deviation 2.182179
PO Leucine & IV LPSChange in Depressed Mood From Baseline2 hours1 score on a scaleStandard Deviation 3.829708
PO Leucine & IV LPSChange in Depressed Mood From Baseline5 hours.4545455 score on a scaleStandard Deviation 2.132007
PO Placebo & IV LPSChange in Depressed Mood From BaselineBaseline.5294118 score on a scaleStandard Deviation 1.178858
PO Placebo & IV LPSChange in Depressed Mood From Baseline6 hours0 score on a scaleStandard Deviation 0
PO Placebo & IV LPSChange in Depressed Mood From Baseline3 hours.5625 score on a scaleStandard Deviation 1.364734
PO Placebo & IV LPSChange in Depressed Mood From Baseline5 hours.0555556 score on a scaleStandard Deviation 0.2357023
PO Placebo & IV LPSChange in Depressed Mood From Baseline1.5 hours1 score on a scaleStandard Deviation 2.371708
PO Placebo & IV LPSChange in Depressed Mood From Baseline2 hours1.111111 score on a scaleStandard Deviation 3.103866
PO Placebo & IV LPSChange in Depressed Mood From Baseline4 hours.3333333 score on a scaleStandard Deviation 0.9701425
PO Placebo & IV LPSChange in Depressed Mood From Baseline1 hour.7647059 score on a scaleStandard Deviation 1.480262
PO Leucine & IV PlaceboChange in Depressed Mood From Baseline4 hours.1428571 score on a scaleStandard Deviation 0.3779645
PO Leucine & IV PlaceboChange in Depressed Mood From Baseline5 hours.1666667 score on a scaleStandard Deviation 0.4082483
PO Leucine & IV PlaceboChange in Depressed Mood From Baseline6 hours.1428571 score on a scaleStandard Deviation 0.3779645
PO Leucine & IV PlaceboChange in Depressed Mood From Baseline1 hour.375 score on a scaleStandard Deviation 0.7440238
PO Leucine & IV PlaceboChange in Depressed Mood From Baseline1.5 hours.25 score on a scaleStandard Deviation 0.46291
PO Leucine & IV PlaceboChange in Depressed Mood From BaselineBaseline.2857143 score on a scaleStandard Deviation 0.48795
PO Leucine & IV PlaceboChange in Depressed Mood From Baseline2 hours.7142857 score on a scaleStandard Deviation 1.253566
PO Leucine & IV PlaceboChange in Depressed Mood From Baseline3 hours.375 score on a scaleStandard Deviation 1.06066
PO Placebo & IV PlaceboChange in Depressed Mood From Baseline6 hours0 score on a scaleStandard Deviation 0
PO Placebo & IV PlaceboChange in Depressed Mood From BaselineBaseline.6 score on a scaleStandard Deviation 1.074968
PO Placebo & IV PlaceboChange in Depressed Mood From Baseline1 hour0 score on a scaleStandard Deviation 0
PO Placebo & IV PlaceboChange in Depressed Mood From Baseline1.5 hours.1 score on a scaleStandard Deviation 0.3162278
PO Placebo & IV PlaceboChange in Depressed Mood From Baseline2 hours.4 score on a scaleStandard Deviation 0.6992059
PO Placebo & IV PlaceboChange in Depressed Mood From Baseline3 hours.1111111 score on a scaleStandard Deviation 0.3333333
PO Placebo & IV PlaceboChange in Depressed Mood From Baseline4 hours0 score on a scaleStandard Deviation 0
PO Placebo & IV PlaceboChange in Depressed Mood From Baseline5 hours0 score on a scaleStandard Deviation 0
Secondary

Change in Confusion From Baseline

Confusion Subscale of the Short Form of the Profile of Mood States (POMS-SF): total score ranges from 0 to 20; higher values represent worse outcome, i.e., more severe confusion; the absolute values at each time point are presented here rather than change of values between time points; zero (0) in mean and standard deviation reflect measured data and not placeholder values.

Time frame: At baseline and then at 1, 1.5, 2, 3, 4, 5, and 6 hours after LPS (or saline) administration

ArmMeasureGroupValue (MEAN)Dispersion
PO Leucine & IV LPSChange in Confusion From BaselineBaseline1.409091 score on a scaleStandard Deviation 1.991867
PO Leucine & IV LPSChange in Confusion From Baseline1 hours2.238095 score on a scaleStandard Deviation 3.845839
PO Leucine & IV LPSChange in Confusion From Baseline1.5 hours2.095238 score on a scaleStandard Deviation 3.462727
PO Leucine & IV LPSChange in Confusion From Baseline2 hours1.772727 score on a scaleStandard Deviation 3.435554
PO Leucine & IV LPSChange in Confusion From Baseline3 hours1.454545 score on a scaleStandard Deviation 2.063914
PO Leucine & IV LPSChange in Confusion From Baseline4 hours.6363636 score on a scaleStandard Deviation 1.216766
PO Leucine & IV LPSChange in Confusion From Baseline5 hours.6363636 score on a scaleStandard Deviation 1.398824
PO Leucine & IV LPSChange in Confusion From Baseline6 hours.4761905 score on a scaleStandard Deviation 1.435933
PO Placebo & IV LPSChange in Confusion From Baseline4 hours.6111111 score on a scaleStandard Deviation 1.195033
PO Placebo & IV LPSChange in Confusion From Baseline3 hours.8888889 score on a scaleStandard Deviation 1.131833
PO Placebo & IV LPSChange in Confusion From Baseline1 hours.8888889 score on a scaleStandard Deviation 1.07861
PO Placebo & IV LPSChange in Confusion From Baseline6 hours.4705882 score on a scaleStandard Deviation 1.06757
PO Placebo & IV LPSChange in Confusion From Baseline5 hours.6111111 score on a scaleStandard Deviation 1.036901
PO Placebo & IV LPSChange in Confusion From Baseline2 hours1.111111 score on a scaleStandard Deviation 1.323493
PO Placebo & IV LPSChange in Confusion From Baseline1.5 hours1.222222 score on a scaleStandard Deviation 1.308594
PO Placebo & IV LPSChange in Confusion From BaselineBaseline1.125 score on a scaleStandard Deviation 1.408309
PO Leucine & IV PlaceboChange in Confusion From Baseline5 hours.5 score on a scaleStandard Deviation 0.5773503
PO Leucine & IV PlaceboChange in Confusion From Baseline1.5 hours.375 score on a scaleStandard Deviation 1.06066
PO Leucine & IV PlaceboChange in Confusion From Baseline2 hours.625 score on a scaleStandard Deviation 1.407886
PO Leucine & IV PlaceboChange in Confusion From Baseline3 hours.625 score on a scaleStandard Deviation 1.06066
PO Leucine & IV PlaceboChange in Confusion From Baseline4 hours.5714286 score on a scaleStandard Deviation 1.133893
PO Leucine & IV PlaceboChange in Confusion From Baseline6 hours.1428571 score on a scaleStandard Deviation 0.3779645
PO Leucine & IV PlaceboChange in Confusion From BaselineBaseline1 score on a scaleStandard Deviation 1.825742
PO Leucine & IV PlaceboChange in Confusion From Baseline1 hours1 score on a scaleStandard Deviation 1.414214
PO Placebo & IV PlaceboChange in Confusion From Baseline1.5 hours.1 score on a scaleStandard Deviation 0.3162278
PO Placebo & IV PlaceboChange in Confusion From Baseline2 hours.1 score on a scaleStandard Deviation 0.3162278
PO Placebo & IV PlaceboChange in Confusion From Baseline1 hours.4444444 score on a scaleStandard Deviation 1.013794
PO Placebo & IV PlaceboChange in Confusion From BaselineBaseline1.1 score on a scaleStandard Deviation 1.286684
PO Placebo & IV PlaceboChange in Confusion From Baseline3 hours.3333333 score on a scaleStandard Deviation 0.7071068
PO Placebo & IV PlaceboChange in Confusion From Baseline6 hours0 score on a scaleStandard Deviation 0
PO Placebo & IV PlaceboChange in Confusion From Baseline5 hours.1 score on a scaleStandard Deviation 0.3162278
PO Placebo & IV PlaceboChange in Confusion From Baseline4 hours0 score on a scaleStandard Deviation 0
Secondary

Change in Depressive Symptoms From Baseline

Montgomery-Asberg Depression Rating Scale (MADRS): a clinician-rated questionnaire of depressive symptoms with scores ranging from 0 to 60, with higher scores indicating more severe depressive symptoms.

Time frame: At baseline and then at 2 and 4 hours after LPS (or saline) administration

ArmMeasureGroupValue (MEAN)Dispersion
PO Leucine & IV LPSChange in Depressive Symptoms From BaselineBaseline2.086957 score on a scaleStandard Deviation 2.574579
PO Leucine & IV LPSChange in Depressive Symptoms From Baseline4 hours1.045455 score on a scaleStandard Deviation 1.812057
PO Leucine & IV LPSChange in Depressive Symptoms From Baseline2 hours3 score on a scaleStandard Deviation 5.485913
PO Placebo & IV LPSChange in Depressive Symptoms From BaselineBaseline2.125 score on a scaleStandard Deviation 3.052322
PO Placebo & IV LPSChange in Depressive Symptoms From Baseline4 hours1.529412 score on a scaleStandard Deviation 1.907801
PO Placebo & IV LPSChange in Depressive Symptoms From Baseline2 hours4 score on a scaleStandard Deviation 6.184658
PO Leucine & IV PlaceboChange in Depressive Symptoms From Baseline2 hours1.875 score on a scaleStandard Deviation 2.295181
PO Leucine & IV PlaceboChange in Depressive Symptoms From BaselineBaseline2.5 score on a scaleStandard Deviation 3.891382
PO Leucine & IV PlaceboChange in Depressive Symptoms From Baseline4 hours2.142857 score on a scaleStandard Deviation 1.864454
PO Placebo & IV PlaceboChange in Depressive Symptoms From BaselineBaseline1.222222 score on a scaleStandard Deviation 1.301708
PO Placebo & IV PlaceboChange in Depressive Symptoms From Baseline4 hours.2 score on a scaleStandard Deviation 0.421637
PO Placebo & IV PlaceboChange in Depressive Symptoms From Baseline2 hours.7 score on a scaleStandard Deviation 0.9486833
Secondary

Change in Fatigue From Baseline

Fatigue Subscale of the Short Form of the Profile of Mood States (POMS-SF): total score ranges from 0 to 20; higher values represent worse outcome, i.e., more severe fatigue; the absolute values at each time point are presented here rather than change of values between time points.

Time frame: At baseline and then at 1, 1.5, 2, 3, 4, 5, and 6 hours after LPS (or saline) administration

ArmMeasureGroupValue (MEAN)Dispersion
PO Leucine & IV LPSChange in Fatigue From BaselineBaseline2.409091 score on a scaleStandard Deviation 2.839502
PO Leucine & IV LPSChange in Fatigue From Baseline1 hours3.666667 score on a scaleStandard Deviation 4.09064
PO Leucine & IV LPSChange in Fatigue From Baseline1.5 hours5.095238 score on a scaleStandard Deviation 5.290603
PO Leucine & IV LPSChange in Fatigue From Baseline2 hours4.681818 score on a scaleStandard Deviation 5.083928
PO Leucine & IV LPSChange in Fatigue From Baseline3 hours4.590909 score on a scaleStandard Deviation 4.584229
PO Leucine & IV LPSChange in Fatigue From Baseline4 hours3.272727 score on a scaleStandard Deviation 4.322497
PO Leucine & IV LPSChange in Fatigue From Baseline5 hours3.454545 score on a scaleStandard Deviation 4.925418
PO Leucine & IV LPSChange in Fatigue From Baseline6 hours2.666667 score on a scaleStandard Deviation 4.564355
PO Placebo & IV LPSChange in Fatigue From Baseline4 hours2.111111 score on a scaleStandard Deviation 2.246275
PO Placebo & IV LPSChange in Fatigue From Baseline3 hours3.555556 score on a scaleStandard Deviation 3.014128
PO Placebo & IV LPSChange in Fatigue From Baseline1 hours3.611111 score on a scaleStandard Deviation 3.310214
PO Placebo & IV LPSChange in Fatigue From Baseline6 hours1.944444 score on a scaleStandard Deviation 2.508157
PO Placebo & IV LPSChange in Fatigue From Baseline5 hours2.222222 score on a scaleStandard Deviation 2.438793
PO Placebo & IV LPSChange in Fatigue From Baseline2 hours4.333333 score on a scaleStandard Deviation 3.694193
PO Placebo & IV LPSChange in Fatigue From Baseline1.5 hours4.444444 score on a scaleStandard Deviation 2.994548
PO Placebo & IV LPSChange in Fatigue From BaselineBaseline2.117647 score on a scaleStandard Deviation 2.027386
PO Leucine & IV PlaceboChange in Fatigue From Baseline5 hours2.833333 score on a scaleStandard Deviation 4.167333
PO Leucine & IV PlaceboChange in Fatigue From Baseline1.5 hours2.25 score on a scaleStandard Deviation 4.399675
PO Leucine & IV PlaceboChange in Fatigue From Baseline2 hours2.375 score on a scaleStandard Deviation 3.73927
PO Leucine & IV PlaceboChange in Fatigue From Baseline3 hours2.625 score on a scaleStandard Deviation 4.10357
PO Leucine & IV PlaceboChange in Fatigue From Baseline4 hours2.571429 score on a scaleStandard Deviation 4.197505
PO Leucine & IV PlaceboChange in Fatigue From Baseline6 hours1.571429 score on a scaleStandard Deviation 2.935821
PO Leucine & IV PlaceboChange in Fatigue From BaselineBaseline1.857143 score on a scaleStandard Deviation 3.338092
PO Leucine & IV PlaceboChange in Fatigue From Baseline1 hours2.25 score on a scaleStandard Deviation 3.412163
PO Placebo & IV PlaceboChange in Fatigue From Baseline1.5 hours1 score on a scaleStandard Deviation 1.247219
PO Placebo & IV PlaceboChange in Fatigue From Baseline2 hours.9 score on a scaleStandard Deviation 1.449138
PO Placebo & IV PlaceboChange in Fatigue From Baseline1 hours.6666667 score on a scaleStandard Deviation 0.8660254
PO Placebo & IV PlaceboChange in Fatigue From BaselineBaseline2 score on a scaleStandard Deviation 1.885618
PO Placebo & IV PlaceboChange in Fatigue From Baseline3 hours1.777778 score on a scaleStandard Deviation 1.855921
PO Placebo & IV PlaceboChange in Fatigue From Baseline6 hours1 score on a scaleStandard Deviation 1.581139
PO Placebo & IV PlaceboChange in Fatigue From Baseline5 hours1.3 score on a scaleStandard Deviation 1.946507
PO Placebo & IV PlaceboChange in Fatigue From Baseline4 hours.6 score on a scaleStandard Deviation 1.074968
Secondary

Change in Feelings of Social Disconnection From Baseline

Feelings of Social Disconnection Scale: a self-report questionnaire of feelings of social disconnection with scores ranging from 0 to 28, with higher scores indicating more severe feelings of social disconnection.

Time frame: At baseline and then at 1, 1.5, 2, 3, 4, 5, and 6 hours after LPS (or saline) administration

ArmMeasureGroupValue (MEAN)Dispersion
PO Leucine & IV LPSChange in Feelings of Social Disconnection From BaselineBaseline22.52381 score on a scaleStandard Deviation 7.639496
PO Leucine & IV LPSChange in Feelings of Social Disconnection From Baseline1 hour16.65217 score on a scaleStandard Deviation 7.327462
PO Leucine & IV LPSChange in Feelings of Social Disconnection From Baseline1.5 hours16.86364 score on a scaleStandard Deviation 7.942025
PO Leucine & IV LPSChange in Feelings of Social Disconnection From Baseline2 hours15.33333 score on a scaleStandard Deviation 7.308335
PO Leucine & IV LPSChange in Feelings of Social Disconnection From Baseline3 hours15.38095 score on a scaleStandard Deviation 6.6744
PO Leucine & IV LPSChange in Feelings of Social Disconnection From Baseline4 hours15.71429 score on a scaleStandard Deviation 7.26046
PO Leucine & IV LPSChange in Feelings of Social Disconnection From Baseline5 hours16.28571 score on a scaleStandard Deviation 7.444077
PO Leucine & IV LPSChange in Feelings of Social Disconnection From Baseline6 hours16.25 score on a scaleStandard Deviation 7.27559
PO Placebo & IV LPSChange in Feelings of Social Disconnection From Baseline4 hours16.66667 score on a scaleStandard Deviation 9.749811
PO Placebo & IV LPSChange in Feelings of Social Disconnection From Baseline3 hours15.8125 score on a scaleStandard Deviation 9.914426
PO Placebo & IV LPSChange in Feelings of Social Disconnection From Baseline1 hour17.83333 score on a scaleStandard Deviation 9.463552
PO Placebo & IV LPSChange in Feelings of Social Disconnection From Baseline6 hours17.72222 score on a scaleStandard Deviation 8.68945
PO Placebo & IV LPSChange in Feelings of Social Disconnection From Baseline5 hours19.38889 score on a scaleStandard Deviation 13.3775
PO Placebo & IV LPSChange in Feelings of Social Disconnection From Baseline2 hours17.05556 score on a scaleStandard Deviation 9.276613
PO Placebo & IV LPSChange in Feelings of Social Disconnection From Baseline1.5 hours16.77778 score on a scaleStandard Deviation 9.42809
PO Placebo & IV LPSChange in Feelings of Social Disconnection From BaselineBaseline24 score on a scaleStandard Deviation 8.581786
PO Leucine & IV PlaceboChange in Feelings of Social Disconnection From Baseline5 hours19.5 score on a scaleStandard Deviation 10.96814
PO Leucine & IV PlaceboChange in Feelings of Social Disconnection From Baseline1.5 hours17.125 score on a scaleStandard Deviation 6.220645
PO Leucine & IV PlaceboChange in Feelings of Social Disconnection From Baseline2 hours17 score on a scaleStandard Deviation 6.546537
PO Leucine & IV PlaceboChange in Feelings of Social Disconnection From Baseline3 hours18 score on a scaleStandard Deviation 5.744563
PO Leucine & IV PlaceboChange in Feelings of Social Disconnection From Baseline4 hours16.42857 score on a scaleStandard Deviation 6.803361
PO Leucine & IV PlaceboChange in Feelings of Social Disconnection From Baseline6 hours14.57143 score on a scaleStandard Deviation 7.807201
PO Leucine & IV PlaceboChange in Feelings of Social Disconnection From BaselineBaseline22.57143 score on a scaleStandard Deviation 6.704654
PO Leucine & IV PlaceboChange in Feelings of Social Disconnection From Baseline1 hour18 score on a scaleStandard Deviation 6.21059
PO Placebo & IV PlaceboChange in Feelings of Social Disconnection From Baseline1.5 hours13.625 score on a scaleStandard Deviation 7.836499
PO Placebo & IV PlaceboChange in Feelings of Social Disconnection From Baseline2 hours18.3 score on a scaleStandard Deviation 14.95215
PO Placebo & IV PlaceboChange in Feelings of Social Disconnection From Baseline1 hour15.44444 score on a scaleStandard Deviation 12.26898
PO Placebo & IV PlaceboChange in Feelings of Social Disconnection From BaselineBaseline21.6 score on a scaleStandard Deviation 10.7827
PO Placebo & IV PlaceboChange in Feelings of Social Disconnection From Baseline3 hours13.55556 score on a scaleStandard Deviation 9.166667
PO Placebo & IV PlaceboChange in Feelings of Social Disconnection From Baseline6 hours19.9 score on a scaleStandard Deviation 18.62167
PO Placebo & IV PlaceboChange in Feelings of Social Disconnection From Baseline5 hours17.6 score on a scaleStandard Deviation 14.19859
PO Placebo & IV PlaceboChange in Feelings of Social Disconnection From Baseline4 hours19.6 score on a scaleStandard Deviation 19.65932
Secondary

Change in Memory Domains of Cognitive Function From Baseline

Memory domains of cognitive function were measured using the computerized tests from CNS Vital Signs™: verbal memory using Verbal Memory Test (total scores ranging from 0 to 60; higher scores mean a better outcome); and visual memory using Visual Memory Test (total scores ranging from 0 to 60; higher scores mean a better outcome). The absolute values at each time point are presented.

Time frame: At baseline and then 3 hours after LPS (or saline) administration

ArmMeasureGroupValue (MEAN)Dispersion
PO Leucine & IV LPSChange in Memory Domains of Cognitive Function From BaselineVerbal memory baseline51.30435 score on a scaleStandard Deviation 8.298054
PO Leucine & IV LPSChange in Memory Domains of Cognitive Function From BaselineVerbal memory 3 hours48.66667 score on a scaleStandard Deviation 5.695027
PO Leucine & IV LPSChange in Memory Domains of Cognitive Function From BaselineVisual memory baseline44.04348 score on a scaleStandard Deviation 6.588408
PO Leucine & IV LPSChange in Memory Domains of Cognitive Function From BaselineVisual memory 3 hours42.2381 score on a scaleStandard Deviation 6.106593
PO Placebo & IV LPSChange in Memory Domains of Cognitive Function From BaselineVerbal memory 3 hours52.58824 score on a scaleStandard Deviation 6.538911
PO Placebo & IV LPSChange in Memory Domains of Cognitive Function From BaselineVisual memory baseline47.76471 score on a scaleStandard Deviation 5.695716
PO Placebo & IV LPSChange in Memory Domains of Cognitive Function From BaselineVisual memory 3 hours46.29412 score on a scaleStandard Deviation 7.405781
PO Placebo & IV LPSChange in Memory Domains of Cognitive Function From BaselineVerbal memory baseline53.23529 score on a scaleStandard Deviation 6.139314
PO Leucine & IV PlaceboChange in Memory Domains of Cognitive Function From BaselineVisual memory baseline46.125 score on a scaleStandard Deviation 6.490377
PO Leucine & IV PlaceboChange in Memory Domains of Cognitive Function From BaselineVerbal memory 3 hours48.5 score on a scaleStandard Deviation 5.976143
PO Leucine & IV PlaceboChange in Memory Domains of Cognitive Function From BaselineVisual memory 3 hours41.75 score on a scaleStandard Deviation 4.26782
PO Leucine & IV PlaceboChange in Memory Domains of Cognitive Function From BaselineVerbal memory baseline51.125 score on a scaleStandard Deviation 4.580627
PO Placebo & IV PlaceboChange in Memory Domains of Cognitive Function From BaselineVisual memory 3 hours40.9 score on a scaleStandard Deviation 9.097619
PO Placebo & IV PlaceboChange in Memory Domains of Cognitive Function From BaselineVerbal memory 3 hours45.5 score on a scaleStandard Deviation 10.31988
PO Placebo & IV PlaceboChange in Memory Domains of Cognitive Function From BaselineVerbal memory baseline52.3 score on a scaleStandard Deviation 8.525126
PO Placebo & IV PlaceboChange in Memory Domains of Cognitive Function From BaselineVisual memory baseline43.9 score on a scaleStandard Deviation 8.736259
Secondary

Change in Non-memory Domains of Cognitive Function From Baseline

Non-memory domains of cognitive function were measured using the computerized tests from CNS Vital Signs™: executive function using Stroop Test (average reaction time in milliseconds thus ranging from 0 to infinite; shorter reaction time means a better outcome); and attention using Shifting Attention Test (average reaction time for correct responses in milliseconds thus ranging from 0 to infinite; shorter reaction time means a better outcome) and Continuous Performance Test (average reaction time for correct responses in milliseconds thus ranging from 0 to infinite; shorter reaction time means a better outcome). The absolute values at each time point are presented.

Time frame: At baseline and then 3 hours after LPS (or saline) administration

ArmMeasureGroupValue (MEAN)Dispersion
PO Leucine & IV LPSChange in Non-memory Domains of Cognitive Function From BaselineStroop test baseline356.913 millisecondsStandard Deviation 95.80563
PO Leucine & IV LPSChange in Non-memory Domains of Cognitive Function From BaselineStroop test 3 hours386.2381 millisecondsStandard Deviation 93.90842
PO Leucine & IV LPSChange in Non-memory Domains of Cognitive Function From BaselineShifting attention baseline1014.174 millisecondsStandard Deviation 199.4204
PO Leucine & IV LPSChange in Non-memory Domains of Cognitive Function From BaselineShifting attention 3 hours957.2857 millisecondsStandard Deviation 211.8759
PO Leucine & IV LPSChange in Non-memory Domains of Cognitive Function From BaselineContinuous performance baseline449.1304 millisecondsStandard Deviation 73.88954
PO Leucine & IV LPSChange in Non-memory Domains of Cognitive Function From BaselineContinuous performance 3 hours456.619 millisecondsStandard Deviation 65.31422
PO Placebo & IV LPSChange in Non-memory Domains of Cognitive Function From BaselineContinuous performance 3 hours423.8235 millisecondsStandard Deviation 54.88993
PO Placebo & IV LPSChange in Non-memory Domains of Cognitive Function From BaselineShifting attention 3 hours829.7647 millisecondsStandard Deviation 131.7823
PO Placebo & IV LPSChange in Non-memory Domains of Cognitive Function From BaselineStroop test baseline307.6471 millisecondsStandard Deviation 57.51515
PO Placebo & IV LPSChange in Non-memory Domains of Cognitive Function From BaselineShifting attention baseline899.6471 millisecondsStandard Deviation 140.7502
PO Placebo & IV LPSChange in Non-memory Domains of Cognitive Function From BaselineStroop test 3 hours316.2353 millisecondsStandard Deviation 53.88475
PO Placebo & IV LPSChange in Non-memory Domains of Cognitive Function From BaselineContinuous performance baseline426 millisecondsStandard Deviation 44.63743
PO Leucine & IV PlaceboChange in Non-memory Domains of Cognitive Function From BaselineStroop test 3 hours324.25 millisecondsStandard Deviation 36.86946
PO Leucine & IV PlaceboChange in Non-memory Domains of Cognitive Function From BaselineShifting attention baseline935.75 millisecondsStandard Deviation 185.7423
PO Leucine & IV PlaceboChange in Non-memory Domains of Cognitive Function From BaselineShifting attention 3 hours943 millisecondsStandard Deviation 109.6696
PO Leucine & IV PlaceboChange in Non-memory Domains of Cognitive Function From BaselineContinuous performance 3 hours439.25 millisecondsStandard Deviation 35.05812
PO Leucine & IV PlaceboChange in Non-memory Domains of Cognitive Function From BaselineContinuous performance baseline442.25 millisecondsStandard Deviation 27.41089
PO Leucine & IV PlaceboChange in Non-memory Domains of Cognitive Function From BaselineStroop test baseline304.125 millisecondsStandard Deviation 38.96679
PO Placebo & IV PlaceboChange in Non-memory Domains of Cognitive Function From BaselineContinuous performance baseline458.2 millisecondsStandard Deviation 44.96122
PO Placebo & IV PlaceboChange in Non-memory Domains of Cognitive Function From BaselineContinuous performance 3 hours460.6 millisecondsStandard Deviation 55.05795
PO Placebo & IV PlaceboChange in Non-memory Domains of Cognitive Function From BaselineStroop test 3 hours337.4 millisecondsStandard Deviation 45.80442
PO Placebo & IV PlaceboChange in Non-memory Domains of Cognitive Function From BaselineShifting attention 3 hours957.5 millisecondsStandard Deviation 156.2358
PO Placebo & IV PlaceboChange in Non-memory Domains of Cognitive Function From BaselineStroop test baseline268.8 millisecondsStandard Deviation 146.5619
PO Placebo & IV PlaceboChange in Non-memory Domains of Cognitive Function From BaselineShifting attention baseline947.9 millisecondsStandard Deviation 140.4457
Other Pre-specified

Anhedonia

Facial expressions and skin conductance in response to funny film clips using the iMotions®Attention Tool (iMotions Inc., Cambridge, MA) which performs automatic analysis of facial expressions from video and integrates simultaneous measurement of skin conductance

Time frame: 2 hours after LPS (or saline) administration

Population: The study was paused during the COVID pandemic because endotoxin, a biologic derived from an infectious agent, was being used. Then, the request for COIVD supplement to NIMH was denied, and due to the lack of funds, the study was prematurely terminated. As the raw data of this particular outcome measure consist in recordings of facial expression and skin conductance, further processing by a specialized technician and additional funds are required. Thus we are currently unable to report the data.

Other Pre-specified

Change in Gene Expression From Baseline

Genome-wide transcriptional profiling conducted using Illumina HT-12 BeadArrays

Time frame: At baseline and 30 minutes after LPS (or saline) administration

Population: The study was paused during the COVID pandemic because endotoxin, a biologic derived from an infectious agent, was being used. Then, the request for COIVD supplement to NIMH was denied, and due to the lack of funds, the study was prematurely terminated. Due to the lack of funds, the blood sample could not be assayed, and we are currently unable to report the data for this particular outcome measure.

Other Pre-specified

Change in Kynurenine Metabolites From Baseline

Plasma tryptophan, kynurenine, quinolinic acid, and kynurenic acid

Time frame: At baseline and then at 1, 1.5, 2, 3, 4, 5, and 6 hours after LPS (or saline) administration

Population: The study was paused during the COVID pandemic because endotoxin, a biologic derived from an infectious agent, was being used. Then, the request for COIVD supplement to NIMH was denied, and due to the lack of funds, the study was prematurely terminated. Due to the lack of funds, the blood sample could not be assayed, and we are currently unable to report the data for this particular outcome measure.

Other Pre-specified

Change in Proinflammatory Cytokines From Baseline

Plasma proinflammatory cytokines (interleukin-1 receptor antagonist, interleukin-6, tumor necrosis factor-α, and soluble tumor necrosis factor receptor)

Time frame: At baseline and then at 1, 1.5, 2, 3, 4, 5, and 6 hours after LPS (or saline) administration

Population: The study was paused during the COVID pandemic because endotoxin, a biologic derived from an infectious agent, was being used. Then, the request for COIVD supplement to NIMH was denied, and due to the lack of funds, the study was prematurely terminated. As the raw data of this particular outcome measure require further processing and thus further funds, we are currently unable to process and report the data.

Other Pre-specified

Negative Bias in Facial Emotion Recognition

Emotional Face Recognition Task consists in showing participants a series of black and white photographs (Ekman Pictures of facial affect), in which the facial expression is morphed from neutral to either Sad, Angry, or Happy. For each image, participants will be asked to make a forced choice about the emotion expressed, and rate their certainty.

Time frame: 2 hours after LPS (or saline) administration

Population: The study was paused during the COVID pandemic because endotoxin, a biologic derived from an infectious agent, was being used. Then, the request for COIVD supplement to NIMH was denied, and due to the lack of funds, the study was prematurely terminated. As the raw data of this particular outcome measure require further processing by a specialized technician and thus additional funds, we are currently unable to process and report the data.

Other Pre-specified

Reward

Reward Learning Task (a laboratory based probabilistic reward task that objectively measures participants' ability to modulate behavior as a function of reward)

Time frame: 2 hours after LPS (or saline) administration

Population: The study was paused during the COVID pandemic because endotoxin, a biologic derived from an infectious agent, was being used. Then, the request for COIVD supplement to NIMH was denied, and due to the lack of funds, the study was prematurely terminated. As the raw data of this particular outcome measure require further processing by a specialized technician and thus additional funds, we are currently unable to process and report the data.

Other Pre-specified

Subjective Sensitivity to Social Acceptance

Prior to the experimental session, participants are asked to complete a survey that contains several personality questionnaires and are video-recorded for 2-5 minutes as they discuss what they like about themselves. Participants are told that 8 people will form impressions of them by selecting personality traits to describe them. Participants then see a photograph of themselves along with a descriptive word underneath (supposedly provided by the evaluators), which is pre-rated based on desirability, and are asked to rate subjective happiness when each of the feedback items is presented. The total score of the scale ranges from 0 to 105; higher values represent better outcome, i.e., higher social reward. The Overall Number of Participants Analyzed is different from numbers of participants reported in the Participant Flow module because some participants declined to complete this task.

Time frame: 2 hours after drug administration

ArmMeasureValue (MEAN)Dispersion
PO Leucine & IV LPSSubjective Sensitivity to Social Acceptance76.7619 score on a scaleStandard Deviation 9.229869
PO Placebo & IV LPSSubjective Sensitivity to Social Acceptance77.38889 score on a scaleStandard Deviation 5.94226
PO Leucine & IV PlaceboSubjective Sensitivity to Social Acceptance76.28571 score on a scaleStandard Deviation 3.77334
PO Placebo & IV PlaceboSubjective Sensitivity to Social Acceptance78.3 score on a scaleStandard Deviation 6.037844
Other Pre-specified

Subjective Sensitivity to Social Rejection

Using the Cyberball Social Exclusion Task, feelings of social distress to social rejection are evaluated based on a scale with the total score ranging from 0 to 48; higher values represent worse outcome, i.e., more severe social distress. The Overall Number of Participants Analyzed is different from numbers of participants reported in the Participant Flow module because some participants declined to complete this task.

Time frame: 2 hours after LPS (or saline) administration

ArmMeasureValue (MEAN)Dispersion
PO Leucine & IV LPSSubjective Sensitivity to Social Rejection18.05 score on a scaleStandard Deviation 5.670561
PO Placebo & IV LPSSubjective Sensitivity to Social Rejection16.17647 score on a scaleStandard Deviation 5.282463
PO Leucine & IV PlaceboSubjective Sensitivity to Social Rejection18.25 score on a scaleStandard Deviation 7.245688
PO Placebo & IV PlaceboSubjective Sensitivity to Social Rejection17.6 score on a scaleStandard Deviation 5.481281

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026