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Binges and Neural Variability

What is Driving the Binge in Binge Eating Disorder? Variability in Brain Response to Reward and the Escalation of Consumption

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT04184856
Acronym
BEDVAR
Enrollment
61
Registered
2019-12-04
Start date
2019-12-06
Completion date
2021-05-31
Last updated
2021-08-11

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

Conditions

Binge-Eating Disorder

Keywords

reward sensitivity, neuroimaging, variability, ecological momentary assessment (EMA)

Brief summary

People who suffer from binge eating disorder experience recurrent episodes of binge eating.During these episodes, they consume an unusually large amount of food in a short amount of time and experience loss of control over eating. However, why such binge eating episodes occur is still largely unknown. This makes it difficult to develop targeted treatments. In this project, the experimenters are investigating the brain mechanisms that give rise to the disorder. They hypothesize that the binge eating episodes are due to an increased variability in reward processing, which they will assess repeatedly over days. They will test this hypothesis using mathematical models based on behavioural and MRI measurements that are related to the processing of rewards.

Interventions

DIAGNOSTIC_TESTfMRI

(Imaging while) performing reward related tasks.

Sponsors

Else Kröner Fresenius Foundation
CollaboratorOTHER
University Hospital Tuebingen
Lead SponsorOTHER

Study design

Observational model
CASE_CONTROL
Time perspective
CROSS_SECTIONAL

Eligibility

Sex/Gender
ALL
Age
18 Years to 69 Years
Healthy volunteers
Yes

Inclusion criteria

* Binge eating disorder diagnosis * Subsyndromal binge eating (control)

Exclusion criteria

* high risk of suicide * co-occurring psychotic, bi-polar disorders, alcohol/substance dependence within the past six months * lack of capacity for consent * medical disorders that would affect weight and ability to participate * insufficient German language skills (assessment will be in German) * taking medication that would affect weight * MRI

Design outcomes

Primary

MeasureTime frameDescription
Variability in blood-oxygen-level dependent (BOLD) signalling in the NAcc during effort allocation task100 minVariability of BOLD signal in the nucleus accumbens (NAcc) over time and between trials while performing an effort allocation task. The signal is measured through functional magnetic resonance imaging (fMRI) and variability is determined through model residuals.
Trial-to-trial variability in reward seeking in an effort allocation task40 minVariability of performance is an intra-individual measure, that is defined by the residuals of a linear mixed effects model of trial-to-trial performance on the effort allocation task.
Variability in BOLD signalling in the NAcc for food-cue reactivity15Variability of BOLD signal in the NAcc between blocks of food pictures. The signal is measured through fMRI and variability is determined through model residuals.

Secondary

MeasureTime frameDescription
Variability in BOLD signalling in the NAcc during non-food-cue reactivity5Variability of BOLD signal in the NAcc between blocks of non-food pictures. The signal is measured through fMRI and variability is determined through model residuals.

Countries

Germany

Outcome results

None listed

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