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The main objective of this study is to assess the efficacy of bilateral deep brain stimulation (DBS) of the Nucleus Accumbens(NAc) as a novel treatment in severe methamphetamine addiction. Our hypothesis is that bilateral DBS of the NAc will significantly reduce the craving for methamphetamine.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Bilateral surgical implantation of DBS system to NAc | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bilateral surgical implantation of DBS system to NAc | Procedure | The Medtronic, PINS and SceneRay DBS device will be utilized in the present study. |
|
| Measure | Description | Time Frame |
|---|---|---|
| change in 10-point visual analog scale of carving | The score of scale is from 0 to 10. 0 represents no carving for drug, 10 means the greatest degree of carving for drug. | Baseline (preoperative),3 months,6 months, 12 months |
| change in Obsessive Compulsive Drug Use Scale | Baseline (preoperative),3 months,6 months, 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Side Effect | Baseline(preoperative),3 months, 6 months, 12months | |
| Change in the Hamilton Anxiety Scale | Baseline(preoperative),3 months, 6 months, 12months | |
| Change in the Hamilton Depression Scale |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Chencheng Zhang, MD | Contact | +086-18217122884 | i@cczhang.org |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shanghai Ruijin Hospital Functional Neurosurgery | Recruiting | Shanghai | Shanghai Municipality | 200025 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23337942 | Background | Kuhn J, Moller M, Treppmann JF, Bartsch C, Lenartz D, Gruendler TO, Maarouf M, Brosig A, Barnikol UB, Klosterkotter J, Sturm V. Deep brain stimulation of the nucleus accumbens and its usefulness in severe opioid addiction. Mol Psychiatry. 2014 Feb;19(2):145-6. doi: 10.1038/mp.2012.196. Epub 2013 Jan 22. No abstract available. |
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All subjects will receive bilateral surgical implantation of DBS system
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| Baseline(preoperative),3 months, 6 months, 12 months |
| Change in the Quality of Life Assessment (SF-36) | Baseline(preoperative),3 months, 6 months, 12 months |
| Change in World Health Organization Quality of Life-BREF(WHO-BREF) | Baseline(preoperative),3 months,6 months, 12 months |
| Chang in Pittsburgh Sleep Quality Index | Baseline(preoperative),3 months,6 months, 12 months |
| Neuropsychological measures(Scores of cognitive battery) | Baseline(preoperative),6 months,12 months |
| Change in Fagerstrom Test of Nicotine Dependence(FTND) | Baseline(preoperative),3 months,6 months, 12 months |