Placebo Effects on Blood Pressure
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Purpose
A relevant reduction of blood pressure (BP) in placebo-treated control groups is a phenomenon often observed in pharmacological studies of hypertension. This effect was shown to differ from spontaneous remission tendencies and regression to the mean effect by comparing placebo groups with untreated controls. However, it is not fully understood whether these effects are due to a global reaction of the autonomous nervous system (affecting the overall organ systems of the body) or a specific reaction (affecting the cardiovascular system only). We therefore aim to differentiate specific effects (reduction of blood pressure) from global effects (e.g. changes in electrodermal and gastric activity).
In our study we aim to test the following hypotheses:
- Placebo administration leads to a significant changes of blood pressure compared with untreated controls.
- The direction of blood pressure change depends on the type of suggestion (either decrease or increase)
- This effect is specific for blood pressure; changes in electrodermal and gastric activity do not differ between groups.
- The placebo response can be enhanced by a prestige intervention (information about the suggested drug action given by doctor or in written form).
| Condition | Intervention |
|---|---|
|
Blood Pressure |
Other: Placebo with BP dec (written form) Other: Placebo with BP dec (doctor) Other: Placebo with BP inc (written) Other: Placebo with BP inc (doctor) Other: Placebo info given (written) Other: Placebo info given (doc) |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Pharmacodynamics Study Intervention Model: Parallel Assignment Masking: Single Blind (Subject) Primary Purpose: Basic Science |
| Official Title: | Physiological Effects of Placebo Interventions to Increase or Decrease Blood Pressure |
- Mean arterial pressure [ Time Frame: 60 minutes ] [ Designated as safety issue: No ]
- Heart rate [ Time Frame: 60 minutes ] [ Designated as safety issue: No ]
- skin conductance level [ Time Frame: 60 minutes ] [ Designated as safety issue: No ]
- gastric activity [ Time Frame: 60 minutes ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 90 |
| Study Start Date: | April 2007 |
| Estimated Study Completion Date: | February 2008 |
| Arms | Assigned Interventions |
|---|---|
| Experimental: 1 |
Other: Placebo with BP dec (written form)
Placebo administration with a blood pressure decrease suggestion. Information provided to subjects in written form.
|
| Experimental: 2 |
Other: Placebo with BP dec (doctor)
Placebo administration with a blood pressure decrease suggestion. Information provided to subjects by doctor.
|
| Experimental: 3 |
Other: Placebo with BP inc (written)
Placebo administration with a blood pressure increase suggestion. Information provided to subjects in written form.
|
| Experimental: 4 |
Other: Placebo with BP inc (doctor)
Placebo administration with a blood pressure increase suggestion. Information provided to subjects by doctor.
|
| No Intervention: 5 |
Other: Placebo info given (written)
Subject informed about receiving placebo. Information provided to subjects in written form.
|
| No Intervention: 6 |
Other: Placebo info given (doc)
Subject informed about receiving placebo. Information provided to subjects by doctor.
|
Eligibility| Ages Eligible for Study: | 18 Years to 35 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Informed consent
Exclusion Criteria:
- Not meeting inclusion criteria
- Untreated hypertension (BP > 140/90) or hypotension(BP < 100/60)
- Severe systemic disorders (tumors, tbc, diabetes, asthma etc)
- Diseases with influence on cardiovascular or gastrointestinal system
- Pregnancy and lactation phase
- Body mass index > 30
- Regular intake of drugs with influence on the autonomic nervous system
- Insufficient compliance
- Simultaneous participation in another trial
Contacts and Locations| Contact: Frank Zimmermann-Viehoff, MD | +49-30-84454046 | frank.zimmermann@charite.de |
| Germany | |
| Department of Psychosomatic Medicine and Psychotherapy, Charité University | Recruiting |
| Berlin, Germany, 12203 | |
| Study Director: | Hans-Christian Deter, MD | Charité University Berlin |
More Information
No publications provided
| Responsible Party: | Prof. Dr. H.-C. Deter, Dept of Psychosomatic Medicine and Psychotherapy, Benjamin Franklin Campus, Charité,Berlin |
| ClinicalTrials.gov Identifier: | NCT00570271 History of Changes |
| Other Study ID Numbers: | EA4/004/07, EA4/004/07 |
| Study First Received: | December 5, 2007 |
| Last Updated: | December 7, 2007 |
| Health Authority: | Germany: Ethics Commission |
Keywords provided by Charite University, Berlin, Germany:
|
placebo effect blood pressure autonomic nervous system prestige basic research on physiological placebo effects |
ClinicalTrials.gov processed this record on May 21, 2013