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NCT05232955

Investigations of the Pathophysiology of Gilles de la Tourette Syndrome. Part 1: Simultaneous PET and 3T MRI

Completed Last updated 1 April 2024
What this trial tests

trial testing PET/MR scanner in Gilles de la Tourette Syndrome in 40 participants. Completed in 4 July 2023.

Timeline
4 May 2022
Primary endpoint
6 April 2023
4 July 2023

Quick facts

Lead sponsorMax Planck Institute for Human Cognitive and Brain Sciences
StatusCompleted
Study typeOBSERVATIONAL
Enrollment40
Start date4 May 2022
Primary completion6 April 2023
Estimated completion4 July 2023
Sites1 location across Germany

Drugs / interventions tested

Conditions studied

Sponsor

Max Planck Institute for Human Cognitive and Brain Sciences

Who can join

Adults 18 to 50, any sex, with Gilles de la Tourette Syndrome or Tourette Syndrome. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Gilles de la Tourette syndrome (GTS; also known as Tourette syndrome) is a congenital neuropsychiatric disorder. Characteristic symptoms are so-called tics-rapid, repetitive movements (motor tics) or vocalizations (vocal tics) that start suddenly without any apparent purpose. Previous research supports the hypothesis of defective regulation (dysregulation) of the dopaminergic system, with particular discussion of dysfunction of tonic/phasic dopamine release or dopaminergic hyperinnervation. Moreover, given the complex interaction of different neurotransmitters, especially in the basal ganglia, it can be assumed that abnormal dopaminergic transmission also affects other transmitter systems, such as glutamate (Glu) or γ-aminobutyrate (GABA). Furthermore, recent results suggest an abnormality in cerebral iron metabolism in GTS. Since iron is accumulated in dopamine vesicles and plays a central role in dopamine synthesis, this observation may also be related to dysfunction of the dopaminergic system. Therefore, in this multimodal study, the investigators aim to combine positron emission tomography (PET), magnetic resonance imaging (MRI), and magnetic resonance spectroscopy (MRS) methods comparing patients with GTS and a control cohort. In Part 1 of this study, MRI and MRS at 3 Tesla are employed to investigate (i) the binding potential of D1 dopamine receptors, (ii) the concentrations of Glu, glutamine and GABA in the corpus striatum and the cortex cingularis anterior and (iii) the subcortical iron concentration.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Abnormalities of iron homeostasis and the dopaminergic system in Tourette syndrome revealed by 7T MRI and PET.
    Gkotsoulias DG, Rullmann M, Schmitt S, Bujanow A, et al · · 2025 · cited 3× · PMID 40177529 · DOI 10.1093/braincomms/fcaf104
  2. CRISPR/Cas9 in colorectal cancer: Revolutionizing precision oncology through genome editing and targeted therapeutics.
    Alhasso B, Shareef A, Baldaniya L, Oweis R, et al · · 2025 · PMID 40896696 · DOI 10.22038/ijbms.2025.87531.18902

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Other trials of PET/MR scanner

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