Oxytocin and attachment development: Looking beyond the expected?

2024-518004-49-00 Phase I and Phase II (Integrated) - Other Ongoing, recruiting

Start 28 Oct 2025 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Phase I and Phase II (Integrated) - Other
Status Ongoing, recruiting
Participants planned 200
Countries 1
Sites 1

Healthy children

We will use principles deduced from the Learning Theory of Attachment (LTA) to evaluate to what extent oxytocin has attenuating effects on trust learning. To this end, we will conduct a VR experiment because it allows us to study the dynamics underlying trust learning in a realistic setting. In addition, we will conduc…

Key facts

Sponsor
UZ Leuven
Participant type
Pediatric, Healthy volunteers
Age range
0-17 years
Gender
Male and Female
Therapeutic area
Psychiatry and Psychology [F] - Behavior and Behavior Mechanisms [F01], Psychiatry and Psychology [F] - Psychological Phenomena [F02]
Trial duration
28 Oct 2025 → ongoing
Decision date (initial)
2024-12-17
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-518004-49-00
EudraCT number
2022-000156-11

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Others

We will use principles deduced from the Learning Theory of Attachment (LTA) to evaluate to what extent oxytocin has attenuating effects on trust learning. To this end, we will conduct a VR experiment because it allows us to study the dynamics underlying trust learning in a realistic setting. In addition, we will conduct a task that assesses cognitive flexibility, namely the Probabilistic Reversal Learning Task (PRLT), to test whether the possible attenuating effects of oxytocin are limited to the level of social learning or also extend to a more basic level of learning.

Conditions and MedDRA coding

Healthy children

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 2

  1. Voluntary written informed consent of the participant or their legally authorized representative has been obtained prior to any screening procedures
  2. Participants must have an age that is between 9 and 13 years old

Exclusion criteria 6

  1. Participant has a history of an oxytocin allergy
  2. Any disorder, which in the Investigator’s opinion might jeopardise the participant’s safety or compliance with the protocol
  3. Any prior or concomitant treatment(s) that might jeopardise the participant’s safety or that would compromise the integrity of the Trial
  4. Participation in an interventional Trial with an investigational medicinal product (IMP) or device
  5. A kidney or cardial condition
  6. Participant is taking any medication at the time of testing

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 4

  1. To assess whether oxytocin affects cognitive flexibility, we will analyze perseverative errors during the PRLT and compare these errors in children that received oxytocin vs. children that received the placebo. We expect that oxytocin will attenuate learning during this test. More specifically, children that receive oxytocin will make more perseverative errors than children who received the placebo.
  2. To assess the effect of oxytocin on trust behaviour, we will analyze the changes in self-reported trust (computing a difference score comparing trust after the baseline vs. after the test. We expect to find less trust behavior decrease after the test block in the 80% baseline block condition for children who receive oxytocin (Study 1). For the other children, we predict stronger decreases in trust behavior (Study 1).
  3. To assess the effect of oxytocin on trust behaviour, we will analyze the changes in self-reported trust (computing a difference score comparing trust after the baseline vs. after the test. We expect to find less trust behavior increase after the test block in the 20% baseline block condition for children who receive oxytocin (Study 2). For the other children, we predict stronger increases in trust behavior (Study 2).
  4. To assess whether oxytocin attenuates dopamine responses, we will test between subsequent trials whether oxytocin decreases the negative impact of prediction error on decreases in attentional preference for mother after prediction error trials. For this purpose, we will compare performance on prediction error trials versus trials without prediction error.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Syntocinon 40 IE/ml neusspray, oplossing

PRD5383601 · Product

Active substance
Oxytocin
Pharmaceutical form
NASAL SPRAY, SOLUTION
Route of administration
INTRANASAL USE
Authorisation status
Authorised
ATC code
H01BB02 — OXYTOCIN
Marketing authorisation
RVG 03716
MA holder
ALFASIGMA S.P.A.
MA country
Netherlands
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

NaCl 0.9% nose drops

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
Route of administration
INTRANASAL USE
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

UZ Leuven

Sponsor organisation
UZ Leuven
Address
Herestraat 49
City
Leuven
Postcode
3000
Country
Belgium

Scientific contact point

Organisation
UZ Leuven
Contact name
Kristina Casteels

Public contact point

Organisation
UZ Leuven
Contact name
Kristina Casteels

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ongoing, recruiting 200 1
Rest of world 0

Investigational sites

Belgium

1 site · Ongoing, recruiting
KU Leuven
Paediatrics, Tiensestraat 102, 3000, Leuven

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Belgium 2024-06-04 2024-08-31

Oversight and notifications

Regulatory notifications under CTR Articles 38, 52, 53, 54 and 77

Temporary halts 2 · Art. 38 CTR

Temporary halt TH-65438

Halt date
2024-12-31
Member states concerned
Belgium
Publication date
2025-01-07
Reason
Medicinal Product related
Benefit-risk balance changed
No
Treatment stopped
No

Temporary halt TH-67932

Halt date
2024-12-31
Member states concerned
Belgium
Publication date
2025-01-24
Reason
Medicinal Product related
Explanation
Problems with the supply of the IMP.
Benefit-risk balance changed
No
Treatment stopped
No

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 9 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) Protocol_CTR_Transition 1
Recruitment arrangements (for publication) K1_Recruitment_Procedure 1
Recruitment arrangements (for publication) K2_RecruitmentFlyer 1
Subject information and informed consent form (for publication) L1_ICF_Child 1
Subject information and informed consent form (for publication) L1_ICF_Child_Clean 1
Subject information and informed consent form (for publication) L1_ICF_Parent 1
Subject information and informed consent form (for publication) L1_ICF_Parent_Clean 1
Subject information and informed consent form (for publication) L2_ICF_Procedure 1
Summary of Product Characteristics (SmPC) (for publication) A19 - SMPC Syntocinon 1

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-12-10 Belgium Acceptable
2024-12-17
2024-12-17
2 SUBSTANTIAL MODIFICATION SM-2 2026-01-16 Belgium Acceptable 2026-02-23