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NCT Number: NCT05614024

Neurofeedback During Eating for Bulimia Nervosa

The purpose of this study is to examine the effects of noninvasive prefrontal cortex (PFC) neurofeedback during eating in women with bulimia nervosa (BN) using a wearable brain imaging device, functional near-infrared spectroscopy (fNIRS). The investigators will examine how this training may influence inhibitory control and BN symptoms.

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Key information

Age range

18 year–45 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Center for Computational Psychiatry at the Icahn School of Medicine at Mount Sinai

New York, 10027, United States

Location status: Recruiting

Location contact

Laura A. Berner

PRINCIPAL_INVESTIGATOR

About this study

The purpose of this study is to examine the effects of PFC neurofeedback during eating in women with bulimia nervosa (BN) using fNIRS. Specifically, the study aims 1) to demonstrate ventrolateral PFC (vlPFC) neurofeedback target engagement in women with BN using fNIRS; and 2) to link changes in PFC activation to changes in inhibitory control and eating-related symptoms.

Data will be collected from women with BN who will be randomly assigned to one of two group conditions (real or sham-control neurofeedback during eating). Participation includes a phone screening assessment, psychodiagnostic assessment, one in-person evaluation, one neurofeedback session, behavioral tasks, online questionnaires before and after the neurofeedback session, and a remote follow-up assessment.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Female
  • Aged 18 to 45 years
  • Meet diagnostic criteria for bulimia nervosa
  • Current body mass index greater than or equal to 18.5kg/m2 but under 30kg/m2
  • English-speaking

Exclusion criteria

  • Ongoing medical treatment, major medical condition, or psychiatric disorder that may interfere with study variables or participation
  • Current psychotherapy focused primarily on eating disorder symptoms
  • Pregnancy or planned pregnancy, or lactation during the study period
  • Allergy to ingredients in the standardized meal or in the shake

Treatment and study plan

Real fNIRS Neurofeedback

Other

Participants will be instructed to use real-time fNIRS neurofeedback to non-invasively regulate neural activation associated with symptoms in individuals with bulimia nervosa. During the training, participants will view images on a computer screen, listen to sounds, and consume a shake.

Sham-Control fNIRS Neurofeedback

Other

Participants will be instructed to use sham real-time fNIRS neurofeedback to non-invasively regulate neural activation associated with symptoms in individuals with bulimia nervosa. During the training, participants will view images on a computer screen, listen to sounds, and consume a shake.

Primary outcomes

  1. Functional near-infrared spectroscopy (fNIRS)-measured neural activation and connectivity

    Time frame: approximately 1 hour

    The investigators will evaluate changes in PFC neural activation and connectivity as a function of neurofeedback.

  2. Go/no-go task performance

    Time frame: 2 weeks

    Participants will complete a go/no-go task 1 week before and 1 week after the neurofeedback session to measure inhibitory control.

    Participants behavioral performance on the go/no-go task will be determined by the percentage of incorrect responses made as they are prompted to react to different pictorial stimuli. Participants' percentages of error can range from 0% to 100%. A higher percentage indicates a lower behavioral performance on the task.

  3. Number of loss-of-control eating and purging episodes

    Time frame: 2 weeks

    Frequency of loss-of-control eating and purging episodes. Participants will self-report on how often loss-of-control eating and purging episodes occur using electronic daily diaries in the week before and the week after the neurofeedback session.

  4. Severity of loss-of-control eating scale

    Time frame: 2 weeks

    Severity of loss-of-control eating. Participants will rate the severity of their feelings of control over eating and purging episodes on a Likert-type scale from 0-10. Higher score indicates greater severity of loss of control.

Study contacts

Contact information is provided by the study sponsor or research team.

Laura A Berner, Ph.D.

CONTACT

[email protected]

Sila Sozeri, B.A.

CONTACT

[email protected]

(212) 201-2679

Sponsors and collaborators

Lead sponsor

Icahn School of Medicine at Mount Sinai

Other

Registry information

Official study title

Neurofeedback During Eating: A Novel Mechanistic Treatment for Bulimia Nervosa

Important dates

Study start
2024
Primary completion
2027
Study completion
2027
First posted
Nov 14, 2022
Registry last updated
Jan 30, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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