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NCT Number: NCT07367672

The Power of Belief: Expectation-driven and Placebo Modulation of Empathic Pain

This study investigates how belief and expectation influence empathic pain-the pain we feel when observing others in distress. Healthy adult participants will be randomly assigned to one of three groups: no-treatment control, placebo nasal spray, oxytocin-containing nasal spray. Participants in both the placebo and oxytocin conditions will be informed that they are receiving oxytocin, described as a potent agent for pain relief. During functional MRI scanning, all participants will view naturalistic pain-related videos and provide ratings of perceived subjective pain. The study aims to examine how cognitive beliefs and neuromodulatory interventions alter subjective pain experience and brain activity, including changes in brain network communication.

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Key information

Age range

18 year–30 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Weihua Zhao, Chengdu, Sichuan, China

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About this study

This study examines how belief-driven expectations modulate empathic pain at both behavioral and neural levels. Healthy adult participants will be randomly assigned to one of three groups: no-treatment control, placebo nasal spray, oxytocin-containing nasal spray. Participants in both the placebo and oxytocin conditions will be informed that they are receiving oxytocin, described as a potent agent for pain relief.

During fMRI scanning, participants will complete a naturalistic empathic pain task by viewing videos depicting others in pain and rating their perceived pain on a standardized scale. Behavioral data will be transformed into analgesia-weighted scores to capture individual sensitivity to expectation-driven analgesia. Neural data will include whole-brain voxel-wise activity, multivariate predictive patterns derived from partial least squares regression (PLSR), and directed functional connectivity assessed using lagged partial-correlation directionality analysis (LPC-DA) to evaluate top-down and bottom-up information flow.

The primary objectives are to (1) assess the behavioral effects of expectation-driven analgesia, (2) identify brain regions predictive of pain modulation, and (3) characterize hierarchical network reorganization under different interventions.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • (1) Healthy subjects without any past or present psychiatric or neurological disorders; (2) Healthy subjects without any current psychotherapeutic medication.

Exclusion criteria

  • (1) Participant with any past or present psychiatric or neurological disorders; (2)Participant with any current psychotherapeutic medication.

Treatment and study plan

Intranasal Oxytocin (OT) 24 IU

Drug

Administer oxytocin (24 IU) intranasally, 6 individual 0.1 ml puffs (4 IU/0. 1ml), three puffs per nostril one every 30 seconds. The participants will be informed that they are receiving oxytocin, described as a potent agent for pain relief.

Other names: Intranasal Oxytocin

Intranasal placebo administration

Drug

Administer placebo intranasally, 6 individual 0.1 ml puffs, three puffs per nostril one every 30 seconds. The participants will be informed that they are receiving oxytocin, described as a potent agent for pain relief.

Other names: Intranasal placebo

Primary outcomes

  1. Analgesia-weighted empathic pain ratings (R')

    Time frame: During fMRI scanning (45 minutes follollowing treament adminstration), for each video stimulus presentation

    Subjective pain ratings for each stimulus adjusted for treatment-specific baseline and analgesia-dependent gain to capture individual sensitivity to expectation-driven analgesia.

  2. Whole-brain multivariate predictive patterns

    Time frame: During fMRI scanning (45 minutes follollowing treament adminstration), analyzed post-session

    Partial least squares regression (PLSR) will be applied to voxel-wise fMRI contrast maps to identify latent components that predict analgesia-weighted pain scores under different interventions.

  3. Directed functional connectivity and network hierarchy

    Time frame: During fMRI scanning (45 minutes follollowing treament adminstration), analyzed post-session

    Lagged partial-correlation directionality analysis (LPC-DA) among key regions identified by PLSR will quantify top-down and bottom-up information flow in empathic pain circuits.

Study contacts

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

Keith Kendrick

CONTACT

[email protected]

+86-28-61830811

Weihua Zhao

CONTACT

[email protected]

+8618780247797

Sponsors and collaborators

Lead sponsor

University of Electronic Science and Technology of China

Other

Registry information

Acronym: PoB-EP

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Jan 26, 2026
Registry last updated
Jan 26, 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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