Understanding why OCD therapy fails
Official title: Cognitive and Neural Networks in Psychiatry (CNNP): Neural Mechanisms of Obsessive-compulsive Disorder (OCD) Treatment Failure (ERP in Silico)
Run by University College, London · NCT05520398 · Data updated 2026-11-12
This study is trying to understand why therapy sometimes doesn't work for people with OCD by looking at their brain activity and behavior before and after treatment.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 55 Years |
| Sex | All |
| Enrollment | 90 (estimated) |
| Sponsor | University College, London Academic / other |
| Locations | 1 site (London) |
| Status | Recruiting |
| Started | November 10, 2021 |
| Main results expected | December 31, 2025 |
| Study ends | December 31, 2025 |
| Registry record updated | December 19, 2024 |
| Trial ID | NCT05520398 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are individuals diagnosed with obsessive-compulsive disorder who are fluent in English and are about to start therapy.
✕Probably not a fit
Patients with co-occurring conditions such as autism spectrum disorder, psychosis, or severe learning disabilities may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study aims to investigate the neural mechanisms that contribute to treatment failure in patients with obsessive-compulsive disorder (OCD). It will assess patients before and after undergoing cognitive behavioral therapy (CBT) with exposure and response prevention (ERP), focusing on symptom severity and decision-making processes. By evaluating changes in behavior and symptom alleviation, the study seeks to enhance therapy outcomes for OCD patients. A total of 90 participants will be recruited at University College London's Wellcome Centre for Human Neuroimaging.
Why it matters
Potential benefit: If successful, this study could lead to improved therapeutic strategies for patients with OCD, enhancing their treatment outcomes.
How similar studies have gone: While this study explores a specific aspect of OCD treatment, similar studies have shown promise in understanding therapy outcomes, making this approach both relevant and potentially impactful.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Diagnosis of obsessive-compulsive disorder (OCD) * Fluent in written and spoken English * Normal/corrected to normal vision * Expecting to start OCD therapy Exclusion Criteria: * Autism spectrum disorder, psychosis, schizophrenia, addiction, substance abuse, bipolar, hoarding, or Tourette disorder * Hearing conditions: tinnitus, ear inflammation, hearing sensitivity, hearing loss, requires hearing aids * Colour blindness * Severe learning disabilities
Where it's running
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Max Planck UCL Centre for Computational Psychiatry and Ageing Research
London, United Kingdom Recruiting
Study contacts
- Principal investigator: Tobias Hauser, PhD — University College, London
- Study coordinator: Tricia Seow, PhD
- Email: t.seow@ucl.ac.uk
- Phone: +44-(0)203-1087538
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Low-intensity focused ultrasound targeting the subthalamic nucleus for OCD
A short test is being done to see if a wearable, non-invasive ultrasound device can safely and tolerably help adults with OCD by targeting a brain region called the subthalamic nucleus.
-
Mindfulness-Based Cognitive Therapy for OCD Delivered Online
This study tests a synchronous online MBCT program for adults with OCD to see if it is acceptable and feasible and to explore links between biological markers, OCD severity, and treatment response.
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Targeted brain stimulation for OCD: test of tTIS on nucleus accumbens
This study tests whether targeted temporal interference stimulation of the nucleus accumbens can help reduce obsessive-compulsive symptoms in adults with OCD, compared with sham stimulation.
-
Anxiety Skills Study: See if video skill training plus therapy helps people with anxiety
This study tests whether a brief video-based skill training can help people with anxiety as well as four therapy sessions, and how durable the effects are over a year.
-
AttunE LIFU for OCD: a non-invasive brain stimulation study
This trial tests ATTN201, a wearable ultrasound headband, to see if it helps adults with OCD compared to a sham treatment.
-
Combined ERP and Habit Reversal Therapy for Tourettic OCD
This study tests whether a merged Exposure and Response Prevention and Habit Reversal Therapy helps adults with Tourettic OCD more than either therapy alone or basic psychoeducation.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.