- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02241226
Self-Directed Biological Transformation Initiative (SBTI)
Study Overview
Detailed Description
SPECIFIC AIMS
- To examine the effects of the Self-Directed Biological Transformation Initiative (SBTI) course participants compared to control group participants on key biochemical and physiological markers.
- To examine the effects of the SBTI course participants compared to control group participants on short- and long-term changes in heart rate variability, level of activity, and sleep quality.
- To examine the effects of the SBTI course participants as compared to control group participants on mood and wellbeing.
BACKGROUND AND SIGNIFICANCE It has long been thought that ancient practices can promote longevity and wellbeing but there is little empirical evidence and it is difficult to test this under controlled or experimental conditions. Recently, however, there have been several cellular-based markers that may index rate of biological aging. The rate of telomere shortening, as indexed by change in telomere length and telomerase activity, predicts both cellular and human longevity (Lin et al, 2012). It is related to malleable factors, lifestyle and psychological state (Puterman & Epel, 2012). A secondary measure that shows promise of understanding rate of cellular aging is examination of gene expression, particularly genes related to aging. Preliminary evidence suggests that mind-body practices may slow the rate of cellular aging by improving the telomere/telomerase maintenance system. This has been examined in four small studies so far.
In the first study of its kind, a four month intensive lifestyle modification program, including yoga and group support was associated with an increase in telomerase in 39 men with prostate cancer (in preparation). There was no control group in this study. However, those with the greatest decreases in distressing thoughts about having cancer showed the biggest increases in telomerase activity (Ornish et al, 2008). In a second study, healthy men and women were randomized to a 3-month intensive in-residence meditation group or wait list control group. The researchers examined telomerase only post intervention and found that the meditation group had 30% higher telomerase, and further increases in wellbeing were associated with increases in telomerase (Jacobs et al, 2011). In another study with an active control group, examined 39 elderly high stress dementia caregivers. They randomized half the group to Yoga Nidra, listening to a 15 minute tape each day of Yoga Nidra, which includes instruction on breathing and hand movements and half to a control group which listened to a relaxation tape for 15 minutes each day. Eight weeks later, they found greater telomerase increases in the Yoga Nidra group, and across the sample, decreases in depressive symptoms were associated with increases in telomerase activity (Lavretsky et al, 2013).
Similar studies have reported positive effects of such practices on inflammatory profiles and gene expression (Tang, Ma et al. 2009, Bhasin, Dusek et al. 2013, Saatcioglu 2013). Another well studied parameter for practices such as meditation and yoga is heart rate variability (HRV) as it provides a broad measure of autonomic nervous system activity. Observational studies report HRV to be associated with stress in the workplace,(Jarczok, Jarczok et al. 2013) depressive and anxiety disorders (Gorman and Sloan 2000), and in individuals with chronic somatic complaints (Tak, Riese et al. 2009). Meditation and yoga interventions to improve HRV can lead to improved physiologic and clinical outcomes (Wheat and Larkin 2010, Papp, Lindfors et al. 2013). Other parameters can also be of potential benefit in evaluating an individual's overall wellbeing. For example, sleep duration and quality, as well as general activity levels can both contribute to and reflect overall wellbeing. To date, however, lack of compelling data around objective measures of wellbeing is in large part due to challenges associated with long term monitoring of monitoring of appropriate patient populations. However, recent advances in biosensor technologies have overcome this limitation and now allow for the non-obtrusive and passive monitoring of individuals for long periods of time. These new data streams of real-time physiologic data, couple with sophisticated and individualized data analytics can potentially identify novel measures of individual wellness, which will allow for the development of personalized therapeutic interventions to improve wellbeing.
Overall, while the results of many of the studies of traditional practices are compelling, in reality, and according the more whole system approaches such as Ayurveda and Chines Medicine, traditional practices are rarely practiced singularly, i.e, typically yoga asanas are practiced with meditation as well as a form of pranayama (breathing). With this consideration, few scientific studies have taken a more comprehensive "whole systems" approach that is simultaneously inclusive of numerous practices. Regarding outcomes, this study will take a systems biology approach to examining the biochemical, physiological, and psychosocial effects of the intervention. It is anticipated that the findings will demonstrate the value of taking a more inclusive and comprehensive whole systems approach to improving wellbeing and improved health.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
California
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Carlsbad, California, United States, 92009
- Chopra Center for Wellbeing
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
Men and women between the ages of 40-80 years
Exclusion Criteria:
- Self-reported diagnosis of a major medical condition, such as cancer (including those who have received past radiation or chemotherapy treatment), heart disease, autoimmune disease, or diabetes, as these can affect the cell aging system and possibly the ability for telomerase to change in short periods
- Individuals taking antidepressant medication will be excluded since such medication appears to increase telomerase (Wolkowitz et al, 2010)
- Individuals with diagnosed PTSD will be excluded; there is evidence that those with PTSD may have lower telomere length as compared to those without PTSD (O'Donovan et al, 2011). It is currently unknown how PTSD may impact telomerase levels
- Estrogen use is excluded as it increases telomerase (Lin et al, 2011)
- Smokers will be excluded since smoking decreases telomerase. We will base smoking status on self report. If participants have not smoked regularly for the past 6 months, they will be considered a 'non-smoker
- Pregnant women are excluded since the cell aging system changes during pregnancy in ways that have not been studied
- Participants with a Body Mass Index (BMI) of 35 or greater will be excluded due to differences in telomerase activity in obese women
- Potential eligible participants who are unable to secure the week off from work or other responsibilities will not be enrolled
- Known atrial fibrillation or other chronic dysrhythmia
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Perfect health course
Perfect health course at the Chopra Center for Wellbeing
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The Perfect Health course as taught at the Chopra Center for Wellbeing
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No Intervention: Resort group
Resort group at the La Costa resort
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in RNA expression
Time Frame: Assessed pre and post 7 day intervention
|
Blood samples will be collected for RNA expression and assayed using standardized methodologies
|
Assessed pre and post 7 day intervention
|
Change in cytokine levels
Time Frame: Assessed pre and post 7 day intervention
|
Blood samples will be collected for inflammatory cytokine levels and determined via standardized ELISA methods
|
Assessed pre and post 7 day intervention
|
Change in telomerase activity
Time Frame: Assessed pre and post 7 day intervention
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Blood samples will be collected for PBMC telomerase activity and assayed using standardized methodologies
|
Assessed pre and post 7 day intervention
|
Change in neurohormome levels
Time Frame: Assessed pre and post 7 day intervention
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Blood and saliva samples will be collected for neurohormone levels and be determined via standardized ELISA methods
|
Assessed pre and post 7 day intervention
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in heart rate variability
Time Frame: Assessed pre and post 7 day intervention and one month follow-up
|
ECG activity will be obtained via continuous wearable wireless sensor
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Assessed pre and post 7 day intervention and one month follow-up
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in quality of life
Time Frame: Assessed pre and post 7 day intervention and one month follow-up
|
A set of standardized and validated questionnaires will be administered
|
Assessed pre and post 7 day intervention and one month follow-up
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Change in gut microbiome populations
Time Frame: Assessed pre and post 7 day intervention and one month follow-up
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Stool samples will be collected to determine gut microbiome using standardized methodologies
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Assessed pre and post 7 day intervention and one month follow-up
|
Change in mood
Time Frame: Assessed pre and post 7 day intervention and one month follow-up
|
A set of standardized and validated questionnaires will be administered
|
Assessed pre and post 7 day intervention and one month follow-up
|
Change in spiritual wellbeing
Time Frame: Assessed pre and post 7 day intervention and one month followup
|
A set of standardized and validated questionnaires will be administered
|
Assessed pre and post 7 day intervention and one month followup
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Murali Doraiswamy, MD, Duke University
- Principal Investigator: Elizabeth Blackburn, PhD, University of California, San Francisco
- Study Director: Paul J Mills, PHD, University of California, San Diego
- Study Chair: Rudolph E Tanzi, PhD, Harvard University
- Study Chair: Deepak Chopra, MD, Chopra Center for Wellbeing & University of California, San Diego
- Principal Investigator: Sheila Patel, MD, Chopra Center for Wellbeing & University of California, San Diego
- Principal Investigator: Valencia Porter, MD, Chopra Center for Wellbeing & University of California, San Diego
- Principal Investigator: Eric Schadt, PhD, Mount Sinai Hospital
- Principal Investigator: Steven Steinhubl, MD, Scripps Translational Science Institute, Scripps Research Institute
- Principal Investigator: Eric Topel, MD, Scripps Translational Science Institute, Scripps Research Institute
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- SBTI
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