Four years ago, Professor Kaptchuk, OMD, received a Midcareer K24 award. This is a renewal application. The principal investigator's short-term goal is to obtain protected time to 1) stabilize and expand his training of the next generation of CAM scientists and 2) develop a multi-disciplinary research program in placebo, East Asian medicine and complementary and alternative medicine (CAM). His long-term goal, for his work and that of his trainees, is to make clinically relevant contributions to clinical care. Ted Kaptchk is Associate Professor of Medicine at Harvard Medical School. His research and scholarship integrates concepts, research designs and analytic methods drawn from the basic, clinical, and social sciences, as well as the humanities. Achievements in first four years of K24: The principal investigator has completed three major RCTs investigating placebo effects and two RCTs testing acupuncture's efficacy. He also performed groundbreaking studies identifying the brain circuitry of responses to placebo and acupuncture. In this period, the principal investigator published 70 articles, eight as first author and 28 as senior author. The principal investigator also received two new R01s concerned with both placebo/expectation effects and acupuncture and, as senior co-investigator, a P01, U19 and various R21s. During the initial K24 period, he has been primary or co-primary CAM mentor for 25 trainees with doctoral degrees. Eleven trainees held K training awards. His trainees authored 53 first-authored peer-reviewed publications and had 82 co-authorships. He expects to expand these successful efforts in a renewal period. Harvard University and its 17 teaching hospitals comprise an NIH affiliated CTSA institutional consortium. Professor Kaptchuk is fully integrated into the CTSA and has recently been appointed director of Harvard-wide Program in Placebo Studies and Therapeutic Encounter. He is active in many Harvard fellowship programs including serving as associate director of the Harvard-wide NCCAM-funded T32 CAM fellowship program. The principal investigator will take relevant courses in bioethics, philosophy of science, immunology, and statistics and engage in hands-on training in molecular and neuroimaging research. In the first four years of his K24, the principal investigator developed a research portfolio that includes translational research in irritable bowel syndrome, asthma, depression, osteoarthritis, and migraine. These research areas will be expanded. He is currently using fMRI to extend his previous work on the neural circuitry of placebo and acupuncture in healthy volunteers to patients with chronic pain disorders. A PET-fMRI study will investigate placebo responses dependent on morphine conditioning verses ketorolac conditioning. He will initiate fMRI experiments to elucidate the neurobiology of the physician component of the patient-physician relationship. The principal investigator is also investigating specific biological pathways implicated in placebo and acupuncture responses and their mechanisms of regulation by concurrently examining circulating serum cytokines, auto antibodies, microRNAs and polymorphisms (SNPs) in genes of interest.

Public Health Relevance

In their broadest sense, placebo effects can be understood as self-healing engendered by the ritual of treatment, the patient-practitioner relationship, and the power of the imagination, hope and belief. Asian medicine is a growing health care profession. This K24 application seeks to mentor the next generation of scientists and develop a translational and mechanistic research agenda in these two fields.

Agency
National Institute of Health (NIH)
Institute
National Center for Complementary & Alternative Medicine (NCCAM)
Type
Midcareer Investigator Award in Patient-Oriented Research (K24)
Project #
5K24AT004095-09
Application #
8642138
Study Section
Special Emphasis Panel (ZAT1)
Program Officer
Huntley, Kristen V
Project Start
2007-07-01
Project End
2017-04-30
Budget Start
2014-05-01
Budget End
2015-04-30
Support Year
9
Fiscal Year
2014
Total Cost
Indirect Cost
Name
Beth Israel Deaconess Medical Center
Department
Type
DUNS #
City
Boston
State
MA
Country
United States
Zip Code
02215
Polich, Ginger; Iaccarino, Mary Alexis; Kaptchuk, Ted J et al. (2018) Placebo Effects in Traumatic Brain Injury. J Neurotrauma 35:1205-1212
Gollub, Randy L; Kirsch, Irving; Maleki, Nasim et al. (2018) A Functional Neuroimaging Study of Expectancy Effects on Pain Response in Patients With Knee Osteoarthritis. J Pain 19:515-527
Kong, Jian; Wang, Zengjian; Leiser, Jaclyn et al. (2018) Enhancing treatment of osteoarthritis knee pain by boosting expectancy: A functional neuroimaging study. Neuroimage Clin 18:325-334
Lin, Fan; Chen, Bin-Ling; Wang, Yi-Zheng et al. (2018) In Vitro Angiogenesis Effect of Xuefu Zhuyu Decoction () and Vascular Endothelial Growth Factor: A Comparison Study. Chin J Integr Med 24:606-612
Hoenemeyer, Teri W; Kaptchuk, Ted J; Mehta, Tapan S et al. (2018) Open-Label Placebo Treatment for Cancer-Related Fatigue: A Randomized-Controlled Clinical Trial. Sci Rep 8:2784
Berna, Chantal; Kirsch, Irving; Zion, Sean R et al. (2017) Side effects can enhance treatment response through expectancy effects: an experimental analgesic randomized controlled trial. Pain 158:1014-1020
Thibaut, Aurore; Russo, Cristina; Morales-Quezada, Leon et al. (2017) Neural signature of tDCS, tPCS and their combination: Comparing the effects on neural plasticity. Neurosci Lett 637:207-214
Vasquez, Alejandra C; Thibaut, Aurore; Morales-Quezada, Leon et al. (2017) Patterns of brain oscillations across different electrode montages in transcranial pulsed current stimulation. Neuroreport 28:421-425
Ballou, Sarah; Kaptchuk, Ted J; Hirsch, William et al. (2017) Open-label versus double-blind placebo treatment in irritable bowel syndrome: study protocol for a randomized controlled trial. Trials 18:234
Fontaine, Kevin R; Williams, Michelle S; Hoenemeyer, Teri W et al. (2016) Placebo effects in obesity research. Obesity (Silver Spring) 24:769-71

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