Impulse control disorder
diseaseOn this page
Also known as ICDimpulse-control disorder
Summary
Impulse control disorder (MONDO:0001162) is a disease (an umbrella term covering 7 Mondo subtypes) with 4 GWAS associations across 4 studies and 67 clinical trials. Top therapeutic interventions include naltrexone, dronedarone, and escitalopram. A subtype of psychiatric disorder — broader associated-gene and molecular evidence is on the parent page (see Disease family below).
At a glance
- Umbrella term: 7 Mondo subtypes
- GWAS associations: 4
- Clinical trials: 67
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | impulse control disorder |
| Mondo ID | MONDO:0001162 |
| DOID | DOID:10937 |
| NCIT | C34723 |
| SNOMED CT | 66347000 |
| UMLS | C0021122 |
| MedGen | 5769 |
| Is cancer (heuristic) | no |
Also known as: ICD · impulse-control disorder
Data availability: 4 GWAS associations (4 studies).
Disease family
This is a subtype of psychiatric disorder. Genetic, therapeutic, and trial evidence is largely curated at the broader-term level — see the parent page for the associated-gene cohort and molecular evidence.
Classification path: disease › human disease › disease by developmental or physiological process › psychiatric disorder › impulse control disorder
Related subtypes (13): sexual disorder, dissociative disorder, personality disorder, cognitive disorder, factitious disorder, substance-related disorder, somatoform disorder, mental disorder, eating disorder, enuresis, Alice in Wonderland syndrome, catatonia, body integrity dysphoria
Subtypes (7): kleptomania, intermittent explosive disorder, pyromania, Kluver-Bucy syndrome, pathological gambling, trichotillomania, primary polydipsia
Genetics & variants
GWAS landscape
4 GWAS associations across 4 studies. Top hits map to 4 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|---|---|---|---|
| rs148267997 | 5e-07 | DAB1 | ? | 2.1 |
| rs2302532 | 6e-07 | PRKAG2 | ? | 0.78 |
| rs11466021 | 1e-06 | MEFV | ? | 2.6 |
| rs78448334 | 1e-06 | PRKCE | ? | 0.48 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|---|---|---|---|---|
| GCST90481830 | Verma A | 2024 | 4,502 | 444,779 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90481829 | Verma A | 2024 | 2,111 | 118,821 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90134329 | Weintraub D | 2022 | 1,976 | 3,286 | Genetic prediction of impulse control disorders in Parkinson’s disease. |
| GCST90481828 | Verma A | 2024 | 777 | 58,688 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|---|
| Tier 1: coding | 0 |
| Tier 2: splice/UTR | 0 |
| Tier 3: regulatory | 0 |
| Tier 4: intronic/intergenic | 4 |
MAF distribution
| Bucket | Variants |
|---|---|
| common (>=0.05) | 4 |
| low_freq (0.01-0.05) | 0 |
| rare (<0.01) | 0 |
| unknown | 0 |
Functional consequences
| Consequence | Count |
|---|---|
| intron_variant | 3 |
| intergenic_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|---|---|---|---|---|---|---|---|
| rs148267997 | 1 | 57838654 | C>T | 0.05 | intergenic_variant | DAB1 | 5e-07 | Tier 4: intronic/intergenic |
| rs2302532 | 7 | 151565219 | A>C | 0.05 | intron_variant | PRKAG2 | 6e-07 | Tier 4: intronic/intergenic |
| rs11466021 | 16 | 3249858 | A>G | 0.05 | intron_variant | MEFV | 1e-06 | Tier 4: intronic/intergenic |
| rs78448334 | 2 | 46047305 | A>G | 0.05 | intron_variant | PRKCE | 1e-06 | Tier 4: intronic/intergenic |
Genes & proteins
No associated-gene cohort resolved for this disease. Atlas builds the molecular and therapeutic sections — associated genes, protein families, druggability, pathways, interactions, and drug associations — by aggregating over a disease’s associated genes (resolved via GWAS / GenCC / ClinVar / CIViC), and none resolved here. This is expected for antibody-mediated, autoimmune, or otherwise non-gene-defined conditions; the curated evidence for this disease is its clinical features, GWAS susceptibility, and clinical trials (above).
Function
No pathway enrichment — requires an associated-gene cohort.
Therapeutics
No druggable-target or therapeutic data for this disease’s cohort.
Clinical trials & evidence
Clinical trials
Clinical trials: 67.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 58 |
| PHASE4 | 4 |
| PHASE3 | 2 |
| PHASE2 | 2 |
| PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT00115011 | PHASE4 | COMPLETED | Escitalopram for the Treatment of Self-Injurious Skin Picking |
| NCT00118014 | PHASE4 | COMPLETED | Sertraline and Habit Reversal in the Treatment of Patients With Trichotillomania |
| NCT01052831 | PHASE4 | COMPLETED | Naltrexone for Impulse Control Disorders in Parkinson’s Disease |
| NCT01683253 | PHASE4 | COMPLETED | Remission of ICD by Switching Dopamine Agonist to Levodopa/Carbidopa |
| NCT00399698 | PHASE3 | COMPLETED | Study to Determine Whether There Are Any Cognitive or Motor Effects From Taking the Medicine Risperidone. |
| NCT03146130 | PHASE3 | UNKNOWN | Study of the Efficacy of N-acetylcysteine (NAC) on Impulse Control Disorders |
| NCT02934919 | PHASE2 | UNKNOWN | Evaluation of Nalmefene in Impulse Control Disorders in Parkinson’s Disease: A Prospective Open Label Study |
| NCT03887429 | PHASE2 | COMPLETED | Restoring Cognitive Control (ReCon) in Acute Nicotine Withdrawal |
| NCT06639594 | PHASE1 | RECRUITING | Feasibility of Accelerated, Personalized rTMS as an Adjuvant for Impulse Control Disorders: a Pilot Study |
| NCT03357926 | Not specified | RECRUITING | Prospective Database for Prediction of Atrial Fibrillation in Pacemaker and ICD Patients |
| NCT04284800 | Not specified | ACTIVE_NOT_RECRUITING | Myocardial Injury in Patients With Cardiac Implantable Electronic Devices Undergoing Defibrillation Threshold Testing |
| NCT04416958 | Not specified | RECRUITING | Pacing to Maintain Physiologic Ventricular Activation |
| NCT04499326 | Not specified | RECRUITING | Improving Patient Reported Outcome Measures in Catheter Ablation |
| NCT05072119 | Not specified | RECRUITING | Monaldi Hospital Rhythm Registry |
| NCT05712057 | Not specified | RECRUITING | Neurostimulation Versus Therapy for Problems With Emotions |
| NCT05835791 | Not specified | RECRUITING | END - VT Cohort Study |
| NCT06237868 | Not specified | RECRUITING | rTMS Over the Dorsolateral Prefrontal Cortex for the Treatment of Impulse Control Disorders in Parkinson’s Disease |
| NCT06485986 | Not specified | RECRUITING | Frontosubthalamic Networks in Parkinson’s Disease. |
| NCT06498349 | Not specified | RECRUITING | Bilateral Subthalamic Stimulation in PD Patients With Impulse Control Disorders - STIMPulseControl |
| NCT06520150 | Not specified | RECRUITING | Evaluation of the Effectiveness of Two Methods of Regional Anesthesia During S-ICD Implantation Procedure. |
| NCT06561919 | Not specified | RECRUITING | STIMPulseControl Ancillary Speech Study |
| NCT06923865 | Not specified | NOT_YET_RECRUITING | Controlled Evaluation of an Exercise Program for Overweight Adolescents |
| NCT07105241 | Not specified | NOT_YET_RECRUITING | Virtual Reality in Electrophysiological Procedures and Device Implantation: the VR inEP Trial |
| NCT07342036 | Not specified | RECRUITING | Prospective Study of Lead-associated Tricuspid Regurgitation in Patients Undergoing New Transvalvular Lead Insertion |
| NCT07372196 | Not specified | RECRUITING | Left Bundle Branch Pacing in Patients With Hypertrophic Cardiomyopathy After Myectomy |
| NCT07505394 | Not specified | NOT_YET_RECRUITING | Efficacy of a Prediction Model-based Algorithm to PREVENT Drug-induced Impulse Control Disorders in Parkinson’s Disease |
| NCT00652522 | Not specified | COMPLETED | Atrial Fibrillation Management in Congestive Heart Failure With Ablation |
| NCT00890461 | Not specified | COMPLETED | Reconstruction of 12-Lead Electrogram From Intracardiac Signals From Defibrillators During or After Implantation |
| NCT01354236 | Not specified | UNKNOWN | Mental Health Related to School Dropout in Luxembourg |
| NCT01430806 | Not specified | UNKNOWN | Dronaderone to Prevent Recurrent Implantable Cardioverter Defibrillator (ICD) Shocks |
| NCT01454817 | Not specified | COMPLETED | A Study of Symptoms and Quality of Life in Patients With Implantable Cardiac Defibrillators (ICDs) and Their Caregivers |
| NCT01594112 | Not specified | COMPLETED | Ability of Home Monitoring® to Detect and Manage the Inappropriate Diagnoses in Implantable Cardioverter Defibrillators. |
| NCT02052453 | Not specified | COMPLETED | ICD-ON Registry: Periop Management of Cardiac Devices |
| NCT02087189 | Not specified | COMPLETED | TD01 Master Study (Safety and Efficacy Study) |
| NCT02319395 | Not specified | COMPLETED | Behavioural Addiction and Genetics in Parkinson’s Disease |
| NCT02693262 | Not specified | COMPLETED | Comparing Rate Response With CLS Versus Accelerometer ICD Settings in Heart Failure Patients With BIOTRONIK CRT-Ds |
| NCT02713360 | Not specified | COMPLETED | Screening and Intervention Reducing Anxiety in Patients With Implanted Cardioverter Defibrillator (ICD) |
| NCT02722174 | Not specified | COMPLETED | Fingerprinting of Impulsivity |
| NCT02755181 | Not specified | COMPLETED | fMRI in Impulsivity |
| NCT02796040 | Not specified | UNKNOWN | Exploration of Mesocorticolimbic Pathway in Impulse Control Disorders in Parkinson’s Disease: Study Using Tensor Diffusion Imaging and Tractography. |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| NALTREXONE | 4 | 3 |
| DRONEDARONE | 4 | 1 |
| ESCITALOPRAM | 4 | 1 |
| LEVODOPA | 4 | 1 |
| NALMEFENE | 4 | 1 |
| SERTRALINE | 4 | 1 |
| CHEMBL1788361 | 0 | 1 |
| CHEMBL351042 | 0 | 1 |
Related Atlas pages
- Drugs: Naltrexone, Dronedarone, Escitalopram, Levodopa, Nalmefene, Sertraline