NCT00590265

Brief Summary

The purpose of this study is to evaluate the efficacy and safety of light therapy for the treatment of bipolar type II patients relapsing into a depressive phase during autumn or winter.

Trial Health

75
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
50

participants targeted

Target at P25-P50 for not_applicable

Timeline
3mo left

Started Jan 2008

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress99%
Jan 2008Aug 2026

First Submitted

Initial submission to the registry

December 26, 2007

Completed
6 days until next milestone

Study Start

First participant enrolled

January 1, 2008

Completed
9 days until next milestone

First Posted

Study publicly available on registry

January 10, 2008

Completed
17.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2025

Completed
1.2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2026

Expected
Last Updated

August 7, 2024

Status Verified

August 1, 2024

Enrollment Period

17.4 years

First QC Date

December 26, 2007

Last Update Submit

August 5, 2024

Conditions

Keywords

bipolar type II disorderdepressionremissionlight-therapyefficacysafety

Outcome Measures

Primary Outcomes (1)

  • the response rate as defined by a 50% improvement of the depressive symptoms score on the MADRS scale

    5 and 45 weeks

Secondary Outcomes (5)

  • the remission rate (MADRS scale ≤ 8 )

    5 and 45 weeks

  • the relapse rate into depression or hypomania

    5 and 45 weeks

  • the sleep quality as per PSQI scale

    5 and 45 weeks

  • the quality of life as per SF-36 and Q-LES-Q SF scales

    5 and 45 weeks

  • the incidence of side-effects as per the UKU scale

    5 and 45 weeks

Study Arms (2)

1

EXPERIMENTAL
Device: Northern Light Technology (SADelite lamp) bright light-therapy

2

PLACEBO COMPARATOR
Device: Northern Light Technology (SADelite lamp) Dim light-therapy

Interventions

10 000 lux for 30 minutes

Also known as: Northern Light Technology (SADelite lamp) with two 36W bulbs
1

\<100 lux for 30 minutes

Also known as: Northern Light Technology (SADelite lamp) with two 18W bulbs + red filter (Medium Red 27 High Temperature treated, LEE Filters, Y = 3.64%)
2

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Bipolar type II disorder, depressive phase meeting DSM-IV criteria as per the SCID interview
  • Hamilton Depression Rating Scale 21 items (HAMD-21) ≥ 17 and a Montgomery Asberg rating Scale (MADRS) ≥ 15 for at least 2 weeks and the episode has begun during the month of september or a later month
  • Able to give their consent and willingness to participate to the study

You may not qualify if:

  • Other psychiatric condition, organic brain disorder, unstable and/or untreated medical condition such as hypothyroidism, diabetes, cardiac condition, hypertension
  • Deficit in vitamin B12 or folate
  • Sub-syndromic hypomania symptoms as per a Young Mania Rating Scale (YMRS) score ≥ 4
  • History of manic or hypomanic switch when exposed to bright light or during prolonged exposure to the sun during previous depressive phases
  • Pregnancy or absence of a contraceptive treatment
  • History of light-induced migraine or epilepsy
  • Marked suicidal ideation
  • Retinal blindness or severe cataract
  • Glaucoma, retinal diseases of the eye
  • Alcohol or drug abuse
  • Known skin sensitivity to sunlight, especially in patients receiving photosensitizing drugs such as lithium or phenothiazines
  • Past history of light therapy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Douglas Mental Health University Institute

Montreal, Quebec, H4H 1R3, Canada

Location

Related Publications (23)

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    PMID: 9241576BACKGROUND
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    PMID: 11132119BACKGROUND
  • Golden RN, Gaynes BN, Ekstrom RD, Hamer RM, Jacobsen FM, Suppes T, Wisner KL, Nemeroff CB. The efficacy of light therapy in the treatment of mood disorders: a review and meta-analysis of the evidence. Am J Psychiatry. 2005 Apr;162(4):656-62. doi: 10.1176/appi.ajp.162.4.656.

    PMID: 15800134BACKGROUND
  • Kripke DF, mullaney DJ, Gillin JC, et al. Phototherapy of non-seasonal depression. In: Shagass C, Josiassen RC, Bridger WH, et al., eds. Biological Psychiatry. New York: Elsevier Science Publishing Co.; 1986:993-995

    BACKGROUND
  • Kripke DF. Light treatment for nonseasonal depression: speed, efficacy, and combined treatment. J Affect Disord. 1998 May;49(2):109-17. doi: 10.1016/s0165-0327(98)00005-6.

    PMID: 9609674BACKGROUND
  • Lam RW, Levitt AJ, Kraus RP, et al. Management issues. In: ed.R.Lam and A.Levitt, ed. Canadian Consensus Guidelines for the Treatment of Seasonal Affective Disorder Clinical & Academic Publishing; 1999:96-114

    BACKGROUND
  • Magnusson A, Partonen T. The diagnosis, symptomatology, and epidemiology of seasonal affective disorder. CNS Spectr. 2005 Aug;10(8):625-34; quiz 1-14. doi: 10.1017/s1092852900019593.

    PMID: 16041294BACKGROUND
  • Martiny K, Lunde M, Unden M, Dam H, Bech P. The lack of sustained effect of bright light, after discontinuation, in non-seasonal major depression. Psychol Med. 2006 Sep;36(9):1247-52. doi: 10.1017/S0033291706008105. Epub 2006 Jun 7.

    PMID: 16756691BACKGROUND
  • Schwitzer J, Neudorfer C, Blecha HG, Fleischhacker WW. Mania as a side effect of phototherapy. Biol Psychiatry. 1990 Sep 15;28(6):532-4. doi: 10.1016/0006-3223(90)90489-o. No abstract available.

    PMID: 2132555BACKGROUND
  • Stout RL, Wirtz PW, Carbonari JP, Del Boca FK. Ensuring balanced distribution of prognostic factors in treatment outcome research. J Stud Alcohol Suppl. 1994 Dec;12:70-5. doi: 10.15288/jsas.1994.s12.70.

    PMID: 7723001BACKGROUND
  • Tuunainen A, Kripke DF, Endo T. Light therapy for non-seasonal depression. Cochrane Database Syst Rev. 2004;2004(2):CD004050. doi: 10.1002/14651858.CD004050.pub2.

    PMID: 15106233BACKGROUND
  • Wirz-Justice A, Benedetti F, Berger M, Lam RW, Martiny K, Terman M, Wu JC. Chronotherapeutics (light and wake therapy) in affective disorders. Psychol Med. 2005 Jul;35(7):939-44. doi: 10.1017/s003329170500437x.

    PMID: 16045060BACKGROUND
  • Yatham LN, Kennedy SH, O'Donovan C, Parikh S, MacQueen G, McIntyre R, Sharma V, Silverstone P, Alda M, Baruch P, Beaulieu S, Daigneault A, Milev R, Young LT, Ravindran A, Schaffer A, Connolly M, Gorman CP; Canadian Network for Mood and Anxiety Treatments. Canadian Network for Mood and Anxiety Treatments (CANMAT) guidelines for the management of patients with bipolar disorder: consensus and controversies. Bipolar Disord. 2005;7 Suppl 3:5-69. doi: 10.1111/j.1399-5618.2005.00219.x.

    PMID: 15952957BACKGROUND
  • Yatham LN, Kennedy SH, O'Donovan C, Parikh SV, MacQueen G, McIntyre RS, Sharma V, Beaulieu S; Guidelines Group, CANMAT. Canadian Network for Mood and Anxiety Treatments (CANMAT) guidelines for the management of patients with bipolar disorder: update 2007. Bipolar Disord. 2006 Dec;8(6):721-39. doi: 10.1111/j.1399-5618.2006.00432.x.

    PMID: 17156158BACKGROUND
  • Chaput JP, Despres JP, Bouchard C, Tremblay A. Short sleep duration is associated with reduced leptin levels and increased adiposity: Results from the Quebec family study. Obesity (Silver Spring). 2007 Jan;15(1):253-61. doi: 10.1038/oby.2007.512.

    PMID: 17228054BACKGROUND
  • Levitan RD, Masellis M, Basile VS, Lam RW, Kaplan AS, Davis C, Muglia P, Mackenzie B, Tharmalingam S, Kennedy SH, Macciardi F, Kennedy JL. The dopamine-4 receptor gene associated with binge eating and weight gain in women with seasonal affective disorder: an evolutionary perspective. Biol Psychiatry. 2004 Nov 1;56(9):665-9. doi: 10.1016/j.biopsych.2004.08.013.

    PMID: 15522250BACKGROUND
  • Krauchi K, Wirz-Justice A, Graw P. High intake of sweets late in the day predicts a rapid and persistent response to light therapy in winter depression. Psychiatry Res. 1993 Feb;46(2):107-17. doi: 10.1016/0165-1781(93)90013-7.

    PMID: 8483971BACKGROUND
  • Ortiz-Dominguez A, Hernandez ME, Berlanga C, Gutierrez-Mora D, Moreno J, Heinze G, Pavon L. Immune variations in bipolar disorder: phasic differences. Bipolar Disord. 2007 Sep;9(6):596-602. doi: 10.1111/j.1399-5618.2007.00493.x.

    PMID: 17845274BACKGROUND
  • Kupka RW, Breunis MN, Knijff E, Ruwhof C, Nolen WA, Drexhage HA. Immune activation, steroid resistancy and bipolar disorder. Bipolar Disord. 2002;4 Suppl 1:73-4. doi: 10.1034/j.1399-5618.4.s1.29.x. No abstract available.

    PMID: 12479684BACKGROUND
  • Lewy AJ, Sack RL, Singer CM, White DM, Hoban TM. Winter depression and the phase-shift hypothesis for bright light's therapeutic effects: history, theory, and experimental evidence. J Biol Rhythms. 1988 Summer;3(2):121-34. doi: 10.1177/074873048800300203. No abstract available.

    PMID: 2979635BACKGROUND
  • Lewy AJ, Lefler BJ, Emens JS, Bauer VK. The circadian basis of winter depression. Proc Natl Acad Sci U S A. 2006 May 9;103(19):7414-9. doi: 10.1073/pnas.0602425103. Epub 2006 Apr 28.

    PMID: 16648247BACKGROUND
  • Partonen T, Treutlein J, Alpman A, Frank J, Johansson C, Depner M, Aron L, Rietschel M, Wellek S, Soronen P, Paunio T, Koch A, Chen P, Lathrop M, Adolfsson R, Persson ML, Kasper S, Schalling M, Peltonen L, Schumann G. Three circadian clock genes Per2, Arntl, and Npas2 contribute to winter depression. Ann Med. 2007;39(3):229-38. doi: 10.1080/07853890701278795.

    PMID: 17457720BACKGROUND
  • O'Brien SM, Scully P, Scott LV, Dinan TG. Cytokine profiles in bipolar affective disorder: focus on acutely ill patients. J Affect Disord. 2006 Feb;90(2-3):263-7. doi: 10.1016/j.jad.2005.11.015. Epub 2006 Jan 10.

    PMID: 16410025BACKGROUND

MeSH Terms

Conditions

Bipolar DisorderDepression

Interventions

Ultraviolet Therapy

Condition Hierarchy (Ancestors)

Bipolar and Related DisordersMood DisordersMental DisordersBehavioral SymptomsBehavior

Intervention Hierarchy (Ancestors)

PhototherapyTherapeutics

Study Officials

  • Serge Beaulieu, Ph.D.

    McGill University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Serge Beaulieu

Study Record Dates

First Submitted

December 26, 2007

First Posted

January 10, 2008

Study Start

January 1, 2008

Primary Completion

June 1, 2025

Study Completion (Estimated)

August 1, 2026

Last Updated

August 7, 2024

Record last verified: 2024-08

Locations