Light-Therapy in the Treatment of the Acute Phase of the Bipolar Type II Depression
BPII-DEP-LT
1 other identifier
interventional
50
1 country
1
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jan 2008
Longer than P75 for not_applicable
1 active site
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
First Submitted
Initial submission to the registry
December 26, 2007
CompletedStudy Start
First participant enrolled
January 1, 2008
CompletedFirst Posted
Study publicly available on registry
January 10, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2026
ExpectedAugust 7, 2024
August 1, 2024
17.4 years
December 26, 2007
August 5, 2024
Conditions
Keywords
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
EXPERIMENTAL2
PLACEBO COMPARATORInterventions
10 000 lux for 30 minutes
\<100 lux for 30 minutes
Eligibility Criteria
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
Related Publications (23)
Bauer MS, Shea N, McBride L, Gavin C. Predictors of service utilization in veterans with bipolar disorder: a prospective study. J Affect Disord. 1997 Jul;44(2-3):159-68. doi: 10.1016/s0165-0327(97)00046-3.
PMID: 9241576BACKGROUNDDevilly GJ, Borkovec TD. Psychometric properties of the credibility/expectancy questionnaire. J Behav Ther Exp Psychiatry. 2000 Jun;31(2):73-86. doi: 10.1016/s0005-7916(00)00012-4.
PMID: 11132119BACKGROUNDGolden 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: 15800134BACKGROUNDKripke 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
BACKGROUNDKripke 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: 9609674BACKGROUNDLam 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
BACKGROUNDMagnusson 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: 16041294BACKGROUNDMartiny 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: 16756691BACKGROUNDSchwitzer 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: 2132555BACKGROUNDStout 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: 7723001BACKGROUNDTuunainen 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: 15106233BACKGROUNDWirz-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: 16045060BACKGROUNDYatham 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: 15952957BACKGROUNDYatham 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: 17156158BACKGROUNDChaput 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: 17228054BACKGROUNDLevitan 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: 15522250BACKGROUNDKrauchi 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: 8483971BACKGROUNDOrtiz-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: 17845274BACKGROUNDKupka 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: 12479684BACKGROUNDLewy 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: 2979635BACKGROUNDLewy 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: 16648247BACKGROUNDPartonen 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: 17457720BACKGROUNDO'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
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Serge Beaulieu, Ph.D.
McGill University
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