NCT01919892

Brief Summary

Thirty subjects with a DSM-IV (Diagnostic and Statistical Manual, fourth version)diagnosis of BPD during a depressive or hypomanic episode will be divided in two groups according to age and time of illness. All patients will receive lithium (flexible therapeutic dose) for 6 weeks and improvement will be evaluated weekly using depression and mania rating scales; this study also objectives to identify state/trait markers and predictors of response.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
30

participants targeted

Target at below P25 for phase_4

Timeline
Completed

Started Sep 2010

Typical duration for phase_4

Geographic Reach
1 country

1 active site

Status
completed

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 Start

First participant enrolled

September 1, 2010

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2012

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2012

Completed
8 months until next milestone

First Submitted

Initial submission to the registry

July 10, 2013

Completed
1 month until next milestone

First Posted

Study publicly available on registry

August 9, 2013

Completed
Last Updated

August 9, 2013

Status Verified

August 1, 2013

Enrollment Period

2.2 years

First QC Date

July 10, 2013

Last Update Submit

August 6, 2013

Conditions

Keywords

predictors of responsebipolar disorderdepressionlithium treatmentbiomarkers

Outcome Measures

Primary Outcomes (1)

  • Hamilton Depression Rating Scale (HAM-D)

    6 week

Secondary Outcomes (1)

  • Montgomery Asberg Depression Rating Scale (MADRS)

    6 week

Other Outcomes (1)

  • Young Mania Rating Scale

    6 week

Study Arms (1)

Lithium 450-900mg/day

EXPERIMENTAL

An Open-Label, 6-week Pilot Study of Flexible Dose of Lithium in Bipolar Depression: The Effectiveness of Lower Lithium Levels

Drug: Lithium

Interventions

Lithium 450-900mg/day

Eligibility Criteria

Age18 Years - 45 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • outpatients
  • DSM-IV diagnosis of bipolar disorder (BD-I or BD-II)
  • current depressive episode based on the Structured Clinical Interview for the Diagnostic and Statistical Manual for Mental Disorders(SCID-I)
  • Hamilton Depression Rating Scale Score (HAM-D) ≥18

You may not qualify if:

  • Medical and psychiatric Comorbidity
  • more than 5 years of disease duration
  • presence of rapid cycling

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Institute of Psychiatry, University of Sao Paullo

São Paulo, São Paulo, 05410-000, Brazil

Location

Related Publications (1)

  • Zanetti MV, Otaduy MC, de Sousa RT, Gattaz WF, Busatto GF, Leite CC, Machado-Vieira R. Bimodal effect of lithium plasma levels on hippocampal glutamate concentrations in bipolar II depression: a pilot study. Int J Neuropsychopharmacol. 2014 Oct 31;18(6):pyu058. doi: 10.1093/ijnp/pyu058.

MeSH Terms

Conditions

Bipolar DisorderDepression

Interventions

Lithium

Condition Hierarchy (Ancestors)

Bipolar and Related DisordersMood DisordersMental DisordersBehavioral SymptomsBehavior

Intervention Hierarchy (Ancestors)

Metals, AlkaliElementsInorganic ChemicalsMetals, LightMetals

Study Officials

  • Rodrigo Machado-Vieira, MD, PhD

    Institute and Department of Psychiatry, University of Sao Paulo, Brazil

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

July 10, 2013

First Posted

August 9, 2013

Study Start

September 1, 2010

Primary Completion

November 1, 2012

Study Completion

November 1, 2012

Last Updated

August 9, 2013

Record last verified: 2013-08

Locations