NCT06580535

Brief Summary

  1. 1.Identify randomized controlled trials of tamoxifen (Estrogen Receptor modulator) in in addition to traditional treatment of bipolar disorder and synthesize the results using meta-analysis.
  2. 2.Systematically estimate the effects of Phospholipase C epsilon 1 gene (PLCE1) rs2274223and gene polymorphism on the susceptibility to treatment.
  3. 3.Study the pathway involved in the action of tamoxifen by incorporating TMX into nanoparticles and evaluating tyrosine kinase in responders WBCS culture and evaluate nanoparticle as a hope for future treatment of CNS disorders.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
100

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Sep 2024

Status
not yet 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

First Submitted

Initial submission to the registry

May 31, 2024

Completed
3 months until next milestone

First Posted

Study publicly available on registry

August 30, 2024

Completed
6 days until next milestone

Study Start

First participant enrolled

September 5, 2024

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2025

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2025

Completed
Last Updated

August 30, 2024

Status Verified

August 1, 2024

Enrollment Period

11 months

First QC Date

May 31, 2024

Last Update Submit

August 29, 2024

Conditions

Keywords

Mania

Outcome Measures

Primary Outcomes (1)

  • change in Young Mania Rating Scale(YMRS) Score

    Mean change in YMRS score from baseline to the end of treatment (range:0-60;higher score indicate sever mania)

    e.g.4 weeks

Secondary Outcomes (1)

  • Percentage of Participants with Treatment Response

    e.g.,4 weeks

Study Arms (3)

group 1 (patients)

50 patients assigned to receive treatment of bipolar disorder

Other: blood sample

Group 2 recrutied blood from patients

GroupII:50 blood sample will be recruited from G1for in vitro tissue culture to study the effect of tamoxifen on the WBCs of patients

Other: blood sample

group 3 control

GroupIII:50 healthy control will be recruited (age and sex will be matched

Other: blood sample

Interventions

Blood sample taking from patient for tissue culture

Group 2 recrutied blood from patientsgroup 1 (patients)group 3 control

Eligibility Criteria

Age15 Years - 70 Years
Sexall
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

GroupI:50 patients assigned to receive treatment of bipolar disorder GroupII:50 blood sample will be recruited from G1for in vitro tissue culture to study the effect of tamoxifen on the WBCs of patients GroupIII:50 healthy control will be recruited (age and sex will be matched)

You may qualify if:

  • \. Fifty subjects 2.15-70 years of age 3.recently diagnosed as bipolar disorder 4.assigned to receive traditional treatment of bipolar disorder

You may not qualify if:

  • Patients who have a concurrent sever illness like cancer ,liver disease
  • receiving additional treatment

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (6)

  • Kishi T, Ikuta T, Matsuda Y, Sakuma K, Okuya M, Nomura I, Hatano M, Iwata N. Pharmacological treatment for bipolar mania: a systematic review and network meta-analysis of double-blind randomized controlled trials. Mol Psychiatry. 2022 Feb;27(2):1136-1144. doi: 10.1038/s41380-021-01334-4. Epub 2021 Oct 12.

    PMID: 34642461BACKGROUND
  • Yetisgin AA, Cetinel S, Zuvin M, Kosar A, Kutlu O. Therapeutic Nanoparticles and Their Targeted Delivery Applications. Molecules. 2020 May 8;25(9):2193. doi: 10.3390/molecules25092193.

    PMID: 32397080BACKGROUND
  • Palmer AJ, Lochhead P, Hold GL, Rabkin CS, Chow WH, Lissowska J, Vaughan TL, Berry S, Gammon M, Risch H, El-Omar EM. Genetic variation in C20orf54, PLCE1 and MUC1 and the risk of upper gastrointestinal cancers in Caucasian populations. Eur J Cancer Prev. 2012 Nov;21(6):541-4. doi: 10.1097/CEJ.0b013e3283529b79.

    PMID: 22805490BACKGROUND
  • Hu H, Yang J, Sun Y, Yang Y, Qian J, Jin L, Wang M, Bi R, Zhang R, Zhu M, Sun M, Ma H, Wei Q, Jiang G, Zhou X, Chen H. Putatively functional PLCE1 variants and susceptibility to esophageal squamous cell carcinoma (ESCC): a case-control study in eastern Chinese populations. Ann Surg Oncol. 2012 Jul;19(7):2403-10. doi: 10.1245/s10434-011-2160-y. Epub 2011 Dec 28.

    PMID: 22203178BACKGROUND
  • Zhang Y, Li W, Wang Y, Wang N. The PLCE1 rs2274223 variant is associated with the risk of laryngeal squamous cell carcinoma. Int J Med Sci. 2020 Oct 8;17(17):2826-2830. doi: 10.7150/ijms.49012. eCollection 2020.

    PMID: 33162810BACKGROUND
  • Khan Z, Sattar S, Abubakar M, Arshed MJ, Aslam R, Shah STA, Javed S, Tariq A, Manzoor S, Bostan N. Preparation and in Vitro Evaluation of Tamoxifen-Conjugated, Eco-Friendly, Agar-Based Hybrid Magnetic Nanoparticles for Their Potential Use in Breast Cancer Treatment. ACS Omega. 2023 Jul 14;8(29):25808-25816. doi: 10.1021/acsomega.3c00844. eCollection 2023 Jul 25.

    PMID: 37521645BACKGROUND

Biospecimen

Retention: SAMPLES WITH DNA

Blood sample for detection of PLCE1 gene polymorphism in bipolar disorder

MeSH Terms

Conditions

Bipolar DisorderMania

Interventions

Blood Specimen Collection

Condition Hierarchy (Ancestors)

Bipolar and Related DisordersMood DisordersMental DisordersNeurobehavioral ManifestationsNeurologic ManifestationsNervous System DiseasesSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Specimen HandlingClinical Laboratory TechniquesDiagnostic Techniques and ProceduresDiagnosisPuncturesSurgical Procedures, OperativeInvestigative Techniques

Central Study Contacts

Marina Kamal Fahmy, DR

CONTACT

Naglaa kamal idris, professor

CONTACT

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
RETROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Demonstrator

Study Record Dates

First Submitted

May 31, 2024

First Posted

August 30, 2024

Study Start

September 5, 2024

Primary Completion

August 1, 2025

Study Completion

December 1, 2025

Last Updated

August 30, 2024

Record last verified: 2024-08