Cytidine- and Creatine-Containing Drug in Treating Bipolar Depression
Primary Purpose
Bipolar Depression
Status
Withdrawn
Phase
Phase 2
Locations
Korea, Republic of
Study Type
Interventional
Intervention
Valproate+Cytidine-+Creatine-
Valproate+Cytidine-
Valproate
Sponsored by
About this trial
This is an interventional treatment trial for Bipolar Depression focused on measuring Bipolar Depression, Magnetic resonance spectroscopy, Cytidine-, Creatine-
Eligibility Criteria
Inclusion Criteria:
- 19-65 year-old male or female
- Bipolar depression diagnosed by Structured Clinical Interview for DSM-IV (SCID-IV)
- Written informed consent
Exclusion Criteria:
- Present use of drugs for bipolar depression or any psychotropic medication
- Use of psychoactive medication that may affect brain imaging findings
- Diagnosis of any other axis I psychiatric disorder
- Presence of borderline personality disorder or antisocial personality disorder
- Presence of any major physical or neurological illness (e.g., epilepsy, multiple sclerosis, brain tumor, cerebrovascular disease, etc.)
- Hypersensitivity to divalproate, valpromide or diagnosis of porphyria
- Past or current liver disease, current severe liver or pancreas dysfunction
- Currently taking mefloquine
- Presence of alcohol or drug dependence, drug abuse
- Intelligence quotient below 80
- Contraindications to magnetic resonance imaging
- Women who are pregnant, breastfeeding, or planning pregnancy
- Allergy or intolerance to the study drugs
Sites / Locations
- Ewha Womans University Medical Center
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Active Comparator
Active Comparator
Arm Label
Valproate+Cytidine-+Creatine-
Valproate+Cytidine-
Valproate
Arm Description
The subjects with bipolar depression, treated with cytidine- and creatine-containing drug and dietary supplement in addition to valproate
The subjects with bipolar depression, treated with cytidine-containing drug and dietary supplement in addition to valproate
The subjects with bipolar depression, treated with valproate
Outcomes
Primary Outcome Measures
Change from baseline in depressive symptom scores at 4 weeks
Change from baseline in depressive symptom scores at 8 weeks
Secondary Outcome Measures
Changes in brain Glx (glutamate+glutamine) level assessed using magnetic resonance spectroscopy at baseline and 8 weeks
Number of participants with adverse events
Number of participants with adverse events
Changes in brain phosphocreatine level assessed using magnetic resonance spectroscopy at baseline and 8 weeks
Full Information
NCT ID
NCT01543139
First Posted
February 27, 2012
Last Updated
February 8, 2018
Sponsor
Ewha Womans University
1. Study Identification
Unique Protocol Identification Number
NCT01543139
Brief Title
Cytidine- and Creatine-Containing Drug in Treating Bipolar Depression
Official Title
A Double-Blind, Placebo-Controlled Trial of Combined Cytidine- and Creatine-Containing Drug and Dietary Supplement in the Treatment of the Bipolar Depression
Study Type
Interventional
2. Study Status
Record Verification Date
February 2018
Overall Recruitment Status
Withdrawn
Why Stopped
The research project has been cancelled before any participants were enrolled.
Study Start Date
December 1, 2015 (Anticipated)
Primary Completion Date
April 30, 2017 (Anticipated)
Study Completion Date
April 30, 2017 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Ewha Womans University
4. Oversight
5. Study Description
Brief Summary
This proposed research is aimed to investigate the efficacy and safety of combined cytidine- and creatine-containing drug and dietary supplement in treating bipolar depression and to evaluate changes in relevant brain biochemical metabolism using magnetic resonance spectroscopy.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Bipolar Depression
Keywords
Bipolar Depression, Magnetic resonance spectroscopy, Cytidine-, Creatine-
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
0 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Valproate+Cytidine-+Creatine-
Arm Type
Experimental
Arm Description
The subjects with bipolar depression, treated with cytidine- and creatine-containing drug and dietary supplement in addition to valproate
Arm Title
Valproate+Cytidine-
Arm Type
Active Comparator
Arm Description
The subjects with bipolar depression, treated with cytidine-containing drug and dietary supplement in addition to valproate
Arm Title
Valproate
Arm Type
Active Comparator
Arm Description
The subjects with bipolar depression, treated with valproate
Intervention Type
Drug
Intervention Name(s)
Valproate+Cytidine-+Creatine-
Intervention Description
Valproate: Week0-8: 300mg/day, Cytidine-: Week0-8: 2g/day, Creatine-: Week0-1: 3g/day Week1-8: 5g/day
Intervention Type
Drug
Intervention Name(s)
Valproate+Cytidine-
Intervention Description
Valproate: Week0-8: 300mg/day, Cytidine-: Week0-8: 2g/day
Intervention Type
Drug
Intervention Name(s)
Valproate
Intervention Description
Valproate: Week0-8: 300mg/day
Primary Outcome Measure Information:
Title
Change from baseline in depressive symptom scores at 4 weeks
Time Frame
Baseline and at 4 weeks
Title
Change from baseline in depressive symptom scores at 8 weeks
Time Frame
Baseline and at 8 weeks
Secondary Outcome Measure Information:
Title
Changes in brain Glx (glutamate+glutamine) level assessed using magnetic resonance spectroscopy at baseline and 8 weeks
Time Frame
Baseline and at 8 weeks
Title
Number of participants with adverse events
Time Frame
4 weeks
Title
Number of participants with adverse events
Time Frame
8 weeks
Title
Changes in brain phosphocreatine level assessed using magnetic resonance spectroscopy at baseline and 8 weeks
Time Frame
Baseline and at 8 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
19-65 year-old male or female
Bipolar depression diagnosed by Structured Clinical Interview for DSM-IV (SCID-IV)
Written informed consent
Exclusion Criteria:
Present use of drugs for bipolar depression or any psychotropic medication
Use of psychoactive medication that may affect brain imaging findings
Diagnosis of any other axis I psychiatric disorder
Presence of borderline personality disorder or antisocial personality disorder
Presence of any major physical or neurological illness (e.g., epilepsy, multiple sclerosis, brain tumor, cerebrovascular disease, etc.)
Hypersensitivity to divalproate, valpromide or diagnosis of porphyria
Past or current liver disease, current severe liver or pancreas dysfunction
Currently taking mefloquine
Presence of alcohol or drug dependence, drug abuse
Intelligence quotient below 80
Contraindications to magnetic resonance imaging
Women who are pregnant, breastfeeding, or planning pregnancy
Allergy or intolerance to the study drugs
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
In Kyoon Lyoo, MD, PhD, MMS
Organizational Affiliation
Ewha Womans University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Ewha Womans University Medical Center
City
Seoul
ZIP/Postal Code
158-710
Country
Korea, Republic of
12. IPD Sharing Statement
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Cytidine- and Creatine-Containing Drug in Treating Bipolar Depression
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