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Series Studies of Bipolar Disorder-Valproate add-on Memantine (MM)

Primary Purpose

Bipolar Disorders

Status
Completed
Phase
Phase 2
Locations
Taiwan
Study Type
Interventional
Intervention
Memantine
Placebo
Sponsored by
National Cheng-Kung University Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Bipolar Disorders

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Male or female patient aged >=18 and <= 65 years.
  2. A diagnosis of bipolar II disorder according to DSM-IV-TR criteria made by a specialist in psychiatry.
  3. A total of HDRS score at least 18 or YMRS score at least 14 at screen.
  4. Signed informed consent by patient or legal representative.

Exclusion Criteria:

  1. Women of childbearing potential not using adequate contraception as per investigator judgment or not willing to comply with contraception for duration of study.
  2. Females who are pregnant or nursing.
  3. Patient has received memantine or other selective cyclo-oxygenase 2 (Cox-2) inhibitors within 1 week prior to first dose of double-blind medication.
  4. Axis-I DSM-IV-TR diagnosis other than bipolar II disorder.
  5. Current evidence of an uncontrolled and/or clinically significant medical condition (e.g., cardiac, hepatic and renal failure), which in the judgments of the investigator, would compromise patient safety or preclude study participation.
  6. History of intolerance to valproate or memantine or other Cox-2 inhibitors.
  7. History of sensitivity reaction (e.g., urticaria, angioedema, bronchospasm, severe rhinitis, anaphylactic shock) precipitated by memantine
  8. Patient has received electroconvulsive therapy (ECT) within 4 weeks prior to first dose of doubleblind medication.
  9. Inclusion in another bipolar disorder study or study for another indication with psychotropic's within the last 30 days prior to start of study.
  10. Increase in total SGOT, SGPT, BUN and creatinine by more than 3X ULN (upper limit of normal).
  11. Substance-related disorders within 6 months prior to study start, borderline personality disorder, schizophrenia, or other major psychiatric disorders as defined by DSM-IV criteria.

Sites / Locations

  • Ru-Band Lu

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

VPA & Placebo

VPA & memantine

Arm Description

VPA & Placebo

Outcomes

Primary Outcome Measures

Young's Mania Rating Scale (YMRS)
Normally, YMRS is used to evaluate the Bipolar Disorder Patient's mood change.
Hamilton Depression Rating Scale (HDRS)
Normally, YMRS is used to evaluate the Bipolar Disorder Patient's mood change of depression.

Secondary Outcome Measures

cytokines
Clinical Global Impression (CGI)
CGI will be used to evaluate how the patient's adverse effect go on during the trial.
lipid profiles
HDL, LDL, cholesterol and etc.

Full Information

First Posted
August 23, 2010
Last Updated
September 16, 2013
Sponsor
National Cheng-Kung University Hospital
Collaborators
National Science Council, Taiwan
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1. Study Identification

Unique Protocol Identification Number
NCT01188148
Brief Title
Series Studies of Bipolar Disorder-Valproate add-on Memantine
Acronym
MM
Official Title
Series Studies of Bipolar Disorder-Valproate add-on Memantine Treatment
Study Type
Interventional

2. Study Status

Record Verification Date
August 2009
Overall Recruitment Status
Completed
Study Start Date
August 2009 (undefined)
Primary Completion Date
October 2012 (Actual)
Study Completion Date
October 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
National Cheng-Kung University Hospital
Collaborators
National Science Council, Taiwan

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
All participants should fulfill the following criteria: aged between 18 and 65 years old, and of domestic Han descendants. Participants will be randomly assigned to either the (1) pharmacotherapy (valproate add-on memantine) group; (2) pharmacotherapy (valproate add-on memantine) plus Cognitive Behavior Group Therapy (CBGT) group; (3) valproate add-on placebo plus CBGT group, or (4) valproate add-on placebo only group. A total of 240-320 individuals (60-80 participants per group) will be recruited for this study. For each CBGT group, 12-weekly sessions are scheduled according to patients' preference. The investigators will attempt to understand the effects of pharmaceutical drugs for mood stabilizers add-on neuro-protective drugs, pharmacotherapy with CBGT, mood stabilizer with CBGT, and the use of only traditional mood stabilizers in the treatment of BP II. Comparisons will be made for each type of treatment and possible mechanisms will be examined regarding the pharmacotherapy and CBGT for bipolar disorder patients.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Bipolar Disorders

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
219 (Actual)

8. Arms, Groups, and Interventions

Arm Title
VPA & Placebo
Arm Type
Active Comparator
Arm Description
VPA & Placebo
Arm Title
VPA & memantine
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Memantine
Intervention Description
5 mg per day of memantine
Intervention Type
Drug
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
Young's Mania Rating Scale (YMRS)
Description
Normally, YMRS is used to evaluate the Bipolar Disorder Patient's mood change.
Time Frame
baseline, 1, 2, 4, 8 and 12 weeks
Title
Hamilton Depression Rating Scale (HDRS)
Description
Normally, YMRS is used to evaluate the Bipolar Disorder Patient's mood change of depression.
Time Frame
baseline, 1, 2, 4, 8 and 12 weeks
Secondary Outcome Measure Information:
Title
cytokines
Time Frame
baseline, 1, 2, 4, 8 and 12 weeks
Title
Clinical Global Impression (CGI)
Description
CGI will be used to evaluate how the patient's adverse effect go on during the trial.
Time Frame
baseline, 1, 2, 4, 8 and the week 12
Title
lipid profiles
Description
HDL, LDL, cholesterol and etc.
Time Frame
baseline, 1, 2, 4, 8 and 12 weeks
Other Pre-specified Outcome Measures:
Title
genetics
Description
ALDH2, ADH1B, COMT, DRD2, DRD3, BDNFVal66Met
Time Frame
baseline

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female patient aged >=18 and <= 65 years. A diagnosis of bipolar II disorder according to DSM-IV-TR criteria made by a specialist in psychiatry. A total of HDRS score at least 18 or YMRS score at least 14 at screen. Signed informed consent by patient or legal representative. Exclusion Criteria: Women of childbearing potential not using adequate contraception as per investigator judgment or not willing to comply with contraception for duration of study. Females who are pregnant or nursing. Patient has received memantine or other selective cyclo-oxygenase 2 (Cox-2) inhibitors within 1 week prior to first dose of double-blind medication. Axis-I DSM-IV-TR diagnosis other than bipolar II disorder. Current evidence of an uncontrolled and/or clinically significant medical condition (e.g., cardiac, hepatic and renal failure), which in the judgments of the investigator, would compromise patient safety or preclude study participation. History of intolerance to valproate or memantine or other Cox-2 inhibitors. History of sensitivity reaction (e.g., urticaria, angioedema, bronchospasm, severe rhinitis, anaphylactic shock) precipitated by memantine Patient has received electroconvulsive therapy (ECT) within 4 weeks prior to first dose of doubleblind medication. Inclusion in another bipolar disorder study or study for another indication with psychotropic's within the last 30 days prior to start of study. Increase in total SGOT, SGPT, BUN and creatinine by more than 3X ULN (upper limit of normal). Substance-related disorders within 6 months prior to study start, borderline personality disorder, schizophrenia, or other major psychiatric disorders as defined by DSM-IV criteria.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ru-Band Lu, MD
Organizational Affiliation
National Cheng-Kung University Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Ru-Band Lu
City
Tainan
ZIP/Postal Code
704
Country
Taiwan

12. IPD Sharing Statement

Citations:
PubMed Identifier
24103632
Citation
Lee SY, Chen SL, Chang YH, Chen SH, Chu CH, Huang SY, Tzeng NS, Wang CL, Wang LJ, Lee IH, Yeh TL, Yang YK, Hong JS, Lu RB. Genotype variant associated with add-on memantine in bipolar II disorder. Int J Neuropsychopharmacol. 2014 Feb;17(2):189-97. doi: 10.1017/S1461145713000825. Epub 2013 Oct 9. Erratum In: Int J Neuropsychopharmacol. 2014 Jun;17(6):979. Lu, Ru-Band [removed]; Hong, Jau-Shyong [added].
Results Reference
derived
PubMed Identifier
23870798
Citation
Lee SY, Chen SL, Chang YH, Chen PS, Huang SY, Tzeng NS, Wang YS, Wang LJ, Lee IH, Yeh TL, Yang YK, Lu RB, Hong JS. Add-on memantine to valproate treatment increased HDL-C in bipolar II disorder. J Psychiatr Res. 2013 Oct;47(10):1343-8. doi: 10.1016/j.jpsychires.2013.06.017. Epub 2013 Jul 18.
Results Reference
derived
PubMed Identifier
23826157
Citation
Lee SY, Chen SL, Chang YH, Chen PS, Huang SY, Tzeng NS, Wang YS, Wang LJ, Lee IH, Wang TY, Yeh TL, Yang YK, Hong JS, Lu RB. Inflammation's Association with Metabolic Profiles before and after a Twelve-Week Clinical Trial in Drug-Naive Patients with Bipolar II Disorder. PLoS One. 2013 Jun 27;8(6):e66847. doi: 10.1371/journal.pone.0066847. Print 2013.
Results Reference
derived

Learn more about this trial

Series Studies of Bipolar Disorder-Valproate add-on Memantine

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