Bipolar II Depression: Lithium, SSRI, or the Combination - NCT00276965-94304 (Clinical Trial 135929)
Permalink: http://www.ClinicalConnection.com/exp/ExpandedPatientViewStudy135929.aspx
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| City: |
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Palo Alto |
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State:
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CA |
| Zip Code: |
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94304 |
| Conditions: |
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Bipolar Disorder - Depression |
| Purpose: |
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This study will compare the safety and effectiveness of a mood stabilizing medication, an
antidepressant medication, and a combination of both medications to treat symptoms of
bipolar type II depression.
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| Study summary: |
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Bipolar type II depression (BD II) is a less severe type of bipolar disorder. BD II is
characterized by one or more depressive episodes and at least one hypomanic episode. During
hypomanic episodes, people experience especially energetic or anxious moods, and their
thoughts are more sporadic than usual, but they do not experience the severity of mania.
Symptoms of BD II are known to impair daily functioning as well as cause distress and even
suicide. Antidepressant medication alone is not recommended for people with bipolar disorder
because manic symptoms usually worsen. It is unknown whether the same recommendation should
apply to people with BD II. Sertraline is a selective serotonin reuptake inhibitor (SSRI)
antidepressant that increases levels of serotonin, helping the brain to maintain mental
stability. It is often used to treat depression, panic attacks, and other disorders. Lithium
is a mood stabilizing medication that decreases abnormal brain activity and is used to treat
and prevent recurring episodes of mania in people with bipolar disorders. This study will
evaluate the effectiveness of lithium alone, sertraline alone, and lithium with sertraline
to treat symptoms of BD II.
Participation in this double-blind study will last up to 18 weeks. Participants will be
randomly assigned to receive either lithium, sertraline, or lithium and sertraline. Both
medications will initially be given at a low dose and then gradually increased over 2 weeks.
For the remainder of the study, dosages will be adjusted as necessary. Study visits will
occur every week for the first 6 weeks and then every other week for the remaining 10 weeks.
During all study visits, participants will complete a psychiatric assessment and
questionnaires about their current mood and any treatment side effects. Urine and blood
collection may occur at selected times during the study. |
| Criteria: |
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Inclusion Criteria:
- Meets DSM-IV criteria for bipolar type II disorder by Structured Clinical Interview
for DSM-IV (SCID)
- Meets DSM-IV criteria for current depressive episode
- Inventory of Depressive Symptomology (IDS-C) score greater than 22
- Clinical Global Impression Scale for Bipolar Illness (CGI-BP) depression subscale
score greater than 3 (mildly ill or greater) and mania subscale score of 1 (not ill)
- Young Mania Rating Scale (YMRS) score less than 8
- Willing to discontinue antidepressant medication
- Considered stable and does not require adjustments in treatment for other conditions
or illnesses
- Willing to use an effective form of birth control throughout the study
- Speaks English
Exclusion Criteria:
- Pregnant or breastfeeding
- Unsuccessfully treated for more than 6 weeks with sertraline or lithium for
depression
- Suicidal
- Significant alcohol or substance abuse or dependence within 3 months of study entry
- Diagnosed with Axis II borderline personality disorder
- Psychotic
- Organic mood disorder (e.g., head trauma or cerebrovascular accident preceding mood
episode)
- Active hepatitis, liver failure, or kidney failure
- Creatinine greater than 1 mg/dL
- Liver function tests greater than 3 times the upper limit of normal
- Abnormal thyroid-stimulating hormone
- Unstable medical condition |
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| Study is available at: |
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Stanford University - Bipolar Research Program
Palo Alto, CA 94304
United States
Primary Contact:
Mylea Charvat
Email: tsuppes@stanford.edu
Phone: 650-849-0161
Secondary Contact:
Susan L. McElroy, MD
Email: susan.mcelroy@lindnercenter.org
Phone: 513-536-0700 |
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If you are interested in this clinical trial please use the contact information above. If you would like to get additional information about this clinical trial please visit ClinicalTrials.gov.
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| Data Source: |
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ClinicalTrials.gov |
| Date Processed: |
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March 15, 2010 |
Modifications to
this listing: |
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Only selected fields are shown, please use the link
above to view all information about this clinical trial. |
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Clinical trials are medical research studies designed to test the safety and/or
effectiveness of new drugs, devices, or treatments in humans. These studies are
conducted worldwide for a range of conditions and illnesses. Learn more about
clinical research and participating in a study at
About Clinical Trials.
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