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Algorithm Guided Treatment Strategies for Bipolar Depression

Information source: Shanghai Mental Health Center
ClinicalTrials.gov processed this data on August 23, 2015
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Bipolar Disorder

Intervention: Lithium (Drug); Quetiapine (Drug); Shuganjieyu capsule (Drug)

Phase: Phase 4

Status: Recruiting

Sponsored by: Shanghai Mental Health Center

Official(s) and/or principal investigator(s):
Yiru Fang, M.D., Ph.D., Principal Investigator, Affiliation: Shanghai Mental Health Center

Overall contact:
Jun Chen, M.D., Ph.D., Phone: (86) 18017311373, Email: doctorcj2010@gmail.com

Summary

The purpose of the AGTs-BD study is to compare the treatment outcome and safety profiles between different mood stabilizers combination treatments in the patients with bipolar disorders, currently suffered from depression episode.

Clinical Details

Official title: Algorithm Guided Treatment Strategies for Bipolar Depression

Study design: Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment

Primary outcome:

The change of HAM-D total score only for the phase I

Time to new intervention for an emerging mood episode

Secondary outcome:

HAM-D total score ≤7

Mean changes from baseline to EOS in HAM-D total score ≥50%

Mean changes from baseline to EOS in 16-item Quick Inventory of Depressive Symptomatology-Patient Self-Report (QIDS16-SR)

Mean changes from baseline to EOS in Clinical Global Impression scale of Bipolar Disorder-Severity (CGI-BP-S)

Mean changes from baseline to EOS in Sheehan Disability Scale (SDS)

Mean changes from baseline to EOS in 6-item Quality of Life scale (QOL-6)

Young Mania Rating Scale (YMRS) total score ≤10

Detailed description: The AGTs-BD study is a randomized, open-label, rater-blind, multicenter study, which including an 8-week acute treatment (Phase I), followed by a 24-week recurrence prevention treatment (Phase II), and a 24-week relapse prevention treatment (Phase III). Patients initially enter an up to 4 weeks screening phase to confirm the randomization to whom met DSM-IV criteria of bipolar I or II disorder, currently depressed with Hamilton Depression Rating Scale-17 items (HAM-D) total score ≥17. The protocol was approved by the each sites' appropriate institutional review boards and ethics committees. After screening, patients were randomly allocated to one of three groups: (1) lithium monotherapy; (2) lithium plus quetiapine; (3) lithium plus a Traditional Chinese Medicine (TCM) named as Shuganjieyu capsule (SGJY, St. John's wort and acanthopanax senticosus combination). After phase I, patients who met stable remission, defined as HAM-D total score ≤7 and Young Mania Rating Scale (YMRS) total score ≤10 in two consecutive visit at least 4 weeks, were qualified into phase II and III. Patients remained on the allocated treatment for up to 48 weeks or until treatment failure. The difference between phase II and phase III was that treatment dose could be decreased (within the study ranges) if side-effects became troublesome in phase III, but not for phase II. All patients will be provided with free care (3 visits) by the investigators, for a period of up to 3 months after the end of the study, in order to help them make the transition into routine clinical care.

Eligibility

Minimum age: 18 Years. Maximum age: 65 Years. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Age from 18 to 65 years old;

- Han Chinese;

- Outpatient and inpatient patients;

- Patients met DSM-IV criteria of bipolar I or II disorder, currently depressed,

ascertained with the Mini International Neuropsychiatric Interview (MINI)

- HAM-D total score≥17, HAM-D item 1 (depressed mood) score≥2, and YMRS total score≤10

at baseline;

- Written informed consent was given;

- Junior high school education and above, with enough audio-visual ability to

accomplish the visits;

- Normally resident in one country and had a residential address, able to follow-up.

Exclusion Criteria:

- Bipolar disorder rapid cycling or mixed episode;

- Experienced DSM-IV-TR axis I disorders in the 6 months prior to randomization;

- Severe personality disorder, metal retardation, anorexia/bulimia nervosa;

- Actively suicide ascertained by research psychiatrist or HAM-D item 3

score≥3(suicidality);

- Known history of intolerance or hypersensitivity to any of the medications involved

in the study, including lithium, quetiapine and SGJY capsule;

- Female patients who were pregnant, planning to be pregnant or breast feeding;

- Severe medical or neurological problems.

Locations and Contacts

Jun Chen, M.D., Ph.D., Phone: (86) 18017311373, Email: doctorcj2010@gmail.com

Shanghai Mental Health Center, Shanghai, Shanghai 200030, China; Recruiting
Jun Chen, M.D., Ph.D., Phone: (86) 18017311373, Email: doctorcj2010@gmail.com
Yiru Fang, M.D., Ph.D., Phone: (86) 18017311133, Email: yirufang@gmail.com
Yiru Fang, M.D., Ph.D., Principal Investigator
Jun Chen, M.D., Ph.D., Sub-Investigator
Additional Information

Starting date: June 2012
Last updated: September 9, 2013

Page last updated: August 23, 2015

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