Neurophysiologic Changes in Patients With Bipolar Depression
Exploring Alterations of Central Autonomic Modulation in Patients With Bipolar Depression
- To examine differences in neurophysiologic parameters between unmedicated patients with bipolar depression and healthy controls
- To examine within-subject changes in neurophysiologic parameters in patients with bipolar depression treated with quetiapine
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
- Alterations of neurophysiologic regulation has been suggested in patients with major depressive disorder or bipolar disorders
- Depressive phase of bipolar disorder shows multi-faceted characteristics different from unipolar depression
- Quetiapine is an atypical antipsychotic licensed for treatment of bipolar depression
- The aim of this study is to investigate the pattern of neurophysiologic dysregulation in bipolar depression and its changes induced by quetiapine treatment
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Contact
Study Contact
- Name: Jae Seung Chang, M.D., Ph.D.
- Phone Number: 82-31-787-7437
- Email: cjs0107@snu.ac.kr
Study Contact Backup
- Name: Ji Sun Kim, M.D.
- Phone Number: 82-10-9933-1286
- Email: ideal91@hanmail.net
Study Locations
-
-
Gyeonggi-Do
-
Seongnam-Si, Gyeonggi-Do, Korea, Republic of, 463-707
- Recruiting
- Department of Neuropsychiatry, Seoul National University Bundang Hospital
-
Contact:
- Jae Seung Chang, M.D., Ph.D.
- Phone Number: 82-31-787-7437
- Email: cjs0107@snu.ac.kr
-
Contact:
- Ji Sun Kim, M.D.
- Phone Number: 82-10-9933-1286
- Email: ideal91@hanmail.net
-
Sub-Investigator:
- Ju Young Her, M.S.
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- DSM-IV bipolar disorder I or II
- Depressive phase
- Drug-naive or drug-free
Exclusion Criteria:
- Serious medical or neurological conditions
- DSM-IV substance-related disorders (within 12 months prior to participation)
- Mentally retarded
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: Non-Randomized
- Interventional Model: Factorial Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: bipolar depression
unmedicated patients with bipolar depression receiving quetiapine treatment
|
oral tablet/25-600mg per day/once a day/six weeks
Other Names:
|
|
No Intervention: Control
healthy controls matched for age, gender, and body mass index
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Heart Rate Variability
Time Frame: Six weeks
|
heart rate variability parameters of time/frequency/complexity domains
|
Six weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Cardio-Respiratory Coupling
Time Frame: Six weeks
|
integrative parameters of interaction between neurocardiac dynamics and respiratory rhythm
|
Six weeks
|
|
Electroencephalographic Changes
Time Frame: Six weeks
|
Electrical brain activities measured by quantitative electroencephalography
|
Six weeks
|
|
Severity of Mood Symptoms
Time Frame: Six weeks
|
|
Six weeks
|
|
Severity of Extrapyramidal Symptom Scale
Time Frame: Six weeks
|
Drug-Induced Extrapyramidal Symptom Scale
|
Six weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Jae Seung Chang, M.D., Ph.D., Seoul National University Bundang Hospital
Publications and helpful links
General Publications
- Berger S, Boettger MK, Tancer M, Guinjoan SM, Yeragani VK, Bar KJ. Reduced cardio-respiratory coupling indicates suppression of vagal activity in healthy relatives of patients with schizophrenia. Prog Neuropsychopharmacol Biol Psychiatry. 2010 Mar 17;34(2):406-11. doi: 10.1016/j.pnpbp.2010.01.009. Epub 2010 Jan 18.
- Bar KJ, Schuhmacher A, Hofels S, Schulz S, Voss A, Yeragani VK, Maier W, Zobel A. Reduced cardio-respiratory coupling after treatment with nortriptyline in contrast to S-citalopram. J Affect Disord. 2010 Dec;127(1-3):266-73. doi: 10.1016/j.jad.2010.05.010. Epub 2010 Jun 9.
- Chang JS, Yoo CS, Yi SH, Hong KH, Oh HS, Hwang JY, Kim SG, Ahn YM, Kim YS. Differential pattern of heart rate variability in patients with schizophrenia. Prog Neuropsychopharmacol Biol Psychiatry. 2009 Aug 31;33(6):991-5. doi: 10.1016/j.pnpbp.2009.05.004. Epub 2009 May 7.
- Kemp AH, Quintana DS, Gray MA, Felmingham KL, Brown K, Gatt JM. Impact of depression and antidepressant treatment on heart rate variability: a review and meta-analysis. Biol Psychiatry. 2010 Jun 1;67(11):1067-74. doi: 10.1016/j.biopsych.2009.12.012. Epub 2010 Feb 6.
- Kemp AH, Gray MA, Silberstein RB, Armstrong SM, Nathan PJ. Augmentation of serotonin enhances pleasant and suppresses unpleasant cortical electrophysiological responses to visual emotional stimuli in humans. Neuroimage. 2004 Jul;22(3):1084-96. doi: 10.1016/j.neuroimage.2004.03.022.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- SNUBH 11-2010-040
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