- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04845347
A Wearable Morning Light Treatment for Postpartum Depression
This study will test a consumer health light therapy device (Re-Timer) for women with postpartum depression to better understand how it affects mood and the body clock (also called the circadian clock).
Eligible participants will be enrolled and randomized after baseline assessments. In addition to using the Re-Timer light for 5 weeks participants will complete questionnaires at various timepoints, record sleep information, wear an actigraph watch, and provide saliva samples. Additionally, the sleep of the participants' infants will also be monitored using an ankle-worn device (actigraph) and sleep diary at certain time-points as this may influence the mother's mood/sleep, and in turn affect the results.
The hypotheses regarding the bright light versus the placebo dim light of the study are:
- morning bright light therapy will produce greater improvement from pre- to post-treatment on the Hamilton Rating Scale for Depression
- morning bright light therapy will lengthen the Phase angle difference (PAD) and this will mediate change in depression symptoms.
- morning bright light therapy will produce greater improvements on self-reported depression symptoms, excessive daytime sleepiness, maternal-infant bonding, social functioning, and sleep-related impairment from pre- to post-treatment.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Kelley DuBuc
- Phone Number: 734-764-2256
- Email: dubuck@umich.edu
Study Locations
-
-
Michigan
-
Ann Arbor, Michigan, United States, 48109
- Recruiting
- University of Michigan
-
Contact:
- Kelley DuBuc
- Phone Number: 734-764-2256
- Email: dubuck@umich.edu
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- less or equal (≤) to 26 weeks postpartum
- meet criteria for current major depressive disorder per the Structured Clinical Interview for Diagnostic (SCID) and Statistical Manual of Mental Disorders version 5 (DSM-V)
- not currently receiving treatment for depression (for example, prescription medications or psychotherapy).
Exclusion Criteria:
- Current diagnosis of Posttraumatic stress disorder (PTSD), obsessive compulsive disorder if the onset is outside of the perinatal period, eating disorder, substance abuse or dependence, lifetime history of mania/hypomania or thought disorder per SCID.
- current diagnosis of, or high risk for, sleep-disordered breathing, insomnia disorder, restless leg syndrome, and/or narcolepsy.
- retinal pathology or history of eye surgery
- current use of photosensitizing medications,
- current use of exogenous melatonin or medications that may interfere with the measurement of melatonin (nonsteroidal anti-inflammatory drugs (NSAIDs) if used daily, and beta-blockers)
- medical conditions for which bright light therapy is contraindicated (for example, epilepsy/seizures).
- nightshift work
- currently pregnant
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Bright Light Therapy
|
Participants will be provided with active, unaltered Re-Timer glasses that will be worn in the morning daily for 60 minutes for 5 weeks on study.
Other Names:
|
Sham Comparator: Dim Light Therapy
|
Participants on this arm will wear the placebo version of the Re-Timer fitted with neutral density filters.
These will be worn in the morning daily for 60 minutes for 5 weeks on study.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in score for the Structured interview guide score for the Hamilton Depression Rating Scale - Seasonal Affective Version (SIGH-SAD total score)
Time Frame: pre-treatment (baseline), post light therapy treatment (approximately week 5)
|
Clinician-rated depression symptom severity measure; Hamilton Depression Rating Scale-Seasonal Affective Version (SIGH-SAD) (29 item version) measures depressive symptoms on a continuous scale.
Higher scores indicate worse outcomes.
Scores can range from 0 -73, where 0 means no depression, and 73 is the greatest possible depression.
Generally scores of 20 or higher represent clinical depression.
|
pre-treatment (baseline), post light therapy treatment (approximately week 5)
|
Change in Phase angle difference
Time Frame: pre-treatment (baseline), post light therapy treatment (approximately week 5)
|
Phase angle difference is calculated as the time interval between the time of dim light melatonin onset and the midpoint of sleep.
|
pre-treatment (baseline), post light therapy treatment (approximately week 5)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Edinburgh Postnatal Depression Scale (EPDS) total score
Time Frame: pre-treatment (baseline), post light therapy treatment (approximately week 5)
|
Self-report of depression symptoms.
The Edinburgh Postnatal Depression scale is scored from 0 to 30 where 0 is no depression and 30 is most severe depression.
|
pre-treatment (baseline), post light therapy treatment (approximately week 5)
|
Epworth Sleepiness Scale (ESS) total score
Time Frame: pre-treatment (baseline), post light therapy treatment (approximately week 5)
|
Participants complete this 8 item scale and select response from would never doze (0), to high chance of dozing (3).
A score of ≥ 10 indicates excessive daytime sleepiness on the ESS.
|
pre-treatment (baseline), post light therapy treatment (approximately week 5)
|
Patient Reported Outcomes Measurement Information System (PROMIS) - Satisfaction with Participation in Social Roles (SPSR) total score
Time Frame: pre-treatment (baseline), post light therapy treatment (approximately week 5)
|
This is 14 questions regarding social roles where participants select items on a 5-point Likert scale (1) to very much (5).
The higher the score the more satisfaction.
|
pre-treatment (baseline), post light therapy treatment (approximately week 5)
|
Patient Reported Outcomes Measurement Information System Sleep-related impairment (SRI) total score
Time Frame: up to 3 months
|
This is an 8 question scale regarding sleep impairment where participants select items on a 6-point Likert scale not at all (0) to very much (5).
The higher the score the more impairment.
|
up to 3 months
|
Social functioning as measured by the Postpartum Bonding Questionnaire (PBQ) total score
Time Frame: pre-treatment (baseline), post light therapy treatment (approximately week 5)
|
The PBQ is a is a 25 question self-report measure of maternal-infant bonding.
Items are scored on a 6-point Likert scale ranging from 0 (always) to 5 (never), sum score ranging from 0 to 125; high = problematic.
|
pre-treatment (baseline), post light therapy treatment (approximately week 5)
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Leslie Swanson, Ph.D., University of Michigan
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- HUM00190163
- 1R01MH121531-01A1 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Post Partum Depression
-
Washington University School of MedicineNurses for Newborns FoundationCompletedPost-partum DepressionUnited States
-
NYU Langone HealthWithdrawn
-
Curio Digital Therapeutics, Inc.RecruitingPost-partum DepressionUnited States
-
The University of Hong KongHospital Authority, Hong Kong; Kwong Wah HospitalCompleted
-
Children's Hospital of PhiladelphiaNational Institute of Mental Health (NIMH)Recruiting
-
Federal University of PelotasCompletedPrematurity | Gestational Hypertension | Maternal Post-partum Depression | Maternal Post-partum Weight Retention | Child's DevelopmentBrazil
-
Fondazione IRCCS Ca' Granda, Ospedale Maggiore...Not yet recruitingPost-partum DepressionItaly
-
University of RochesterNational Institute of Mental Health (NIMH)Recruiting
-
Johns Hopkins Bloomberg School of Public HealthNational Institute on Drug Abuse (NIDA)CompletedDepression | Substance Abuse | Post-partum DepressionUnited States
Clinical Trials on Bright Light Therapy
-
Sunnybrook Health Sciences CentreCompletedMajor Depressive Disorder | Seasonal Affective Disorder | NeuroimagingCanada
-
Hospital Authority, Hong KongUnknown
-
City of Hope Medical CenterNational Cancer Institute (NCI)RecruitingBladder Carcinoma | Kidney Carcinoma | Prostate Carcinoma | Genitourinary System NeoplasmUnited States
-
Chinese University of Hong KongRecruiting
-
Erasmus Medical CenterNot yet recruiting
-
VA Office of Research and DevelopmentRecruiting
-
Maimonides Medical CenterFoundation for Prader-Willi ResearchRecruitingBody Weight | Hyperphagia | Prader-Willi Syndrome | Mood | Behavior | Excessive Daytime SleepinessUnited States
-
University of OuluOulu University Hospital; University of Eastern Finland; ODL Terveys Oy; Valkee OyUnknownSeasonal Affective DisorderFinland
-
Universidade da CoruñaCompletedDementia | Mood | BehaviorSpain
-
Hospices Civils de LyonCompleted