Study of the Genetic and Environmental Factors of Vulnerability in Bipolar Disorders

NCT ID: NCT02627404

Last Updated: 2015-12-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-09-30

Study Completion Date

2018-09-30

Brief Summary

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Bipolar disorder is a complex, multifactorial disorder with the intervention of genetic vulnerability factors. To help the identification of these genetic factors and to improve genotype-phenotype correlation, the identification of endophenotype through the exploration of vulnerability characteristics in unaffected first degree relatives have been recommended. For this purpose, the investigator include bipolar patients, unaffected first degree relatives and control subjects to perform genetic association studies and subphenotype analyses. In this study the investigator will focus on subgroups defined according to the existence of abnormal circadian rhythm (a major indicator of bipolar vulnerability).

Lithium is the leading treatment of bipolar disorders but prophylactic lithium response is highly variable and difficult to predict due to lack of biomarkers of response. To explore lithium response variability and to identify biomarkers of response, the investigator characterise lithium response using "ALDA" scale to conduct pharmacogenetic studies and pharmacokinetic studies of lithium extended release, in the subpopulation of patients treated with lithium. As lithium is a circadian agent, the investigator will also explore the links between lithium response and circadian phenotypes. Finally, using Li7 magnetic spectroscopy, the investigator will compare lithium brain distribution in a small sample of good and partial responders to lithium.

Detailed Description

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Conditions

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Bipolar Disorder

Keywords

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Bipolar disorders Genetic Biomarkers Circadian rhythm

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Main module

Blood sample

Group Type OTHER

Blood sample

Intervention Type OTHER

A blood sample is taken at inclusion of patients in the study to perform DNA analysis

actometer

Intervention Type DEVICE

To evaluate the quality of sleep, questionnaires are completed and patients wear an actometer for 21 days. They will also complete a sleep diary

Interventions

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Blood sample

A blood sample is taken at inclusion of patients in the study to perform DNA analysis

Intervention Type OTHER

actometer

To evaluate the quality of sleep, questionnaires are completed and patients wear an actometer for 21 days. They will also complete a sleep diary

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patients with Bipolar I, II or Not Otherwise Specified (NOS) disorders
* Euthymic
* Age \> 18
* Affiliated to the French social health care system
* Somatic state compatible with a blood test
* Informed consent signed for the study
* European

Exclusion Criteria

* Patients major protected
* Patients adopted
* Geographical origin of grandparents unknown
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Paris, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Frank Bellivier, MD, PhD

Role: CONTACT

Phone: (0)1 40 05 42 25

Email: [email protected]

Bruno Etain, MD

Role: CONTACT

Phone: (0)1 49 81 32 90

Email: [email protected]

Facility Contacts

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Frank BELLIVIER, MD, PHD

Role: primary

Florence Couppey, CRA

Role: backup

References

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Hennion V, Scott J, Martinot V, Benizri C, Marie-Claire C, Bellivier F, Etain B. Associations between actigraphy estimates of sleep and circadian rhythmicity and psychotropic medications in bipolar disorders: An exploratory study. J Affect Disord. 2024 Mar 1;348:224-228. doi: 10.1016/j.jad.2023.12.075. Epub 2023 Dec 29.

Reference Type DERIVED
PMID: 38159652 (View on PubMed)

Loftus J, Scott J, Vorspan F, Icick R, Henry C, Gard S, Kahn JP, Leboyer M, Bellivier F, Etain B. Psychiatric comorbidities in bipolar disorders: An examination of the prevalence and chronology of onset according to sex and bipolar subtype. J Affect Disord. 2020 Apr 15;267:258-263. doi: 10.1016/j.jad.2020.02.035. Epub 2020 Feb 19.

Reference Type DERIVED
PMID: 32217226 (View on PubMed)

Geoffroy PA, Micoulaud Franchi JA, Maruani J, Philip P, Boudebesse C, Benizri C, Yeim S, Benard V, Brochard H, Leboyer M, Bellivier F, Etain B. Clinical characteristics of obstructive sleep apnea in bipolar disorders. J Affect Disord. 2019 Feb 15;245:1-7. doi: 10.1016/j.jad.2018.10.096. Epub 2018 Oct 9.

Reference Type DERIVED
PMID: 30359809 (View on PubMed)

Richard-Lepouriel H, Kung AL, Hasler R, Bellivier F, Prada P, Gard S, Ardu S, Kahn JP, Dayer A, Henry C, Aubry JM, Leboyer M, Perroud N, Etain B. Impulsivity and its association with childhood trauma experiences across bipolar disorder, attention deficit hyperactivity disorder and borderline personality disorder. J Affect Disord. 2019 Feb 1;244:33-41. doi: 10.1016/j.jad.2018.07.060. Epub 2018 Aug 6.

Reference Type DERIVED
PMID: 30336349 (View on PubMed)

Other Identifiers

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2008-A01465-50

Identifier Type: OTHER

Identifier Source: secondary_id

P111002

Identifier Type: -

Identifier Source: org_study_id