Chronobiology, Sleep Related Risk Factors and Light Therapy in Perinatal Depression: the Life-ON Project

NCT ID: NCT02664467

Last Updated: 2021-03-04

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

COMPLETED

Clinical Phase

NA

Total Enrollment

450 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-05-31

Study Completion Date

2020-11-30

Brief Summary

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In a 3 years longitudinal, observational, multicentre study, about 500 women will be recruited and followed-up from early pregnancy (10-15 gestational week) until 12 months after delivery. The primary aim of the present study is to systematically explore and characterize risk factors for perinatal depression (PND) by prospective sleep assessment (using wrist actigraphy, polysomnography and various sleep questionnaires) and blood based analysis of potential markers during the perinatal period (Life-ON study). Secondary aims are to explore the relationship between specific genetic polymorphisms and PND (substudy Life-ON1), to investigate the effectiveness of BLT in treating PND (substudy Life-ON2) and to test whether a short term trial of BLT during pregnancy can prevent PND (substudy Life-ON3).

The characterization of specific predictive and risk factors for PND may substantially contribute to improve preventive medical and social strategies for the affected women. The study results are expected to promote a better understanding of the relationship between sleep disorders and the development of PND and to confirm, in a large sample of women, the safety and efficacy of BLT both in prevention and treatment of PND.

Detailed Description

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Conditions

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Depression Depression, Postpartum Depressive Disorder Depressive Disorder, Major Mood Disorders Pregnancy Complications Puerperal Disorders

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Bright light therapy (BLT)

Bright light therapy (10'000 lux) for 30 minutes after wake-up using Philips EnergyUp EnergyLight HF3419/01

Group Type EXPERIMENTAL

Philips EnergyUp EnergyLight HF3419/01

Intervention Type DEVICE

Bright light therapy (10'000 lux) for 60 minutes after wake-up

Placebo dim light

Placebo dim light (50 lux) for 30 minutes after wake-up using Philips EnergyUp EnergyLight HF3419/01

Group Type PLACEBO_COMPARATOR

Philips EnergyUp EnergyLight HF3419/01

Intervention Type DEVICE

Placebo dim light (500 lux) for 60 minutes after wake-up

Interventions

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Philips EnergyUp EnergyLight HF3419/01

Bright light therapy (10'000 lux) for 60 minutes after wake-up

Intervention Type DEVICE

Philips EnergyUp EnergyLight HF3419/01

Placebo dim light (500 lux) for 60 minutes after wake-up

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Medically healthy
* Normal ocular function
* Gestational age between 10 to 15 weeks at time of screening
* Written informed consent

Exclusion Criteria

* Diagnosis of bipolar I or II disorder (DSM-5)
* Recent history (less than 6 months) or current major depression or an Edinburgh Postnatal Depression Scale (EPDS) score \> 12 at time of inclusion
* Any psychotic episode, substance abuse, recent history of suicide attempt (less than 12 months)
* Use of antidepressants or other pharmacologic treatments for depression in the last 6 months
* Fetal malformations and intrauterine fetal death
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of Bologna

OTHER

Sponsor Role collaborator

University of Milan

OTHER

Sponsor Role collaborator

University of Turin, Italy

OTHER

Sponsor Role collaborator

Ospedale Regionale di Lugano

OTHER

Sponsor Role lead

Responsible Party

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Mauro Manconi

Dr. med. Mauro Manconi

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Neurocenter of Southern Switzerland

Lugano, Canton Ticino, Switzerland

Site Status

Countries

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Switzerland

References

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Garbazza C, Cirignotta F, D'Agostino A, Cicolin A, Hackethal S, Wirz-Justice A, Cajochen C, Manconi M; "Life-ON" study group. Sustained remission from perinatal depression after bright light therapy: A pilot randomised, placebo-controlled trial. Acta Psychiatr Scand. 2022 Oct;146(4):350-356. doi: 10.1111/acps.13482. Epub 2022 Aug 3.

Reference Type DERIVED
PMID: 35876837 (View on PubMed)

Baiardi S, Cirignotta F, Cicolin A, Garbazza C, D'Agostino A, Gambini O, Giordano A, Canevini M, Zambrelli E, Marconi AM, Mondini S, Borgwardt S, Cajochen C, Rizzo N, Manconi M. Chronobiology, sleep-related risk factors and light therapy in perinatal depression: the "Life-ON" project. BMC Psychiatry. 2016 Nov 4;16(1):374. doi: 10.1186/s12888-016-1086-0.

Reference Type DERIVED
PMID: 27814712 (View on PubMed)

Other Identifiers

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ORLugano

Identifier Type: -

Identifier Source: org_study_id

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