Cognitive, Morphological and Neurobiological Progressive Aspects in Bipolar Disorders in the Elderly: Toward to a Neurodegenerescence Detection?

NCT ID: NCT02843906

Last Updated: 2016-07-26

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

180 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-07-31

Study Completion Date

2018-07-31

Brief Summary

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The purpose of this study is to identify association between cerebrospinal fluid Alzheimer's Disease's neurodegenerescence biomarkers (tau, ptau, Aß40 and Aß1-42) and occurrence of cognitive deficits in older patients with bipolar disorders.

Detailed Description

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Conditions

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Senile Plaques Tau Proteins Alzheimer Disease Bipolar Disorders Mild Cognitive Impairment

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SCREENING

Blinding Strategy

NONE

Study Groups

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BD/CD +

Lombar punction, RMI, TEP/FDG, ApoE detection, psychiatric tests, neuropsychological tests

Group Type ACTIVE_COMPARATOR

Lombar Punction

Intervention Type PROCEDURE

cerebrospinal fluid testing at screening and M36

Magnetic Resonance Imaging (MRI)

Intervention Type RADIATION

MRI done at screening and M36

Positron-Emission Tomography (TEP) /(FDG)

Intervention Type RADIATION

TEP/FDG done at screening and M36

Psychiatric tests

Intervention Type OTHER

Neuropsychological Tests

Intervention Type OTHER

done at screening, M12, M24 and M36

Apolipoprotein (ApoE) detection

Intervention Type GENETIC

ApoE detection done at screening

BD/CD -

Lombar punction, RMI, TEP/FDG, ApoE detection, psychiatric tests, neuropsychological tests

Group Type ACTIVE_COMPARATOR

Lombar Punction

Intervention Type PROCEDURE

cerebrospinal fluid testing at screening and M36

Magnetic Resonance Imaging (MRI)

Intervention Type RADIATION

MRI done at screening and M36

Positron-Emission Tomography (TEP) /(FDG)

Intervention Type RADIATION

TEP/FDG done at screening and M36

Psychiatric tests

Intervention Type OTHER

Neuropsychological Tests

Intervention Type OTHER

done at screening, M12, M24 and M36

Apolipoprotein (ApoE) detection

Intervention Type GENETIC

ApoE detection done at screening

a-MCI

Lombar punction, RMI, TEP/FDG, ApoE detection, psychiatric tests, neuropsychological tests

Group Type ACTIVE_COMPARATOR

Lombar Punction

Intervention Type PROCEDURE

cerebrospinal fluid testing at screening and M36

Magnetic Resonance Imaging (MRI)

Intervention Type RADIATION

MRI done at screening and M36

Positron-Emission Tomography (TEP) /(FDG)

Intervention Type RADIATION

TEP/FDG done at screening and M36

Psychiatric tests

Intervention Type OTHER

Neuropsychological Tests

Intervention Type OTHER

done at screening, M12, M24 and M36

Apolipoprotein (ApoE) detection

Intervention Type GENETIC

ApoE detection done at screening

Interventions

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Lombar Punction

cerebrospinal fluid testing at screening and M36

Intervention Type PROCEDURE

Magnetic Resonance Imaging (MRI)

MRI done at screening and M36

Intervention Type RADIATION

Positron-Emission Tomography (TEP) /(FDG)

TEP/FDG done at screening and M36

Intervention Type RADIATION

Psychiatric tests

Intervention Type OTHER

Neuropsychological Tests

done at screening, M12, M24 and M36

Intervention Type OTHER

Apolipoprotein (ApoE) detection

ApoE detection done at screening

Intervention Type GENETIC

Eligibility Criteria

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Inclusion Criteria

* male or female subject aged between 60 and 80 years old
* in patient or out-patient at one of the centers participating in the study
* Mini-mental state examination (MMSE) score \> 20 at baseline
* patient with diagnostic of amnestic-Mild Cognitive Impairment
* patients suffering of bipolar disorders type I or II
* in remitted (euthymic) state at baseline

Exclusion Criteria

* pre-existing history of dementia
* history of neurologic disorder
* lifetime history of a severe psychiatric disorder other than bipolar disorders
* current medical problems
* patients treated with electroconvulsive therapy within the past six months
* patients with substance abuse or dependence within the past 12 months
* patients hospitalized without consent
Minimum Eligible Age

60 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Tours

OTHER

Sponsor Role collaborator

Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role collaborator

University Hospital, Marseille

OTHER

Sponsor Role collaborator

Hospices Civils de Lyon

OTHER

Sponsor Role collaborator

Centre Hospitalier Universitaire de Besancon

OTHER

Sponsor Role collaborator

Central Hospital, Nancy, France

OTHER

Sponsor Role collaborator

University Hospital, Clermont-Ferrand

OTHER

Sponsor Role collaborator

Versailles Hospital

OTHER

Sponsor Role collaborator

University Hospital, Montpellier

OTHER

Sponsor Role collaborator

Reims University hospital

OTHER

Sponsor Role collaborator

Centre Hospitalier Princesse Grace

OTHER

Sponsor Role collaborator

University Hospital, Grenoble

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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BOUGEROL BT Thierry, Professor

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Grenoble

Locations

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University Hospital, Tours

Tours, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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COHEN CL Lora, Doctor

Role: CONTACT

33476766089

Facility Contacts

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Camus CV Vincent, Professor

Role: primary

References

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Ali SO, Denicoff KD, Altshuler LL, Hauser P, Li X, Conrad AJ, Smith-Jackson EE, Leverich GS, Post RM. Relationship between prior course of illness and neuroanatomic structures in bipolar disorder: a preliminary study. Neuropsychiatry Neuropsychol Behav Neurol. 2001 Oct-Dec;14(4):227-32.

Reference Type BACKGROUND
PMID: 11725216 (View on PubMed)

Amieva H, Le Goff M, Millet X, Orgogozo JM, Peres K, Barberger-Gateau P, Jacqmin-Gadda H, Dartigues JF. Prodromal Alzheimer's disease: successive emergence of the clinical symptoms. Ann Neurol. 2008 Nov;64(5):492-8. doi: 10.1002/ana.21509.

Reference Type BACKGROUND
PMID: 19067364 (View on PubMed)

Bora E, Vahip S, Gonul AS, Akdeniz F, Alkan M, Ogut M, Eryavuz A. Evidence for theory of mind deficits in euthymic patients with bipolar disorder. Acta Psychiatr Scand. 2005 Aug;112(2):110-6. doi: 10.1111/j.1600-0447.2005.00570.x.

Reference Type BACKGROUND
PMID: 15992392 (View on PubMed)

Chetelat G, Eustache F, Viader F, De La Sayette V, Pelerin A, Mezenge F, Hannequin D, Dupuy B, Baron JC, Desgranges B. FDG-PET measurement is more accurate than neuropsychological assessments to predict global cognitive deterioration in patients with mild cognitive impairment. Neurocase. 2005 Feb;11(1):14-25. doi: 10.1080/13554790490896938.

Reference Type BACKGROUND
PMID: 15804920 (View on PubMed)

Chetelat G, Desgranges B, Eustache F. [Brain profile of hypometabolism in early Alzheimer's disease: relationships with cognitive deficits and atrophy]. Rev Neurol (Paris). 2006 Oct;162(10):945-51. doi: 10.1016/s0035-3787(06)75104-9. French.

Reference Type BACKGROUND
PMID: 17028562 (View on PubMed)

Corder EH, Saunders AM, Strittmatter WJ, Schmechel DE, Gaskell PC, Small GW, Roses AD, Haines JL, Pericak-Vance MA. Gene dose of apolipoprotein E type 4 allele and the risk of Alzheimer's disease in late onset families. Science. 1993 Aug 13;261(5123):921-3. doi: 10.1126/science.8346443.

Reference Type BACKGROUND
PMID: 8346443 (View on PubMed)

Delaloye C, Moy G, Baudois S, de Bilbao F, Remund CD, Hofer F, Ragno Paquier C, Campos L, Weber K, Gold G, Moussa A, Meiler CC, Giannakopoulos P. Cognitive features in euthymic bipolar patients in old age. Bipolar Disord. 2009 Nov;11(7):735-43. doi: 10.1111/j.1399-5618.2009.00741.x. Epub 2009 Aug 28.

Reference Type BACKGROUND
PMID: 19719786 (View on PubMed)

Delaloye C, Moy G, de Bilbao F, Weber K, Baudois S, Haller S, Xekardaki A, Canuto A, Giardini U, Lovblad KO, Gold G, Giannakopoulos P. Longitudinal analysis of cognitive performances and structural brain changes in late-life bipolar disorder. Int J Geriatr Psychiatry. 2011 Dec;26(12):1309-18. doi: 10.1002/gps.2683. Epub 2011 Mar 10.

Reference Type BACKGROUND
PMID: 21394788 (View on PubMed)

Doring TM, Kubo TT, Cruz LC Jr, Juruena MF, Fainberg J, Domingues RC, Gasparetto EL. Evaluation of hippocampal volume based on MR imaging in patients with bipolar affective disorder applying manual and automatic segmentation techniques. J Magn Reson Imaging. 2011 Mar;33(3):565-72. doi: 10.1002/jmri.22473.

Reference Type BACKGROUND
PMID: 21563239 (View on PubMed)

Ewers M, Buerger K, Teipel SJ, Scheltens P, Schroder J, Zinkowski RP, Bouwman FH, Schonknecht P, Schoonenboom NS, Andreasen N, Wallin A, DeBernardis JF, Kerkman DJ, Heindl B, Blennow K, Hampel H. Multicenter assessment of CSF-phosphorylated tau for the prediction of conversion of MCI. Neurology. 2007 Dec 11;69(24):2205-12. doi: 10.1212/01.wnl.0000286944.22262.ff.

Reference Type BACKGROUND
PMID: 18071141 (View on PubMed)

Fagan AM, Mintun MA, Shah AR, Aldea P, Roe CM, Mach RH, Marcus D, Morris JC, Holtzman DM. Cerebrospinal fluid tau and ptau(181) increase with cortical amyloid deposition in cognitively normal individuals: implications for future clinical trials of Alzheimer's disease. EMBO Mol Med. 2009 Nov;1(8-9):371-80. doi: 10.1002/emmm.200900048.

Reference Type BACKGROUND
PMID: 20049742 (View on PubMed)

Hindley NJ, Jobst KA, King E, Barnetson L, Smith A, Haigh AM. High acceptability and low morbidity of diagnostic lumbar puncture in elderly subjects of mixed cognitive status. Acta Neurol Scand. 1995 May;91(5):405-11. doi: 10.1111/j.1600-0404.1995.tb07029.x.

Reference Type BACKGROUND
PMID: 7639073 (View on PubMed)

Jones LD, Payne ME, Messer DF, Beyer JL, MacFall JR, Krishnan KR, Taylor WD. Temporal lobe volume in bipolar disorder: relationship with diagnosis and antipsychotic medication use. J Affect Disord. 2009 Apr;114(1-3):50-7. doi: 10.1016/j.jad.2008.07.003. Epub 2008 Aug 8.

Reference Type BACKGROUND
PMID: 18691766 (View on PubMed)

Kessing LV, Nilsson FM. Increased risk of developing dementia in patients with major affective disorders compared to patients with other medical illnesses. J Affect Disord. 2003 Feb;73(3):261-9. doi: 10.1016/s0165-0327(02)00004-6.

Reference Type BACKGROUND
PMID: 12547295 (View on PubMed)

Kessing LV, Andersen PK. Does the risk of developing dementia increase with the number of episodes in patients with depressive disorder and in patients with bipolar disorder? J Neurol Neurosurg Psychiatry. 2004 Dec;75(12):1662-6. doi: 10.1136/jnnp.2003.031773.

Reference Type BACKGROUND
PMID: 15548477 (View on PubMed)

Li G, Sokal I, Quinn JF, Leverenz JB, Brodey M, Schellenberg GD, Kaye JA, Raskind MA, Zhang J, Peskind ER, Montine TJ. CSF tau/Abeta42 ratio for increased risk of mild cognitive impairment: a follow-up study. Neurology. 2007 Aug 14;69(7):631-9. doi: 10.1212/01.wnl.0000267428.62582.aa.

Reference Type BACKGROUND
PMID: 17698783 (View on PubMed)

Masouy A, Chopard G, Vandel P, Magnin E, Rumbach L, Sechter D, Haffen E. Bipolar disorder and dementia: where is the link? Psychogeriatrics. 2011 Mar;11(1):60-7. doi: 10.1111/j.1479-8301.2010.00348.x.

Reference Type BACKGROUND
PMID: 21447111 (View on PubMed)

Martino DJ, Igoa A, Marengo E, Scapola M, Ais ED, Strejilevich SA. Cognitive and motor features in elderly people with bipolar disorder. J Affect Disord. 2008 Jan;105(1-3):291-5. doi: 10.1016/j.jad.2007.05.014. Epub 2007 Jun 18.

Reference Type BACKGROUND
PMID: 17573121 (View on PubMed)

Meeks S. Bipolar disorder in the latter half of life: symptom presentation, global functioning and age of onset. J Affect Disord. 1999 Jan-Mar;52(1-3):161-7. doi: 10.1016/s0165-0327(98)00069-x.

Reference Type BACKGROUND
PMID: 10357029 (View on PubMed)

Peskind E, Nordberg A, Darreh-Shori T, Soininen H. Safety of lumbar puncture procedures in patients with Alzheimer's disease. Curr Alzheimer Res. 2009 Jun;6(3):290-2. doi: 10.2174/156720509788486509.

Reference Type BACKGROUND
PMID: 19519311 (View on PubMed)

Peskind ER, Riekse R, Quinn JF, Kaye J, Clark CM, Farlow MR, Decarli C, Chabal C, Vavrek D, Raskind MA, Galasko D. Safety and acceptability of the research lumbar puncture. Alzheimer Dis Assoc Disord. 2005 Oct-Dec;19(4):220-5. doi: 10.1097/01.wad.0000194014.43575.fd.

Reference Type BACKGROUND
PMID: 16327349 (View on PubMed)

Preuss UW, Watzke S, Choi JH. Diagnostic correlates of Alzheimer dementia in a U.S. Nationwide inpatient sample. Am J Geriatr Psychiatry. 2010 Sep;18(9):821-9. doi: 10.1097/JGP.0b013e3181ca3a13.

Reference Type BACKGROUND
PMID: 20220586 (View on PubMed)

Saunders AM, Strittmatter WJ, Schmechel D, George-Hyslop PH, Pericak-Vance MA, Joo SH, Rosi BL, Gusella JF, Crapper-MacLachlan DR, Alberts MJ, et al. Association of apolipoprotein E allele epsilon 4 with late-onset familial and sporadic Alzheimer's disease. Neurology. 1993 Aug;43(8):1467-72. doi: 10.1212/wnl.43.8.1467.

Reference Type BACKGROUND
PMID: 8350998 (View on PubMed)

Tapiola T, Alafuzoff I, Herukka SK, Parkkinen L, Hartikainen P, Soininen H, Pirttila T. Cerebrospinal fluid beta-amyloid 42 and tau proteins as biomarkers of Alzheimer-type pathologic changes in the brain. Arch Neurol. 2009 Mar;66(3):382-9. doi: 10.1001/archneurol.2008.596.

Reference Type BACKGROUND
PMID: 19273758 (View on PubMed)

Thomann PA, Kaiser E, Schonknecht P, Pantel J, Essig M, Schroder J. Association of total tau and phosphorylated tau 181 protein levels in cerebrospinal fluid with cerebral atrophy in mild cognitive impairment and Alzheimer disease. J Psychiatry Neurosci. 2009 Mar;34(2):136-42.

Reference Type BACKGROUND
PMID: 19270764 (View on PubMed)

Vemuri P, Wiste HJ, Weigand SD, Knopman DS, Trojanowski JQ, Shaw LM, Bernstein MA, Aisen PS, Weiner M, Petersen RC, Jack CR Jr; Alzheimer's Disease Neuroimaging Initiative. Serial MRI and CSF biomarkers in normal aging, MCI, and AD. Neurology. 2010 Jul 13;75(2):143-51. doi: 10.1212/WNL.0b013e3181e7ca82.

Reference Type BACKGROUND
PMID: 20625167 (View on PubMed)

Verghese PB, Castellano JM, Holtzman DM. Apolipoprotein E in Alzheimer's disease and other neurological disorders. Lancet Neurol. 2011 Mar;10(3):241-52. doi: 10.1016/S1474-4422(10)70325-2.

Reference Type BACKGROUND
PMID: 21349439 (View on PubMed)

Wingo AP, Harvey PD, Baldessarini RJ. Neurocognitive impairment in bipolar disorder patients: functional implications. Bipolar Disord. 2009 Mar;11(2):113-25. doi: 10.1111/j.1399-5618.2009.00665.x.

Reference Type BACKGROUND
PMID: 19267694 (View on PubMed)

Zetterberg H, Tullhog K, Hansson O, Minthon L, Londos E, Blennow K. Low incidence of post-lumbar puncture headache in 1,089 consecutive memory clinic patients. Eur Neurol. 2010;63(6):326-30. doi: 10.1159/000311703. Epub 2010 Jun 3.

Reference Type BACKGROUND
PMID: 20516693 (View on PubMed)

Other Identifiers

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38RC13.217

Identifier Type: -

Identifier Source: org_study_id

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