Oral Contraceptives for Treating Premenstrual Dysphoric Disorder in Bipolar Disorder

NCT ID: NCT05098574

Last Updated: 2024-09-23

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

PHASE2

Total Enrollment

17 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-02-03

Study Completion Date

2024-04-11

Brief Summary

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This study is a pilot, randomized, placebo-controlled trial evaluating the treatment of Premenstrual Dysphoric Disorder comorbid with Bipolar Disorder using combined oral contraceptives.

Lay Summary:

This study is being done with the hope of finding a safe and effective treatment for individuals who experience both bipolar disorder and severe premenstrual symptoms. As part of this clinical trial, participants will receive either a combined oral contraceptive (i.e. oral birth control pills) as a treatment for severe premenstrual symptoms or a placebo (a pill without any active components - similar to a sugar pill). People that are enrolled in this study will either receive the treatment or the placebo for a period of 90 days. During this time, people that are participating in the study will fill out some questionnaires, and their mental and physical health will be monitored by the study physicians.

One of the goals of this study is to also understand whether it is feasible (practical) to do a larger clinical trial using this treatment in this group of people.

Detailed Description

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Conditions

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Premenstrual Dysphoric Disorder Bipolar Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Combined oral contraceptive (3mg drospirenone/ 0.02mg ethinyl estradiol)

Continuous treatment with 3mg drospirenone/ 0.02mg ethinyl estradiol for 12 weeks

Group Type EXPERIMENTAL

Yaz

Intervention Type DRUG

Continuous treatment with 3mg drospirenone/ 0.02mg ethinyl estradiol for 12 weeks

Placebo

Continuous treatment with placebo for 12 weeks

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Appearance, packaging, and labeling of placebo will be matched to their active counterpart.

Interventions

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Yaz

Continuous treatment with 3mg drospirenone/ 0.02mg ethinyl estradiol for 12 weeks

Intervention Type DRUG

Placebo

Appearance, packaging, and labeling of placebo will be matched to their active counterpart.

Intervention Type DRUG

Other Intervention Names

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3mg drospirenone/ 0.02mg ethinyl estradiol

Eligibility Criteria

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Inclusion Criteria

* 16-45 years of age
* Diagnosis of BD (clinically euthymic) according to the DSM-5
* Diagnosis of PMDD according to the DSM-5
* Regular menstrual cycles
* No contraindication to use oral contraceptives
* Capable of consent for treatment

Exclusion Criteria

* Smoking and over the age of 35
* Current or recent (last month) use of systemic estrogen or progesterone treatment
* Severe reactions to hormone treatment
* Pregnant or breastfeeding
* Current substance use disorder
* Oophorectomy or hysterectomy
* Current unstable medical conditions
* History of current or past breast cancer, pancreatitis, migraines or blood clotting disorders.
Minimum Eligible Age

16 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Hamilton Academic Health Sciences Organization

OTHER

Sponsor Role collaborator

McMaster University

OTHER

Sponsor Role collaborator

St. Joseph's Healthcare Hamilton

OTHER

Sponsor Role lead

Responsible Party

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Benicio Frey

Psychiatrist/ Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Benicio N Frey, MD, MSc,PhD

Role: PRINCIPAL_INVESTIGATOR

St. Joseph's Healthcare Hamilton

Locations

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St Joseph's Healthcare Hamilton

Hamilton, Ontario, Canada

Site Status

Countries

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Canada

References

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Ma S, Song SJ. Oral contraceptives containing drospirenone for premenstrual syndrome. Cochrane Database Syst Rev. 2023 Jun 23;6(6):CD006586. doi: 10.1002/14651858.CD006586.pub5.

Reference Type DERIVED
PMID: 37365881 (View on PubMed)

Other Identifiers

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BDPMDD01

Identifier Type: -

Identifier Source: org_study_id

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