Observation of Clozapine Treatment Safety in Bipolar Disorder.

NCT ID: NCT06011460

Last Updated: 2023-08-25

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

ENROLLING_BY_INVITATION

Total Enrollment

30 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-02-23

Study Completion Date

2027-06-30

Brief Summary

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The purpose of the registry is to record incidence of adverse events during treatment with clozapine in patients suffering from bipolar disorder.

Detailed Description

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Bipolar disorder, with its spectrum, remains a life-long and significant mental health concern due to its unpredictable nature and varied symptomatology. Despite the wide array of available treatments, some cases of bipolar disorder remain resistant to traditional medications. Clozapine, traditionally used for treatment-resistant schizophrenia, has shown promising results in managing resistant cases of bipolar disorder, particularly reducing the risk of suicide. There are not enough controlled studies on clozapine, especially in treatment resistant bipolar depression.

There are certain limitations associated with the use of clozapine, primarily related to the possibility of adverse events including agranulocytosis, myocarditis, pneumonia, intestinal obstruction and seizures. Therefore, there is a need for more studies on safety and tolerability of this treatment in patients with bipolar disorder.

Conditions

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Bipolar Disorder

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients' name

Diagnosis of treatment-resistant depressive episode in the course of bipolar disorder according to Diagnostic and Statistical Manual of Mental Disorders-5. Age from 18 to 65 years old.

Clozapine

Intervention Type DRUG

Diagnosis of treatment-resistant depressive episode in the course of bipolar disorder according to Diagnostic and Statistical Manual of Mental Disorders (DSM-5).

Age from 18 to 65 years old.

Interventions

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Clozapine

Diagnosis of treatment-resistant depressive episode in the course of bipolar disorder according to Diagnostic and Statistical Manual of Mental Disorders (DSM-5).

Age from 18 to 65 years old.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of treatment-resistant depressive episode in the course of bipolar disorder according to DSM-5.
* Age from 18 to 65 years old.

Exclusion Criteria

* Patients unable to give fully written informed consent
* Patients unable to comply with the requirements
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medical University of Gdansk

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Wiesław J Cubała, M.D. PhD

Role: PRINCIPAL_INVESTIGATOR

Medican University of Gdańsk

Locations

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Department of Psychiatry, Medical University of Gdańsk

Gdansk, Pomeranian Voivodeship, Poland

Site Status

Countries

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Poland

References

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Wilkowska A, Wiglusz MS, Cubala WJ. Clozapine: promising treatment for suicidality in bipolar disorder. Psychiatr Danub. 2019 Sep;31(Suppl 3):574-578.

Reference Type BACKGROUND
PMID: 31488793 (View on PubMed)

Wilkowska A, Cubala WJ. Clozapine As Transformative Treatment In Bipolar Patients. Neuropsychiatr Dis Treat. 2019 Oct 9;15:2901-2905. doi: 10.2147/NDT.S227196. eCollection 2019.

Reference Type BACKGROUND
PMID: 31632038 (View on PubMed)

Wilkowska A, Wiglusz MS, Cubala WJ. Clozapine in Treatment-Resistant Bipolar Disorder With Suicidality. Three Case Reports. Front Psychiatry. 2019 Jul 19;10:520. doi: 10.3389/fpsyt.2019.00520. eCollection 2019.

Reference Type BACKGROUND
PMID: 31379632 (View on PubMed)

Delgado A, Velosa J, Zhang J, Dursun SM, Kapczinski F, de Azevedo Cardoso T. Clozapine in bipolar disorder: A systematic review and meta-analysis. J Psychiatr Res. 2020 Jun;125:21-27. doi: 10.1016/j.jpsychires.2020.02.026. Epub 2020 Feb 27.

Reference Type BACKGROUND
PMID: 32182485 (View on PubMed)

Other Identifiers

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NKBBN/355-183/2023

Identifier Type: -

Identifier Source: org_study_id

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