Ceftriaxone in the Management of Bipolar Depression - Full Text View

Purpose

We aim to study the efficacy of intravenous ceftriaxone in a four-week, inpatient, placebo-controlled, double-blind study, as an augmentation therapy in patients with bipolar disorder, currently depressed, who have failed to respond to conventional treatments.

Condition	Intervention
Bipolar Depression	Drug: ceftriaxone Drug: Saline solution

MedlinePlus related topics:

Bipolar Disorder Depression

ChemIDplus related topics:

Sodium chloride Ceftriaxone Ceftriaxone Sodium

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Parallel Assignment, Efficacy Study

Official Title:	Modulation of Glutamatergic Neurotransmission in the Treatment of Bipolar Depression

Further study details as provided by Yale University:

Primary Outcome Measures:

Change in Hamilton Depression Rating Scale (HDRS) score from baseline. [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:

Change in score on the 16-item Quick Inventory of Depressive Symptoms (QIDS) from baseline. [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]
Number of subjects who achieve remission as defined by a HDRS score < 7. [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]
Change in Montgomery Asberg Depression Rating Scale (MADRS)score from baseline. [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]
Change in ratings on the Clinical Global Impressions Scale for Bipolar Disorder (CGI-BP). [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]

Estimated Enrollment:	30
Study Start Date:	September 2007
Estimated Study Completion Date:	October 2010
Estimated Primary Completion Date:	October 2010 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
A: Active Comparator	Drug: ceftriaxone 2g per day which will be administered IV via midline, 7 days a week for 4 weeks.
P: Placebo Comparator	Drug: Saline solution Saline solution will be administered IV via midline, 7 days a week for 4 weeks.

Eligibility

Ages Eligible for Study:	18 Years to 65 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

DSM-IV diagnosis of bipolar disorder
Presence of a current major depressive episode on the SCID
Score of 17 or greater on the HDRS
Failure to respond to two previous medication trials
Capable of giving voluntary written consent

Exclusion Criteria:

Hypersensitivity to penicillin or cephalosporin, resulting in anaphylaxis
Significant current substance dependence/abuse within 3 months preceding the trial
Significant history of intravenous drug abuse
Active suicidal ideation
Pregnant/lactating mothers
Significant medical history
Patients on anticoagulation treatment
Patients who test positive for HIV or Hep B or C

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00566111

Contacts


Contact: Kathleen Maloney, BA	203-974-7496	kathleen.maloney@yale.edu

Contact: Jason Chen, BA	203-974-7559	jason.chen.jc64@yale.edu

Locations


United States, Connecticut
	Yale University School of Medicine	Recruiting
	New Haven, Connecticut, United States, 06519
	Principal Investigator: Zubin Bhagwagar, MD PhD
	Principal Investigator: Gerard Sanacora, MD PhD

Sponsors and Collaborators

Yale University

Stanley Medical Research Institute

Investigators


Principal Investigator:	Zubin Bhagwagar, MD PhD	Yale University

More Information

Publications:

Mineur YS, Picciotto MR, Sanacora G. Antidepressant-like effects of ceftriaxone in male C57BL/6J mice. Biol Psychiatry. 2007 Jan 15;61(2):250-2. Epub 2006 Jul 24.

Rothstein JD, Patel S, Regan MR, Haenggeli C, Huang YH, Bergles DE, Jin L, Dykes Hoberg M, Vidensky S, Chung DS, Toan SV, Bruijn LI, Su ZZ, Gupta P, Fisher PB. Beta-lactam antibiotics offer neuroprotection by increasing glutamate transporter expression. Nature. 2005 Jan 6;433(7021):73-7.

Responsible Party:	Yale University ( Zubin Bhagwagar )
Study ID Numbers:	06T-812, HIC#0704002567
First Received:	November 29, 2007
Last Updated:	July 31, 2008
ClinicalTrials.gov Identifier:	NCT00566111
Health Authority:	United States: Food and Drug Administration

Keywords provided by Yale University:

Ceftriaxone

Acute Antidepressant Effects

Glutamatergic System

Double-Blind

Mood Disorders

Bipolar Disorder

Depression

Affective Disorders

Study placed in the following topic categories:

Affective Disorders, Psychotic

Depression

Mental Disorders

Bipolar Disorder

Mood Disorders

Psychotic Disorders

Ceftriaxone

Depressive Disorder

Behavioral Symptoms

Additional relevant MeSH terms:

Anti-Infective Agents

Anti-Bacterial Agents

Therapeutic Uses

Pharmacologic Actions

ClinicalTrials.gov processed this record on August 29, 2008

Sponsors and Collaborators:	Yale University Stanley Medical Research Institute
Information provided by:	Yale University
ClinicalTrials.gov Identifier:	NCT00566111