Clinical Trial of a Nutritional Supplement in Adults With Bipolar Disorder

This study has been terminated.
(Unable to recruit large enough sample; large expectancy effects but no adverse events)
Sponsor:
Collaborator:
Alberta Innovation and Science
Information provided by (Responsible Party):
Bonnie Kaplan, University of Calgary
ClinicalTrials.gov Identifier:
NCT00109577
First received: April 28, 2005
Last updated: September 11, 2012
Last verified: September 2012

April 28, 2005
September 11, 2012
April 2005
March 2009   (final data collection date for primary outcome measure)
Mood as Evaluated by the Overall Bipolarity Index (Composite of the Hamilton Depression Scale and the Young Mania Rating Scale) [ Time Frame: Baseline to 8 weeks ] [ Designated as safety issue: No ]
Change in mood from baseline to final visit, as evaluated by the Overall Bipolarity Index (composite of the Hamilton Depression Scale and the Young Mania Rating Scale); minimum possible score is 0 and maximum possible score is 103; higher scores mean worse symptomatology
Mood as evaluated by the Overall Bipolarity Index (composite of the Hamilton Depression Scale and the Young Mania Rating Scale)
Complete list of historical versions of study NCT00109577 on ClinicalTrials.gov Archive Site
  • Global Clinical Impressions [ Time Frame: Baseline to 8 weeks ] [ Designated as safety issue: No ]
  • Outcome Questionnaire --- a Self-report Questionnaire [ Time Frame: Baseline to 8 weeks ] [ Designated as safety issue: No ]
  • Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) [ Time Frame: Baseline to 8 weeks ] [ Designated as safety issue: No ]
  • Global Clinical Impressions
  • Outcome Questionnaire --- a self-report questionnaire
  • Medical Outcomes Study 36-Item Short Form Health Survey (SF-36)
Not Provided
Not Provided
 
Clinical Trial of a Nutritional Supplement in Adults With Bipolar Disorder
Randomized Placebo-controlled Phase II Trial of MCN36 in Adults With Bipolar Disorder

The purpose of the trial was to determine whether a 36-ingredient micronutrient supplement (primarily vitamins and minerals) is beneficial for the treatment of bipolar disorder, when studied under randomized and fully blinded conditions and compared to a placebo. The supplement is referred to as MCN36, because it contains 36 nutrients. Based on the preliminary research on this supplement, it is hypothesized that patients who take MCN36 for 8 weeks will experience improved mood stability relative to those who take the placebo. All participants must live EITHER in the vicinity of Calgary, Alberta, Canada, OR in the area of San Diego, California.

This RCT (randomized clinical trial) compared MCN36 to placebo in patients randomized to receive one or the other for 8 weeks. Close medical supervision was provided with weekly appointments. At the end of the 8 weeks, all participants were offered the opportunity of entering an 8-week open-label extension.

The efficacy objective of this study was to assess the efficacy of MCN36 compared with placebo in otherwise medication-free adults with bipolar disorder I and II, in improving overall symptomatology at the end of 8 weeks of therapy as assessed under randomized and fully blinded conditions

  • as measured by the clinician using the Overall Bipolarity Index (OBI) (primary outcome measure).
  • as measured by the clinician using the Clinical Global Impressions for Bipolar Disorder (CGI-BP) for Severity.
  • as measured by self-report recorded on the Outcome Questionnaire (OQ).
  • in terms of rate of response, with response defined as a reduction of 50% or more in either the depression or the mood elevation component of the OBI.
  • in terms of functional states and health-related quality of life as measured by The Medical Outcomes Study 36-Item Short Form Health Survey (SF-36).

The safety-related objective was to assess the safety of MCN36 compared with placebo in terms of

  • laboratory analyses
  • treatment-emergent adverse events, which will be solicited at each appointment using the Adverse Event Log.

Participants had two appointments for screening and confirming suitability for the trial. Between those two appointments, they provided a blood sample, and met with a research nurse. They also kept a 7-day food record of their food intake prior to the second appointment. If suitability was confirmed at the second visit, they entered the randomized phase.

Interventional
Phase 2
Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Bipolar Disorder
  • Drug: MCN36 (nutritional supplement)
    nutritional supplement
  • Drug: Placebo
    nutritional supplement
  • Placebo Comparator: 2
    Placebo comparator, 6 placebo capsules three times a day
    Intervention: Drug: Placebo
  • Experimental: 1
    nutritional supplement intervention, 6 nutritional supplement capsules three times a day; the nutritional supplement is a 36-ingredient micronutrient supplement (primarily vitamins and minerals) and is referred to as MCN36, because it contains 36 nutrients.
    Intervention: Drug: MCN36 (nutritional supplement)

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Terminated
40
March 2009
March 2009   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Must meet the criteria for bipolar disorder I or II as defined in DSM-IV-TR based on clinical assessment and confirmed by structured diagnostic interview (SCID-P).
  • Must be symptomatic on the Hamilton Depression Scale and the Young Mania Rating Scale
  • Must be free of medications or herbal/nutritional supplements with primarily central nervous system activity
  • Must be able to eat at least a snack three times per day, so that the capsules will not be ingested on an empty stomach

Exclusion Criteria:

  • Current or lifetime diagnosis of any of the following according to DSM-IV-TR criteria: Schizophrenia, Schizophreniform Disorder, Schizoaffective Disorder, Delusional Disorder, Psychotic Disorder Not Otherwise Specified, Delirium of any type, Dementia of any type, Amnestic Disorder, unless there is substantive reason to believe the patient was misdiagnosed.
  • Alcohol dependence or abuse in the previous six months.
  • Dependence or abuse of substances other than alcohol in the previous two years.
  • Any Psychotic Disorder due to a General Medical Condition in the previous two years
  • Hospitalization for treatment of a mental disorder within the previous 6 months.
  • Current use of any other medication or herbal/nutritional supplement with primarily central nervous system activity.
  • Neurological disorder involving brain or other central function.
  • Severe headaches of any type (including migraine) within the previous 3 months.
  • Unstable illnesses either with active significant symptoms or requiring medication changes within the previous 4 months.
  • Abnormal laboratory values detected at screening, in particular an ALT or AST greater than 2 times the upper limit of normal, or creatinine greater than 1.75 times the upper limit of normal.
  • Uncorrected or unstable hypothyroidism or hyperthyroidism in the previous 12 months.
  • Medically diagnosed Irritable Bowel Syndrome, or any other chronic gastrointestinal problem, within the previous 3 years.
  • Current or lifetime metabolic disorder or problem, such as phenylketonuria or Wilson's disease.
  • A course of treatment with electroconvulsive therapy (ECT) within the previous 12 months, or a lifetime history of four or more courses of ECT.
  • Current bacterial, viral, fungal, parasite or other infection.
  • Women who are pregnant or breast-feeding; women of childbearing potential who are not using a medically accepted means of contraception when engaging in sexual intercourse.
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
United States,   Canada
 
NCT00109577
18229, AIS99-03A (01406-005-23)
Yes
Bonnie Kaplan, University of Calgary
University of Calgary
Alberta Innovation and Science
Principal Investigator: Bonnie J Kaplan, PhD University of Calgary
University of Calgary
September 2012

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP