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Ceftriaxone in the Management of Bipolar Depression

This study is currently recruiting participants.
Study NCT00566111.   Last updated on July 31, 2008.   Information provided by Yale University

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Descriptive Information Fields
Brief Title  Ceftriaxone in the Management of Bipolar Depression
Official Title  Modulation of Glutamatergic Neurotransmission in the Treatment of Bipolar Depression
Brief Summary

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.

Detailed Description
Study Phase
Study Type  Interventional
Study Design  Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Parallel Assignment, Efficacy Study
Primary Outcome Measure  Change in Hamilton Depression Rating Scale (HDRS) score from baseline. [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]
Secondary Outcome Measure  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 ]
Condition  Bipolar Depression
Intervention  Drug: ceftriaxone
Drug: Saline solution
MEDLINE PMIDs 16860779,   15635412
Links
Recruitment Information Fields
Recruitment Status  Recruiting
Enrollment  30
Start Date  September 2007
Completion Date October 2010
Eligibility 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
Gender Both
Ages 18 Years to 65 Years
Accepts Healthy Volunteers No
Contacts ††
Contact: Kathleen Maloney, BA     203-974-7496     kathleen.maloney@yale.edu    
Contact: Jason Chen, BA     203-974-7559     jason.chen.jc64@yale.edu    
Location Countries  United States
Administrative Information Fields
NCT ID  NCT00566111
Organization ID 06T-812
Secondary IDs †† HIC#0704002567
Study Sponsor  Yale University
Collaborators †† Stanley Medical Research Institute
Investigators 
Principal Investigator:     Zubin Bhagwagar, MD PhD     Yale University    
Information Provided By Yale University
Verification Date July 2008
First Received Date  November 29, 2007
Last Updated Date July 31, 2008

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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