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Observation of Clozapine Treatment Safety in Bipolar Disorder. (CloGD)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT06011460
Recruitment Status : Enrolling by invitation
First Posted : August 25, 2023
Last Update Posted : August 25, 2023
Sponsor:
Information provided by (Responsible Party):
Medical University of Gdansk

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

Condition or disease Intervention/treatment
Bipolar Disorder Drug: Clozapine

Detailed Description:

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.

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Study Type : Observational [Patient Registry]
Estimated Enrollment : 30 participants
Observational Model: Case-Only
Time Perspective: Prospective
Target Follow-Up Duration: 1 Year
Official Title: Observation of Clozapine Treatment Safety in Bipolar Disorder.
Actual Study Start Date : February 23, 2023
Estimated Primary Completion Date : December 31, 2024
Estimated Study Completion Date : June 30, 2027

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Bipolar Disorder
Drug Information available for: Clozapine

Group/Cohort Intervention/treatment
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.
Drug: 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.





Primary Outcome Measures :
  1. Safety measures of clozapine treatment in patients with bipolar disorder. [ Time Frame: 1 year ]
    Incidence of possible occurrence of adverse events during treatment with clozapine in patients with bipolar disorder.



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Patients with bipolar disorder treated with clozapine.
Criteria

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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT06011460


Locations
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Poland
Department of Psychiatry, Medical University of Gdańsk
Gdańsk, Pomorskie, Poland, 80-214
Sponsors and Collaborators
Medical University of Gdansk
Investigators
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Principal Investigator: Wiesław J Cubała, M.D. PhD Medican University of Gdańsk
Publications:
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Responsible Party: Medical University of Gdansk
ClinicalTrials.gov Identifier: NCT06011460    
Other Study ID Numbers: NKBBN/355-183/2023
First Posted: August 25, 2023    Key Record Dates
Last Update Posted: August 25, 2023
Last Verified: August 2023

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Product Manufactured in and Exported from the U.S.: No
Keywords provided by Medical University of Gdansk:
clozapine
bipolar disorder
suicidality
adverse events
Additional relevant MeSH terms:
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Bipolar Disorder
Bipolar and Related Disorders
Mood Disorders
Mental Disorders
Clozapine
Serotonin Antagonists
Serotonin Agents
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Physiological Effects of Drugs
Antipsychotic Agents
Tranquilizing Agents
Central Nervous System Depressants
Psychotropic Drugs
GABA Antagonists
GABA Agents