patients with major depressive disorder or bipolar disorder MedDRA version: 21.1 Level: PT Classification code 10057667 Term: Bipolar disorder System Organ Class: 10037175 - Psychiatric disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age between 18 and 75 years Subjects involved in the psychiatric services of the UOC of Psychiatry of the AOUS both hospitalized in the ordinary or Day Hospital and treated as outpatients with a diagnosis of major depressive disorder or bipolar disorder MADRS score> 15 Levels of 25 (OH) Vitamin D =65 years) yes F.1.3.1 Number of subjects for this age range 30
Exclusion criteria
Exclusion criteria: Patients will not be included in the study if only one of the following exclusion criteria will be present: Osteoporosis or previous fragility fractures Osteomalacia or Paget's disease Known disorders for interference with vitamin D metabolism (sarcoidosis, hypercalcaemia, renal failure) Pregnancy or breastfeeding Secondary osteoporosis (primary or secondary hyperparathyroidism, hyperprolactinemia, etc ...) Taking estrogen, drugs for the treatment of osteoporosis or drugs known to have interference on bone metabolism (antiepileptics, cortisones, antiretrovirals, heparin etc ..) Type 1 and 2 diabetes mellitus Lipid metabolism disorders Body Mass Index lower than 18 or greater than 34.9 kg / sqm Abuse of narcotic substances Administration of calcifediol, calcitriol, cholecalciferol or calcium supplementation in progress or in the previous two months Neoplastic pathologies or severe hepatic, renal or gastrointestinal diseases Severe cognitive disorder Acute psychosis Inability to answer questions Refusal to sign informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Evaluation of the effect of treatment with cholecalciferol in subjects with depressive disorder or bipolar disorder after 12 weeks.;Secondary Objective: Evaluation of the effect of treatment with cholecalciferol in subjects with depressive disorder or bipolar dysplasia after 24 weeks. Evaluation of vitamin D status at 12 and 24 weeks.;Primary end point(s): Change in Montgomery-Asberg Depression Rating Scale -MADRS at 12 weeks of treatment time of remission of depressive disorder (Montgomery-Asberg Depression Rating Scale -MADRS= 10);Timepoint(s) of evaluation of this end point: 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): secondary: Variations of the Montgomery-Asberg Depression Rating Scale (MADRS) score of 24 weeks Changes in vitamin D 25OH levels at 12 and 24 weeks. exploratory Change in IL-6 and TNF-alpha levels at 12 and 24 weeks;Timepoint(s) of evaluation of this end point: 12 and 24 months | — |
Countries
Italy
Contacts
Azienda Ospedaliera Universitaria Senese