Bipolar disorder Mental and Behavioural Disorders Bipolar disorder
Conditions
Interventions
Participants will be randomized to oral administration of one dose of modafinil (200 mg) or one dose of placebo (double blind). After a minimum of one-week washout period a cross-over intervention wil
Sponsors
Suffolk Mental Health Partnership NHS Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. All patients must be able to give informed written consent to participate in the study 2. Aged 18 to 65 3. English should be spoken fluently 4. Participants should be literate and have normal or corrected to normal eyesight 5. All patients must have met Diagnostic and Statistical Manual of Mental Disorders - Fourth Edition (DSM IV) criteria for Bipolar I disorder in the past i.e. they must have had an episode of mania or a mixed affective state 6. The Hamilton Depression Rating Scale and Young Mania Scale scores must both be less than eight
Exclusion criteria
Exclusion criteria: 1. Patients who currently fulfill criteria for mania, a mixed affective state, hypomania or major depression 2. Patients who score less than or equal to 24 on the Mini-Mental State Examination (MMSE). All patients with a diagnosis of dementia will be excluded after review of case-records and/or discussion with their clinician 3. Current diagnosis of alcohol or drug dependence based on DSM IV criteria 4. History of learning disability (or Wechsler test of Adult Reading score <90) or dyslexia 5. Any known neurological illness (including narcolepsy) 6. Unstable medical illness that may affect cognition (untreated thyroid disease, type I diabetes mellitus or current treatment with steroids) 7. Have received electroconvulsive therapy in the past three months 8. Patients taking herbal remedies such as St John?s Wort or Gingko Biloba 9. Moderate or severe hypertension. All patients should have blood pressure measurements within normal limits (i.e. systolic blood pressure less than or equal to 160 and diastolic blood pressure less than or equal to 90) prior to drug administration 10. Known history of angina or cardiac arrhythmias 11. Pregnant or breastfeeding 12. Patients taking phenytoin (due to possible increase in plasma concentration) 13. Known hypersensitivity to modafinil or its excipients, or to the placebo 14. Participated in another clinical drug trial within the last three months 15. Female patients on an Oral Contraceptive (OC) will need to be counselled about the possibility that modafinil may reduce the effectiveness of the OC. They will only be excluded if they are not willing to take the family planning advice recommendations in the British National Formulary (BNF) (for the short term course of an enzyme inducing drug) 16. Patients who have had any changes to their psychotropic drugs over the past six weeks
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Performance on tests of attention, memory and executive function, assessed 2 hours after taking the drug/placebo by the following: Symptom Rating Scales: 1. Hamilton depression scale 2. Young mania scale 3. Beck depression inventory 4. Apathy scale 5. Epworth sleepiness scale 6. Bond and Lader scale Neuropsychological Tests: (CAmbridge Neuropsychological Test Automated Battery). [CANTAB]) 7. Digit Span 8. Controlled oral word association test 9. Motor Screening 10. Pattern recognition memory test 11. Spatial recognition memory test 12. Big/ little circle 13. Rapid visual information processing task 14. Rey auditory verbal learning test 15. Attentional set shifting task 16. One Touch Tower of London task All tests will be carried out on both testing sessions (one week apart). | — |
Secondary
| Measure | Time frame |
|---|---|
| No secondary outcome measures | — |
Countries
United Kingdom
Outcome results
None listed