Bipolar Disorder
Conditions
Keywords
Lithium, Bipolar disorder, Multimodal Brain Imaging
Brief summary
The investigators will assess Li-induced gray matter volume changes with regard to the endophenotype of GSK3beta polymorphism. The changes of gray matter are supposed to be more attributable to neurotrophic and neuroprotective characteristics of Li, which were closely related to the inhibition of apoptotic activity of GSK3beta.
Interventions
10mg/kg/day for 12 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Men and Women aged between 19 and 55 * Diagnosis of bipolar I disorder as assessed by the structured clinical interview for DSM-IV (SCID-IV) * Patients who have not used psychoactive medications for more than 2 weeks * Individuals who provided written consent for participation
Exclusion criteria
* Presence of any major physical or neurological illness (e.g., head trauma, epilepsy, seizure, stroke, cerebral tumor, multiple sclerosis, cerebrovascular disease, narrow-angle glaucoma, drug hypersensitivity, etc.) * Women who are pregnant, breastfeeding, or planning pregnancy * Diagnosis of any Axis I disorder other than bipolar disorder * Intelligence quotient below 80 * Current or past drug abuse * Contraindications to magnetic resonance imaging (e.g., pacemaker implantation, claustrophobia, etc.)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change from baseline in global function scores at 1 week | Baseline and at 1 week |
| Change from baseline in global function scores at 8 weeks | Baseline and at 8 weeks |
| Change from baseline in global function scores at 4 weeks | Baseline and at 4 weeks |
| Change from baseline in manic symptom scores at 12 weeks | Baseline and at 12 weeks |
| Change from baseline in manic symptom scores at 8 weeks | Baseline and at 8 weeks |
| Change from baseline in manic symptom scores at 4 weeks | Baseline and at 4 weeks |
| Change from baseline in manic symptom scores at 1 week | Baseline and at 1 week |
| Change from baseline in depressive symptom scores at 12 weeks | Baseline and at 12 weeks |
| Change from baseline in depressive symptom scores at 8 weeks | Baseline and at 8 weeks |
| Change from baseline in depressive symptom scores at 4 weeks | Baseline and at 4 weeks |
| Change from baseline in depressive symptom scores at 1 week | Baseline and at 1 week |
| Change from baseline in global function scores at 12 weeks | Baseline and at 12 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Number of participants with adverse events | 12 weeks |
| Changes from baseline in brain structure analyzed using computational approach | Baseline and at 12 weeks |
Countries
South Korea