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CompletedNCT01371383Updated Nov 13, 2023

The Effect of Omega-3 Polyunsaturated Fatty Acids in the Treatment and Prevention of Relapse of Bipolar Disorder

An interventional study of n-3 fatty acids and placebo in Bipolar Disorder, sponsored by National Science and Technology Council, Taiwan. Completed at 1 site in Taiwan. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2023-11-13.

Sponsored by National Science and Technology Council, Taiwan · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
61
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The whole study will be divided into two major parts: (A) A 12-week, double-blind, randomized controlled, parallel n-3 fatty acids adjunctive therapy study in 30 bipolar disorder patients with mild to moderate depression. (B) A double-blind, randomized controlled, parallel n-3 fatty acid add-on prophylactic study in 31 patients with stable bipolar disorder.

Read the detailed description

Part of the study will be a 12-week parallel-group placebo-controlled double-blind randomized n-3 fatty acids add-on combination therapy trial. A total of 30 patients in the acute depression stage of bipolar disorder will be collected from outpatient clinics and randomly assigned to receive n-3 fatty acids or placebo. T-test (or Mann-Whitney U-Test) will be used to evaluate the differences in the severity of depressive and manic symptoms between the two groups across the study points. The second part of the study will be a 6-month add-on prophylactic trial with parallel-group, double-blind random allocation to n-3 fatty acids or placebo groups. A total of 31 patients with stable bipolar disorder recruited by newspaper advertisements will be recruited and randomly assigned to receive n-3 fatty acids or a placebo. Kaplan-Meier Survival analysis will be used to evaluate the differences in the recurrence rate of bipolar depression between the two groups. Also, t-test (or Mann-Whitney U-Test) will be used to evaluate the differences in the severity of depressive and manic symptoms between the two groups across the study points. The 2 separate studies will be conducted after approval from the Human Trials Committee.

02

Conditions studied

  • Bipolar Disorder

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03

In context

Bipolar Disorder

1,637 studies on the registry are indexed under Bipolar Disorder; 258 are open to participants now.

This study's enrollment of 61 is close to the median of 63 across 1,245 interventional studies indexed under Bipolar Disorder.

Browse Bipolar Disorder studies →

Lead sponsor

National Science and Technology Council, Taiwan is the lead sponsor of 6 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. DSM-IV criteria for bipolar disorder.
  2. Age being age 18-65.
  3. Capacity and willingness to give written informed consent.
  4. Routine biochemical parameters within normal range.

Exclusion criteria

Exclusion Criteria:

  1. Presence of any major medical illnesses.
  2. Recent or past history of other DSM-IV axis I diagnoses such as psychotic disorders, organic mental disorders, substance abuse, substance dependence and anxiety disorder; acute psychotic state or strong suicidal attempts; and DSM-IV axis-II diagnoses, including borderline and antisocial personality disorder.
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
61 participants (actual)

Study arms

  • Experimental
    n-3 fatty acids

    EPA 1680 mg/d + DHA 880 mg/d

    Dietary Supplement: n-3 fatty acids

  • Placebo comparator
    Placebo

    Soybean oil

    Dietary Supplement: placebo

Interventions

  • Dietary supplementn-3 fatty acids

    EPA 1680 mg/d + DHA 880 mg/d

  • Dietary supplementplacebo

    Soybean oil

    Also known as: control

06

What researchers measure

Primary outcomes

  1. Changes in HRSD-21 scores

    Differences in depression severity based on the Hamilton Rating Scale for Depression 21 (HRSD) across the study points.

    Time frame: Weeks 0, 1, 2, 4, 6, 8, and 12

  2. Differences in recurrence rate of bipolar depression

    Differences in the rate of recurrence of bipolar disorder between the patients in the n-3 group and placebo group across the study points.

    Time frame: From 0 to 6 months

Secondary outcomes

  1. Changes in Young Mania Rating Scale scores

    Changes in Young Mania Rating Scale scores across the time points in the study

    Time frame: Weeks 0, 1, 2, 4, 6, 8, and 12

07

Study locations

1 site
  • China Medical University Hospital
    Taichung, 404, Taiwan
08

References and documents

Publications

  • Zailani H, Wu SK, Yang KJ, Malau IA, Liao HF, Chung YL, Chang JP, Chiu WC, Su KP. Omega-3 polyunsaturated fatty acids in the prevention of relapse in patients with stable bipolar disorder: A 6-month pilot randomized controlled trial. Psychiatry Res. 2024 Jan;331:115633. doi: 10.1016/j.psychres.2023.115633. Epub 2023 Nov 26. PubMed 38039650 ↗
  • Appleton KM, Voyias PD, Sallis HM, Dawson S, Ness AR, Churchill R, Perry R. Omega-3 fatty acids for depression in adults. Cochrane Database Syst Rev. 2021 Nov 24;11(11):CD004692. doi: 10.1002/14651858.CD004692.pub5. PubMed 34817851 ↗
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Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jan 2006, a primary completion of May 2014 and a completion of Aug 2015. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 7, 2011
First posted
Jun 10, 2011
Start
Jan 1, 2006
Primary completionActual
May 31, 2014
CompletionActual
Aug 31, 2015
Last update
Nov 13, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 13, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01371383
Lead sponsor
National Science and Technology Council, Taiwan
Responsible party
Kuan-Pin (China Medical University Hospital, National Science and Technology Council, Taiwan) — Principal investigator
First posted
Jun 10, 2011
Start date
Jan 1, 2006
Primary completion
May 31, 2014
Completion
Aug 31, 2015
Last update
Nov 13, 2023

Study contacts

Kuan-Pin Su, MD PhD
principal investigator · China Medical University Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2023. You cannot join it, but the record below documents what was studied.

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