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CompletedNCT02081287Updated Aug 1, 2018

Inositol Hexaphosphate: A Novel Treatment Strategy for Bipolar Disorder?

A Phase 1 interventional study of IP6 and Lamotrigine in Bipolar Disorder and Manic Depression, sponsored by San Diego Veterans Healthcare System. Completed at 1 site in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2018-08-01.

Sponsored by San Diego Veterans Healthcare System · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
8
Allocation
Non-randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

Inositol hexaphosphate (IP6, also called inositol hexakisphosphate, and phytic acid) is a naturally occurring phosphorylated derivative of myo-inositol. Myo-inositol has shown preliminary evidence of efficacy in controlling mood symptoms, and good tolerability in bipolar disorder in some studies, but failed to establish efficacy in subsequent meta-analyses. In the investigators proposed work, the investigators plan to orally administer the calcium/magnesium salt of IP6 (2,000-3,000 mg daily in two divided doses) to paid research subjects with a diagnosis of bipolar disorder who are in a depressed state, and who have failed an adequate course of treatment with lithium monotherapy. The investigators hypothesis is that IP6 may be similar to myo-inositol in terms of relieving depression, but more potent and effective. Our aim is conduct a preliminary pilot study in 30 subjects (15 treated with IP6, 15 treated with lamotrigine, an active comparator) to assess the efficacy and tolerability of IP6 as an adjunctive treatment to lithium, the mood stabilizer most commonly used to treat bipolar disorder.

02

Conditions studied

  • Bipolar Disorder
  • Manic Depression

Keywords

  • Bipolar Disorder
  • Depression
  • Inositol
  • Inositol Hexaphosphate
  • Phytic Acid
  • IP6
  • Lithium
  • Lamotrigine
03

In context

Depression

8,057 studies on the registry are indexed under Depression; 1,641 are open to participants now.

This study's enrollment of 8 is below the median of 84 across 6,720 interventional studies indexed under Depression.

Browse Depression studies →

Lead sponsor

San Diego Veterans Healthcare System is the lead sponsor of 10 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • must have bipolar disorder
  • must be currently depressed
  • must have failed adequate trial of lithium monotherapy
  • must have shown partial response of depression to lithium

Exclusion criteria

Exclusion Criteria:

  • diagnoses of schizophrenia, major depression, or other psychotic disorder
  • currently pregnant
  • unstable medical condition
  • active drug or alcohol dependence
  • concurrent use of antidepressant or mood stabilizer other than lithium
  • active suicidal or homicidal ideation
  • past adverse reaction to lamotrigine or current skin rash (lamotrigine arm only)
  • history of dietary malabsorption or nutritional deficiency (IP6 arm only)
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
8 participants (actual)

Study arms

  • Active comparator
    Lamotrigine

    As adjunct to lithium therapy

    Drug: Lamotrigine

  • Experimental
    IP6

    As adjunct to lithium therapy

    Drug: IP6

Interventions

  • DrugIP6

    IP6 2,000 -3,000 mg per day given orally in two doses

    Also known as: Inositol Hexaphosphate, Phytic Acid

  • DrugLamotrigine

    Dose up to 200 mg per day over 10 weeks

    Also known as: Lamictal

06

What researchers measure

Primary outcomes

  1. Depression

    As measured by rater administered Hamilton depression inventory, and Beck Depression Inventory

    Time frame: 10 weeks

Secondary outcomes

  1. Sleep Quality

    As measured by the Pittsburgh Sleep Quality Index

    Time frame: 10 weeks

  2. Global Function

    As measured by the Clinician Global Inventory

    Time frame: 10 weeks

  3. Side Effect Burden

    As measured by standardized inventory

    Time frame: 10 weeks

  4. Mania

    As measured by the Young Mania Scale, and Internal State Scale

    Time frame: 10 weeks

Other outcomes

  1. Morning vs Evening Preference

    As measured by the Basic language morningness scale

    Time frame: 10 weeks

07

Study locations

1 site
  • VA San Diego Healthcare System
    San Diego, California 92161, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 1, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02081287
Lead sponsor
San Diego Veterans Healthcare System
Collaborators
The Depressive and Bipolar Disorder Alternative Treatment Foundation
Responsible party
Michael McCarthy (Staff Psychiatrist, San Diego Veterans Healthcare System) — Principal investigator
First posted
Mar 7, 2014
Start date
May 2014
Primary completion
Jul 30, 2018
Completion
Jul 30, 2018
Last update
Aug 1, 2018

Study contacts

Michael J. McCarthy, MD, PhD
principal investigator · VA San Diego Healthcare, UCSD

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2018. You cannot join it, but the record below documents what was studied.

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