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WithdrawnNCT02625779Updated Feb 9, 2018

Combined Cytidine and Creatine-containing Drug in the Treatment of the Bipolar Depression

A Phase 2 interventional study of Valproate and Placebo and Valproate and Cytidine-containing Drug in Depression, Bipolar, sponsored by Ewha Womans University Mokdong Hospital. Withdrawn at 1 site in South Korea. Open to participants aged 19 Years to 65 Years. Per ClinicalTrials.gov, last updated 2018-02-09.

Sponsored by Ewha Womans University Mokdong Hospital · Phase 2, Interventional, and Treatment

Why this study was withdrawn
The research project has been cancelled before any participants were enrolled.
Phase
Phase 2
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
19 Years to 65 Years
Sex
All
01

Study summary

This research is aimed to investigate the efficacy and safety of the creatine and cytidine augmentation in treating bipolar depression and to evaluate changes in relevant brain biochemical metabolism using proton and phosphorous magnetic resonance spectroscopy.

02

Conditions studied

  • Depression, Bipolar

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Keywords

  • Bipolar depression
  • Cytidine
  • Creatine
  • Magnetic resonance spectroscopy
03

In context

Bipolar Disorder

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

Browse Bipolar Disorder studies →

Lead sponsor

Ewha Womans University Mokdong Hospital is the lead sponsor of 28 studies on the registry; 10 are open to participants now.

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

04

Who can participate

Ages eligible
19 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

  • Aged 19-65 years
  • Bipolar disorder I or II (DSM-IV-TR) with current depressive episode
  • Informed consent

Exclusion criteria

Exclusion Criteria:

  • Use of medication for bipolar depression or other psychotropic drugs
  • Current Axis I mental disorders other than bipolar depression based on structured clinical interview
  • Current borderline or antisocial personality disorder based on structured clinical interview
  • Major medical or neurological illnesses (epilepsy, multiple sclerosis, brain tumor, cerebrovascular disease, etc)
  • Hypersensitivity to divalproate or valpromide
  • Diagnosis of porphyria
  • Current or past liver diseases
  • Severe dysfunction in liver or pancreas
  • Use of mefloquine
  • Alcohol or substance abuse/dependence
  • Intelligence quotient of 80 or below
  • Contraindications to magnetic resonance imaging
  • Pregnancy or breastfeeding
  • Allergy or intolerance to the study drugs
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
0 participants (actual)

Study arms

  • Active comparator
    Valproate and Placebo

    Valproate: 300mg/day for 8 weeks Placebo: for 8 weeks

    Drug: Valproate and Placebo

  • Experimental
    Valproate and Cytidine-containing Drug

    Valproate: 300mg/day for 8 weeks Cytidine-containing Drug: 2g/day for 8 weeks

    Drug: Valproate and Cytidine-containing Drug

  • Experimental
    Valproate and Creatine-containing Drug

    Valproate: 300mg/day for 8 weeks Creatine-containing Drug: 3g/day for the first week 5g/day for week 2-8

    Drug: Valproate and Creatine-containing Drug

Interventions

  • DrugValproate and Placebo
  • DrugValproate and Cytidine-containing Drug
  • DrugValproate and Creatine-containing Drug
06

What researchers measure

Primary outcomes

  1. Change in symptoms of bipolar depression

    assessed with structured clinical interview

    Time frame: Baseline and 8 weeks

  2. Change in depressive symptoms

    assessed with structured clinical interview

    Time frame: Baseline and 8 weeks

Secondary outcomes

  1. Change in brain Glx (glutamate+glutamine) level

    assessed with proton magnetic resonance spectroscopy

    Time frame: Baseline and 8 weeks

  2. Change in brain phosphocreatine level

    assessed with phosphorous magnetic resonance spectroscopy

    Time frame: Baseline and 8 weeks

  3. Number of participants with adverse events

    Time frame: Baseline through 8 weeks

07

Study locations

1 site
  • Ewha Womans University Mokdong Hospital
    Seoul, South Korea
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Mar 2016; primary completion for Apr 2017, 13 months later.

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

Registered
Dec 7, 2015
First posted
Dec 9, 2015
StartEst.
Mar 1, 2016
Primary completionEst.
Apr 30, 2017
CompletionEst.
Apr 30, 2017
Last update
Feb 9, 2018
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 Feb 9, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02625779
Lead sponsor
Ewha Womans University Mokdong Hospital
Responsible party
In Kyoon Lyoo (Professor, Ewha Womans University Mokdong Hospital) — Principal investigator
First posted
Dec 9, 2015
Start date
Mar 1, 2016 (estimated)
Primary completion
Apr 30, 2017 (estimated)
Completion
Apr 30, 2017 (estimated)
Last update
Feb 9, 2018

Oversight

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

Not currently enrolling

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

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