ClinicalTrials.gg
CompletedNCT02664467Updated Mar 4, 2021

Chronobiology, Sleep Related Risk Factors and Light Therapy in Perinatal Depression: the Life-ON Project

An interventional study of Philips EnergyUp EnergyLight HF3419/01 and Philips EnergyUp EnergyLight HF3419/01 in Depression, Depression, Postpartum and Depressive Disorder, sponsored by Ospedale Regionale di Lugano. Completed at 1 site in Switzerland. Open to female participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-03-04.

Sponsored by Ospedale Regionale di Lugano · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
450
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
Female
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Study summary

In a 3 years longitudinal, observational, multicentre study, about 500 women will be recruited and followed-up from early pregnancy (10-15 gestational week) until 12 months after delivery. The primary aim of the present study is to systematically explore and characterize risk factors for perinatal depression (PND) by prospective sleep assessment (using wrist actigraphy, polysomnography and various sleep questionnaires) and blood based analysis of potential markers during the perinatal period (Life-ON study). Secondary aims are to explore the relationship between specific genetic polymorphisms and PND (substudy Life-ON1), to investigate the effectiveness of BLT in treating PND (substudy Life-ON2) and to test whether a short term trial of BLT during pregnancy can prevent PND (substudy Life-ON3).

The characterization of specific predictive and risk factors for PND may substantially contribute to improve preventive medical and social strategies for the affected women. The study results are expected to promote a better understanding of the relationship between sleep disorders and the development of PND and to confirm, in a large sample of women, the safety and efficacy of BLT both in prevention and treatment of PND.

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Conditions studied

  • Depression
  • Depression, Postpartum
  • Depressive Disorder
  • Depressive Disorder, Major
  • Mood Disorders
  • Pregnancy Complications
  • Puerperal Disorders
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In context

Depression

8,577 studies on the registry are indexed under Depression; 1,720 are open to participants now.

This study's enrollment of 450 is above the median of 81 across 7,063 interventional studies indexed under Depression.

Browse Depression studies →

Lead sponsor

Ospedale Regionale di Lugano is the lead sponsor of 8 studies on the registry; 1 is open to participants now.

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

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Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

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

  • Medically healthy
  • Normal ocular function
  • Gestational age between 10 to 15 weeks at time of screening
  • Written

Exclusion criteria

Exclusion Criteria:

  • Diagnosis of bipolar I or II disorder ()
  • Recent history (less than 6 months) or current major depression or an Edinburgh Postnatal Depression Scale (EPDS) score > 12 at time of inclusion
  • Any psychotic episode, substance abuse, recent history of suicide attempt (less than 12 months)
  • Use of antidepressants or other pharmacologic treatments for depression in the last 6 months
  • Fetal malformations and intrauterine fetal death
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

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You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Single group
Masking
Double (Participant, Investigator)
Enrollment
450 participants (actual)

Study arms

  • Experimental
    Bright light therapy (BLT)

    Bright light therapy (10'000 lux) for 30 minutes after wake-up using Philips EnergyUp EnergyLight HF3419/01

    Device: Philips EnergyUp EnergyLight HF3419/01

  • Placebo comparator
    Placebo dim light

    Placebo dim light (50 lux) for 30 minutes after wake-up using Philips EnergyUp EnergyLight HF3419/01

    Device: Philips EnergyUp EnergyLight HF3419/01

Interventions

  • DevicePhilips EnergyUp EnergyLight HF3419/01

    Bright light therapy (10'000 lux) for 60 minutes after wake-up

  • DevicePhilips EnergyUp EnergyLight HF3419/01

    Placebo dim light (500 lux) for 60 minutes after wake-up

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What researchers measure

Primary outcomes

  1. Change in Depression Score as assessed by the Edinburgh Postnatal Depression Scale (EPDS)

    Time frame: during 6 weeks of light treatment plus 12 months observation

  2. Change in Depression Score as assessed by the Hamilton Depression Rating scale - 21 items (HDRS-21)

    Time frame: during 6 weeks of light treatment plus 12 months observation

  3. Change in Depression Score as assessed by the Montgomery-Asberg Depression Rating Scale (MADRS)

    Time frame: during 6 weeks of light treatment plus 12 months observation

Secondary outcomes

  1. Objective sleep-related markers and risk factors for perinatal depression as assessed by home polysomnography

    Time frame: at 23th-25th week of gestation

  2. Objective sleep-related markers and risk factors for perinatal depression as assessed by wrist actigraphy

    Time frame: observation over a period of 2 years

  3. Analysis of genetic risk factors for perinatal depression by single blood test

    Time frame: at 23th-25th week of gestation

  4. Subjective mood changes as assessed by the Visual Analog Scale for Depression (VAS)

    Time frame: during 6 weeks of light treatment plus 12 months observation

  5. Number of participants with treatment-related adverse events as assessed by the Systematic Assessment for Treatment Emergent Events (SAFTEE)

    Time frame: during 6 weeks of light treatment plus 12 months observation

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Study locations

1 site
  • Neurocenter of Southern Switzerland
    Lugano, Ticino 6900, Switzerland
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References and documents

Publications

  • Baiardi S, Cirignotta F, Cicolin A, Garbazza C, D'Agostino A, Gambini O, Giordano A, Canevini M, Zambrelli E, Marconi AM, Mondini S, Borgwardt S, Cajochen C, Rizzo N, Manconi M. Chronobiology, sleep-related risk factors and light therapy in perinatal depression: the "Life-ON" project. BMC Psychiatry. 2016 Nov 4;16(1):374. doi: 10.1186/s12888-016-1086-0. PubMed 27814712 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 4, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02664467
Lead sponsor
Ospedale Regionale di Lugano
Responsible party
Mauro Manconi (Dr. med. Mauro Manconi, Ospedale Regionale di Lugano) — Principal investigator
First posted
Jan 27, 2016
Start date
May 2016
Primary completion
Nov 2018
Completion
Nov 2020
Last update
Mar 4, 2021

Oversight

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

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This study is completed, as verified in Mar 2021. You cannot join it, but the record below documents what was studied.

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