Status:

COMPLETED

A Probiotic Intervention to Prevent Relapse Following Hospitalization for Mania

Lead Sponsor:

University of Texas Southwestern Medical Center

Conditions:

Mania (Neurotic)

Eligibility:

All Genders

18-65 years

Phase:

PHASE3

Brief Summary

This will be a 24-week, randomized, double-blind, placebo-controlled trial of adjunctive probiotic therapy in 66 persons hospitalized with a manic or mixed episode. The active study compound will cons...

Detailed Description

Primary Aim 1. To determine if adjunctive probiotic administration can reduce relapse for participants first hospitalized for mania. Hypothesis: Participants receiving adjunctive probiotic microorgani...

Eligibility Criteria

Inclusion

  • Capacity for written informed consent
  • Currently (or within the last 3 weeks) admitted to inpatient hospital for symptoms of mania.
  • Primary Axis I diagnosis (DSM-5) at time of admission of bipolar I (single manic episode, most recent episode manic, or most recent episode mixed) OR schizoaffective disorder, bipolar type (manic or mixed state).
  • Proficient in the English language.
  • Available to attend follow-up visits.

Exclusion

  • Substance- or medically-induced symptoms of mania at time of assessment.
  • HIV infection or other immunodeficiency condition (such as receiving cancer chemotherapy).
  • A serious medical condition that affects brain or cognitive functioning (e.g., epilepsy, serious head injury, concussion involving loss of consciousness, brain tumor, or other neurological disorder). Note that Hepatitis-C is not an exclusion criterion unless the participant has an acute infection.
  • Poorly controlled comorbid medical condition.
  • Major surgery in the last year.
  • History of weight loss surgery.
  • Diagnosis of Intellectual Disability or history of severe learning disorder.
  • Diagnosis of alcohol or substance use disorder (moderate/severe) according to DSM-5 criteria within the last 3 months, or has a positive drug toxicity screen proximate to the time of recruitment.
  • History of IV drug use.
  • Participated in any investigational drug trial in the past 30 days.
  • Abnormal electrolyte levels.
  • AST and ALT \> 3 times upper limit of normal.
  • Pregnant, breastfeeding, or planning to become pregnant during the study period.
  • Documented celiac disease (as such persons should be on a gluten-free diet as this is the standard care). Of note, we are not limiting the study to individuals with elevated levels of gliadin or casein antibodies as we intend to look at these levels as a predictor of response.

Key Trial Info

Start Date :

September 6 2018

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 23 2024

Estimated Enrollment :

67 Patients enrolled

Trial Details

Trial ID

NCT03383874

Start Date

September 6 2018

End Date

September 23 2024

Last Update

December 19 2025

Active Locations (1)

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1

Psychoneuroendocrine Research Program

Dallas, Texas, United States, 75235