Bipolar DisorderGANNCT02627404
Study of the Genetic and Environmental Factors of Vulnerability in Bipolar Disorders
A study testing Blood sample and actometer in people with Bipolar Disorder, run by Assistance Publique - Hôpitaux de Paris at 1 site in France.
Trial summary
Bipolar disorder is a complex, multifactorial disorder with the intervention of genetic vulnerability factors. To help the identification of these genetic factors and to improve genotype-phenotype correlation, the identification of endophenotype through the exploration of vulnerability characteristics in unaffected… Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Bipolar Disorder
- What is being tested?
- Blood sample and actometer
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 400 participants
- Where
- 1 siteFrance
- Study dates
- Sep 2013to Sep 2018
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Patients with Bipolar I, II or Not Otherwise Specified (NOS) disorders
- Euthymic
- Age > 18
- Affiliated to the French social health care system
- Somatic state compatible with a blood test
- Informed consent signed for the study
- European
Who cannot join
- Patients major protected
- Patients adopted
- Geographical origin of grandparents unknown
Trial locations and contacts
1 site in 1 country.
France1 site, 1 recruiting
- Recruiting
Study site
Paris, 75010
Frank BELLIVIER, MD, PHD, (0)1 40 05 42 25 ext. +33, frank.bellivier@inserm.fr
Florence Couppey, CRA, (0)1 49 81 37 52 ext. +33, florence.couppey@aphp.fr
About this study
Bipolar disorder is a complex, multifactorial disorder with the intervention of genetic vulnerability factors. To help the identification of these genetic factors and to improve genotype-phenotype correlation, the identification of endophenotype through the exploration of vulnerability characteristics in unaffected first degree relatives have been recommended. For this purpose, the investigator include bipolar patients, unaffected first degree relatives and control subjects to perform genetic association studies and subphenotype analyses. In this study the investigator will focus on subgroups defined according to the existence of abnormal circadian rhythm (a major indicator of bipolar vulnerability).
Lithium is the leading treatment of bipolar disorders but prophylactic lithium response is highly variable and difficult to predict due to lack of biomarkers of response. To explore lithium response variability and to identify biomarkers of response, the investigator characterise lithium response using "ALDA" scale to conduct pharmacogenetic studies and pharmacokinetic studies of lithium extended release, in the subpopulation of patients treated with lithium. As lithium is a circadian agent, the investigator will also explore the links between lithium response and circadian phenotypes. Finally, using Li7 magnetic spectroscopy, the investigator will compare lithium brain distribution in a small sample of good and partial responders to lithium.
- Conditions
- Bipolar Disorder
- Being tested
- Blood sample, actometer
- Keywords
- Bipolar disorders, Genetic, Biomarkers, Circadian rhythm
- Medical subject headings
- Bipolar Disorder
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Blood sampleOther
A blood sample is taken at inclusion of patients in the study to perform DNA analysis
actometerDevice
To evaluate the quality of sleep, questionnaires are completed and patients wear an actometer for 21 days. They will also complete a sleep diary
| Study group | Role | What they receive |
|---|---|---|
| Main module | Other | Blood sample Receives: Other: Blood sample; Device: actometer |
What is being measured
The primary outcome is the main question the study is designed to answer.
Allele frequencies
Measured: All genotyping will be performed after 6 years
Secondary outcomes (17)
Mean Activity (movement per minute)
Variable recorded in the activity tracking module
Measured: End of participation of the activity tracking module : Day 21
Total time in bed (minutes)
Variable recorded in the activity tracking module
Measured: End of participation of the activity tracking module : Day 21
Total time in bed with and without sleep (minutes)
Variable recorded in the activity tracking module
Measured: End of participation of the activity tracking module : Day 21
Day to day Stability in Time to bed (ratio of minutes)
Variable recorded in the activity tracking module
Measured: End of participation of the activity tracking module : Day 21
Day to day Stability in activity (ratio of minutes)
Variable recorded in the activity tracking module
Measured: End of participation of the activity tracking module : Day 21
Sleep latency (minutes)
Variable recorded in the activity tracking module
Measured: End of participation of the activity tracking module : Day 21
Total time awaken during the night (minutes)
Variable recorded in the activity tracking module
Measured: End of participation of the activity tracking module : Day 21
Time awaken during the night (minutes)
Variable recorded in the activity tracking module
Measured: End of participation of the activity tracking module : Day 21
Percentage of time sleeping (%)
Variable recorded in the activity tracking module
Measured: End of participation of the activity tracking module : Day 21
Fragmentation index (ratio)
Variable recorded in the activity tracking module
Measured: End of participation of the activity tracking module : Day 21
Total sleep time (minutes)
Variable recorded in the activity tracking module
Measured: End of participation of the activity tracking module : Day 21
Activity during sleep (movement per minute)
Variable recorded in the activity tracking module
Measured: End of participation of the activity tracking module : Day 21
Total activity amplitude (movement per minute)
Variable recorded in the activity tracking module
Measured: End of participation of the activity tracking module : Day 21
Start L5: start of the 5 hours with the lowest activity period (hours:minutes)
Variable recorded in the activity tracking module
Measured: End of participation of the activity tracking module : Day 21
Start M10: start of the 10 hours with the highest activity period (hours:minutes)
Variable recorded in the activity tracking module
Measured: End of participation of the activity tracking module : Day 21
Plasma and erythrocyte lithium concentration (Meq/L) at different times after inclusion
Measured: At inclusion : time 0, 1 hour, 4 hours and 8 hours - At Day 30 : Time 0 and 1 hour
Lithium brain distribution using Li7 magnetic spectroscopy
Measured: Day 1
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Dec 2015 (estimated)
- Study startSep 2013
- Primary completionSep 2018 (estimated)
- Study completionSep 2018 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Bipolar DisorderStudies of the same condition, open and under way.
- More trials run by Assistance Publique - Hôpitaux de ParisThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Basic science
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 400 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Assistance Publique - Hôpitaux de Paris
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02627404
- Sponsor's protocol ID
- P111002
- Other IDs
- 2008-A01465-50
- Acronym
- GAN
- Status last verified
- Nov 2015
- First submitted
- 13 Nov 2015
- Last updated
- 10 Dec 2015
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Libourel C, Charron M, Martinot V, Carminati M, Etain B, Hennion V. Objective sleep parameters and cognitive performance in euthymic bipolar disorder: a cross-sectional 21-day actigraphy study. Int J Bipolar Disord. 2026 Jun 27. doi: 10.1186/s40345-026-00431-z. Online ahead of print.
PubMed 42371207Hennion V, Scott J, Martinot V, Benizri C, Marie-Claire C, Bellivier F, Etain B. Associations between actigraphy estimates of sleep and circadian rhythmicity and psychotropic medications in bipolar disorders: An exploratory study. J Affect Disord. 2024 Mar 1;348:224-228. doi: 10.1016/j.jad.2023.12.075. Epub 2023 Dec 29.
PubMed 38159652Loftus J, Scott J, Vorspan F, Icick R, Henry C, Gard S, Kahn JP, Leboyer M, Bellivier F, Etain B. Psychiatric comorbidities in bipolar disorders: An examination of the prevalence and chronology of onset according to sex and bipolar subtype. J Affect Disord. 2020 Apr 15;267:258-263. doi: 10.1016/j.jad.2020.02.035. Epub 2020 Feb 19.
PubMed 32217226Geoffroy PA, Micoulaud Franchi JA, Maruani J, Philip P, Boudebesse C, Benizri C, Yeim S, Benard V, Brochard H, Leboyer M, Bellivier F, Etain B. Clinical characteristics of obstructive sleep apnea in bipolar disorders. J Affect Disord. 2019 Feb 15;245:1-7. doi: 10.1016/j.jad.2018.10.096. Epub 2018 Oct 9.
PubMed 30359809Richard-Lepouriel H, Kung AL, Hasler R, Bellivier F, Prada P, Gard S, Ardu S, Kahn JP, Dayer A, Henry C, Aubry JM, Leboyer M, Perroud N, Etain B. Impulsivity and its association with childhood trauma experiences across bipolar disorder, attention deficit hyperactivity disorder and borderline personality disorder. J Affect Disord. 2019 Feb 1;244:33-41. doi: 10.1016/j.jad.2018.07.060. Epub 2018 Aug 6.
PubMed 30336349
Study at a glance
From the registry record, last updated by the sponsor on 10 Dec 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Study of the Genetic and Environmental Factors of Vulnerability in Bipolar Disorders
- ClinicalTrials.gov ID
- NCT02627404
- Acronym / sponsor ID
- GAN / P111002
- Conditions
- Bipolar Disorder
- Keywords
- Bipolar disorders, Genetic, Biomarkers, Circadian rhythm
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 400 participants (estimated)
- Lead sponsor
- Assistance Publique - Hôpitaux de ParisUniversity, hospital or other
- Study start
- Sep 2013
- Primary completion
- Sep 2018 (estimated)
- Study completion
- Sep 2018 (estimated)
- First posted
- 10 Dec 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Bipolar disorder is a complex, multifactorial disorder with the intervention of genetic vulnerability factors. To help the identification of these genetic factors and to improve genotype-phenotype correlation, the identification of endophenotype through the exploration of vulnerability characteristics in unaffected first degree relatives have been recommended. For this purpose, the investigator include bipolar patients, unaffected first degree relatives and control subjects to perform genetic association studies and subphenotype analyses. In this study the investigator will focus on subgroups defined according to the existence of abnormal circadian rhythm (a major indicator of bipolar vulnerability).
Lithium is the leading treatment of bipolar disorders but prophylactic lithium response is highly variable and difficult to predict due to lack of biomarkers of response. To explore lithium response variability and to identify biomarkers of response, the investigator characterise lithium response using "ALDA" scale to conduct pharmacogenetic studies and pharmacokinetic studies of lithium extended release, in the subpopulation of patients treated with lithium. As lithium is a circadian agent, the investigator will also explore the links between lithium response and circadian phenotypes. Finally, using Li7 magnetic spectroscopy, the investigator will compare lithium brain distribution in a small sample of good and partial responders to lithium.
Study design
- Primary purpose
- Basic science
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Main module | Other | Other: Blood sample, Device: actometerBlood sample |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Patients with Bipolar I, II or Not Otherwise Specified (NOS) disorders
- Euthymic
- Age > 18
- Affiliated to the French social health care system
- Somatic state compatible with a blood test
Key exclusion criteria (3 listed)
- Patients major protected
- Patients adopted
- Geographical origin of grandparents unknown
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Blood sampleA blood sample is taken at inclusion of patients in the study to perform DNA analysis | Other | Main module |
| actometerTo evaluate the quality of sleep, questionnaires are completed and patients wear an actometer for 21 days. They will also complete a sleep diary | Device | Main module |
Primary outcome
Allele frequencies
Time frame: All genotyping will be performed after 6 years
17 secondary outcomes
Mean Activity (movement per minute)
Time frame: End of participation of the activity tracking module : Day 21
Total time in bed (minutes)
Time frame: End of participation of the activity tracking module : Day 21
Total time in bed with and without sleep (minutes)
Time frame: End of participation of the activity tracking module : Day 21
Day to day Stability in Time to bed (ratio of minutes)
Time frame: End of participation of the activity tracking module : Day 21
Day to day Stability in activity (ratio of minutes)
Time frame: End of participation of the activity tracking module : Day 21
Sleep latency (minutes)
Time frame: End of participation of the activity tracking module : Day 21
Total time awaken during the night (minutes)
Time frame: End of participation of the activity tracking module : Day 21
Time awaken during the night (minutes)
Time frame: End of participation of the activity tracking module : Day 21
Percentage of time sleeping (%)
Time frame: End of participation of the activity tracking module : Day 21
Fragmentation index (ratio)
Time frame: End of participation of the activity tracking module : Day 21
Total sleep time (minutes)
Time frame: End of participation of the activity tracking module : Day 21
Activity during sleep (movement per minute)
Time frame: End of participation of the activity tracking module : Day 21
Total activity amplitude (movement per minute)
Time frame: End of participation of the activity tracking module : Day 21
Start L5: start of the 5 hours with the lowest activity period (hours:minutes)
Time frame: End of participation of the activity tracking module : Day 21
Start M10: start of the 10 hours with the highest activity period (hours:minutes)
Time frame: End of participation of the activity tracking module : Day 21
Plasma and erythrocyte lithium concentration (Meq/L) at different times after inclusion
Time frame: At inclusion : time 0, 1 hour, 4 hours and 8 hours - At Day 30 : Time 0 and 1 hour
Lithium brain distribution using Li7 magnetic spectroscopy
Time frame: Day 1
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Dec 2015.
- Derived from this study: PubMed 42371207Libourel C, Charron M, Martinot V, Carminati M, Etain B, Hennion V. Objective sleep parameters and cognitive performance in euthymic bipolar disorder: a cross-sectional 21-day actigraphy study. Int J Bipolar Disord. 2026 Jun 27. doi: 10.1186/s40345-026-00431-z. Online ahead of print.
- Derived from this study: PubMed 38159652Hennion V, Scott J, Martinot V, Benizri C, Marie-Claire C, Bellivier F, Etain B. Associations between actigraphy estimates of sleep and circadian rhythmicity and psychotropic medications in bipolar disorders: An exploratory study. J Affect Disord. 2024 Mar 1;348:224-228. doi: 10.1016/j.jad.2023.12.075. Epub 2023 Dec 29.
- Derived from this study: PubMed 32217226Loftus J, Scott J, Vorspan F, Icick R, Henry C, Gard S, Kahn JP, Leboyer M, Bellivier F, Etain B. Psychiatric comorbidities in bipolar disorders: An examination of the prevalence and chronology of onset according to sex and bipolar subtype. J Affect Disord. 2020 Apr 15;267:258-263. doi: 10.1016/j.jad.2020.02.035. Epub 2020 Feb 19.
- Derived from this study: PubMed 30359809Geoffroy PA, Micoulaud Franchi JA, Maruani J, Philip P, Boudebesse C, Benizri C, Yeim S, Benard V, Brochard H, Leboyer M, Bellivier F, Etain B. Clinical characteristics of obstructive sleep apnea in bipolar disorders. J Affect Disord. 2019 Feb 15;245:1-7. doi: 10.1016/j.jad.2018.10.096. Epub 2018 Oct 9.
- Derived from this study: PubMed 30336349Richard-Lepouriel H, Kung AL, Hasler R, Bellivier F, Prada P, Gard S, Ardu S, Kahn JP, Dayer A, Henry C, Aubry JM, Leboyer M, Perroud N, Etain B. Impulsivity and its association with childhood trauma experiences across bipolar disorder, attention deficit hyperactivity disorder and borderline personality disorder. J Affect Disord. 2019 Feb 1;244:33-41. doi: 10.1016/j.jad.2018.07.060. Epub 2018 Aug 6.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Blood sample and actometer in people with Bipolar Disorder, run by Assistance Publique - Hôpitaux de Paris at 1 site in France.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 10 Dec 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Frank Bellivier, MD, PhD ((0)1 40 05 42 25 ext. +33, frank.bellivier@inserm.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Allele frequencies (time frame: All genotyping will be performed after 6 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02627404, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Dec 2015.