Status:

RECRUITING

Apathy-related Neurobehavioral Markers of Cognitive Decline in Old-age Bipolar Disorders: Proof-of-concept

Lead Sponsor:

Hospital Center Guillaume Régnier

Collaborating Sponsors:

Rennes University Hospital

Fondation de l'Avenir

Conditions:

Apathy

Bipolar Disorder

Eligibility:

All Genders

70-85 years

Brief Summary

The goal of this clinical trial is to identify reliable markers of apathy in elderly subjects with bipolar disorder, age between 70 and 85 years, in order to accurately identify subjects at high risk ...

Eligibility Criteria

Inclusion

  • Population: Age between 70 and 85 years-old, living at home (Participants living in nursing homes are not included).
  • Condition: OABD type 1, type 2 and type 3 assessed by the DSM5 criteria
  • Stable: no MDE or hypomanic state within the last 6 months
  • Ambulatory setting only
  • General condition: Successful Gait speed test from the Short Physical Performance Battery (SPPB): beingable to walk 4 meters in 4 seconds (SPPB NIH Toolbox)44
  • Person affiliated to a social security regime
  • Patients who have given their free, informed and written consent to take part in the study

Exclusion

  • Psychiatric conditions and or co-morbidities
  • Unipolar depression
  • Recurrent unipolar depression
  • Substance use disorder according to DSM5 criteria. Benzodiaepine and/or z-drugs dependence are accepted.
  • Neurological and cerebral co-morbidities
  • Major Cognitive Disorder: significant cognitive decline characterized by extensive cognitive tests or at least a standardized clinical evaluation AND at least loss of autonomy in complex instrumental daily living function, not related to delirium (DSM5 criteria)
  • Medical history of known degenerative disorders: Alzheimer's disease, Lobar Degenerative Fronto-temporal disorders, Lewy Body disease, corticobasal degenerative disorder, Supranuclear Palsy, epilepsy.
  • Medical history of known Parkinson's disease (according to the Movement Disorder Society (MDS)45 criteria)
  • Medical history of known stroke
  • Severe Parkinsonism (defined by MDS-Unified Parkinson's Disease Rating Scale46 \> 20)
  • MRI contra-indications: metallic implants, severe claustrophobia
  • Adults under legal protection (safeguard of justice, curatorship, guardianship), persons deprived of their liberty.
  • Hospitalized at inclusion

Key Trial Info

Start Date :

July 1 2024

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

January 1 2029

Estimated Enrollment :

30 Patients enrolled

Trial Details

Trial ID

NCT06914284

Start Date

July 1 2024

End Date

January 1 2029

Last Update

April 6 2025

Active Locations (1)

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Centre Hospitalier Guillaume Regnier

Rennes, Ile Et Vilaine, France, 35000