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Bipolar DisorderBIMARNCT05161546

Study of Bipolar Disorders and Retinal Electrophysiological Markers

A study testing EEG and ERG measurements (Retinaute®, BioSerenity), Actigraphy (Motion Watch 8®, CamNtech) and Neuropsychological assessments in people with Bipolar Disorder, run by Centre Psychothérapique de Nancy at 1 site in France.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The BIMAR study aims to compare electrophysiological data measured with electroretinogram (ERG) and electroencephalogram (EEG) between a group of euthymic patients with bipolar disorder (BD) and a group of healthy controls subjects. 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?
EEG and ERG measurements (Retinaute®, BioSerenity), Actigraphy (Motion Watch 8®, CamNtech) and Neuropsychological assessments
Could I receive a placebo?
No, everyone receives an active treatment
How many people
62 participants
Where
1 siteFrance
Study dates
18 Jan 2022to 8 Aug 2023
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:
  • been diagnosed with BD according to the Diagnostic and Statistical Manual of Mental Disorders - 4th edition (DSM-IV) diagnostic criteria using the Mini International Neuropsychiatric Interview (MINI)
  • currently euthymic for at least 3 months prior to the study, as defined by a score below 10 on the Montgomery-Asberg Depression Rating Scale (MADRS) which assesses depression and by a score below 8 on the Young Mania Rating Scale (YMRS) which assesses mania
  • age 18 or more
  • Healthy volunteers:
  • not suffer from a personal psychiatric pathology verified with the MINI
Show all 18Show fewer
  • age 18 or more
  • Exclusion criteria for all participants (patients and healthy volunteers):
  • suffer from psychiatric pathology or substance use disorders according to DSM-IV criteria measured with the MINI, excluding BD for the patient group
  • suffer from neurological or retinal pathology
  • having a shift work or a get-lag in the last 15 days
  • criteria incompatible with the use of the virtual reality headset (Retinaute®,BioSerenity) like having an allergy to one of the components of the textile
  • persons treated by sismotherapy during the past year
  • persons with an uncorrected visual impairment or disabling hearing impairment that does not allow neuropsychological tests to be performed
  • subjects with an intellectual disability making it difficult to participate in the study or to understand and follow informations provided to them
  • adults legally protected
  • pregnant or breastfeeding women
  • subjects already participating in another interventional trial

Who cannot join

None listed.

Trial locations and contacts

1 site in 1 country.

France1 site
  • Centre Psychothérapique de Nancy

    Laxou, Nancy, 54520

Other trials in France

About this study

The BIMAR study aims to compare electrophysiological data measured with electroretinogram (ERG) and electroencephalogram (EEG) between a group of euthymic patients with bipolar disorder (BD) and a group of healthy controls subjects.

Secondarily, the investigators also want to:

Read more
  • Compare combined electrophysiological measurements with ERG and EEG between the two groups.
  • Identify relations between clinical, neuropsychological and circadian phenotypes in patients with BD and electrophysiological measurements measured with ERG and EEG.

The main hypothesis of the investigators is that differences exist in the ERG and EEG measurements between subjects with BD and healthy subjects. Those differences could be identified as candidate markers for BD which, if confirmed in later studies, could be used in current practice to guide the management of patients with BD.

Read the detailed description

Bipolar disorders (BD) is a common, chronic and disabling psychiatric condition. In addition to being characterized by significant clinical heterogeneity, notable disturbances of sleep and cognitive function are frequently observed in all phases of the disease. Currently, there is no readily available biomarker in current clinical practice to help diagnose or predict the disease course. Thus, identification of biomarkers in BD is today a major challenge. In this context, the study of electrophysiological biomarkers based on electroretinogram (ERG) and electroencephalogram (EEG) measurements in BD seems highly promising. The BiMAR study aims to compare electrophysiological data measured with ERG and EEG between a group of euthymic patients with BD and a group of healthy control subjects. Secondarily, the investigators will also describe the existing potential relationship between clinical, sleep and neuropsychological phenotypes of patients and electrophysiological data.

The BiMAR study is a comparative and monocentric study carried out at the Expert Center for BD in Nancy, France. In total, 70 euthymic adult patients with BD and 70 healthy control subjects will be recruited. Electrophysiological recordings with ERG and EEG will be performed with a virtual reality headset after a standardized clinical evaluation to all participants. Then, an actigraphic monitoring of 21 consecutive days will be carried out. At the end of this period a neuropsychological evaluation will be performed during a second visit. The primary outcome will be electrophysiological measurements with ERG flash and pattern. Secondary outcomes will be EEG data, sleep settings, clinical and neuropsychological assessments. For patients only, a complementary ancillary study, carried out at the University Hospital of Nancy, will be proposed to assess the retinal structure and microvascularization using Optical Coherence Tomography. Recruitment will begin in December 2021 and will continue until the end of June 2023.

The BiMAR study will contribute to identifying candidate ERG electrophysiological markers for helping the diagnosis of BD and identify subgroups of patients with different clinical profiles. Eventually, this would allow earlier diagnosis and personalized therapeutic interventions.

Being tested
EEG and ERG measurements (Retinaute®, BioSerenity), Actigraphy (Motion Watch 8®, CamNtech), Neuropsychological assessments, Optical Coherence Tomography (OCT)
Keywords
bipolar disorder, biomarker, electroretinogram, electroencephalogram, neurocognition, actigraphy, retina
Medical subject headings
Bipolar Disorder

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • EEG and ERG measurements (Retinaute®, BioSerenity)Device

    The Retinaute® is a portable medical device developed by BioSerenity, France, for performing flash and pattern ERG. It comes in the form of a virtual reality headset, which can be used in outpatient facilities. It is non-invasive and uses skin electrodes for the collection of parameters.

    ERG signals will be supplemented with 4 EEG channels, via cup electrodes applied to the skull and allowing the concomitant performance of an EEG.

  • Actigraphy (Motion Watch 8®, CamNtech)Device

    Actigraphy is an ecological and non-invasive method allowing a reliable characterization of the sleep/wake cycle. It is a portable system for continuously measuring the motor activity of an individual and appreciating the alternation of activity periods (wakefulness) and rest periods (sleep).

    An actigraph (MotionWatch8®, CamNtech) looks like a wristwatch that will be worn continuously, by convention on the wrist of the non-dominant hand, over periods ranging from several days to several weeks (here 21 days). Actigraphy does not present a known risk.

  • Neuropsychological assessmentsBehavioural

    The purpose of this assessment is to establish a cognitive profile for each participant. It uses a series of tests widely described in the literature and commonly used today.

  • Optical Coherence Tomography (OCT)Device

    The Spectral Domain Optical Coherence Tomography (SD-OCT) is a modern ocular imaging process using infrared radiation and allowing to obtain in a few seconds, and in a non-invasive way, images in section of the eye. The OCT-Angiography (OCT-A) module increments on the OCT. It can detect the movement of the blood elements from sequential SD-OCT slices taken at the same location of the retina and obtain a map of the retinal and choroidal vessels, without injection of fluorescent dye. The device used for both exams will be the OCT spectral RS 3000 Advance 2 + Angioscan (NIDEK, Gamagori, Japan). SD-OCT and OCT-A examinations are fast, painless, non-contact and last less than a minute. There is no particular risk.

Study groups in NCT05161546
Study groupRoleWhat they receive
patients with bipolar disorder (BD)ExperimentalElectrophysiological recordings with ERG and EEG will be performed with a virtual reality headset after a standardized clinical evaluation (first visit). Then, an actigraphic monitoring of 21 consecutive days will be carried out. At the end of this period a neuropsychological evaluation will be performed during a second visit. Between day 23 and day 28 (after the second visit), patients will be offered to assess the retinal structure and microvascularization using Spectral Domain Optical Coherence Tomography (SD-OCT) and OCT-Angiography (OCT-A).
Receives: Device: EEG and ERG measurements (Retinaute®, BioSerenity); Device: Actigraphy (Motion Watch 8®, CamNtech); Behavioral: Neuropsychological assessments; Device: Optical Coherence Tomography (OCT)
healthy volunteersActive comparatorElectrophysiological recordings with ERG and EEG will be performed with a virtual reality headset after a standardized clinical evaluation (first visit). Then, an actigraphic monitoring of 21 consecutive days will be carried out. At the end of this period a neuropsychological evaluation will be performed during a second visit.
Receives: Device: EEG and ERG measurements (Retinaute®, BioSerenity); Device: Actigraphy (Motion Watch 8®, CamNtech); Behavioral: Neuropsychological assessments

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Modification of amplitude measured with flash and pattern electroretinogram

    amplitude in microvolt

    Measured: Day 0 (=day of inclusion)

  2. Modification of implicite time measured with flash and pattern electroretinogram

    implicite time in millisecond

    Measured: Day 0 (=day of inclusion)

Secondary outcomes (10)
  1. Modification of amplitude measured with electroencephalogram

    amplitude of the P100, N170 and N200 waves amplitude in microvolt

    Measured: Day 0 (=day of inclusion)

  2. Modification of latency measured with electroencephalogram

    latency of the P100, N170 and N200 waves latency in millisecond

    Measured: Day 0 (=day of inclusion)

  3. Actigraphy

    evaluation of sleep/wake cycles

    Measured: from Day1 to Day21

  4. Sleep diary

    self reported tool of sleeping and waking times

    Measured: from Day 1 to Day 21

  5. Visual Object and Space Perception battery (VOSP)

    test of visual cognition

    Measured: visit n ° 2 (=between Day 22 and Day 27)

  6. California Verbal Learning Test (CVLT)

    assessment of verbal episodic memory

    Measured: visit n ° 2 (=between Day 22 and Day 27)

  7. Continuous Performance Task (CPT-III)

    test of sustained attention

    Measured: visit n ° 2 (=between Day22 and Day27)

  8. Verbal Fluency Task

    test of verbal functioning

    Measured: visit n ° 2 (=between Day 22 and Day 27)

  9. Test of Attention Assessment (TAP)

    test of attentional performance

    Measured: visit n ° 2 (=between Day 22 and Day 27)

  10. Montreal Cognitive Assessment (MoCA)

    screening assessment for detecting cognitive impairment

    Measured: visit n ° 2 (=between Day 22 and Day 27)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Dec 2021
  2. Study start18 Jan 2022
  3. Primary completion8 Aug 2023
  4. Study completion8 Aug 2023

Why it stopped: Malfunctions of the Retinaute® but no adverse effects on participants. Study interrupted for BioSerenity to make technical corrections. Long immobilization of the device and conditions for reusing it not adapted to the continuation of the study.

Resources

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
Diagnosis
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
The BiMAR study is an open-label and non-randomized comparative monocentric study applied in psychiatry and neuroscience. This research included two groups of adult subjects: a group of patients with BD in the euthymic phase and a group of healthy control subjects.
Masking
None (open label)
Enrolment
62 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05161546
Sponsor's protocol ID
RIPH 2021-03
Other IDs
IDRCB 2021-A01644-37
Acronym
BIMAR
Status last verified
Aug 2024
First submitted
28 Sep 2021
Last updated
22 Aug 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Schwitzer T, Schwan R, Bubl E, Lalanne L, Angioi-Duprez K, Laprevote V. Looking into the brain through the retinal ganglion cells in psychiatric disorders: A review of evidences. Prog Neuropsychopharmacol Biol Psychiatry. 2017 Jun 2;76:155-162. doi: 10.1016/j.pnpbp.2017.03.008. Epub 2017 Mar 20.

    PubMed 28336492
  • Tan A, Schwitzer T, Conart JB, Angioi-Duprez K. Study of retinal structure and function in patients with major depressive disorder, bipolar disorder or schizophrenia: A review of the literature. J Fr Ophtalmol. 2020 May;43(5):e157-e166. doi: 10.1016/j.jfo.2020.04.004. Epub 2020 May 4.

    PubMed 32381369
  • Hebert M, Merette C, Gagne AM, Paccalet T, Moreau I, Lavoie J, Maziade M. The Electroretinogram May Differentiate Schizophrenia From Bipolar Disorder. Biol Psychiatry. 2020 Feb 1;87(3):263-270. doi: 10.1016/j.biopsych.2019.06.014. Epub 2019 Jun 27.

    PubMed 31443935
  • Gross G, Tursini K, Albuisson E, Angioi-Duprez K, Conart JB, Louis Dorr V, Schwan R, Schwitzer T. Bipolar disorders and retinal electrophysiological markers (BiMAR): Study protocol for a comparison of electroretinogram measurements between subjects with bipolar disorder and a healthy control group. Front Psychiatry. 2022 Sep 8;13:960512. doi: 10.3389/fpsyt.2022.960512. eCollection 2022.

    PubMed 36159928

Questions about this trial

What is this clinical trial studying?

A study testing EEG and ERG measurements (Retinaute®, BioSerenity), Actigraphy (Motion Watch 8®, CamNtech) and Neuropsychological assessments in people with Bipolar Disorder, run by Centre Psychothérapique de Nancy 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 18 inclusion and 0 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: stopped early, as of the sponsor's last update on 22 Aug 2024. 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?

The study was stopped early (reason given: Malfunctions of the Retinaute® but no adverse effects on participants. Study interrupted for BioSerenity to make technical corrections. Long immobilization of the device and conditions for reusing it not adapted to the continuation of the study.). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Modification of amplitude measured with flash and pattern electroretinogram (time frame: Day 0 (=day of inclusion)). The study lists 2 primary outcomes in all. 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 NCT05161546, which also lists 4 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 22 Aug 2024.

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