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Bipolar Affective DisordersSPERLICNCT07785167

Chemokine Receptors on CD8+ T Cells in Patients With Bipolar Disorder

An observational study of Bipolar Affective Disorders, run by University of Catania at 1 site in Italy.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This observational study investigates the expression profile of chemokine receptors and adhesion molecules in CD8+ T lymphocytes from individuals with Bipolar Disorder compared with healthy controls. Read more about this study

Who is it for?
Ages 25 to 35 yearsHealthy volunteers can take part
Conditions the study is for
Bipolar Affective Disorders
What is being tested?
CD8+ T-Cell Gene Expression Analysis
How many people
172 participants
Where
1 siteItaly
Study dates
7 Sep 2026to 7 Sep 2028
Phase
Observational
Are there results?
Not yet: the study is under way

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 25 to 35 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Study population: The study population will include adults aged 25 to 35 years with Bipolar I or Bipolar II Disorder and healthy controls. Participants with Bipolar Disorder will be recruited among patients receiving inpatient, Day-Service, or Day-Hospital care at the Psychiatry Unit of the University Hospital "G. Rodolico-San Marco" in Catania, Italy, as part of routine clinical practice. Eligible patients must be drug-naive or have been free from psychopharmacological treatment for at least 6 months. Healthy controls will be recruited from volunteers from the university/hospital community or the general community and must have no clinical evidence of Bipolar Disorder and no current psychotropic treatment. All participants will provide written informed consent before enrollment.

Who may be able to join

  • Participants with Bipolar Disorder:
  • Age 25 to 35 years.
  • Male or female; female participants must be in the mid-luteal phase of the menstrual cycle.
  • Clinical presentation consistent with a diagnosis of Bipolar I Disorder or Bipolar II Disorder.
  • First diagnosis of Bipolar Disorder with no previous psychopharmacological treatment (drug-naive), or absence of psychopharmacological treatment for at least 6 months (drug-free).
  • Ability and willingness to provide written informed consent.
Show all 15Show fewer
  • Healthy Controls Group:
  • Age 25 to 35 years.
  • Male or female; female participants must be in the mid-luteal phase of the menstrual cycle.
  • No current treatment with psychotropic medications.
  • No clinical or symptomatic evidence supporting a diagnosis of Bipolar I Disorder or Bipolar II Disorder.
  • Hamilton Depression Rating Scale (HAM-D) score <8.
  • Mania Rating Scale (MRS) score <11.
  • No major stressful life events during the previous 6 months, such as bereavement, traumatic events, or divorce.
  • Ability and willingness to provide written informed consent.

Who cannot join

  • Current treatment with corticosteroids, immunosuppressive agents, antibiotics, or hormone replacement therapy.
  • Relevant current medical comorbidities, including autoimmune diseases or other clinically significant internal medicine conditions.
  • Relevant psychiatric comorbidities.
  • Current psychopharmacological treatment or psychopharmacological treatment discontinued less than 6 months before enrollment.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Professor Maria Salvina Signorelli, PhD, MD contact

+39 095 3782791

maria.signorelli@unict.it

Professor Carmen Concerto, PhD, MD contact

carmen.concerto@unict.it

Italy1 site
  • Psychiatry Unit, Policlinico "G.Rodolico" Hospital, Via Santa Sofia 78

    Catania, Sicily, 95123

    Professor Maria Salvina Signorelli, MD, PhD, +39 095 3782791, maria.signorelli@unict.it

    Professor Carmen Concerto, MD, PhD

Other trials in Italy

About this study

Official title: Characterization of Chemokine Receptor Expression in CD8+ T Lymphocytes in Bipolar Disorder

This observational study investigates the expression profile of chemokine receptors and adhesion molecules in CD8+ T lymphocytes from individuals with Bipolar Disorder compared with healthy controls. The study focuses on CCR5 and CXCR3, which are involved in CD8+ T-cell migration toward the central nervous system, as well as the adhesion-related molecules PSGL-1, VLA-4, and LFA-1. Participants with Bipolar I or Bipolar II Disorder will be drug-naive or drug-free for at least 6 months and will be compared with healthy controls. Differences in molecular expression will also be explored according to the current mood episode, including depressive and manic/hypomanic phases. Gene expression will be assessed by real-time PCR in purified CD8+ T lymphocytes obtained from peripheral blood samples.

Read the detailed description

Bipolar Disorder (BD) is a chronic mood disorder whose underlying biological mechanisms remain incompletely understood. Increasing evidence suggests that immune dysregulation may contribute to its pathophysiology. In particular, alterations involving T lymphocytes and the migration of CD8+ T cells toward the central nervous system have been proposed as potentially relevant mechanisms. Similar immune-cell trafficking mechanisms are well characterized in multiple sclerosis, where chemokine receptors and leukocyte adhesion molecules contribute to lymphocyte recruitment and migration across the vascular endothelium.

The aim of the SPERLIC study is to characterize the expression profile of molecules involved in CD8+ T-cell trafficking in individuals with Bipolar Disorder and to compare these profiles with those observed in healthy controls. The study will primarily investigate the chemokine receptors CCR5 and CXCR3, which are involved in CD8+ T-cell recruitment toward the central nervous system. Expression of the adhesion-related molecules PSGL-1, VLA-4, and LFA-1 will also be evaluated. Secondary analyses will investigate possible differences in the expression of CCR5, CXCR3, PSGL-1, VLA-4, and LFA-1 according to the current mood phase, comparing patients experiencing a depressive episode with those experiencing a manic or hypomanic episode.

The study will include individuals aged 25 to 35 years with a diagnosis of Bipolar I or Bipolar II Disorder who are either drug-naive or have been free from psychopharmacological treatment for at least 6 months, together with a group of healthy controls. Patients will be recruited among individuals receiving care at the Psychiatry Unit of the University Hospital "G. Rodolico-San Marco" in Catania, Italy. Healthy controls will be recruited among volunteers without clinical evidence of Bipolar Disorder and without current psychotropic treatment. Clinical characterization will include demographic and clinical variables and standardized psychopathological assessments, including the Hamilton Depression Rating Scale, Mania Rating Scale, and SCL-90.

Peripheral blood samples will be used to isolate peripheral blood mononuclear cells by density-gradient centrifugation. CD8+ T lymphocytes will subsequently be purified using magnetic cell separation. Total RNA will be extracted from purified CD8+ T cells, and the relative mRNA expression of CCR5, CXCR3, PSGL-1, VLA-4, and LFA-1 will be quantified using SYBR-based one-step real-time PCR.

The planned sample comprises 172 participants, equally distributed between individuals with Bipolar Disorder and healthy controls. The sample size was estimated assuming an independent two-sided t-test, an effect size of 0.5, an alpha level of 0.05, and a statistical power of 0.90. Relative gene-expression differences will be calculated using the 2^-ΔΔCt method, and ΔCt values will be used for between-group statistical comparisons.

Being tested
CD8+ T-Cell Gene Expression Analysis

What participants receive

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

  • CD8+ T-Cell Gene Expression AnalysisOther

    Peripheral blood mononuclear cells will be isolated from peripheral blood by density-gradient centrifugation, followed by purification of CD8+ T lymphocytes using magnetic cell separation. Total RNA will be extracted from purified CD8+ T cells. Relative mRNA expression of CCR5, CXCR3, PSGL-1, VLA-4, and LFA-1 will be assessed using SYBR-based one-step real-time PCR.

Study groups in NCT07785167
Study groupRoleWhat they receive
Bipolar Disorder GroupParticipants aged 25-35 years with a diagnosis of Bipolar I or Bipolar II Disorder who are either drug-naive or have been free from psychopharmacological treatment for at least 6 months. Participants will be characterized according to the current mood phase, including depressive and manic/hypomanic episodes.
Receives: Other: CD8+ T-Cell Gene Expression Analysis
Healthy Control GroupHealthy volunteers aged 25-35 years without clinical evidence of Bipolar I or Bipolar II Disorder and not receiving psychotropic medications. Eligible controls must have a Hamilton Depression Rating Scale score <8 and a Mania Rating Scale score <11.
Receives: Other: CD8+ T-Cell Gene Expression Analysis

What is being measured

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

  1. Relative mRNA Expression of CCR5 in CD8+ T Lymphocytes

    Relative CCR5 mRNA expression in purified peripheral blood CD8+ T lymphocytes will be quantified by SYBR-based one-step real-time PCR. Gene expression will be normalized to the reference gene and expressed as relative fold change using the 2^-ΔΔCt method. CCR5 expression will be compared between participants with Bipolar Disorder and healthy controls.

    Measured: At baseline (single study visit)

  2. Relative mRNA Expression of CXCR3 in CD8+ T Lymphocytes

    Relative CXCR3 mRNA expression in purified peripheral blood CD8+ T lymphocytes will be quantified by SYBR-based one-step real-time PCR. Gene expression will be normalized to the reference gene and expressed as relative fold change using the 2^-ΔΔCt method. CXCR3 expression will be compared between participants with Bipolar Disorder and healthy controls.

    Measured: At baseline (single study visit)

Secondary outcomes (3)
  1. Relative mRNA Expression of PSGL-1 in CD8+ T Lymphocytes

    Relative PSGL-1 mRNA expression in purified peripheral blood CD8+ T lymphocytes will be quantified by SYBR-based one-step real-time PCR. Gene expression will be normalized to the reference gene and expressed as relative fold change using the 2^-ΔΔCt method. PSGL-1 expression will be compared between participants with Bipolar Disorder and healthy controls.

    Measured: At baseline (single study visit)

  2. Relative mRNA Expression of VLA-4 in CD8+ T Lymphocytes

    Relative VLA-4 mRNA expression in purified peripheral blood CD8+ T lymphocytes will be quantified by SYBR-based one-step real-time PCR. Gene expression will be normalized to the reference gene and expressed as relative fold change using the 2^-ΔΔCt method. VLA-4 expression will be compared between participants with Bipolar Disorder and healthy controls.

    Measured: At baseline (single study visit)

  3. Relative mRNA Expression of LFA-1 in CD8+ T Lymphocytes

    Relative LFA-1 mRNA expression in purified peripheral blood CD8+ T lymphocytes will be quantified by SYBR-based one-step real-time PCR. Gene expression will be normalized to the reference gene and expressed as relative fold change using the 2^-ΔΔCt method. LFA-1 expression will be compared between participants with Bipolar Disorder and healthy controls.

    Measured: At baseline (single study visit)

Timeline

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

  1. First posted25 Aug 2026
  2. Study start7 Sep 2026 (estimated)
  3. Primary completion7 Sep 2028 (estimated)
  4. Study completion7 Sep 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Cross-sectional
Enrolment
172 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07785167
Sponsor's protocol ID
09/2026/CL-PAR
Acronym
SPERLIC
Status last verified
Aug 2026
First submitted
20 Aug 2026
Last updated
25 Aug 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual participant data are not planned to be shared.

Publications

  • Magioncalda P, Martino M. A unified model of the pathophysiology of bipolar disorder. Mol Psychiatry. 2022 Jan;27(1):202-211. doi: 10.1038/s41380-021-01091-4. Epub 2021 Apr 15.

    PubMed 33859358
  • Magioncalda P, Martino M, Tardito S, Sterlini B, Conio B, Marozzi V, Adavastro G, Capobianco L, Russo D, Parodi A, Kalli F, Nasi G, Altosole T, Piaggio N, Northoff G, Fenoglio D, Inglese M, Filaci G, Amore M. White matter microstructure alterations correlate with terminally differentiated CD8+ effector T cell depletion in the peripheral blood in mania: Combined DTI and immunological investigation in the different phases of bipolar disorder. Brain Behav Immun. 2018 Oct;73:192-204. doi: 10.1016/j.bbi.2018.04.017. Epub 2018 May 1.

    PubMed 29723656
  • Barbosa IG, Rocha NP, Assis F, Vieira EL, Soares JC, Bauer ME, Teixeira AL. Monocyte and lymphocyte activation in bipolar disorder: a new piece in the puzzle of immune dysfunction in mood disorders. Int J Neuropsychopharmacol. 2014 Oct 31;18(1):pyu021. doi: 10.1093/ijnp/pyu021.

    PubMed 25539506
  • Harrison PJ, Geddes JR, Tunbridge EM. The Emerging Neurobiology of Bipolar Disorder. Trends Neurosci. 2018 Jan;41(1):18-30. doi: 10.1016/j.tins.2017.10.006. Epub 2017 Nov 20.

    PubMed 29169634

Questions about this trial

What is this clinical trial studying?

An observational study of Bipolar Affective Disorders, run by University of Catania at 1 site in Italy.

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 15 inclusion and 4 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: opening soon, as of the sponsor's last update on 25 Aug 2026. 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 Italy. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Professor Maria Salvina Signorelli, PhD, MD (+39 095 3782791, maria.signorelli@unict.it), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Relative mRNA Expression of CCR5 in CD8+ T Lymphocytes (time frame: At baseline (single study visit)). 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 NCT07785167, 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 25 Aug 2026.

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