Page last updated: 2024-11-02

pioglitazone and Bipolar Disorder

pioglitazone has been researched along with Bipolar Disorder in 3 studies

Pioglitazone: A thiazolidinedione and PPAR GAMMA agonist that is used in the treatment of TYPE 2 DIABETES MELLITUS.
pioglitazone : A member of the class of thiazolidenediones that is 1,3-thiazolidine-2,4-dione substituted by a benzyl group at position 5 which in turn is substituted by a 2-(5-ethylpyridin-2-yl)ethoxy group at position 4 of the phenyl ring. It exhibits hypoglycemic activity.

Bipolar Disorder: A major affective disorder marked by severe mood swings (manic or major depressive episodes) and a tendency to remission and recurrence.

Research Excerpts

ExcerptRelevanceReference
"38 outpatients with bipolar disorder and current major depressive episode were randomized to pioglitazone (15-45 mg/day) or placebo."9.30Double-blind, placebo-controlled trial of pioglitazone for bipolar depression. ( Aftab, A; Brownrigg, B; Calabrese, JR; Conroy, C; D'Arcangelo, N; Ganocy, SJ; Gao, K; Goto, T; Han, H; Kemp, DE; Schinagle, M; Serrano, MB; Woods, N, 2019)
"This study showed that pioglitazone could be a tolerable and effective adjunctive therapy for improving depressive symptoms in bipolar disorder without type 2 diabetes or metabolic syndrome."9.20Pioglitazone adjunctive therapy for depressive episode of bipolar disorder: a randomized, double-blind, placebo-controlled trial. ( Akhondzadeh, S; Arbabi, M; Farokhnia, M; Ghaleiha, A; Hassanzadeh, E; Salimi, S; Sorayani, M; Zeinoddini, A, 2015)
"38 outpatients with bipolar disorder and current major depressive episode were randomized to pioglitazone (15-45 mg/day) or placebo."5.30Double-blind, placebo-controlled trial of pioglitazone for bipolar depression. ( Aftab, A; Brownrigg, B; Calabrese, JR; Conroy, C; D'Arcangelo, N; Ganocy, SJ; Gao, K; Goto, T; Han, H; Kemp, DE; Schinagle, M; Serrano, MB; Woods, N, 2019)
"This study showed that pioglitazone could be a tolerable and effective adjunctive therapy for improving depressive symptoms in bipolar disorder without type 2 diabetes or metabolic syndrome."5.20Pioglitazone adjunctive therapy for depressive episode of bipolar disorder: a randomized, double-blind, placebo-controlled trial. ( Akhondzadeh, S; Arbabi, M; Farokhnia, M; Ghaleiha, A; Hassanzadeh, E; Salimi, S; Sorayani, M; Zeinoddini, A, 2015)
"Patients (n = 34) with bipolar disorder (I, II, or not otherwise specified) and metabolic syndrome/insulin resistance who were currently depressed (Quick Inventory of Depressive Symptoms [QIDS] total score ≥11) despite an adequate trial of a mood stabilizer received open-label, adjunctive treatment with the PPAR-γ agonist pioglitazone (15-30 mg/day) for 8 weeks."5.19PPAR-γ agonism as a modulator of mood: proof-of-concept for pioglitazone in bipolar depression. ( Calabrese, JR; Conroy, C; Ganocy, SJ; Gao, K; Ismail-Beigi, F; Kemp, DE; Schinagle, M, 2014)

Research

Studies (3)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's3 (100.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Aftab, A1
Kemp, DE2
Ganocy, SJ2
Schinagle, M2
Conroy, C2
Brownrigg, B1
D'Arcangelo, N1
Goto, T1
Woods, N1
Serrano, MB1
Han, H1
Calabrese, JR2
Gao, K2
Ismail-Beigi, F1
Zeinoddini, A1
Sorayani, M1
Hassanzadeh, E1
Arbabi, M1
Farokhnia, M1
Salimi, S1
Ghaleiha, A1
Akhondzadeh, S1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Double-Blind, Placebo-Controlled Trial of Pioglitazone for Bipolar Depression[NCT01717040]Phase 437 participants (Actual)Interventional2012-09-30Terminated (stopped due to The study ended early due to budgetary issues)
Pioglitazone for the Treatment of Bipolar Disorder and Comorbid Metabolic Syndrome or Insulin Resistance[NCT00835120]Phase 434 participants (Actual)Interventional2009-03-31Completed
Low-Dose Adjunctive Brexpiprazole in the Treatment of Bipolar I Depression: An Open-Label Study[NCT04569448]Phase 358 participants (Anticipated)Interventional2021-05-10Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Inventory of Depressive Symptomatology-Clinician Rated (IDS-C30) Total Score

Inventory of Depressive Symptomatology-Clinician Rated (IDS-C30) is designed to assess the severity of depressive symptoms. Total scores can range from 0 to 84 with higher scores indicating a higher severity of depressive symptoms (NCT01717040)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Least Squares Mean)
Pioglitazone31.4
Placebo24.3

Change in Clinical Global Impressions-Bipolar Version (CGI-BP)

"The CGI-BP asks the clinician one question: Considering your total clinical experience with this particular population, how mentally ill is the patient at this time? which is rated on the following seven-point scale: 1=normal, not at all ill; 2=borderline mentally ill; 3=mildly ill; 4=moderately ill; 5=markedly ill; 6=severely ill; 7=among the most extremely ill patients." (NCT00835120)
Timeframe: Week 0 - Week 8

Interventionunits on a scale (Least Squares Mean)
Pioglitazone-1.9

Change in Quick Inventory of Depressive Symptoms-Self Report (QIDS-SR16) Total Score

The QIDS-SR16 is a 16-item, self report assessment. Total scores can range from 0 to 27, with higher scores indicating a worse outcome (NCT00835120)
Timeframe: Week 0 - Week 8

Interventionunits on a scale (Least Squares Mean)
Pioglitazone-7.1

Change in the Inventory of Depressive Symptomatology-Clinician Rated (IDS-CR) Score

Inventory of Depressive Symptoms-Clinician rated, 30 item (IDS-C30) score change from baseline to study endpoint. IDS-C30 total scores can range from 0 to 84, with higher scores indicating a worse outcome (NCT00835120)
Timeframe: Week 0 - Week 8

Interventionunits on a scale (Least Squares Mean)
Pioglitazone-16.5

Remission Rates Based on IDS-CR, QIDS-SR, and MADRS Scores

A participant is considered in remission if their total score on the MADRS is > 7, their total score on the QIDS-SR16 > 6 and/or their total score on the IDS-CR is > 12 at Week 8. (NCT00835120)
Timeframe: Week 0 - Week 8

Interventionparticipants (Number)
Pioglitazone8

Response Rates on the IDS-CR, Montgomery Asberg Depression Rating Scale (MADRS) and Quick Inventory of Depressive Symptomatology-Self-Report (QIDS-SR)

A participant is considered to have responded if their total score on either the MADRS or QIDS-SR16 decreases by at least 50% between their Week 0 visit and Week 8 visit. (NCT00835120)
Timeframe: Week 0 - Week 8

Interventionparticipants (Number)
Pioglitazone13

Trials

3 trials available for pioglitazone and Bipolar Disorder

ArticleYear
Double-blind, placebo-controlled trial of pioglitazone for bipolar depression.
    Journal of affective disorders, 2019, 02-15, Volume: 245

    Topics: Adult; Antidepressive Agents; Antimanic Agents; Antipsychotic Agents; Bipolar Disorder; Depression;

2019
PPAR-γ agonism as a modulator of mood: proof-of-concept for pioglitazone in bipolar depression.
    CNS drugs, 2014, Volume: 28, Issue:6

    Topics: Adolescent; Adult; Affect; Aged; Bipolar Disorder; Blood Glucose; C-Reactive Protein; Female; Humans

2014
PPAR-γ agonism as a modulator of mood: proof-of-concept for pioglitazone in bipolar depression.
    CNS drugs, 2014, Volume: 28, Issue:6

    Topics: Adolescent; Adult; Affect; Aged; Bipolar Disorder; Blood Glucose; C-Reactive Protein; Female; Humans

2014
PPAR-γ agonism as a modulator of mood: proof-of-concept for pioglitazone in bipolar depression.
    CNS drugs, 2014, Volume: 28, Issue:6

    Topics: Adolescent; Adult; Affect; Aged; Bipolar Disorder; Blood Glucose; C-Reactive Protein; Female; Humans

2014
PPAR-γ agonism as a modulator of mood: proof-of-concept for pioglitazone in bipolar depression.
    CNS drugs, 2014, Volume: 28, Issue:6

    Topics: Adolescent; Adult; Affect; Aged; Bipolar Disorder; Blood Glucose; C-Reactive Protein; Female; Humans

2014
Pioglitazone adjunctive therapy for depressive episode of bipolar disorder: a randomized, double-blind, placebo-controlled trial.
    Depression and anxiety, 2015, Volume: 32, Issue:3

    Topics: Adult; Aged; Antidepressive Agents; Bipolar Disorder; Combined Modality Therapy; Depression; Double-

2015