Page last updated: 2024-11-03

riluzole and Affective Psychosis, Bipolar

riluzole has been researched along with Affective Psychosis, Bipolar in 6 studies

Riluzole: A glutamate antagonist (RECEPTORS, GLUTAMATE) used as an anticonvulsant (ANTICONVULSANTS) and to prolong the survival of patients with AMYOTROPHIC LATERAL SCLEROSIS.

Research Excerpts

ExcerptRelevanceReference
"This was an 8-week add-on study of riluzole in combination with lithium in acutely depressed bipolar patients aged 18 years and older."2.71An open-label trial of the glutamate-modulating agent riluzole in combination with lithium for the treatment of bipolar depression. ( Charney, DS; De Jesus, G; Denicoff, KD; Luckenbaugh, DA; Manji, HK; Quiroz, JA; Singh, JB; Zarate, CA, 2005)

Research

Studies (6)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's4 (66.67)29.6817
2010's2 (33.33)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Park, LT1
Lener, MS1
Hopkins, M1
Iadorola, N1
Machado-Vieira, R1
Ballard, E1
Nugent, A1
Zarate, CA4
Salvadore, G1
Drevets, WC1
Henter, ID1
Manji, HK2
Brennan, BP1
Hudson, JI1
Jensen, JE1
McCarthy, J1
Roberts, JL1
Prescot, AP1
Cohen, BM1
Pope, HG1
Renshaw, PF1
Ongür, D1
Singh, J1
Krystal, AD1
Quiroz, JA1
Singh, JB1
Denicoff, KD1
De Jesus, G1
Luckenbaugh, DA1
Charney, DS1
Kugaya, A1
Sanacora, G1

Clinical Trials (5)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
An Investigation of the Antidepressant Efficacy of an Antiglutamatergic Agent in Bipolar Depression[NCT00054704]Phase 219 participants (Actual)Interventional2003-02-28Terminated (stopped due to Placebo was better than active drug.)
Riluzole in the Treatment of Bipolar Depression: A Study of the Association Between Clinical Response and Change in Brain Glutamate Levels as Measured by Proton Magnetic Resonance Spectroscopy[NCT00544544]14 participants (Actual)Interventional2007-06-30Completed
Imaging Framework for Testing GABAergic/Glutamatergic Drugs in Bipolar Alcoholics[NCT03220776]Phase 254 participants (Actual)Interventional2017-08-07Completed
An Investigation of the Efficacy in Childhood Obsessive-Compulsive Disorder of Riluzole: An Antiglutamatergic Agent[NCT00251303]Phase 278 participants (Actual)Interventional2005-08-31Completed
A Double-Blind Placebo Controlled Trial of Riluzole in Bipolar Depression[NCT00376220]Phase 294 participants (Actual)Interventional2004-05-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Montgomery-Asberg Depression Rating Scale

The Montgomery-Asberg Depression Rating Scale (MADRS) is a clinician-rated assessment of depression symptoms. Patients were rated weekly on 10 symptoms on a scale of 0 to 6 for each item, where 0 indicated no symptoms and 6 indicated the highest severity of that symptom. Total scores range from 0 to 60, where a moderate severity of depression would be present with a score of at least 20. (NCT00054704)
Timeframe: 8 weeks

InterventionUnits on a scale (Least Squares Mean)
Riluzole29.551
Placebo23.723

Change in Hamilton Depression Rating Scale

The Hamilton Depression rating Scale is a clinician-rated scale that measures the severity of depression symptoms using 21 items. Minimum score is zero and maximum score is 65. Higher scores indicate more severe depressive symptoms. (NCT00544544)
Timeframe: Baseline (week 0) - week 6

Interventionunits on a scale (Mean)
Riluzole-12.6

Clinical Global Impression Scale

The Clinical Global Impression Scale is a clinician-rated scale that evaluates the severity of illness at the time of assessment. The score ranges from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). (NCT00544544)
Timeframe: Baseline (week 0) - week 6

Interventionunits on a scale (Mean)
Riluzole-1.6

Montgomery Asberg Depression Rating Scale

The Montgomery-Asberg Depression Rating Scale is a clinician-rated scale that measures the severity of depression symptoms. The 10 items measured are apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts. Minimum score is zero and maximum score is 60. Higher scores represent more severe depressive symptoms. (NCT00544544)
Timeframe: Baseline (week 0) - week 6

Interventionunits on a scale (Mean)
Riluzole-13.0

Young Mania Rating Scale

The Young Mania Rating Scale is a clinician-rated scale that measures the severity of mania symptoms. The 11 items measures are elevated mood, increased motor activity, sexual interest, sleep, irritability, speech, language-thought disorder, thought content, aggressive behavior, appearance, and insight. Minimum score is zero and maximum score is 60. Higher scores represent more severe mania symptoms. (NCT00544544)
Timeframe: Baseline (week 0) - week 6

Interventionunits on a scale (Mean)
Riluzole-0.6

Prefrontal GABA+ Concentrations

Concentrations of GABA+, referenced to unsuppressed water and corrected for within-voxel CSF proportion, in dorsal anterior cingulate cortex measured via Proton Magnetic Resonance Spectroscopy (i.e., MEGA-PRESS). (NCT03220776)
Timeframe: Day 5 of each experimental condition

Interventionmmol/kg (Mean)
N-Acetylcysteine3.90
Gabapentin3.93
Placebo Oral Tablet3.73

Prefrontal Glx Concentrations

Concentrations of Glx (i.e., glutamate + glutamine), referenced to unsuppressed water and corrected for within-voxel CSF proportion, in dorsal anterior cingulate cortex measured via Proton Magnetic Resonance Spectroscopy. (NCT03220776)
Timeframe: Day 5 of each experimental condition

Interventionmmol/kg (Mean)
N-Acetylcysteine21.59
Gabapentin21.69
Placebo Oral Tablet22.25

Children's Yale-Brown Obsessive-Compulsive Scale Scores (CY-BOCS)

CY-BOCS is a 0-40 point scale of obsessive-compulsive symptom severity, higher number indicates more severe obsessive-compulsive symptoms. Comparison of 12 weeks scores for placebo and riluzole groups. (NCT00251303)
Timeframe: 12 weeks

Interventionunits on a scale (Mean)
Riluzole21.72
Placebo23.30

Much/Very Much Improved on Clinical Global Impressions - Improvement Score (CGI-I)

(NCT00251303)
Timeframe: 12 weeks

Interventionparticipants (Number)
Riluzole3
Placebo4

Mean Change in the Montgomery-Asberg Depression Rating Scale (MADRS) Total Score From Baseline to the End of 8 Weeks of Therapy.

The Montgomery Asberg Depression Rating Scale measures symptoms of depression (MADRS) is a semi-structured interview rating scale for depression that assesses 10 symptoms. The scale is composed of 10 questions with a fixed 7 point scale (0-6). Total score ranges from 0-60. A higher score indicates more depressive symptoms. MADRS Response will be defined as a > 50% reduction in MADRS score from baseline. (NCT00376220)
Timeframe: 8 weeks

,
Interventionunits on a scale (Mean)
Baseline MADRSWeek 8
Active Treatment Group32.421.7
Inactive/Placebo Group30.419.0

Reviews

2 reviews available for riluzole and Affective Psychosis, Bipolar

ArticleYear
Early intervention in bipolar disorder, part II: therapeutics.
    Early intervention in psychiatry, 2008, Volume: 2, Issue:3

    Topics: Antimanic Agents; Antipsychotic Agents; Bipolar Disorder; Brain; Early Diagnosis; Humans; Lamotrigin

2008
Beyond monoamines: glutamatergic function in mood disorders.
    CNS spectrums, 2005, Volume: 10, Issue:10

    Topics: Bipolar Disorder; Brain; Clinical Trials as Topic; Depressive Disorder, Major; Excitatory Amino Acid

2005

Trials

2 trials available for riluzole and Affective Psychosis, Bipolar

ArticleYear
A Double-Blind, Placebo-Controlled, Pilot Study of Riluzole Monotherapy for Acute Bipolar Depression.
    Journal of clinical psychopharmacology, 2017, Volume: 37, Issue:3

    Topics: Adolescent; Adult; Aged; Bipolar Disorder; Double-Blind Method; Excitatory Amino Acid Antagonists; H

2017
An open-label trial of the glutamate-modulating agent riluzole in combination with lithium for the treatment of bipolar depression.
    Biological psychiatry, 2005, Feb-15, Volume: 57, Issue:4

    Topics: Adolescent; Adult; Aged; Bipolar Disorder; Drug Therapy, Combination; Excitatory Amino Acid Antagoni

2005
An open-label trial of the glutamate-modulating agent riluzole in combination with lithium for the treatment of bipolar depression.
    Biological psychiatry, 2005, Feb-15, Volume: 57, Issue:4

    Topics: Adolescent; Adult; Aged; Bipolar Disorder; Drug Therapy, Combination; Excitatory Amino Acid Antagoni

2005
An open-label trial of the glutamate-modulating agent riluzole in combination with lithium for the treatment of bipolar depression.
    Biological psychiatry, 2005, Feb-15, Volume: 57, Issue:4

    Topics: Adolescent; Adult; Aged; Bipolar Disorder; Drug Therapy, Combination; Excitatory Amino Acid Antagoni

2005
An open-label trial of the glutamate-modulating agent riluzole in combination with lithium for the treatment of bipolar depression.
    Biological psychiatry, 2005, Feb-15, Volume: 57, Issue:4

    Topics: Adolescent; Adult; Aged; Bipolar Disorder; Drug Therapy, Combination; Excitatory Amino Acid Antagoni

2005

Other Studies

2 other studies available for riluzole and Affective Psychosis, Bipolar

ArticleYear
Rapid enhancement of glutamatergic neurotransmission in bipolar depression following treatment with riluzole.
    Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2010, Volume: 35, Issue:3

    Topics: Adult; Bipolar Disorder; Female; Glutamic Acid; Gyrus Cinguli; Humans; Male; Middle Aged; Psychiatri

2010
Rapid enhancement of glutamatergic neurotransmission in bipolar depression following treatment with riluzole.
    Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2010, Volume: 35, Issue:3

    Topics: Adult; Bipolar Disorder; Female; Glutamic Acid; Gyrus Cinguli; Humans; Male; Middle Aged; Psychiatri

2010
Rapid enhancement of glutamatergic neurotransmission in bipolar depression following treatment with riluzole.
    Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2010, Volume: 35, Issue:3

    Topics: Adult; Bipolar Disorder; Female; Glutamic Acid; Gyrus Cinguli; Humans; Male; Middle Aged; Psychiatri

2010
Rapid enhancement of glutamatergic neurotransmission in bipolar depression following treatment with riluzole.
    Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2010, Volume: 35, Issue:3

    Topics: Adult; Bipolar Disorder; Female; Glutamic Acid; Gyrus Cinguli; Humans; Male; Middle Aged; Psychiatri

2010
Case report: Successful riluzole augmentation therapy in treatment-resistant bipolar depression following the development of rash with lamotrigine.
    Psychopharmacology, 2004, Volume: 173, Issue:1-2

    Topics: Adult; Antidepressive Agents; Bipolar Disorder; Drug Synergism; Exanthema; Excitatory Amino Acid Ant

2004