Page last updated: 2024-10-26

valproic acid and Elevated Cholesterol

valproic acid has been researched along with Elevated Cholesterol in 5 studies

Valproic Acid: A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS.
valproic acid : A branched-chain saturated fatty acid that comprises of a propyl substituent on a pentanoic acid stem.

Research Excerpts

ExcerptRelevanceReference
"The goal of this 5-year naturalistic study of patients treated with clozapine was to examine the incidence of treatment-emergent diabetes mellitus in relation to other factors, including weight gain, lipid abnormalities, age, clozapine dose, and treatment with valproate."9.09Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study. ( Cagliero, E; Goff, DC; Gray, C; Hayden, DL; Henderson, DC; Nasrallah, RA; Schoenfeld, DA, 2000)
"The goal of this 5-year naturalistic study of patients treated with clozapine was to examine the incidence of treatment-emergent diabetes mellitus in relation to other factors, including weight gain, lipid abnormalities, age, clozapine dose, and treatment with valproate."5.09Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study. ( Cagliero, E; Goff, DC; Gray, C; Hayden, DL; Henderson, DC; Nasrallah, RA; Schoenfeld, DA, 2000)

Research

Studies (5)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's3 (60.00)29.6817
2010's1 (20.00)24.3611
2020's1 (20.00)2.80

Authors

AuthorsStudies
Muller, AL1
Diaz-Arias, L1
Cervenka, MC1
McDonald, TJW1
Chang, HH1
Chou, CH1
Chen, PS1
Gean, PW1
Huang, HC1
Lin, CY1
Yang, YK1
Lu, RB1
Liang, CS1
Yang, FW1
Lo, SM1
Henderson, DC1
Cagliero, E1
Gray, C1
Nasrallah, RA1
Hayden, DL1
Schoenfeld, DA1
Goff, DC1
Yilmaz, E1
Doşan, Y1
Gürgöze, MK1
Güngör, S1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
1/2-MC4R Genotype and Pediatric Antipsychotic Drug- Induced Weight Gain[NCT01844700]Phase 414 participants (Actual)Interventional2013-07-31Terminated (stopped due to very slow recruitment, no sufficient results)
A Double-Blind, Placebo-Controlled Trial of Rosiglitazone for Clozapine Induced Glucose Metabolism Impairment: Bergman's Minimal Model Analysis[NCT00337350]Phase 420 participants (Actual)Interventional2003-09-30Completed
An Open Label Trial of Ziprasidone as an Adjuvant for Clozapine- or Olanzapine-Associated Diabetes Mellitus or Impaired Fasting Glucose in Chronic Schizophrenia[NCT00351000]Phase 424 participants (Actual)Interventional2005-01-31Completed
Aripiprazole for Clozapine Associated Medical Morbidity[NCT00345033]Phase 438 participants (Actual)Interventional2005-03-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Percent Weight Change Compared to Baseline Weight

(NCT01844700)
Timeframe: baseline to week 12

Interventionpercentage of weight change (Mean)
Ziprasidone11.58
Aripiprazole, Quetiapine, Risperidone5.66

BMI Percentile

(NCT01844700)
Timeframe: baseline to week 12

,
InterventionBMI percentile (Mean)
baselineweek 12 (n=1, n=2)
Aripiprazole, Quetiapine, Risperidone37.6762.5
Ziprasidone3259

BMI Z-scores

(NCT01844700)
Timeframe: baseline to week 12

,
InterventionBMI z-score (Mean)
baselineweek 12 (n=1, n=2)
Aripiprazole, Quetiapine, Risperidone-0.370.38
Ziprasidone-0.510.22

Weight Change

(NCT01844700)
Timeframe: baseline to week 12

,
Interventionlbs (Mean)
baselineweek 12 (n=1,2)
Aripiprazole, Quetiapine, Risperidone118.5141
Ziprasidone120.5151

Change From Baseline in Acute Insulin Response to Glucose (AIRG)

Acute insulin response to glucose (AIRG) was assessed using a Frequently Sampled Intravenous Glucose Tolerance Test (FSIVGTT), performed at Baseline and at week 8 (study endpoint). Subjects in the Rosiglitazone treatment arm were compared to subjects in the placebo treatment arm on their change in SG between Baseline and week 8. AIRG was calculated from plasma glucose and serum insulin values using the MINMOD Millennium computer program. AIRG measures the acute(0-10 min) beta cell response to a glucose load calculated by the areas under the curve higher than basal insulin values. The AIRG was assessed as the incremental area under the curve (calculated by the trapezoid rule) from 0 to 10 min of the FSIVGTT. (NCT00337350)
Timeframe: baseline, week 8

InterventionUnits/mL per 10 minutes (Mean)
Rosiglitazone-151
Placebo19

Change From Baseline in Insulin Sensitivity

Insulin Sensitivity (IS) was assessed using a Frequently Sampled Intravenous Glucose Tolerance Test (FSIVGTT), performed at Baseline and at week 8 (study endpoint). Subjects in the Rosiglitazone treatment arm were compared to subjects in the placebo treatment arm on their change in IS between Baseline and week 8. SI was calculated from plasma glucose and serum insulin values using the MINMOD Millennium computer program. SI represents the increase in net fractional glucose clearance rate per unit change in serum insulin concentration after the intravenous glucose load (microUnits/mL). (NCT00337350)
Timeframe: baseline, week 8

InterventionmicroUnits/mL (Mean)
Rosiglitazone3.2
Placebo0.4

Change From Baseline on Glucose Utilization (SG)

Glucose utilization (SG) was assessed using a Frequently Sampled Intravenous Glucose Tolerance Test (FSIVGTT), performed at Baseline and at week 8 (study endpoint). Subjects in the Rosiglitazone treatment arm were compared to subjects in the placebo treatment arm on their change in SG between Baseline and week 8. SG was calculated from plasma glucose and serum insulin values using the MINMOD Millennium computer program. SG represents the net fractional glucose clearance rate because of the increase in glucose independent of any increase in circulating insulin concentrations above baseline. (NCT00337350)
Timeframe: baseline, week 8

Interventionmin^-1 (Mean)
Rosiglitazone.002
Placebo-0.01

Change From Baseline in Fasting Glucose

Subjects on clozapine with adjunctive ziprasidone were compared to subjects on olanzapine with adjunctive ziprasidone on change in fasting glucose levels from baseline to study endpoint (week 6 - baseline) (NCT00351000)
Timeframe: baseline, week 6

Interventionmg/dL (Mean)
Clozapine Treatment With Adjunctive Ziprasidone5
Olanzapine Treatment With Adjunctive Ziprasidone-4.5

Change From Baseline on Fasting Insulin

Subjects on clozapine with adjunctive ziprasidone were compared to subjects on olanzapine with adjunctive ziprasidone on change in fasting insulin levels from baseline to study endpoint (week 6 - baseline) (NCT00351000)
Timeframe: baseline, week 6

InterventionmicroIU/L (Mean)
Clozapine Treatment With Adjunctive Ziprasidone1
Olanzapine Treatment With Adjunctive Ziprasidone-0.9

Change in Body Mass Index (BMI)

A comparison between aripiprazole group and placebo group of change in Body Mass Index (BMI) measured at Baseline and Week 8. (NCT00345033)
Timeframe: Measured at Baseline and Week 8

Interventionkg/m^2 (Mean)
Aripiprazole-0.52
Placebo0.03

Change in Glucose Metabolism

A comparison between the aripiprazole group and placebo group in change in glucose metabolism measured at Baseline and Week 8. (NCT00345033)
Timeframe: Measured at Baseline and Week 8

Interventionmin^-1 (Mean)
Aripiprazole0.003
Placebo-0.005

Change in Insulin Resistance

A comparison between aripiprazole group and placebo group of change in insulin resistance measured at Baseline and Week 8. (NCT00345033)
Timeframe: Measured at Baseline and Week 8

InterventionHOMA score (Mean)
Aripiprazole0.6
Placebo0.65

Change in Total Cholesterol

A comparison of aripiprazole group and placebo group in change in total cholesterol measured at Baseline and Week 8. (NCT00345033)
Timeframe: Measured at Baseline and Week 8

Interventionmg/dL (Mean)
Aripiprazole-15.3
Placebo5.6

Change in Triglycerides

(NCT00345033)
Timeframe: Measured at Baseline and Week 8

Interventionmg/dL (Mean)
Aripiprazole-5.9
Placebo-7.3

Change in Weight

A comparison between aripiprazole group and placebo group in change in weight measured at Baseline and Week 8. (NCT00345033)
Timeframe: Measured at Baseline and Week 8

Interventionkg (Mean)
Aripiprazole-1.5
Placebo0.3

Trials

1 trial available for valproic acid and Elevated Cholesterol

ArticleYear
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000

Other Studies

4 other studies available for valproic acid and Elevated Cholesterol

ArticleYear
The effect of anti-seizure medications on lipid values in adults with epilepsy.
    Epilepsy & behavior : E&B, 2023, Volume: 144

    Topics: Adult; Epilepsy; Humans; Hypercholesterolemia; Valproic Acid

2023
High prevalence of metabolic disturbances in patients with bipolar disorder in Taiwan.
    Journal of affective disorders, 2009, Volume: 117, Issue:1-2

    Topics: Adult; Analysis of Variance; Antimanic Agents; Antipsychotic Agents; Bipolar Disorder; Blood Glucose

2009
Rapid development of severe hypertriglyceridemia and hypercholesterolemia during augmentation of quetiapine with valproic acid.
    Journal of clinical psychopharmacology, 2011, Volume: 31, Issue:2

    Topics: Adult; Dibenzothiazepines; Drug Interactions; Drug Synergism; Drug Therapy, Combination; Humans; Hyp

2011
Serum lipid changes during anticonvulsive treatment serum lipids in epileptic children.
    Acta neurologica Belgica, 2001, Volume: 101, Issue:4

    Topics: Adolescent; Anticonvulsants; Carbamazepine; Child; Child, Preschool; Cholesterol; Cholesterol, HDL;

2001