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Behavioural Intervention

Ketogenic Diet for Bipolar Disorder

N/A
Recruiting
Led By Virginie-Anne Chouinard, MD
Research Sponsored by Mclean Hospital
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Between the ages of 18 and 45
Be between 18 and 65 years old
Must not have
History of gastric bypass surgery or any weight loss surgery
Current cancer diagnosis
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 12 weeks
Awards & highlights

Summary

This trial is studying the effects of the ketogenic diet, along with standard treatment, on brain energy and mental health symptoms in people with bipolar disorder and schizoaffective disorder who are experiencing their first episode

Who is the study for?
This trial is for individuals experiencing their first episode of bipolar disorder or schizoaffective disorder. Participants should be willing to follow specific dietary guidelines, including a ketogenic diet as part of the study.
What is being tested?
The study is testing how effective a ketogenic diet is when combined with standard treatments in improving brain energy metabolism and reducing psychiatric symptoms in new cases of bipolar and schizoaffective disorders.
What are the potential side effects?
Potential side effects from following a ketogenic diet may include fatigue, headache, dizziness, irritability, nausea, difficulty sleeping, constipation or other digestive issues.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am between 18 and 45 years old.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I have had weight loss surgery in the past.
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I am currently diagnosed with cancer.
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I have been diagnosed with type 1 or type 2 diabetes.
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I do not have any unstable illnesses affecting my heart, liver, kidneys, lungs, hormones, nervous system, or blood.
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I am unable to understand or sign the consent form.
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My weight is over 350 lbs or my BMI is less than 20.
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I have been diagnosed with familial hypercholesterolemia.
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I am currently being treated with Propofol.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~12 weeks
This trial's timeline: 3 weeks for screening, Varies for treatment, and 12 weeks for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Change in Clinical Global Impression (CGI) Scale
Change in brain creatine kinase forward reaction rate (kf)
Change in brain redox nicotinamide adenine dinucleotide metabolites ratio (NAD+/NADH)
+4 more
Secondary study objectives
Change in Global Functioning Scale (GFS) - Social and Role total score
Change in adverse events
Change in anxiety symptoms
+18 more
Other study objectives
Change in Extrapyramidal Symptom Rating Scale (ESRS) total score
Change in Pittsburgh Sleep Quality Index (PSQI) total score
Change in World Health Organization Disability Assessment Schedule (WHODAS) score
+5 more

Trial Design

2Treatment groups
Active Control
Group I: Ketogenic diet armActive Control1 Intervention
Eligible participants assigned to the ketogenic diet arm will be asked to follow the ketogenic diet (KD) for 12 weeks in addition to any ongoing medications (e.g., mood stabilizers and/or second-generation antipsychotics). Participants will receive weekly and as needed diet counseling from a registered dietician. Participants will be asked to monitor and report their blood ketone levels each day via a finger-prick device provided by the study team. Participants have the ability to opt into an optional open label phase where they can continue on the ketogenic diet with the daily finger pricks for another 12 weeks after the 12-week main study.
Group II: Dietary Guidelines for Americans armActive Control1 Intervention
Eligible participants assigned to the Dietary Guidelines for Americans (DGA) arm will adhere to the Dietary Guidelines for Americans in addition to any ongoing medications (e.g., mood stabilizers and/or second-generation antipsychotics). Participants will receive weekly and as needed diet counseling from a registered dietician. Participants will be asked to monitor and report their blood ketone levels each day via a finger-prick device provided by the study team. Participants have the ability to opt into an optional open label phase where they can switch to the ketogenic diet with the daily finger pricks for 12 weeks after the 12-week main study.

Find a Location

Who is running the clinical trial?

Mclean HospitalLead Sponsor
215 Previous Clinical Trials
21,643 Total Patients Enrolled
9 Trials studying Psychosis
1,007 Patients Enrolled for Psychosis
Baszucki Family FoundationUNKNOWN
1 Previous Clinical Trials
50 Total Patients Enrolled
1 Trials studying Psychosis
50 Patients Enrolled for Psychosis
Virginie-Anne Chouinard, MDPrincipal InvestigatorMclean Hospital
1 Previous Clinical Trials
50 Total Patients Enrolled
1 Trials studying Psychosis
50 Patients Enrolled for Psychosis
~33 spots leftby Sep 2027