Bipolar Disorder Clinical Trial
Official title:
The Effect of N- Acetylcysteine on Inflammatory and Oxidative Stress Biomarkers in Patients With Tobacco Use Disorders and Bipolar Disorders ..
Background: . Bipolar disorders and tobacco use disorder are top of the causes of disability
and mortality worldwide Objective: The aim of this study was to evaluate N-acetyl-cysteine
(NAC) as an adjunctive treatment in patients with bipolar .disorders and tobacco use
disorder (TUD)
, to determine whether NAC reduces alterations in biomarkers of inflammatory and oxidative
stress Methods: This study will be conducted as a double-blind, randomized, placebo
controlles add NAC or placebo for .bipolar disorders and tobacco use disorder at Londrina
State University, Brazil.
Tobacco use disorder and bipolar disorders are top of the causes of disability and mortality
worldwide. The aim of this study was to evaluate N-acetyl-cysteine (NAC) as an adjunctive
treatment in patients with Tobacco use disorder with comorbid bipolar disorder ( (N=72
NAC/placebo ) recruited from outpatients smoking cessation unit at Londrina State
University, Brazil.
The design was a randomized, double-blind, placebo controlled clinical trial of 12 weeks of
adjunctive treatment with N-acetyl-cysteine (NAC), 1800mg/day. Participants will be patients
with bipolar disorders with and without TUD, they will allocated to one of two groups at
random to receive NAC or placebo For the evaluation of oxidative stress biomarkers will be
assess among others malondialdehyde (MDA), lipid hydroperoxide,nitric oxide metabolites
(NOx), antioxidant potential total plasma (TRAP), advanced oxidation protein products
(AOPP), superoxide dismutase (SOD), catalase, the total glutathione (GSH) and oxidized
(GSSG), paraoxonase (PON 1) activity thiol group (SH-group).For the evaluation of
inflammation biomarkers will be analyze : BDNF, GM-CSF, IFN-γ, IL-1β, IL-10, IL-12 (p70),
IL-13, IL-15, IL-17, IL-1RA, IL-2, IL-2R, IL-4, IL-5, IL-6,IL-6R, IL-7, IL-8, Leptin, TNF-α,
TNF-RI, TNF-RII, high-sensitivity C-reactive protein (hs-CRP), erythrocytes sedimentation
rate (ESR), homocysteine, haptoglobin, albumin , uric acid and fibrinogen.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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