Examining Lithium's Mechanism in Bipolar Disorder

ConditionsHealthyBipolar
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-40
SponsorNorthumbria University

About this trial

The primary objective of the current study is to examine the acute effect of lithium on the visual and non-visual responses to light in a sample of healthy participants. Our experiments will investigate the effects of lithium on light sensitivity at the level of the retina as well as central visual and non-visual pathways.

Our primary hypothesis is that the administration of lithium to healthy volunteers will reduce the magnitude of a range of non-visual responses to light including melatonin suppression, alertness, performance, mood and electrophysiology in a manner that is dependent of the amount of lithium in the brain. To better understand the postulated effects of lithium on light sensitivity and to examine its relationship at the level of the retina, we will assess the visual and non-visual responses to light, as well as the distribution of lithium in the brain using a non-invasive imaging technique. In addition to that, we also aim to examine the impact of both lithium and light on a molecular level through whole blood transcriptome sequencing.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Aged between 18 and 40 years old

Fluent in English (both spoken and written)

Sleep duration between 6.5 and 9 hours daily

Have a regular normal sleep schedule with bedtime (weekdays) between 21:30 and 01:00.

Disqualifiers

History of psychiatric or neurological disorders

First-degree family history of psychosis or severe mood disorder

Current or past suicidal ideation or self-harm

Current, chronic infections or diseases.

Trial design

Design model

Single group

Treatments tested in this trial

  • Lithium carbonate (Priadel)

    Drug

    Oral lithium carbonate 600 mg daily for 7 days prior to the second laboratory assessment (and for both days while in the laboratory)

  • Controlled light exposure

    Other intervention

    Participants undergo 90-minute dim light (\<1 lux) and light exposure (100-850 lux) conditions during laboratory assessments to evaluate visual and non-visual responses to light.

Treatment groups

45 Participants
are divided into 1 treatment group
Group A: Single Group AssignmentExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Plasma melatonin change in response to light stimulation

Difference in plasma melatonin suppression following light exposure between the no-lithium and lithium conditions.

Time frame
Measured during the 90-minute light exposure session after 7 days of lithium treatment and after 7 days in the no-lithium condition (days 9-11 and 19-21).
2

Brain lithium signal intensity measured by 7Li-MRI

Quantification of brain lithium signal intensity using 7Li magnetic resonance imaging following 9 days of lithium carbonate administration in healthy participants.

Time frame
Measured once following 9 days of lithium carbonate administration (Day 21)

Secondary outcomes

1

Difference in colour vision post-light exposure between lithium and no-lithium conditions

To determine differences in the Cambridge Colour Test (CCT) for changes in colour vision between the lithium and placebo groups post light exposure

Time frame
Measured immediately following the 90-minute light exposure session after 7 days in the lithium condition and after 7 days in the no-lithium condition (days 9-11 and 19-21)
2

Waking EEG Measures

Hourly waking electroencephalography (EEG) data collected when the participant is awake in the lab will be compared between the lithium and no-lithium conditions. EEG data collected pre, post and during the 90-minute light exposure will be compared between the lithium and no-lithium conditions.

Time frame
EEG recordings will occur pre, post and throughout the 90-minute light exposure during days 9-11 and 19-21. EEG recordings will be conducted hourly when the participant is awake in the laboratory.
3

Pittsburgh Sleep Quality Index

Difference in Pittsburgh Sleep Quality Index total score between the lithium and no-lithium conditions in healthy participants. The global score on ranges from 0 to 21, where higher scores represent poorer sleep quality.

Time frame
Measured at screening and following 7 days of lithium administration (screening stage 2 and day 19)
4

Munich Chronotype Questionnaire

Difference in Munich Chronotype Questionnaire(MCTQ) measures between the lithium and no-lithium conditions in healthy participants. Total score on the MCTQ ranges from 16 to 86, with 16 to 41 being the eveningness type, 42 to 58 being the intermediate type, and 59 to 86 being the morningness type.

Time frame
Measured at screening and following 7 days of lithium administration (screening Stage 2 and Day 19)

Other outcomes

Sponsors and contacts

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Northumbria University

Lead sponsor

Newcastle University

Collaborator

Northumberland, Tyne and Wear NHS Foundation Trust

Collaborator

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