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NCT05762887Completed

Clinical Evaluation of the Antidepressant Effect of the Use of Probiotics in Bipolar Disorder

Clinical Evaluation of the Antidepressant Effect of the Use of Probiotics in Bipolar Disorder and Possible Mediating Effects of Systemic and Intestinal Inflammatory Markers in the Microbiota

Source: ClinicalTrials.gov · Last updated 13 May 2026

Brief summary (registry, in English)

Bipolar Disorder (BD) is highly incapacitating and associated with premature mortality. Depressive symptoms and episodes are the most frequent cause of disability in subjects with BD and over half of patients do not respond adequately to approved treatments for this condition, showing the need for new classes of treatments to complement current pharmacotherapy. Previous studies demonstrated that the intestinal flora have potential positive or negative effects on the Central Nervous System and suggest that adding specific strains of bacteria to people's diet may have antidepressant properties.The study proposes to evaluate the clinical benefit of adding probiotics to pharmacological treatments for bipolar depression. This will be a study with 124 subjects (62 receiving probiotics and 62 placebo). The research team in this department has focused especially on non-pharmacological treatments for bipolar disorder (psychotherapy, nutrition and exercise) and is multidisciplinary in scope with psychiatrists, psychologists, nurses, physiotherapists and nutritionists participating in research projects.

Status (registry)
Completed
Study type
Interventional
Enrollment
141 (actual)
First submitted
11 Jan 2023
Start date
9 Jan 2023
Primary completion date
1 Mar 2025
Lead sponsor
University of Sao Paulo
NCT number
NCT05762887

What you commit to

  • Study type: Interventional
  • Participants enrolled: 141
  • From 9 Jan 2023 to the primary completion date, 1 Mar 2025
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Patients on prolonged antibiotic therapy, immunosuppressive therapies

Other

  • Pregnant or lactating women
  • Substance or alcohol dependence
  • A recent introduction of antidepressants in the last 15 days
  • Use of another probiotic, either in the form of food, sachets, capsules and others

Who the study is looking for

  • BD type I or type II, according to the use of Mini Internacional Neuropsychiatric Interview (MINI)
  • Score on the Young Mania Rating Scale (YMRS) \< 8
  • Score on the Montgomery-Asberg Depression Rating Scale (MADRS) \> 8
  • Be receiving major guideline-approved treatments for bipolar depression for at least 4 weeks

Age in the registry: 18 years to 65 years · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
University of Sao Paulo
Coordinator of this site? Confirm its status
São PauloBrazilUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.