Lithium Versus Anticonvulsants and the Risk of Physical Disorders

NCT06005155 — Completed, 169285 participants, Mental Health Centre Copenhagen, Bispebjerg and Frederiksberg Hospital

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Lithium Versus Anticonvulsants and the Risk of Physical Disorders - Results From a Comprehensive Long-term Nation-wide Population-based Study Emulating a Randomised Trial

RegistryNCT06005155
StatusCompleted
Study typeObservational
Enrollment169285 (Actual)
SponsorMental Health Centre Copenhagen, Bispebjerg and Frederiksberg Hospital (Other)
ConditionsBipolar Disorder
InterventionsLithium (Drug)
Datesstart 2022-06-01, primary completion 2023-07-01, completion 2023-07-01, first posted 2023-08-22, last updated 2023-08-22
Locations1 site in Denmark

Related Papers Related Patents Related Grants Related Experts
All trials for Bipolar Disorder All trials of Lithium

-Summary

Nationwide population-based register linkage study covering the entire 5.9 million inhabitants in Denmark systematically investigating the associations between sustained long-term use of lithium versus lamotrigine and valproate, and the risk of a range of physical disorders emulating a randomized trial.

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+Detailed description

The study includes two cohorts. Cohort 1: all 12.607 patients with a diagnosis of bipolar disorder (ICD-10 code: DF30-31.9) who subsequently were exposed to either lithium, lamotrigine or valproate between 1997 and 2021. Cohort 2: as Cohort 1, but regardless of prior diagnosis of bipolar disorder (N= 156.678).

Main analyses considered a patient exposed to a drug 92 days after a prescription and a 10-year follow-up and 4 sensitivity analyses considered a patient exposed to a drug for 60 and 180 days after a prescription, respectively, and with 5- and 15-years follow-up, respectively.

+Arms and interventions

  • Lithium (Drug), also known as Lamotrigene, Valproate: Sustained long-term exposure

+Outcome measures

Primary outcomes

  • Incident stroke (separately for intracerebral hemorrhage and cerebral infarction) [1997 to 2021]: Diagnosis in the Danish National Hospital Register
  • Arteriosclerosis [1997 to 2021]: Diagnosis in the Danish National Hospital Register
  • Angina pectoris [1997 to 2021]: Diagnosis in the Danish National Hospital Register
  • Myocardial infarction [1997 to 2021]: Diagnosis in the Danish National Hospital Register
  • Diabetes mellitus (separately for type 1 diabetes and type 2 diabetes) [1997 to 2021]: Diagnosis in the Danish National Hospital Register
  • Myxoedema [1997 to 2021]: Diagnosis in the Danish National Hospital Register
  • Osteoporosis [1997 to 2021]: Diagnosis in the Danish National Hospital Register
  • Dementia (separately for Alzheimer's disease and other dementia) [1997 to 2021]: Diagnosis in the Danish National Hospital Register
  • Parkinson's disease [1997 to 2021]: Diagnosis in the Danish National Hospital Register
  • Chronic kidney disease (definite chronic kidney disease and possible Chronic kidney disease) [1997 to 2021]: Diagnosis in the Danish National Hospital Register

+Eligibility

Sex: All, ages: 5 Years to 100 Years

Inclusion Criteria:

* diagnosis of bipolar disorder and subsequent exposure to either lithium, lamotrigine or valproate

Exclusion Criteria:

* None

+Locations (1)

FacilityCityCountryStatus
Psychiatric Center CopenhagenCopenhagenDenmark

+Investigators