Medical comorbidities in bipolar disorder (BIPCOM): clinical validation of risk factors and biomarkers to improve prevention and treatment. Study protocol.

Bipolar disorder Medical comorbidities Metabolic syndrome Precision medicine Quality of life

Journal

International journal of bipolar disorders
ISSN: 2194-7511
Titre abrégé: Int J Bipolar Disord
Pays: Germany
ID NLM: 101622983

Informations de publication

Date de publication:
04 May 2024
Historique:
received: 07 12 2023
accepted: 24 04 2024
medline: 5 5 2024
pubmed: 5 5 2024
entrez: 4 5 2024
Statut: epublish

Résumé

BIPCOM aims to (1) identify medical comorbidities in people with bipolar disorder (BD); (2) examine risk factors and clinical profiles of Medical Comorbidities (MC) in this clinical group, with a special focus on Metabolic Syndrome (MetS); (3) develop a Clinical Support Tool (CST) for the personalized management of BD and medical comorbidities. The BIPCOM project aims to investigate MC, specifically MetS, in individuals with BD using various approaches. Initially, prevalence rates, characteristics, genetic and non-genetic risk factors, and the natural progression of MetS among individuals with BD will be assessed by analysing Nordic registers, biobanks, and existing patient datasets from 11 European recruiting centres across 5 countries. Subsequently, a clinical study involving 400 participants from these sites will be conducted to examine the clinical profiles and incidence of specific MetS risk factors over 1 year. Baseline assessments, 1-year follow-ups, biomarker analyses, and physical activity measurements with wearable biosensors, and focus groups will be performed. Using this comprehensive data, a CST will be developed to enhance the prevention, early detection, and personalized treatment of MC in BD, by incorporating clinical, biological, sex and genetic information. This protocol will highlight the study's methodology. BIPCOM's data collection will pave the way for tailored treatment and prevention approaches for individuals with BD. This approach has the potential to generate significant healthcare savings by preventing complications, hospitalizations, and emergency visits related to comorbidities and cardiovascular risks in BD. BIPCOM's data collection will enhance BD patient care through personalized strategies, resulting in improved quality of life and reduced costly interventions. The findings of the study will contribute to a better understanding of the relationship between medical comorbidities and BD, enabling accurate prediction and effective management of MetS and cardiovascular diseases. ISRCTN68010602 at https://www.isrctn.com/ISRCTN68010602 . Registration date: 18/04/2023.

Sections du résumé

BACKGROUND BACKGROUND
BIPCOM aims to (1) identify medical comorbidities in people with bipolar disorder (BD); (2) examine risk factors and clinical profiles of Medical Comorbidities (MC) in this clinical group, with a special focus on Metabolic Syndrome (MetS); (3) develop a Clinical Support Tool (CST) for the personalized management of BD and medical comorbidities.
METHODS METHODS
The BIPCOM project aims to investigate MC, specifically MetS, in individuals with BD using various approaches. Initially, prevalence rates, characteristics, genetic and non-genetic risk factors, and the natural progression of MetS among individuals with BD will be assessed by analysing Nordic registers, biobanks, and existing patient datasets from 11 European recruiting centres across 5 countries. Subsequently, a clinical study involving 400 participants from these sites will be conducted to examine the clinical profiles and incidence of specific MetS risk factors over 1 year. Baseline assessments, 1-year follow-ups, biomarker analyses, and physical activity measurements with wearable biosensors, and focus groups will be performed. Using this comprehensive data, a CST will be developed to enhance the prevention, early detection, and personalized treatment of MC in BD, by incorporating clinical, biological, sex and genetic information. This protocol will highlight the study's methodology.
DISCUSSION CONCLUSIONS
BIPCOM's data collection will pave the way for tailored treatment and prevention approaches for individuals with BD. This approach has the potential to generate significant healthcare savings by preventing complications, hospitalizations, and emergency visits related to comorbidities and cardiovascular risks in BD. BIPCOM's data collection will enhance BD patient care through personalized strategies, resulting in improved quality of life and reduced costly interventions. The findings of the study will contribute to a better understanding of the relationship between medical comorbidities and BD, enabling accurate prediction and effective management of MetS and cardiovascular diseases.
TRIAL REGISTRATION BACKGROUND
ISRCTN68010602 at https://www.isrctn.com/ISRCTN68010602 . Registration date: 18/04/2023.

Identifiants

pubmed: 38703295
doi: 10.1186/s40345-024-00337-8
pii: 10.1186/s40345-024-00337-8
doi:

Types de publication

Journal Article

Langues

eng

Pagination

15

Subventions

Organisme : Fondazione Regionale per la Ricerca Biomedica (Italy)
ID : ERAPERMED2022-087
Organisme : Norges Forskningsråd
ID : ERAPERMED2022-087
Organisme : Sächsisches Staatsministerium für Wissenschaft und Kunst
ID : ERAPERMED2022-087
Organisme : Departament de Salut, Generalitat de Catalunya
ID : ERAPERMED2022-087
Organisme : Sweden's Innovation Agency (VINNOVA)
ID : ERAPERMED2022-087
Organisme : Agence Nationale de la Recherche
ID : ERAPERMED2022-087
Organisme : German Federal Ministry of Education and Research (BMBF)
ID : ERAPERMED2022-087

Investigateurs

Maximilian Bayas (M)
Frank Bellivier (F)
Narcís Cardoner Álvarez (NC)
Pietro Carmellini (P)
Federico Cevoli (F)
Julia Clemens (J)
Philippe Courtet (P)
Lorena Consoli (L)
Giuseppe Delvecchio (G)
Maja Dobrosavljevic (M)
Bruno Etain (B)
Hendrik Friedrichsen (H)
Adrienne Kelemen (A)
Despoina Koukouna (D)
Eugenia Mato (E)
Dídac Mauricio (D)
Romina Miranda-Olivos (R)
Lisa Möbius (L)
Chiara Moltrasio (C)
Caroline Mohn-Haugen (C)
Isabelle Nuss (I)
Emilie Olie (E)
Agnes Pelletier (A)
Zillur Rahman (Z)
Davide Rampi (D)
Jonathan Repple (J)
Eugenia Resmini (E)
Julia Schneider (J)
Elena Toffol (E)

Informations de copyright

© 2024. The Author(s).

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Auteurs

Giovanni de Girolamo (G)

Unit of Epidemiological and Evaluation Psychiatry, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy. gdegirolamo@fatebenefratelli.eu.

Ole A Andreassen (OA)

Norwegian Center for Mental Disorders Research (NORMENT), Division of Mental Health and Addiction, Institute of Clinical Medicine, Oslo University Hospital, University of Oslo, Oslo, Norway.

Michael Bauer (M)

Department of Psychiatry and Psychotherapy, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Dresden, Germany.

Paolo Brambilla (P)

Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy.

Stefano Calza (S)

Department of Molecular and Translational Medicine, University of Brescia, Brescia, Italy.

Nicholas Citerà (N)

Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Rosa Corcoy (R)

Institut de Recerca Sant Pau (IR SANT PAU), Barcelona, Spain.
CIBER de Bioingeniería, Biomateriales y Nanomedicina (CIBER-BBN), 28029, Madrid, Spain.

Andrea Fagiolini (A)

Department of Molecular and Developmental Medicine, Division of Psychiatry, University of Siena School of Medicine, Siena, Italy.

Miguel Garcia-Argibay (M)

School of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

Ophélia Godin (O)

Fondation FondaMental, Créteil, France.
Univ Paris Est Créteil, INSERM U955, IMRB, Translational NeuroPsychiatry Laboratory, Créteil, France.

Florian Klingler (F)

Deutsche Gesellschaft Für Bipolare Störungen (DGBS) E.V, Hamburg, Germany.

Nene F Kobayashi (NF)

Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, Goethe University Frankfurt, University Hospital, Frankfurt am Main, Germany.

Henrik Larsson (H)

School of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

Marion Leboyer (M)

Fondation FondaMental, Créteil, France.
Fédération Hospitalo-Universitaire de Médecine de Précision en Psychiatrie (FHU ADAPT), Créteil, France.

Silke Matura (S)

Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, Goethe University Frankfurt, University Hospital, Frankfurt am Main, Germany.

Alessandra Martinelli (A)

Unit of Epidemiological and Evaluation Psychiatry, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.

Víctor De la Peña-Arteaga (V)

Institut de Recerca Sant Pau (IR SANT PAU), Barcelona, Spain.
CIBER de Bioingeniería, Biomateriales y Nanomedicina (CIBER-BBN), 28029, Madrid, Spain.

Roberto Poli (R)

Department of Mental Health, Psychiatric Unit of Cremona General Hospital, Azienda Ospedaliera di Cremona, Cremona, Italy.

Andreas Reif (A)

Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, Goethe University Frankfurt, University Hospital, Frankfurt am Main, Germany.

Philipp Ritter (P)

Department of Psychiatry and Psychotherapy, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Dresden, Germany.

Linn N Rødevand (LN)

Norwegian Center for Mental Disorders Research (NORMENT), Division of Mental Health and Addiction, Institute of Clinical Medicine, Oslo University Hospital, University of Oslo, Oslo, Norway.

Marta Magno (M)

Unit of Epidemiological and Evaluation Psychiatry, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.

Elisa Caselani (E)

Unit of Epidemiological and Evaluation Psychiatry, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.

Classifications MeSH