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

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Giovanni de Girolamo - (Author)
  • Ole A. Andreassen - (Author)
  • Michael Bauer - , Department of Psychiatry and Psychotherapy (Author)
  • Paolo Brambilla - (Author)
  • Stefano Calza - (Author)
  • Nicholas Citerà - (Author)
  • Rosa Corcoy - (Author)
  • Andrea Fagiolini - (Author)
  • Miguel Garcia-Argibay - (Author)
  • Ophélia Godin - (Author)
  • Florian Klingler - (Author)
  • Nene F. Kobayashi - (Author)
  • Henrik Larsson - (Author)
  • Marion Leboyer - (Author)
  • Silke Matura - (Author)
  • Alessandra Martinelli - (Author)
  • Víctor De la Peña-Arteaga - (Author)
  • Roberto Poli - (Author)
  • Andreas Reif - (Author)
  • Philipp Ritter - , Department of Psychiatry and Psychotherapy (Author)
  • Linn N. Rødevand - (Author)
  • Marta Magno - (Author)
  • Elisa Caselani - (Author)
  • Maximilian Bayas - (Author)
  • Frank Bellivier - (Author)
  • Narcís Cardoner Álvarez - (Author)
  • Pietro Carmellini - (Author)
  • Federico Cevoli - (Author)
  • Julia Clemens - , Department of Psychiatry and Psychotherapy (Author)
  • Philippe Courtet - (Author)
  • Lorena Consoli - (Author)
  • Giuseppe Delvecchio - (Author)
  • Maja Dobrosavljevic - (Author)
  • Bruno Etain - (Author)
  • Hendrik Friedrichsen - (Author)
  • Adrienne Kelemen - (Author)
  • Despoina Koukouna - (Author)
  • Eugenia Mato - (Author)
  • Dídac Mauricio - (Author)
  • Romina Miranda-Olivos - (Author)
  • Lisa Möbius - (Author)
  • Chiara Moltrasio - (Author)
  • Caroline Mohn-Haugen - (Author)
  • Isabelle Nuss - (Author)
  • Emilie Olie - (Author)
  • Agnes Pelletier - (Author)
  • Zillur Rahman - (Author)
  • Davide Rampi - (Author)
  • Jonathan Repple - (Author)
  • Eugenia Resmini - (Author)

Abstract

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

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

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: ISRCTN68010602 at https://www.isrctn.com/ISRCTN68010602. Registration date: 18/04/2023.

Details

Original languageEnglish
JournalInternational journal of bipolar disorders
Publication statusPublished - 4 May 2024
Peer-reviewedYes

Keywords