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CTRI Number  CTRI/2026/01/100037 [Registered on: 01/01/2026] Trial Registered Prospectively
Last Modified On: 24/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Other 
Public Title of Study   Association Between Sodium Channel Gene Variations and Valproate Treatment Response in Bipolar Disorder A Longitudinal Study at a Tertiary Care Hospital 
Scientific Title of Study   Association of sodium channel Single Nucleotide Polymorphism (SNP) with valproate response among bipolar disorder patients in a tertiary care hospital A Longitudinal study. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DR ASWINYP 
Designation  Postgraduate resident  
Affiliation  Indira Gandhi Medical College and Research Institute 
Address  Department of Pharmacology, Indira Gandhi Medical College and Research Institute, Puducherry

Pondicherry
PONDICHERRY
605009
India 
Phone  9600644230  
Fax    
Email  aswiny14@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Maharani B 
Designation  Professor 
Affiliation  Indira Gandhi Medical College and Research Institute 
Address  Department of Pharmacology, Indira Gandhi Medical College and Research Institute, Puducherry

Pondicherry
PONDICHERRY
605009
India 
Phone  9894344585  
Fax    
Email  drkarthikrani@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DR ASWINYP 
Designation  Postgraduate resident  
Affiliation  Indira Gandhi Medical College and Research Institute 
Address  Department of Pharmacology, Indira Gandhi Medical College and Research Institute, Puducherry

Pondicherry
PONDICHERRY
605009
India 
Phone  09600644230  
Fax    
Email  aswiny14@gmail.com  
 
Source of Monetary or Material Support  
nil 
 
Primary Sponsor  
Name  Dr Aswiny P 
Address  Department of Pharmacology IGMCRI, Kathirkamam, Puducherry- 605009 
Type of Sponsor  Other [self] 
 
Details of Secondary Sponsor  
Name  Address 
nil  nil 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DR ASWINYP  Indira Gandhi Medical College and Research Institute,Kathirkamam, Puducherry  4, Department of Psychiatry, MIcrobiology and Pharmacology
Pondicherry
PONDICHERRY 
9600644230

aswiny14@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Indira gandhi medical college and research institute   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F316||Bipolar disorder, current episodemixed,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients who were prescribed with Sodium Valproate (VPA) for BPAD after initial stabilization with normal LFT. 
 
ExclusionCriteria 
Details  Hyperthyroidism,H/o Suicidal ideation Schizophrenic patients, Schizo-affective disorders or delusional disorders,Contraindications to VPA
Mood disorder due to general medical condition (recent stroke, HIV infection,
unstable medical condition)
Substance abuse, Pregnant and Breastfeeding women
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To evaluate the association of SNP of sodium channel genes with therapeutic response to
Valproate in bipolar disorder patients  
Baseline, 2nd week, 4th week and 6th week 
 
Secondary Outcome  
Outcome  TimePoints 
a.To find out the percentage of responders and non-responders having SCN1A
polymorphism by RFLP (Restriction Fragment Length Polymorphism).
b. To assess the Medication Adherence among the bipolar disorder patients to the
prescribed drugs
c. To evaluate the percentage of bipolar disorder patients who are not responding to
valproate.
d. To assess the safety profile of Valproate when administered to bipolar disorder
patients.  
Baseline, 2nd week, 4th week and 6th week 
 
Target Sample Size   Total Sample Size="96"
Sample Size from India="96" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   18/01/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

This study is a longitudinal pharmacogenomic study aimed at evaluating the association between sodium channel gene single nucleotide polymorphisms (SNPs) and therapeutic response to valproate in patients with bipolar disorder from a South Indian population. Adult patients (18–60 years) diagnosed with bipolar disorder and prescribed sodium valproate will be enrolled and followed for 6 weeks. Treatment response will be assessed using Young Mania Rating Scale (YMRS) and Hamilton Depression Rating Scale (HDRS), and patients will be classified as responders or non-responders. Genotyping of SCN1A SNP (rs2298771) will be performed using PCR–RFLP technique. Secondary outcomes include medication adherence, safety profile, and proportion of non-responders. A total sample size of 96 participants will be included. Data will be analyzed using appropriate statistical tests to determine genetic association, with the aim of supporting personalized valproate therapy in bipolar disorder.

 
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