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Phase 3 N=296 Randomized Quadruple-blind Treatment

Aripiprazole in Children and Adolescents With Bipolar I Disorder

Bipolar Disorder

Enrolled (actual)
296
Serious AEs
6.1%
Results posted
May 2012
Primary outcome: Primary: Change in Young Mania Rating Scale (Y-MRS) Total Score at Week 4 — -14.04; -16.16; -8.67 points — p=<0.0001

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Aripiprazole (Drug); placebo (Drug)
Age
Pediatric · 10+ yrs
Sex
All
Sponsor
Otsuka Pharmaceutical Development & Commercialization, Inc.
Primary completion
Feb 2007

Outcome Measures

OutcomeResultp-value
PRIMARY
Change in Young Mania Rating Scale (Y-MRS) Total Score at Week 4
-14.04; -16.16; -8.67 <0.0001 sig
SECONDARY
Change in Young Mania Rating Scale (Y-MRS) Total Score at Week 30
-13.91; -14.6; -8.69 <0.0001 sig
SECONDARY
Change in Children's Global Assessment Scale (CGAS) Total Score at Week 4
14.97; 16.96; 6.21 <0.0001 sig
SECONDARY
Change in Clinical Global Impressions Scale-Bipolar Version (CGI-BP) Severity Mania Score at Week 4
-1.6; -2.02; -0.89 <0.0001 sig
SECONDARY
Change in Children's Depression Rating Scale-Revised (CDRS-R) Total Score at Week 4
-7.65; -5.97; -4.66 0.0767
SECONDARY
Change in General Behavior Inventory Scale (GBI) Total Parent/Guardian Version Mania Score at Week 4
-9.66; -9.1; -4.63 <0.0001 sig
SECONDARY
Change in Attention Deficit Hyperactivity Disorders Rating Scale (ADHD-RS-IV) Total Score at Week 4
-12.03; -11.61; -4.57 <0.0001 sig
SECONDARY
Change in Children's Global Assessment (CGAS) Total Score at Week 30
15.81; 16.28; 7.45 <0.0001 sig
SECONDARY
Change in Clinical Global Impressions Scale-Bipolar Version (CGI-BP) Severity Mania Score at Week 30
-1.63; -1.93; -1.03 0.0003 sig
SECONDARY
Change in Clinical Global Impressions Scale-Bipolar Version (CGI-BP) Severity Depression Score at Week 4
-0.86; -0.9; -0.57 0.0878
SECONDARY
Change in Clinical Global Impressions Scale-Bipolar Version (CGI-BP) Severity Depression Score at Week 30
-0.71; -0.94; -0.47 0.2553
SECONDARY
Change in Clinical Global Impressions Scale-Bipolar Version (CGI-BP) Severity Overall Illness Score at Week 4
-1.6; -1.91; -0.84 <0.0001 sig
SECONDARY
Change in Clinical Global Impressions Scale-Bipolar Version (CGI-BP) Severity Overall Illness Score at Week 30
-1.59; -1.75; -0.91 <0.0001 sig
SECONDARY
Change in Children's Depression Rating Scale-Revised (CDRS-R) Total Score at Week 30
-6.47; -4.39; -3.81 0.1729
SECONDARY
Change in General Behavior Inventory Scale (GBI) Total Parent/Guardian Version Mania Score at Week 30
-8.76; -8.48; -5 <0.0001 sig
SECONDARY
Change in General Behavior Inventory Scale (GBI) Total Subject Version Mania Score at Week 4
-6.51; -6.52; -4.57 0.0468 sig
SECONDARY
Change in General Behavior Inventory Scale (GBI) Total Subject Version Mania Score at Week 30
-6.82; -7.84; -5.23 0.1309
SECONDARY
Change in General Behavior Inventory Scale (GBI) Total Parent/Guardian Version Depression Score at Week 4
-6.12; -3.71; -3.92 0.0430 sig
SECONDARY
Change in General Behavior Inventory Scale (GBI) Total Parent/Guardian Version Depression Score at Week 30
-5.17; -3.71; -3.03 0.9418
SECONDARY
Change in General Behavior Inventory Scale (GBI) Total Subject Version Depression Score at Week 4
0; -3.24; -3.11 0.9418
SECONDARY
Change in General Behavior Inventory Scale (GBI) Total Subject Version Depression Score at Week 30
-4.45; -4.38; -2.7 0.3969
SECONDARY
Change in Attention Deficit Hyperactivity Disorders Rating Scale (ADHD-RS-IV) Total Score at Week 30
-11.04; -9.76; -5.58 <0.0001 sig
SECONDARY
Subject Response to Treatment at Week 4
44.79; 63.64; 26.09 0.0074 sig
SECONDARY
Subject Response to Treatment at Week 30
50.00; 55.56; 26.60 0.0009 sig
SECONDARY
Change From Previous Phase in Clinical Global Impressions Scale-Bipolar Version (CGI-BP) Severity Mania Score at Week 4
2.4; 2.32; 3.37 <0.0001 sig
SECONDARY
Change From Previous Phase in Clinical Global Impressions Scale-Bipolar Version (CGI-BP) Severity Mania Score at Week 30
2.61; 2.45; 3.26 0.0020 sig
SECONDARY
Change From Previous Phase in Clinical Global Impressions Scale-Bipolar Version (CGI-BP) Severity Depression Score at Week 4
2.96; 3.06; 3.57 0.0010 sig
SECONDARY
Change From Previous Phase in Clinical Global Impressions Scale-Bipolar Version (CGI-BP) Severity Depression Score at Week 30
3.3; 3.06; 3.56 0.1726
SECONDARY
Change From Previous Phase in Clinical Global Impressions Scale-Bipolar Version (CGI-BP) Severity Overall Illness Score at Week 4
2.48; 2.41; 3.47 <0.0001 sig
SECONDARY
Change From Previous Phase in Clinical Global Impressions Scale-Bipolar Version (CGI-BP) Severity Overall Illness Score at Week 30
2.75; 2.6; 3.38 0.0030 sig

Summary

The purpose of this trial is to test the safety and efficacy of two doses of aripiprazole in child and adolescent patients with bipolar I disorder, manic or mixed episode with or without psychotic features.

Eligibility Criteria

Inclusion Criteria

  • Child and adolescent patients with bipolar I disorder, manic or mixed episode with or without psychotic features

Exclusion Criteria

  • Patients with certain other psychological disorders
  • Patients with a co-morbid serious, uncontrolled systemic illness
  • Patients with significant risk of committing suicide
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00110461). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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