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Phase 3 N=680 Randomized Quadruple-blind Treatment

3-week Study to Evaluate Efficacy and Safety of Ziprasidone With Either Lithium or Divalproex in Acutely Manic Subjects

Bipolar Disorder

Enrolled (actual)
680
Serious AEs
2.0%
Results posted
Jan 2010
Primary outcome: Primary: Change From Baseline to Week 3 in Young Mania Rating Scale (YMRS) — -10.19; -10.95; -9.47 scores on scale — p=0.1077

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Placebo (Drug); Ziprasidone (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Pfizer's Upjohn has merged with Mylan to form Viatris Inc.
Primary completion
Dec 2008

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline to Week 3 in Young Mania Rating Scale (YMRS)
-10.19; -10.95; -9.47 0.1077
SECONDARY
Change From Baseline to Week 1 and Week 2 in YMRS
-4.38; -4.56; -5.10; -7.10; -7.56; -8.24 0.4025
SECONDARY
Change From Baseline in Montgomery Asberg Depression Rating Scale (MADRS) Total Scores
-2.16; -2.47; -1.11; -3.27; -3.24; -1.71 0.0101 sig
SECONDARY
Change From Baseline in Clinical Global Impression Scale - Severity (CGI-S) Score
-0.35; -0.43; -0.39; -0.70; -0.74; -0.73 0.6191
SECONDARY
Clinical Global Impression - Improvement (CGI-I) Scale Scores
3.34; 3.34; 3.38; 3.02; 2.91; 2.98 0.6138
SECONDARY
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Score
-4.87; -5.34; -3.44; -1.94; -2.26; -1.56 0.1063
SECONDARY
Change From Baseline in Global Assessment of Functioning (GAF) Score
8.79; 9.62; 7.79 0.0728
SECONDARY
Change From Baseline in Longitudinal Interval Follow-up Evaluation Range of Impaired Functioning (LIFE-RIFT) Score
-1.68; -1.58; -1.27 0.4460
SECONDARY
Anonymized Pharmacogenomic Blood Draw

Summary

3-week study to evaluate efficacy and safety of ziprasidone with either lithium or divalproex in acutely manic subjects

Eligibility Criteria

Inclusion Criteria

  • Subjects must have a primary diagnosis of Bipolar I Disorder, most recent episode manic (296.4x), or mixed (296.6x) as defined in Diagnostic and Statistical Manual of Mental Disorders - Text Revision (DSM-IV TR) and determined by the Mini International Neuropsychiatric Interview (MINI).
  • At screening and at baseline (within 12 hours prior to the first dose of double-blind medication) subjects must have a Young Mania Rating Scale score of 18 or higher.
  • Subjects must be actively receiving lithium or divalproex for their bipolar disorder in order to be considered for this study.

Exclusion Criteria

  • Subjects with a Diagnostic and Statistical Manual of Mental Disorders IV- Text Revision (DSM-IV TR) diagnosis of schizophrenia (295.XX), schizoaffective disorder (295.70), schizophreniform disorder (295.40), delusional disorder (297.1), or psychotic disorder not otherwise specified (NOS) (298.9).
  • Subjects with other DSM-IV-TR Axis I or Axis II disorders (in addition to Bipolar I disorder) are ineligible if the comorbid condition is clinically unstable, requires treatment, or has been a primary focus of treatment within the 6-month period prior to screening.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00312494). 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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