Phase 3
Completed N=762
A Study to Evaluate the Effectiveness and Safety of Extended-Release (ER) Paliperidone Compared With Placebo in Delaying the Recurrence of Symptoms in Bipolar I Disorder
Source: ClinicalTrials.gov NCT00490971 ↗Enrolled (actual)
762
Serious AEs
9.6%
Results posted
Mar 2012
Primary outcomePrimary: Time to Recurrence of Any Mood Symptoms (Manic or Depressive) Associated With Bipolar I Disorder — 85.0; 140.0; 541; 283.0 Days — p=0.017
Summary
The purpose of this study is to evaluate the effectiveness and safety of oral extended-release (ER) paliperidone compared with placebo in the prevention of the recurrence of mood symptoms in patients with Bipolar I Disorder who initially respond to treatment of an acute manic or mixed episode with paliperidone ER. Olanzapine was included as an active control arm, although the study is not designed to allow for a direct comparison of olanzapine with paliperidone.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Time to Recurrence of Any Mood Symptoms (Manic or Depressive) Associated With Bipolar I Disorder |
85.0; 140.0; 541; 283.0; 558.0; NA | 0.017 sig |
| SECONDARY Time to Recurrence of Manic Symptoms Associated With Bipolar I Disorder |
194.0; 498.0; NA; 550.0; NA; NA | <0.001 sig |
| SECONDARY Time to Recurrence of Depressive Symptoms Associated With Bipolar I Disorder |
503.0; 448.0; NA | — |
Eligibility Criteria
Inclusion Criteria
- Meet DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, 4th Edition) criteria for Bipolar I Disorder Most Recent Episode Manic or Mixed (with or without psychotic features)
- have a history of at least 2 previously documented mood episodes associated with Bipolar I Disorder (1 of which must be a manic or mixed episode) that required medical treatment within the past 3 years
- a total score of at least 20 on the YMRS at screening and at Day 1 of the study.
Exclusion Criteria
- Meet DSM-IV criteria for any type of episode associated with bipolar disorder other than Bipolar I Disorder Most Recent Episode Manic or Mixed
- Meet DSM-IV criteria for rapid cycling
- Meet DSM-IV criteria for schizoaffective disorder
- Known or suspected borderline or antisocial personality disorder
- be, in the opinion of the investigator, at significant immediate risk for suicidal or violent behavior during the course of the study based on current status or prior history (e.g., suicide attempts during previous episodes).
Data sourced from ClinicalTrials.gov (NCT00490971). 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. Informational only — not medical advice.