Phase 4
N=72
Memantine and Cognitive Dysfunction in Bipolar Disorder
Bipolar Disorder
Bottom Line
View on ClinicalTrials.gov: NCT00586066 ↗Enrolled (actual)
72
Serious AEs
0.0%
Results posted
May 2017
Primary outcome: Primary: California Verbal Learning Test (CVLT) at Week 12 — 11.88; 11.55; 11.63; 11.73 correct items
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 4
- Interventions
- Memantine (Drug); Placebo (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Massachusetts General Hospital
- Primary completion
- Dec 2009
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY California Verbal Learning Test (CVLT) at Week 12 |
11.88; 11.55; 11.63; 11.73; 11.79; 12.09 | — |
| PRIMARY California Verbal Learning Test (CVLT) at Week 6 |
11.55; 10.65; 9.15; 9.05; 11.31; 10.24 | — |
| SECONDARY Rapid Visual Information Processing Task (RVP) |
-1.3997; -0.6859; -0.1508; -0.6017; -2.4440; -0.2353 | — |
Summary
The purpose of this study is to see whether memantine improves memory function in participants with bipolar disorder who have minimal symptoms. Secondary analyses will test the role of memantine in improving residual mood symptoms (depression and mania) in participants with bipolar disorder.
We hypothesize that in participants with bipolar disorder who have minimal symptoms memantine will be effective in improving cognitive functions, as measured by the difference in neuropsychological test scores at the beginning and at the end of the trial.
Eligibility Criteria
Inclusion Criteria
- Diagnostic and Statistical Manual-IV (DSM-IV) diagnostic criteria for any bipolar disorder [type I, type II, and not otherwise specified (NOS)] (diagnosed with the use of the Structured Clinical Interview for DSM-IV-TR Mood Module (SCID Mood Module)
- Written informed consent
- Men or women aged 18-65
- A baseline Hamilton-D 17 score of 15 or Everyday Cognition Self-Report Form: Average of all items >1.5 or Repeatable Battery for the Assessment of Neuropsychological Status (RBANS): 12 years education, RBANS total scale score of <100
- Able to read and understand English.
Exclusion Criteria
Patients meeting any of the following criteria will be excluded from the study:
- Participants with suicidal ideation where outpatient treatment is determined unsafe by the study clinician. These patients will be immediately referred to appropriate clinical treatment.
- Pregnant women, nursing mothers, or women of childbearing potential who are not using a medically accepted means of contraception (defined as oral contraceptive pill or implant, condom, diaphragm, spermicide, intrauterine device (IUD), s/p tubal ligation, partner with vasectomy).
- Serious or unstable medical illness, including liver impairment, kidney impairment, cardiovascular, hepatic, respiratory, endocrine, neurologic or hematologic disease.
- History of seizure disorder, brain injury, any history of known neurological disease [multiple sclerosis, degenerative disease such as amyotrophic lateral sclerosis (ALS), Parkinson disease and any movement disorders, etc].
- History or current diagnosis of the following DSM-IV psychiatric illness: organic mental disorder, schizophrenia, schizoaffective disorder, delusional disorder, psychotic disorders not otherwise specified, major depressive disorder, patients with substance dependence disorders, including alcohol, active within the last 12 months.
- History of multiple adverse drug reactions.
- Patients with mood congruent or mood incongruent psychotic features within the last 12 months.
- Clinical or laboratory evidence of hypothyroidism.
- Patients who have had an episode of acute depression or mania during the 12 weeks prior to enrollment.
- Patients who have had electroconvulsive therapy (ECT) within the 6 months preceding enrollment.
- Patients taking drugs which alkalinize the urine.
Data sourced from ClinicalTrials.gov (NCT00586066). 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.