Phase 4
N=41
Iloperidone in Mixed States of Bipolar Disorder
Bipolar Disorder
Bottom Line
View on ClinicalTrials.gov: NCT02413918 ↗Enrolled (actual)
41
Serious AEs
0.0%
Results posted
Nov 2017
Primary outcome: Primary: Measure of Response by Change From Baseline to End of Study in BISS Depression and Mania Scale Scores — 35.7; 61.8; 25; 48 percentage change in score on BISS scale — p=<0.0094
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 4
- Interventions
- iloperidone (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- The University of Texas Health Science Center at San Antonio
- Primary completion
- Apr 2015
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Measure of Response by Change From Baseline to End of Study in BISS Depression and Mania Scale Scores |
35.7; 61.8; 25; 48 | <0.0094 sig |
Summary
1. To assess the acute and long-term bimodal efficacy of iloperidone (IL), as an adjunct to ongoing treatment with lithium (Li) or divalproex (DIV) or lamotrigine (LAM) or any combination of the three thereof, in a group of patients with an index episode of a mixed state in BD.
2. To assess background, baseline features, and behavioral components which characterize treatment response/non-response in the acute and long term management of MS
Eligibility Criteria
Inclusion Criteria
- Male or female;
- Age 18 years and older
- Patients on:
- Li at a stable dose for 2 weeks or longer, and a serum level at screening of greater than or equal to 0.5 mEq/l OR
- DIV dose for 2 weeks or longer, and a serum level at screening of greater than or equal to 45 ug/ml OR
- LAM (dosage/day ≥100mg) at a stable dose for 2 weeks or longer OR
- Any combination 3a, 3b, or 3c
- Patients meeting DSM-IV TR diagnosis of bipolar disorder, I or II, as assessed using the MINI, (Sheehan et al., 1998) PLUS any ONE of criteria 5 or 6 or 7
- Patients meeting DSM-IV TR diagnostic criteria for a mixed manic episode with Young Mania Rating Scale (YMRS) score>/=14 and Montgomery Asberg Depression Rating Scale (MADRS) score>/=14
- Patients meeting the criteria for a manic/hypomanic episode for at least 2 days with the simultaneous presence of Young Mania Rating Scale (YMRS) score>/=14 PLUS Montgomery Asberg Depression Rating Scale (MADRS) score>/=14 ;
- Patients meeting DSM-IV TR diagnostic criteria for a major depressive episode with the simultaneous presence of MADRS score>/=14 PLUS meeting the criteria for a manic/hypomanic episode for at least 2 days with the simultaneous presence of Young Mania Rating Scale (YMRS) score>/=14
Exclusion Criteria
- Patients with a current Axis I diagnosis of schizophrenia, schizophreniform disorder, schizotypal disorder, bipolar disorder with psychotic sub-type that requires hospitalization, drug induced mania or AIDS induced mania
- Women with a positive pregnancy test or who are lactating
- Women of child-bearing potential who are not practicing a clinically accepted method of contraception
- Patients with general medical conditions that contraindicate psychoactive medications or uncontrolled medical disorder or central nervous system diseases.
- Patients whose clinical status requires inpatient or day hospital treatment
- History of severe side effects associated with therapeutic doses of Li, DIV, LAM
- Alcohol or drug dependent at time of enrollment
- Suicidal at time of enrollment.
- Current or previous exposure to iloperidone
- Patients taking medication that cause QTC prolongation
- Patients with serious cardiac disease
Data sourced from ClinicalTrials.gov (NCT02413918). 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.