Trial Outcomes & Findings for Omega-3 Fatty Acid Adjunctive to Open-Label Aripiprazole for the Treatment of Bipolar Disorder in Children and Adolescents (NCT NCT00592683)

NCT ID: NCT00592683

Last Updated: 2012-04-06

Results Overview

The YMRS is used to evaluate symptoms of mania in children and adolescents. Items are rated from 0-4 or 0-8, with higher scores indicating greater severity. The minimum total score (least severe) is 0, and the maximum total score (most severe) is 60.

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

20 participants

Primary outcome timeframe

weekly for 1st 6 weeks then biweekly

Results posted on

2012-04-06

Participant Flow

Participant milestones

Participant milestones
Measure
Aripiprazole + Fish Oil
treatment with aripiprazole + fish oil
Aripiprazole + Placebo
treatment with aripiprazole + placebo
Overall Study
STARTED
10
10
Overall Study
COMPLETED
6
6
Overall Study
NOT COMPLETED
4
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Aripiprazole + Fish Oil
treatment with aripiprazole + fish oil
Aripiprazole + Placebo
treatment with aripiprazole + placebo
Overall Study
Found ineligible
0
1
Overall Study
Withdrawal by Subject
1
0
Overall Study
Adverse Event
0
2
Overall Study
Protocol Violation
1
0
Overall Study
Study drug expired
1
0
Overall Study
Other
1
0
Overall Study
Lost to Follow-up
0
1

Baseline Characteristics

Omega-3 Fatty Acid Adjunctive to Open-Label Aripiprazole for the Treatment of Bipolar Disorder in Children and Adolescents

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Aripiprazole + Fish Oil
n=10 Participants
treatment with aripiprazole + fish oil
Aripiprazole + Placebo
n=10 Participants
treatment with aripiprazole + placebo
Total
n=20 Participants
Total of all reporting groups
Age, Categorical
<=18 years
10 Participants
n=93 Participants
10 Participants
n=4 Participants
20 Participants
n=27 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Categorical
>=65 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age Continuous
10.8 years
STANDARD_DEVIATION 3.65 • n=93 Participants
11 years
STANDARD_DEVIATION 3.71 • n=4 Participants
10.9 years
STANDARD_DEVIATION 3.58 • n=27 Participants
Sex: Female, Male
Female
4 Participants
n=93 Participants
6 Participants
n=4 Participants
10 Participants
n=27 Participants
Sex: Female, Male
Male
6 Participants
n=93 Participants
4 Participants
n=4 Participants
10 Participants
n=27 Participants
Region of Enrollment
United States
10 participants
n=93 Participants
10 participants
n=4 Participants
20 participants
n=27 Participants

PRIMARY outcome

Timeframe: weekly for 1st 6 weeks then biweekly

Population: 14 subjects came in for week 12 assessments - included in final analysis.

The YMRS is used to evaluate symptoms of mania in children and adolescents. Items are rated from 0-4 or 0-8, with higher scores indicating greater severity. The minimum total score (least severe) is 0, and the maximum total score (most severe) is 60.

Outcome measures

Outcome measures
Measure
Aripiprazole + Fish Oil
n=8 Participants
treatment with aripiprazole + fish oil
Aripiprazole + Placebo
n=6 Participants
treatment with aripiprazole + placebo
Change in Bipolar Symptoms as Assessed by Young-Mania Rating Scale (YMRS)
9.5 Units on a scale
Standard Deviation 7.78
8.5 Units on a scale
Standard Deviation 7.40

SECONDARY outcome

Timeframe: weekly for first 6 weeks then biweekly

Population: 14 subjects came in for week 12 assessments - included in final analysis.

The DSM-IV Mania Symptom Checklist is used to evaluate symptoms of mania. Item scores range from 0-3, with larger scores indicating greater severity. With 33 items, the maximum (most severe) score possible is 99, with the minimum (least severe) score possible being 0.

Outcome measures

Outcome measures
Measure
Aripiprazole + Fish Oil
n=8 Participants
treatment with aripiprazole + fish oil
Aripiprazole + Placebo
n=6 Participants
treatment with aripiprazole + placebo
DSM-IV Mania Symptom Checklist
5.25 units on a scale
Standard Deviation 5.23
5 units on a scale
Standard Deviation 3.16

Adverse Events

Aripiprazole + Fish Oil

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Aripiprazole + Placebo

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Aripiprazole + Fish Oil
n=10 participants at risk
treatment with aripiprazole + fish oil
Aripiprazole + Placebo
n=10 participants at risk
treatment with aripiprazole + placebo
Skin and subcutaneous tissue disorders
rash (poison ivy)
0.00%
0/10
10.0%
1/10 • Number of events 1
General disorders
restless
0.00%
0/10
10.0%
1/10 • Number of events 1
General disorders
rhinorrhea
20.0%
2/10 • Number of events 4
10.0%
1/10 • Number of events 1
Psychiatric disorders
saddness/crying
0.00%
0/10
10.0%
1/10 • Number of events 1
General disorders
sedation
20.0%
2/10 • Number of events 3
10.0%
1/10 • Number of events 1
Skin and subcutaneous tissue disorders
skin rash
10.0%
1/10 • Number of events 1
0.00%
0/10
General disorders
slurred speech
0.00%
0/10
10.0%
1/10 • Number of events 1
General disorders
sore throat
10.0%
1/10 • Number of events 2
10.0%
1/10 • Number of events 1
General disorders
sores in mouth (healed)
0.00%
0/10
10.0%
1/10 • Number of events 1
Injury, poisoning and procedural complications
sprained finger
0.00%
0/10
10.0%
1/10 • Number of events 1
Gastrointestinal disorders
stomachache
10.0%
1/10 • Number of events 1
10.0%
1/10 • Number of events 1
General disorders
tiredness
70.0%
7/10 • Number of events 16
40.0%
4/10 • Number of events 7
General disorders
transient facial flushing
0.00%
0/10
10.0%
1/10 • Number of events 1
General disorders
weight gain
10.0%
1/10 • Number of events 1
0.00%
0/10
Respiratory, thoracic and mediastinal disorders
pneumonia
0.00%
0/10
10.0%
1/10 • Number of events 1
Respiratory, thoracic and mediastinal disorders
chest pain with inspiration
10.0%
1/10 • Number of events 1
0.00%
0/10
General disorders
cold symptoms
0.00%
0/10
10.0%
1/10 • Number of events 2
General disorders
decreased energy
20.0%
2/10 • Number of events 2
10.0%
1/10 • Number of events 1
General disorders
decreased appetite
0.00%
0/10
20.0%
2/10 • Number of events 3
Gastrointestinal disorders
diarrhea
20.0%
2/10 • Number of events 4
0.00%
0/10
Ear and labyrinth disorders
dizziness
0.00%
0/10
10.0%
1/10 • Number of events 3
General disorders
dry mouth
20.0%
2/10 • Number of events 3
0.00%
0/10
Ear and labyrinth disorders
ear infection
10.0%
1/10 • Number of events 1
0.00%
0/10
Gastrointestinal disorders
flatulence
10.0%
1/10 • Number of events 2
0.00%
0/10
General disorders
hand tremor
0.00%
0/10
10.0%
1/10 • Number of events 1
General disorders
headache
0.00%
0/10
30.0%
3/10 • Number of events 5
Gastrointestinal disorders
heartburn
0.00%
0/10
10.0%
1/10 • Number of events 3
General disorders
increased appetite
10.0%
1/10 • Number of events 2
20.0%
2/10 • Number of events 2
General disorders
increased sleep
10.0%
1/10 • Number of events 2
0.00%
0/10
General disorders
irritability
0.00%
0/10
10.0%
1/10 • Number of events 1
Injury, poisoning and procedural complications
left ankle swelling (injury)
10.0%
1/10 • Number of events 1
0.00%
0/10
Reproductive system and breast disorders
period 1 week late
0.00%
0/10
10.0%
1/10 • Number of events 1
Gastrointestinal disorders
nausea/vomiting
30.0%
3/10 • Number of events 4
40.0%
4/10 • Number of events 7

Additional Information

Janet Wozniak, MD

Massachusetts General Hospital

Phone: 617-503-1038

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place