Fixed-dose Safety and Efficacy Study of Asenapine for the Treatment of Acute Manic or Mixed Episode in Bipolar 1 Disorder (P05691)

NCT ID: NCT00764478

Last Updated: 2024-06-18

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

367 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-04-06

Study Completion Date

2014-05-28

Brief Summary

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This trial will study the efficacy and safety of a fixed dose of asenapine in participants diagnosed with Bipolar 1 Disorder. Participants who qualify for the study will be randomly assigned to receive a fixed dose of asenapine (either 5 mg or 10 mg twice daily \[BID\]) or placebo (BID) for 3 weeks. Throughout the trial, observations will be made on each participant at various times to assess the safety and effectiveness of the study treatment. The primary hypothesis is that there is at least one dose of asenapine that is superior to placebo in the change from baseline in manic symptoms (as measured by Young Mania Rating Scale \[YMRS\]) at Day 21 of the trial.

Detailed Description

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Conditions

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Bipolar 1 Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Asenapine 5 mg BID

Participants were administered one 5 mg asenapine tablet, sublingually BID for 21 days

Group Type EXPERIMENTAL

Asenapine

Intervention Type DRUG

asenapine tablet, 5 mg sublingually BID for 21 days

Asenapine 10 mg BID

Participants were administered one 10 mg asenapine tablet, sublingually BID for 21 days

Group Type EXPERIMENTAL

Asenapine

Intervention Type DRUG

asenapine tablet, 10 mg sublingually BID for 21 days

Placebo BID

Participants were administered one asenapine-matched placebo tablet sublingually BID for 21 days

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

placebo sublingual tablet, administered BID for 21 days

Interventions

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Asenapine

asenapine tablet, 5 mg sublingually BID for 21 days

Intervention Type DRUG

Asenapine

asenapine tablet, 10 mg sublingually BID for 21 days

Intervention Type DRUG

Placebo

placebo sublingual tablet, administered BID for 21 days

Intervention Type DRUG

Other Intervention Names

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SCH 900274, Saphris®, Sycrest®, Org 5222 SCH 900274, Saphris®, Sycrest®, Org 5222

Eligibility Criteria

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Inclusion Criteria

* Each participant must be at least 18 years of age
* Male, or a female who is not of child-bearing potential or who is non-pregnant, non-lactating, and is using a medically accepted method of contraception
* Each participant must have a current diagnosis of Bipolar I Disorder, current episode manic or mixed
* Each participant must be confirmed to be experiencing an acute manic or mixed bipolar 1 episode
* Each participant must have discontinued the use of all prohibited psychotropic medications

Exclusion Criteria

* A participant must not have a primary Axis I disorder other than Bipolar 1 Disorder (i.e., an Axis 1 disorder other than Bipolar 1 Disorder that is primarily responsible for current symptoms and functional impairment)
* A participant must not currently (within the past 6 months) meet the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition, Text Revision (DSM-IV-TR™) criteria for substance abuse or dependence (excluding nicotine)
* A participant must not be at imminent risk of self-harm or harm to others, in the investigator's opinion based on clinical interview and responses provided on the Columbia Suicide Severity Rating Scale (CSSRS).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Organon and Co

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Merck Sharp & Dohme LLC

References

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Landbloom RL, Mackle M, Wu X, Kelly L, Snow-Adami L, McIntyre RS, Mathews M, Hundt C. Asenapine: Efficacy and safety of 5 and 10mg bid in a 3-week, randomized, double-blind, placebo-controlled trial in adults with a manic or mixed episode associated with bipolar I disorder. J Affect Disord. 2016 Jan 15;190:103-110. doi: 10.1016/j.jad.2015.06.059. Epub 2015 Sep 25.

Reference Type RESULT
PMID: 26496015 (View on PubMed)

Other Identifiers

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2010-018409-13

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

MK-8274-003

Identifier Type: OTHER

Identifier Source: secondary_id

P05691

Identifier Type: -

Identifier Source: org_study_id

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