Efficacy and Safety of Quetiapine Versus Quetiapine Plus Lithium in Bipolar Depression

NCT ID: NCT00883493

Last Updated: 2012-07-11

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

421 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-04-30

Study Completion Date

2011-03-31

Brief Summary

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The purpose of this study is to compare the efficacy of quetiapine fumarate monotherapy with quetiapine fumarate in combination with lithium in the treatment of a major depressive episode in patients with bipolar disorder.

Detailed Description

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Conditions

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Acute Bipolar Depression

Keywords

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Acute bipolar depression Lithium carbonate quetiapine fumarate MADRS

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Quetiapin fumarate XR

Quetiapine XR (extended release) will be administered once daily at bedtime in oral tablet form, Day 1: 50 mg, Day 2: 100 mg, Day 3: 200 mg, Day 4 onwards: 300 mg.

Group Type EXPERIMENTAL

Quetiapine fumarate XR

Intervention Type DRUG

Quetiapine XR (extended release) will be administered once daily at bedtime in oral tablet form, Day 1: 50 mg, Day 2: 100 mg, Day 3: 200 mg, Day 4 onwards: 300 mg.

Quetiapin fumarate XR+Lithium carbonate

Quetiapine XR will be administered like monotherapy arm. Lithium will be administered twice daily from Day 1 to Day 56.

Group Type EXPERIMENTAL

Quetiapine fumarate XR

Intervention Type DRUG

Quetiapine XR (extended release) will be administered once daily at bedtime in oral tablet form, Day 1: 50 mg, Day 2: 100 mg, Day 3: 200 mg, Day 4 onwards: 300 mg.

Lithium carbonate

Intervention Type DRUG

Twice daily from Day 1 to Day 56. From Day 1 to Day 7, the total daily dose of lithium could be increased gradually within the dose range 300 mg/day to 1800 mg/day. From Day 8 to Day 56, the total daily dose could be adjusted from 600 to 1800 mg/day

Interventions

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Quetiapine fumarate XR

Quetiapine XR (extended release) will be administered once daily at bedtime in oral tablet form, Day 1: 50 mg, Day 2: 100 mg, Day 3: 200 mg, Day 4 onwards: 300 mg.

Intervention Type DRUG

Lithium carbonate

Twice daily from Day 1 to Day 56. From Day 1 to Day 7, the total daily dose of lithium could be increased gradually within the dose range 300 mg/day to 1800 mg/day. From Day 8 to Day 56, the total daily dose could be adjusted from 600 to 1800 mg/day

Intervention Type DRUG

Other Intervention Names

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SEROQUEL XR LITHURIL Tb in TURKEY LITOCARB in PERU

Eligibility Criteria

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Inclusion Criteria

* Outpatients that meet the diagnostic criteria for bipolar disorder I and bipolar disorder II with the most recent episode depressed
* The total score of the scale that's used for the evaluation of depression (HAM-D) should be ≥20
* The total score of the scale that' used for the evaluation of mania (YMRS) should be ≤12

Exclusion Criteria

* Patients with a current DSM-IV-TR Axis I disorder other than bipolar disorder within 6 months of enrollment. Patients who pose a current serious suicidal or homicidal risk
* Use of drugs that induce or inhibit the hepatic metabolizing enzymes within 14 days before randomisation
* Patients who are unable to discontinue all psychoactive medications, including antidepressants, antipsychotics, and mood stabilizers at least 7 days prior to randomisation and consistent with the pharmacokinetics of the drug
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Simavi Vahip, Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

Ege University Faculty of Medicine Psychiatry Department İzmir

Locations

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Research Site

La Plata, Buenos Aires, Argentina

Site Status

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Godoy Cruz, Mendoza Province, Argentina

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Mendoza, Mendoza Province, Argentina

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Caba, , Argentina

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Aparecida de Goiânia, Goiás, Brazil

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Rio de Janeiro, Rio de Janeiro, Brazil

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São Paulo, São Paulo, Brazil

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Santiago, Chile, Chile

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Medellín, Antioquia, Colombia

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Bogota D.c, Cundinamarca, Colombia

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Guatemala City, Ciudad de Guatemala, Guatemala

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Monterrey, Nuevo León, Mexico

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San Luis Potosí City, San Luis Potosí, Mexico

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Durango, , Mexico

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Monterrey, , Mexico

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Lima, Lima Province, Peru

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Ankara, Turkey, Turkey (Türkiye)

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Elâzığ, Turkey, Turkey (Türkiye)

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Istanbul, Turkey, Turkey (Türkiye)

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Izmir, Turkey, Turkey (Türkiye)

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Kocaeli, Turkey, Turkey (Türkiye)

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Malatya, Turkey, Turkey (Türkiye)

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Manisa, Turkey, Turkey (Türkiye)

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Caracas, , Venezuela

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Countries

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Argentina Brazil Chile Colombia Guatemala Mexico Peru Turkey (Türkiye) Venezuela

Other Identifiers

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D1443L00055

Identifier Type: -

Identifier Source: org_study_id