Adult Bipolar Mania

NCT ID: NCT00931723

Last Updated: 2012-04-19

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

356 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-06-30

Study Completion Date

2010-11-30

Brief Summary

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The purpose of this study is to determine if lithium 600-1800 mg/day is effective when added to quetiapine fumarate extended release (quetiapine XR or SEROQUEL® XR) 400-800 mg/day in treating acute mania and if so, how it compares with placebo (a non-active capsule, like a sugar pill, that looks like lithium).

Detailed Description

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Conditions

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Acute Mania

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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1

Seroquel XR and Lithium

Group Type ACTIVE_COMPARATOR

Quetiapine fumarate XR

Intervention Type DRUG

Oral treatment, once daily, Day 1 = 300 mg, Day 2 and thereafter 600 mg. Dose might be adjusted as from Day 3 by the discretion of the investigator.

Lithium

Intervention Type DRUG

Oral treatment, twice daily, Days 1 and 2 = 600 mg/day, Days 3-8 = 900 mg/day. Dose adjustment from day 9 to end of study will be at the discretion of the investigator.

2

Seroquel XR and placebo

Group Type PLACEBO_COMPARATOR

Quetiapine fumarate XR

Intervention Type DRUG

Oral treatment, once daily, Day 1 = 300 mg, Day 2 and thereafter 600 mg. Dose might be adjusted as from Day 3 by the discretion of the investigator.

Placebo

Intervention Type DRUG

Oral treatment twice daily.

Interventions

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Quetiapine fumarate XR

Oral treatment, once daily, Day 1 = 300 mg, Day 2 and thereafter 600 mg. Dose might be adjusted as from Day 3 by the discretion of the investigator.

Intervention Type DRUG

Lithium

Oral treatment, twice daily, Days 1 and 2 = 600 mg/day, Days 3-8 = 900 mg/day. Dose adjustment from day 9 to end of study will be at the discretion of the investigator.

Intervention Type DRUG

Placebo

Oral treatment twice daily.

Intervention Type DRUG

Other Intervention Names

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Seroquel XR

Eligibility Criteria

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Inclusion Criteria

* Provision of informed consent before any study procedures are performed.
* The patient must have a documented clinical diagnosis for bipolar I disorder, including recent episode manic or mixed, and being male of females age 18-65 years, inclusive.
* Patients may be outpatients or inpatients at enrollment visit, but all patients must be inpatients when randomized and remain inpatients until discharged at the discretion of the investigator.

Exclusion Criteria

* The patient can not have had up to 8 mood episodes during the past 12 months and not been continuously hospitalized for acute bipolar for up to 3 weeks immediately before participating in the study.
* The patient can not have a past diagnosis of stroke or medically documented transient ischemic attacks (TIA) or a history of seizure disorder, except for febrile convulsions.
* The patient must not have received electroconvulsive treatment (ECT) within 90 days before participating in the study and in the doctors judgement pose a current suicidal or homicidal risk.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Quintiles, Inc.

INDUSTRY

Sponsor Role collaborator

AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michael Castiglione

Role: STUDY_DIRECTOR

AstraZeneca

Michel Bourin, Professeur

Role: PRINCIPAL_INVESTIGATOR

Neurobiologie de l'anxiété et de la dépression Faculté de Médecine

Locations

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Research Site

Montignies-sur-Sambre, Belgium, Belgium

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Overpelt, Belgium, Belgium

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Cedex, Cedex, Belgium

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Dendermonde, , Belgium

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Tournai, , Belgium

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Burgas, Bulgaria, Bulgaria

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Radnevo, Bulgaria, Bulgaria

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Cedex, Cedex, Bulgaria

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Kazanlak, , Bulgaria

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Pazardzhik, , Bulgaria

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Plovdiv, , Bulgaria

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Sofia, , Bulgaria

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Cedex, Cedex, Germany

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Cologne, North Rhine-Westphalia, Germany

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Berlin, State of Berlin, Germany

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Berlin, , Germany

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Mannheim, , Germany

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München, , Germany

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Nuremberg, , Germany

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Visakhapatnam, Andh Prad, India

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Cedex, Cedex, India

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Ahmedabad, Gujarat, India

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Bangalore, Karna, India

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Mangalore, Karna, India

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Manipal, Karna, India

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Nashik, Mahara, India

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Jaipur, Rajasthan, India

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Kanpur, Uttar Prad, India

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Cedex, Cedex, Israel

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Bat Yam, , Israel

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Beer Ya'acov, , Israel

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Haifa, , Israel

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Petah Tikva, , Israel

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Tel Litwinsky, , Israel

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Cedex, Cedex, Poland

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Bydgoszcz, Poland, Poland

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Choroszcz, Poland, Poland

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Gorlice, , Poland

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Katowice, , Poland

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Krakow, , Poland

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Lublin, , Poland

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Poznan, , Poland

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Cedex, Cedex, Russia

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Arkhangelsk, , Russia

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Chita, , Russia

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Kazan', , Russia

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Moscow, , Russia

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Saint Petersburg, , Russia

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Saratov, , Russia

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Voronezh, , Russia

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Cedex, Cedex, South Africa

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Bloemfontein, Free State, South Africa

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Vereeniging, Free State, South Africa

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Worcester, W Cape, South Africa

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Cape Town, , South Africa

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Johannesburg, , South Africa

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Port Elizabeth, , South Africa

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Cedex, Cedex, Ukraine

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Kharkiv, Ukraine, Ukraine

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Kiev, Ukraine, Ukraine

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Dnipropetrovsk, , Ukraine

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Donetsk, , Ukraine

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Kiev, , Ukraine

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Odesa, , Ukraine

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Vinnitsia, , Ukraine

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Countries

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Belgium Bulgaria Germany India Israel Poland Russia South Africa Ukraine

References

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Bourin MS, Severus E, Schronen JP, Gass P, Szamosi J, Eriksson H, Chandrashekar H. Lithium as add-on to quetiapine XR in adult patients with acute mania: a 6-week, multicenter, double-blind, randomized, placebo-controlled study. Int J Bipolar Disord. 2014 Nov 8;2:14. doi: 10.1186/s40345-014-0014-9. eCollection 2014.

Reference Type DERIVED
PMID: 25505693 (View on PubMed)

Other Identifiers

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D144AC00003

Identifier Type: -

Identifier Source: org_study_id

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