Bipolar Maintenance Study of Lurasidone Adjunctive to Lithium or Divalproex

NCT ID: NCT01358357

Last Updated: 2016-09-07

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

965 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-06-30

Study Completion Date

2015-04-30

Brief Summary

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This is a multi-center, randomized, placebo-controlled, flexible-dose, parallel-group study designed to evaluate the efficacy and safety of lurasidone (in combination with lithium or divalproex) for the maintenance treatment of bipolar I disorder in subjects with or without rapid cycling and /or psychotic features.

Detailed Description

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This study is to evaluate the efficacy and safety of lurasidone (in combination with lithium or divalproex) for the maintenance treatment of bipolar I disorder in subjects with or without rapid cycling and/or psychotic features.

Conditions

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Bipolar I Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Lurasidone 20-80 mg flexible dose

Group Type EXPERIMENTAL

Lurasidone

Intervention Type DRUG

Lurasidone 20 mg daily (days 1-3), Lurasidone 40 mg daily (days 4-7), Lurasidone 20-80 mg daily (flexible dose) thereafter

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

20-80 mg flexible dose

Interventions

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Lurasidone

Lurasidone 20 mg daily (days 1-3), Lurasidone 40 mg daily (days 4-7), Lurasidone 20-80 mg daily (flexible dose) thereafter

Intervention Type DRUG

Placebo

20-80 mg flexible dose

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Open-label Phase

* 18 years of age or older
* Diagnostic and Statistical Manual of Mental Disorders, 4th Ed., Text Revision (DSM-IV-TR) diagnosis of bipolar I disorder

•≥ 1 manic, mixed manic, or depressed episode in past 2 years
* YMRS or MADRS total score ≥ 14 if on lithium or divalproex; ≥ 18 if not on lithium or divalproex

Double-blind Phase


* Subjects must achieve consistent clinical stability, defined as total scores ≤ 12 on the YMRS and MADRS over at least 12 weeks, with the allowance of two excursions (YMRS and/or MADRS total scores up to 13 or 14, respectively) except during the last 4 weeks before randomization

Exclusion Criteria

Open Label Phase

* Diagnosis of an Axis I or Axis II disorder, other than bipolar I disorder, that is the primary focus of treatment within 3 months of screening
* Subjects for whom diagnostic agreement between the Investigator and United BioSource Corporation (Boston) (UBC) cannot be reached
* Ultra-fast rapid cycling (defined as ≥ 8 mood episodes over the previous 12-month period)
* Subjects who test positive for drugs of abuse at screening. In the event a subject tests positive for cannabinoids (tetrahydrocannabinol), the Investigator will evaluate the subject's ability to abstain from cannabis during the study
* Unstable/inadequately treated medical illness
* The subjects answers "yes" to "Suicidal Ideation" items 4 or 5 on the C-SSRS (at time of evaluation)

Double Blind Phase

* Subjects who in the Investigator's judgment have not been compliant with study medication during the stabilization phase
* Subjects who have not stabilized during the open-label phase (within 20 weeks)
* Subjects who test positive for drugs of abuse at double-blind phase baseline. In the event a subject tests positive for cannabinoids (tetrahydrocannabinol), the Investigator will evaluate the subject's ability to abstain from cannabis during the study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sumitomo Pharma America, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director, MD

Role: STUDY_DIRECTOR

Sumitomo Pharma America, Inc.

Locations

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Harmonex Neuroscience Research

Dothan, Alabama, United States

Site Status

Behavioral Research Specialists, LLC

Glendale, California, United States

Site Status

AXIS Clinical Trials

Los Angeles, California, United States

Site Status

Excell Research, Inc.

Oceanside, California, United States

Site Status

Stanford University School of Medicine Research Program VA Palo Alto Health Care System

Palo Alto, California, United States

Site Status

SF-CARE, Inc.

San Francisco, California, United States

Site Status

Neuropsychiatric Research Center of Orange County

Santa Ana, California, United States

Site Status

"Stanford University School of Medicine

Stanford, California, United States

Site Status

Florida Clinical Research LLC

Bradenton, Florida, United States

Site Status

Clinical Neuroscience Solutions, Inc.

Jacksonville, Florida, United States

Site Status

Galiz Research

Miami Springs, Florida, United States

Site Status

Clinical Neuroscience Solutions

Orlando, Florida, United States

Site Status

Atlanta Center for Medical Research

Atlanta, Georgia, United States

Site Status

Clinco

Terre Haute, Indiana, United States

Site Status

ActivMed Practices & Research Inc.

Haverhill, Massachusetts, United States

Site Status

Psych Care Consultants Research

St Louis, Missouri, United States

Site Status

Village Clinical Research Inc,

New York, New York, United States

Site Status

Finger Lakes Clinical Research

Rochester, New York, United States

Site Status

Charak Center for Health and Wellness

Garfield Heights, Ohio, United States

Site Status

Cutting Edge Research Groupd

Oklahoma City, Oklahoma, United States

Site Status

Suburban Research Associates

Media, Pennsylvania, United States

Site Status

Lincoln Research

Lincoln, Rhode Island, United States

Site Status

Carolina Clinical Trials, Inc.

Charleston, South Carolina, United States

Site Status

Clinical Neuroscience Solutions Inc.

Memphis, Tennessee, United States

Site Status

Psychoneuroendocrinology Research Group, Dept of Psychiatry, UT Southwestern Medical Center

Dallas, Texas, United States

Site Status

R/D Clinical Research, Inc.

Lake Jackson, Texas, United States

Site Status

Sanatorio Morra

Córdoba, Córdoba Province, Argentina

Site Status

Centro de Atencion E Invest. Clinica (CAICI)

Rosario, Santa Fe Province, Argentina

Site Status

Novain Neurociencias Group

Buenos Aires, , Argentina

Site Status

Centro de Neuropsiquiatria

Buenos Aires, , Argentina

Site Status

IPEM-Instituto de Prevención de las Enfermedades Mentales.

Buenos Aires, , Argentina

Site Status

Instituto DAMCI

Córdoba, , Argentina

Site Status

Clinica Privada de Salud Mental Santa Teresa de Avila

La Plata, , Argentina

Site Status

Centro de Psiquiatria Biologica

Mendoza, , Argentina

Site Status

The Lyell McEwin Hospital

Elizabeth Vale, South Australia, Australia

Site Status

RWF Medic Pty Ltd as Trustee for Farnbach Family Trust at Neurotherapy Victoria

Malvern, Victoria, Australia

Site Status

The Melbourne Clinic

Richmond, Victoria, Australia

Site Status

Hollywood Medical Centre

Fremantle, Western Australia, Australia

Site Status

Psychiatry Dispensary

Burgas, , Bulgaria

Site Status

University Multiprofiled Hospital for Active Treatment "Sveti Georgi"

Plovdiv, , Bulgaria

Site Status

Regional Psychiatric Dispensary

Rousse, , Bulgaria

Site Status

Multiprofiled Hospital for Active Treatment "Alexandrovska"

Sofia, , Bulgaria

Site Status

Psychiatric Clinic, Military Medical Academy

Sofia, , Bulgaria

Site Status

Multprofiled Hospital for Active Treatment "Sveta Marina"

Varna, , Bulgaria

Site Status

CETEP

Santiago, , Chile

Site Status

Clinica Las Condes

Santiago, , Chile

Site Status

Psicomedica

Santiago, , Chile

Site Status

Clinic Hospital Centre Rijeka Clinic for Psychiatry

Rijeka, , Croatia

Site Status

Clinical Hospital Centre Zagreb

Zagreb, , Croatia

Site Status

Klinicki Bolnicki Centar Zagreb-Rebro

Zagreb, , Croatia

Site Status

University Hospital Sestremilosrdnice

Zagreb, , Croatia

Site Status

University Hospital Centre Zagreb

Zagreg, , Croatia

Site Status

Saint Anne s.r.o.

Brno, , Czechia

Site Status

Fakultni Nemocnice Brno

Brno-Bohunice, , Czechia

Site Status

Psychiatricka ambulance

Havířov, , Czechia

Site Status

Psychiatricka Iecebna U Honzicka

Písek, , Czechia

Site Status

Clintrial s.r.o.

Prague, , Czechia

Site Status

Psychiatricka Ambulance

Prague, , Czechia

Site Status

Psychiaricka ambulance

Prague, , Czechia

Site Status

Psychiatricka ambulance Prosek

Prague, , Czechia

Site Status

Psychiatricke Centrum Praha

Prague 8-Bohunice, , Czechia

Site Status

Psychosocialni Centrum

Přerov, , Czechia

Site Status

Psychiatricka ambulance

Ústí nad Labem, , Czechia

Site Status

CHS La Chartreuse-Pole 6

Dijon, , France

Site Status

Centre Hospitalier Specialise du Jura-Centre Medico Psychiatrique

Dole, , France

Site Status

Hopital Lapeyronie

Montpellier, , France

Site Status

CHRU de Nimes, Service de Psychiatrie adulte

Nîmes, , France

Site Status

Obudai Egeszsegugyi Centurm Kft.

Budapest, , Hungary

Site Status

Fovarosi Onkormanyzat Szent Istvan Korhaz es Szent Laszlo Korhaz

Budapest, , Hungary

Site Status

Kutvolgyi Klinikai Tomb SOTE IIIsz Belgyogyaszati Klinika

Budapest, , Hungary

Site Status

Nyiro Gyula Korhaz

Budapest, , Hungary

Site Status

Fovarosi Onkormanyzat Nyiro Gyula Korhaz, I. Pszichiatria

Budapest, , Hungary

Site Status

Petz Aladar Megyei Oktato Korhaz

Győr, , Hungary

Site Status

Bekes Megyei Kepviselotestulet Pandy Kalman Korhaz

Gyula, , Hungary

Site Status

Haruna Hospital

Shibukawa, Gunma, Japan

Site Status

Goryokai Medical Corporation

Sapporo, Hokkaido, Japan

Site Status

Sapporokousetsu Hospital

Sapporo, Hokkaido, Japan

Site Status

Nagano Prefectural Mental Wellness Center-Komagane

Komagane, Nagano, Japan

Site Status

Shonan Hospital

Matsumoto-shi, Nagano, Japan

Site Status

Asakayama General Hospital

Sakai, Osaka, Japan

Site Status

National Hospital Organization Hizen Psychiatric Center

Kanzaki, Saga-ken, Japan

Site Status

Nishigahara Hospital

Kita-ku, Tokyo, Japan

Site Status

Okehazama Hospital Fujita Kokoro Care Center

Aichi, , Japan

Site Status

Ongata Hospital

Hachioji, Tokyo, , Japan

Site Status

Yuge Hospital

Kumamoto, , Japan

Site Status

Arakaki Hospital

Okinawa, , Japan

Site Status

Kawada Hospital

Toyama, , Japan

Site Status

NZOZ Syntonia

Gdynia, , Poland

Site Status

NZOZ BioMed

Kielce, , Poland

Site Status

Wojewodzki Osrodek Lexznictwa Psychiatrycznego w Toruniu

Torun, , Poland

Site Status

Prywatny Gabinet Lekarski Jaroslaw Strzelec

Tuszyn, , Poland

Site Status

Przychodnia Lekarsko-Psychologiczna "Persona" Spolka Partnerska Lekarzy

Wroclaw, , Poland

Site Status

State Healthcare and Forensic Psychiatric Expertise Institution

Izhevsk, , Russia

Site Status

Nizhny Novgorod Regional State Institution of Healthcare

Nizhny Novgorod, , Russia

Site Status

St. Petersburg State Healthcare Institution (SPSHI)

Saint Petersburg, , Russia

Site Status

St.Petersburg State Healthcare Institution (SPSHI)

Saint Petersburg, , Russia

Site Status

St Petersburg State Government Healthcare Institution

Saint Petersburg, , Russia

Site Status

Mental Health Research Institute of Rams

Tomsk, , Russia

Site Status

Clinical Centre of Serbia

Belgrade, , Serbia

Site Status

Clinical Hospital Centre Dragisa Misovic

Belgrade, , Serbia

Site Status

Psychiatric Clinic Clinical Center Kragujevac

Kragujevac, , Serbia

Site Status

Clinical Centre Nis

Niš, , Serbia

Site Status

Specialized Hospital for Psychiatric Diseased "Sveti Vracevi"

Novi Kneževac, , Serbia

Site Status

Vseobecna Nemocnica Rimavska Sobota, NaP, n.o. Bratislava

Rimavská Sobota, , Slovakia

Site Status

Psychiatricka ambulancia

Zlaté Moravce, , Slovakia

Site Status

Countries

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United States Argentina Australia Bulgaria Chile Croatia Czechia France Hungary Japan Poland Russia Serbia Slovakia

Other Identifiers

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2011-000986-10

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

D1050296

Identifier Type: -

Identifier Source: org_study_id

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