Trial Outcomes & Findings for Bipolar Maintenance Study of Lurasidone Adjunctive to Lithium or Divalproex (NCT NCT01358357)

NCT ID: NCT01358357

Last Updated: 2016-09-07

Results Overview

A mood event is defined as one of the following during the double-blind phase: (1) Fulfilled Diagnostic and Statistical Manual of Mental Disorders, 4th Ed., Text Revision (DSM-IV-TR) criteria for manic, mixed manic, hypomanic, or depressive episode. (2) Required treatment intervention for manic, mixed manic, hypomanic, or depressive symptoms with any antipsychotic (other than study drug), antidepressant, mood stabilizer (other than lithium or divalproex), anxiolytic agents, benzodiazepine (beyond dosage allowed for anxiety, agitation, or insomnia). (3) Psychiatric hospitalization for any bipolar mood episode. (4) Young Mania Rating Scale (YMRS) or Montgomery-Asberg Depression Rating Scale (MADRS) total score ≥ 18 or Clinical Global Impression Bipolar Version, Severity of Illness (CGI BP S) score ≥ 4 at 2 consecutive assessments no more than 10 days apart. (5) Discontinuation from the study because of a mood event (as determined by the Investigator).

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

965 participants

Primary outcome timeframe

28 weeks (up to 33 weeks)

Results posted on

2016-09-07

Participant Flow

There were 2 phases in this study. In Phase 1 (Open-label Stabilization Phase), there was 1 reporting group. In phase 2 (Double-blind Maintenance Phase), there were 2 reporting groups. 7 subjects completed the open-label but were not randomized DB(3- mood episode,3-not meeting the criteria for the DB phase,and 1-insufficient clinical response)

Participant milestones

Participant milestones
Measure
Lurasidone 20-80 mg Flexible Dose
Lurasidone: Lurasidone 20 mg daily (days 1-3), Lurasidone 40 mg daily (days 4-7), Lurasidone 20-80 mg daily (flexible dose) thereafter
Placebo
Placebo: 20-80 mg flexible dose
All Subjects
During the Open-label stabilization phase, subjects received flexible does of lurasidone 20 - 80 mg daily.
Open Label Phase
STARTED
0
0
965
Open Label Phase
COMPLETED
0
0
503
Open Label Phase
NOT COMPLETED
0
0
462
Double-Blind Phase
STARTED
246
250
0
Double-Blind Phase
COMPLETED
166
150
0
Double-Blind Phase
NOT COMPLETED
80
100
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Lurasidone 20-80 mg Flexible Dose
Lurasidone: Lurasidone 20 mg daily (days 1-3), Lurasidone 40 mg daily (days 4-7), Lurasidone 20-80 mg daily (flexible dose) thereafter
Placebo
Placebo: 20-80 mg flexible dose
All Subjects
During the Open-label stabilization phase, subjects received flexible does of lurasidone 20 - 80 mg daily.
Open Label Phase
Adverse Event
0
0
59
Open Label Phase
Lack of Efficacy
0
0
107
Open Label Phase
Lost to Follow-up
0
0
76
Open Label Phase
Protocol Violation
0
0
45
Open Label Phase
Withdrawal by Subject
0
0
112
Open Label Phase
Did not meet criteria for DB phase
0
0
16
Open Label Phase
Terminated at study completion
0
0
5
Open Label Phase
Mood episode
0
0
42
Double-Blind Phase
Adverse Event
8
5
0
Double-Blind Phase
Lost to Follow-up
5
7
0
Double-Blind Phase
Protocol Violation
16
12
0
Double-Blind Phase
Terminated at study completion
2
0
0
Double-Blind Phase
Recurrence of mood event
48
64
0
Double-Blind Phase
Administrative
0
1
0

Baseline Characteristics

Bipolar Maintenance Study of Lurasidone Adjunctive to Lithium or Divalproex

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Lurasidone 20-80 mg Flexible Dose
n=246 Participants
Lurasidone: Lurasidone 20 mg daily (days 1-3), Lurasidone 40 mg daily (days 4-7), Lurasidone 20-80 mg daily (flexible dose) thereafter
Placebo
n=250 Participants
Placebo: 20-80 mg flexible dose
Total
n=496 Participants
Total of all reporting groups
Age, Categorical
<=18 years
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
232 Participants
n=5 Participants
242 Participants
n=7 Participants
474 Participants
n=5 Participants
Age, Categorical
>=65 years
12 Participants
n=5 Participants
8 Participants
n=7 Participants
20 Participants
n=5 Participants
Age, Continuous
45.7 years
STANDARD_DEVIATION 12.43 • n=5 Participants
43.2 years
STANDARD_DEVIATION 12.18 • n=7 Participants
44.4 years
STANDARD_DEVIATION 12.36 • n=5 Participants
Sex: Female, Male
Female
136 Participants
n=5 Participants
143 Participants
n=7 Participants
279 Participants
n=5 Participants
Sex: Female, Male
Male
110 Participants
n=5 Participants
107 Participants
n=7 Participants
217 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
41 Participants
n=5 Participants
38 Participants
n=7 Participants
79 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
205 Participants
n=5 Participants
212 Participants
n=7 Participants
417 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Asian
6 Participants
n=5 Participants
7 Participants
n=7 Participants
13 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
23 Participants
n=5 Participants
21 Participants
n=7 Participants
44 Participants
n=5 Participants
Race (NIH/OMB)
White
213 Participants
n=5 Participants
216 Participants
n=7 Participants
429 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Region of Enrollment
Argentina
19 participants
n=5 Participants
19 participants
n=7 Participants
38 participants
n=5 Participants
Region of Enrollment
Russian Federation
30 participants
n=5 Participants
31 participants
n=7 Participants
61 participants
n=5 Participants
Region of Enrollment
Hungary
13 participants
n=5 Participants
15 participants
n=7 Participants
28 participants
n=5 Participants
Region of Enrollment
United States
73 participants
n=5 Participants
76 participants
n=7 Participants
149 participants
n=5 Participants
Region of Enrollment
Japan
5 participants
n=5 Participants
5 participants
n=7 Participants
10 participants
n=5 Participants
Region of Enrollment
Czech Republic
23 participants
n=5 Participants
24 participants
n=7 Participants
47 participants
n=5 Participants
Region of Enrollment
Poland
22 participants
n=5 Participants
21 participants
n=7 Participants
43 participants
n=5 Participants
Region of Enrollment
Slovakia
4 participants
n=5 Participants
3 participants
n=7 Participants
7 participants
n=5 Participants
Region of Enrollment
Bulgaria
20 participants
n=5 Participants
20 participants
n=7 Participants
40 participants
n=5 Participants
Region of Enrollment
Chile
9 participants
n=5 Participants
11 participants
n=7 Participants
20 participants
n=5 Participants
Region of Enrollment
France
8 participants
n=5 Participants
6 participants
n=7 Participants
14 participants
n=5 Participants
Region of Enrollment
Serbia
20 participants
n=5 Participants
19 participants
n=7 Participants
39 participants
n=5 Participants

PRIMARY outcome

Timeframe: 28 weeks (up to 33 weeks)

Population: ITT (Intent to treat) population: all subjects who were randomized and received at least one dose of study medication in the double-blind phase. Subjects were analyzed based on the treatment they were randomized.

A mood event is defined as one of the following during the double-blind phase: (1) Fulfilled Diagnostic and Statistical Manual of Mental Disorders, 4th Ed., Text Revision (DSM-IV-TR) criteria for manic, mixed manic, hypomanic, or depressive episode. (2) Required treatment intervention for manic, mixed manic, hypomanic, or depressive symptoms with any antipsychotic (other than study drug), antidepressant, mood stabilizer (other than lithium or divalproex), anxiolytic agents, benzodiazepine (beyond dosage allowed for anxiety, agitation, or insomnia). (3) Psychiatric hospitalization for any bipolar mood episode. (4) Young Mania Rating Scale (YMRS) or Montgomery-Asberg Depression Rating Scale (MADRS) total score ≥ 18 or Clinical Global Impression Bipolar Version, Severity of Illness (CGI BP S) score ≥ 4 at 2 consecutive assessments no more than 10 days apart. (5) Discontinuation from the study because of a mood event (as determined by the Investigator).

Outcome measures

Outcome measures
Measure
Lurasidone 20-80 mg Flexible Dose
n=246 Participants
Lurasidone: Lurasidone 20 mg daily (days 1-3), Lurasidone 40 mg daily (days 4-7), Lurasidone 20-80 mg daily (flexible dose) thereafter
Placebo
n=250 Participants
Placebo: 20-80 mg flexible dose
Time to Recurrence of Mood Event During the Double Blind Treatment Phase
NA Days
not estimable due to an insufficient number of events
207 Days
Interval 207.0 to
not estimable due to an insufficient number of events

SECONDARY outcome

Timeframe: 28 weeks (up to 33 weeks)

Population: ITT population: all subjects who were randomized and received at least one dose of study medication in the double-blind phase. Subjects were analyzed based on the treatment they were randomized.

Outcome measures

Outcome measures
Measure
Lurasidone 20-80 mg Flexible Dose
n=246 Participants
Lurasidone: Lurasidone 20 mg daily (days 1-3), Lurasidone 40 mg daily (days 4-7), Lurasidone 20-80 mg daily (flexible dose) thereafter
Placebo
n=250 Participants
Placebo: 20-80 mg flexible dose
Time to All-cause Discontinuation
225 Days
Interval 204.0 to 233.0
207 Days
Interval 207.0 to 216.0

SECONDARY outcome

Timeframe: 28 weeks (up to 33 weeks)

Population: ITT population: all subjects who were randomized and received at least one dose of study medication in the double-blind phase. Subjects were analyzed based on the treatment they were randomized.

Outcome measures

Outcome measures
Measure
Lurasidone 20-80 mg Flexible Dose
n=246 Participants
Lurasidone: Lurasidone 20 mg daily (days 1-3), Lurasidone 40 mg daily (days 4-7), Lurasidone 20-80 mg daily (flexible dose) thereafter
Placebo
n=250 Participants
Placebo: 20-80 mg flexible dose
Time to Recurrence of a Manic, Mixed Manic, Hypomanic, or Depressed Episode
NA Days
not estimable due to an insufficient number of events
NA Days
Interval 207.0 to
not estimable due to an insufficient number of events

SECONDARY outcome

Timeframe: 28 weeks

Population: ITT population: all subjects who were randomized and received at least one dose of study medication in the double-blind phase. Subjects were analyzed based on the treatment they were randomized.

Outcome measures

Outcome measures
Measure
Lurasidone 20-80 mg Flexible Dose
n=246 Participants
Lurasidone: Lurasidone 20 mg daily (days 1-3), Lurasidone 40 mg daily (days 4-7), Lurasidone 20-80 mg daily (flexible dose) thereafter
Placebo
n=250 Participants
Placebo: 20-80 mg flexible dose
Percentage of Subjects Who Experience a Recurrence of a Manic, Mixed Manic, Hypomanic, or Depressed Episode
16.7 percentage of participants
21.6 percentage of participants

SECONDARY outcome

Timeframe: Double-blind Baseline to week 28

Population: ITT population: all subjects who were randomized and received at least one dose of study medication in the double-blind phase. Subjects were analyzed based on the treatment they were randomized. 2 lurasidone + Li/VPA subjects did not have post-DB baseline CGI-BP-S overall score.

The CGI-BP-S overall score is a single value, clinician-rated assessment of overall bipolar illness severity and ranges from 1=Normal, not at all ill, to 7=Among the most extremely ill patients. a higher score is associated with greater illness severity.

Outcome measures

Outcome measures
Measure
Lurasidone 20-80 mg Flexible Dose
n=244 Participants
Lurasidone: Lurasidone 20 mg daily (days 1-3), Lurasidone 40 mg daily (days 4-7), Lurasidone 20-80 mg daily (flexible dose) thereafter
Placebo
n=250 Participants
Placebo: 20-80 mg flexible dose
Change From Double-blind Baseline to Week 28 (LOCF) in CGI-BP-S Overall Score
0.40 units on a scale
Standard Error 0.085
0.49 units on a scale
Standard Error 0.085

SECONDARY outcome

Timeframe: Double-blind Baseline to week 28

Population: ITT population: all subjects who were randomized and received at least one dose of study medication in the double-blind phase. Subjects were analyzed based on the treatment they were randomized. . 2 lurasidone + Li/VPA subjects did not have post-DB baseline CGI-BP-S mania score.

The CGI-BP-S mania score is a single value, clinician-rated assessment of mania illness severity and ranges from 1=Normal, not at all ill to 7=Among the most extremely ill patients. A high score is associated with greater illness severity

Outcome measures

Outcome measures
Measure
Lurasidone 20-80 mg Flexible Dose
n=244 Participants
Lurasidone: Lurasidone 20 mg daily (days 1-3), Lurasidone 40 mg daily (days 4-7), Lurasidone 20-80 mg daily (flexible dose) thereafter
Placebo
n=250 Participants
Placebo: 20-80 mg flexible dose
Change From Double -Blind Baseline to Week 28 (LOCF) in CGI-BP-S Mania Score
0.10 units on a scale
Standard Error 0.062
0.21 units on a scale
Standard Error 0.062

SECONDARY outcome

Timeframe: Double-blind Baseline to week 28

Population: ITT population: all subjects who were randomized and received at least one dose of study medication in the double-blind phase. Subjects were analyzed based on the treatment they were randomized. 2 lurasidone + Li/VPA subjects did not have post-DB baseline CGI-BP-S depression score.

The CGI-BP-S depression score is a single value, clinician-rated assessment of depression illness severity and ranges from 1=Normal, not at all ill to 7=Among the most extremely ill patients. A higher score is associated with a greater illness severity.

Outcome measures

Outcome measures
Measure
Lurasidone 20-80 mg Flexible Dose
n=244 Participants
Lurasidone: Lurasidone 20 mg daily (days 1-3), Lurasidone 40 mg daily (days 4-7), Lurasidone 20-80 mg daily (flexible dose) thereafter
Placebo
n=250 Participants
Placebo: 20-80 mg flexible dose
Change From Double-blind Baseline to Week 28 (LOCF) in CGI+-BP-S Depression Score
0.35 units on a scale
Standard Error 0.082
0.42 units on a scale
Standard Error 0.081

SECONDARY outcome

Timeframe: Double-blind Baseline to week 28

Population: ITT population: all subjects who were randomized and received at least one dose of study medication in the double-blind phase. Subjects were analyzed based on the treatment they were randomized. . 2 lurasidone + Li/VPA subjects did not have post-DB baseline YMRS total score.

the YMRS is an 11-item instrument used to assess the severity of mania in subjects with a diagnosis of bipolar disorder. Ratings are based on patient self-reporting, combined with clinician observation (accorded greater score). The YMRS total score is calculated as the sum of the 11 items. The YMRS total score ranges from 0 to 60. Higher scores are associated with greater severity of maia.

Outcome measures

Outcome measures
Measure
Lurasidone 20-80 mg Flexible Dose
n=244 Participants
Lurasidone: Lurasidone 20 mg daily (days 1-3), Lurasidone 40 mg daily (days 4-7), Lurasidone 20-80 mg daily (flexible dose) thereafter
Placebo
n=250 Participants
Placebo: 20-80 mg flexible dose
Change From Double-blind Baseline to Week 28 (LOCF) in YMRS Total Score
1.0 units on a scale
Standard Error 0.43
1.8 units on a scale
Standard Error 0.43

SECONDARY outcome

Timeframe: Double-blind Baseline to week 28

Population: ITT population: all subjects who were randomized and received at least one dose of study medication in the double-blind phase. Subjects were analyzed based on the treatment they were randomized. 2 lurasidone + Li/VPA subjects did not have post-DB baseline MADRS total score.

The MADRS consists of 10 items, each rated on a Likert scale, from 0=Normal to 6=Most Severe. The MADRS total score is calculated as the sum of the 10 items. The MADRS total score ranges from 0 to 60. Higher scores are associated with greater severity of depressive symptoms.

Outcome measures

Outcome measures
Measure
Lurasidone 20-80 mg Flexible Dose
n=244 Participants
Lurasidone: Lurasidone 20 mg daily (days 1-3), Lurasidone 40 mg daily (days 4-7), Lurasidone 20-80 mg daily (flexible dose) thereafter
Placebo
n=250 Participants
Placebo: 20-80 mg flexible dose
Change From Double-blind Baseline to Week 28 (LOCF) in MADRS Total Score
3.0 units on a scale
Standard Error 0.57
3.5 units on a scale
Standard Error 0.57

SECONDARY outcome

Timeframe: Double-blind Baseline to week 28

Population: ITT population: all subjects who were randomized and received at least one dose of study medication in the double-blind phase. Subjects were analyzed based on the treatment they were randomized. 7 lurasidone + Li/VPA subjects and 7 placebo +Li/VPA subjects did not have post-DB baseline QIDS-SR16 total score.

The QIDS-SR16 is a 16-item self-report measure of depressive symptomatology which uses a computerized assessment interface for administration. The scoring system for the QIDS-SR16 converts responses to 16 separate items into nine DSM-IV symptom criterion domains. The nine domains comprise: depressed mood (Item 5); concentration/decision making (Item 10); self outlook (Item 11); suicidal ideation (Item 12); decreased interest (Item 13); decreased energy (Item 14); sleep disturbance (initial, middle, and late insomnia or hypersomnia) (highest score of Items 1 to 4); appetite/weight disturbance (highest score of Items 6 to 9); and psychomotor disturbance (highest score of Items 15 and 16). The QIDS-SR16 total score is calculated as the sum of the 9 domain scores. The QIDS-SR16 total score ranges from 0 to 27 with a high score indicating more severe symptoms.

Outcome measures

Outcome measures
Measure
Lurasidone 20-80 mg Flexible Dose
n=239 Participants
Lurasidone: Lurasidone 20 mg daily (days 1-3), Lurasidone 40 mg daily (days 4-7), Lurasidone 20-80 mg daily (flexible dose) thereafter
Placebo
n=243 Participants
Placebo: 20-80 mg flexible dose
Change Fro Double-blind Baseline to Week 28 (LOCF) in QIDS-SR(16) Total Score
0.9 units on a scale
Standard Error 0.27
1.1 units on a scale
Standard Error 0.27

SECONDARY outcome

Timeframe: Double-blind Baseline to week 28

Population: ITT Population: all subjects who were randomized and received at least one dose of study medication in the double-blind phase. Subjects were analyzed based on the treatment they were randomized. . 6 lurasidone + Li/VPA subjects and 3 placebo +Li/VPA subjects did not have post-DB baseline PANSS-P score.

The PANSS-P is a subset of items in the PANSS, an interview-based measure of the severity of psychopathology in adults with psychotic disorders. The measure contains seven questions to assess delusions, conceptual disorganization, hallucinations behavior, excitement, grandiosity, suspiciousness/persecution, and hostility. An anchored Likert scale from 1-7, where values of 2 and above indicate the presence of progressively more severe symptoms, is used to score each item. The PANSS-P subscale score is the sum of the 7 items and ranges from 7 through 49. A higher score is associated with greater illness severity.

Outcome measures

Outcome measures
Measure
Lurasidone 20-80 mg Flexible Dose
n=240 Participants
Lurasidone: Lurasidone 20 mg daily (days 1-3), Lurasidone 40 mg daily (days 4-7), Lurasidone 20-80 mg daily (flexible dose) thereafter
Placebo
n=247 Participants
Placebo: 20-80 mg flexible dose
Change From Double-blind Baseline to Week 28 (LOF) in PANSS Positive Symptom (PANNS-P) Subscale Score
0.2 units on a scale
Standard Error 0.13
0.3 units on a scale
Standard Error 0.13

SECONDARY outcome

Timeframe: Double-blind Baseline to week 28

Population: ITT Population: all subjects who were randomized and received at least one dose of study medication in the double-blind phase. Subjects were analyzed based on treatment they were randomized. 63 lurasidone + Li/VPA subjects and 57 placebo +Li/VPA subjects did not have post-DB baseline SDS total score.

The SDS is a composite of three self-rated items designed to measure the extent to which three major sectors in the patient's life are impaired by depressive symptoms. The SDS total score is calculated as the sum of the 3 items. The SDS total score ranges from 0 to 30. Higher scores are associated with greater severity of global functional impairments. If a subject has not worked/studied at all during the past week for reasons unrelated to the disorder, the SDS total score will be set to missing.

Outcome measures

Outcome measures
Measure
Lurasidone 20-80 mg Flexible Dose
n=183 Participants
Lurasidone: Lurasidone 20 mg daily (days 1-3), Lurasidone 40 mg daily (days 4-7), Lurasidone 20-80 mg daily (flexible dose) thereafter
Placebo
n=193 Participants
Placebo: 20-80 mg flexible dose
Change From Double-blind Baseline to Week 28 (LOCF) in SDS Total Score
0.4 units on a scale
Standard Error 0.59
0.6 units on a scale
Standard Error 0.61

SECONDARY outcome

Timeframe: Double-blind Baseline to week 28

Population: ITT Population: all subjects who were randomized and received at least one dose of study medication in the double-blind phase. Subjects were analyzed based on the treatment they were randomized. . 7 lurasidone + Li/VPA subjects and 7 placebo +Li/VPA subjects did not have post-DB baseline PIRS-2 total score.

The PIRS-2 is a 2-item self-report of insomnia assessed via a computer interface. Each item is scored from 0-3. The PIRS-2 total score is calculated as the sum of the 2 items. The PIRS total score ranges from 0 to 6. Higher scores are associated with greater severity of insomnia.

Outcome measures

Outcome measures
Measure
Lurasidone 20-80 mg Flexible Dose
n=239 Participants
Lurasidone: Lurasidone 20 mg daily (days 1-3), Lurasidone 40 mg daily (days 4-7), Lurasidone 20-80 mg daily (flexible dose) thereafter
Placebo
n=243 Participants
Placebo: 20-80 mg flexible dose
Change From Double-blind Baseline to Week 28 (LOCF) in PIRS-2 Total Score
0.4 units on a scale
Standard Error 0.10
0.5 units on a scale
Standard Error 0.10

SECONDARY outcome

Timeframe: Double-blind Baseline to week 28

Population: ITT Population: all subjects who were randomized and received at least one dose of study medication in the double-blind phase. Subjects were analyzed based on the treatment they were randomized. . 12 lurasidone + Li/VPA subjects and 11 placebo +Li/VPA subjects did not have post-DB baseline Q-LES-Q-SF percent maximum possible score.

The Q-LES-Q-SF is a 16-item self-report measure of the degree of enjoyment and satisfaction in various areas of daily living. The questionnaire was developed and validated for use in depressed outpatient subjects and has eight summary scales that reflect major areas of functioning: physical health, mood, leisure time activities, social relationships, general activities, work, household duties and school/coursework. Each item is rated on a 5-point scale, ranging from 1 (very poor) to 5 (very good). The Q-LES-Q-SF percentage maximum possible score is calculated as 100 × (Raw Score - 14 \[Minimum Score\]) / (70 \[Maximum Score\] - 14 \[Minimum Score\]). Higher percent maximum scores indicate better quality of life.

Outcome measures

Outcome measures
Measure
Lurasidone 20-80 mg Flexible Dose
n=234 Participants
Lurasidone: Lurasidone 20 mg daily (days 1-3), Lurasidone 40 mg daily (days 4-7), Lurasidone 20-80 mg daily (flexible dose) thereafter
Placebo
n=239 Participants
Placebo: 20-80 mg flexible dose
Change From Double-blind Baseline to Week 28 (LOCF) in Q-LES-Q-SF Percent Maximum Possible Score
-1.70 units on a scale
Standard Error 1.022
-2.07 units on a scale
Standard Error 1.035

Adverse Events

Lurasidone 20-80 mg Flexible Dose

Serious events: 13 serious events
Other events: 81 other events
Deaths: 0 deaths

Placebo

Serious events: 11 serious events
Other events: 81 other events
Deaths: 0 deaths

All Subjects

Serious events: 41 serious events
Other events: 474 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Lurasidone 20-80 mg Flexible Dose
n=246 participants at risk
Lurasidone: Lurasidone 20 mg daily (days 1-3), Lurasidone 40 mg daily (days 4-7), Lurasidone 20-80 mg daily (flexible dose) thereafter
Placebo
n=250 participants at risk
Placebo: 20-80 mg flexible dose
All Subjects
n=962 participants at risk
During the open-label stabilization phase, subjects received flexible does of lurasidone 20-80 mg daily
Cardiac disorders
Artiral fibrillation
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.10%
1/962 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Gastrointestinal disorders
Adominal pain
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.10%
1/962 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
General disorders
Chest discomfort
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.10%
1/962 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Hepatobiliary disorders
Cholelithiasis
0.41%
1/246 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.40%
1/250 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/962 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Hepatobiliary disorders
Cholecytitis acute
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.10%
1/962 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Hepatobiliary disorders
Cholecystitis chronic
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.40%
1/250 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/962 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Infections and infestations
Appendicitis
0.41%
1/246 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/962 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Infections and infestations
Gastroenteritis
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.40%
1/250 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/962 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Infections and infestations
Postoperative Wound Infection
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.40%
1/250 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/962 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Injury, poisoning and procedural complications
Ankle Fracture
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.21%
2/962 • Number of events 2 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Injury, poisoning and procedural complications
Clavicle Fracture
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.10%
1/962 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Injury, poisoning and procedural complications
Facial Bones Fracture
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.10%
1/962 • Number of events 2 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Injury, poisoning and procedural complications
Lower Limb Fracture
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.10%
1/962 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Injury, poisoning and procedural complications
Toxicity to Various Agents
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.10%
1/962 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Investigations
Alanine Aminotransferase Increased
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.40%
1/250 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/962 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Investigations
Aspartate Aminotransferase Increased
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.40%
1/250 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/962 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Metabolism and nutrition disorders
Hypokalaemia
0.41%
1/246 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/962 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Metabolism and nutrition disorders
Type 2 Diabetes Mellitus
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.40%
1/250 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/962 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Musculoskeletal and connective tissue disorders
Back Pain
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.40%
1/250 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/962 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Musculoskeletal and connective tissue disorders
Chondromalacia
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.10%
1/962 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Musculoskeletal and connective tissue disorders
Patellofemoral Pain Syndrome
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.40%
1/250 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/962 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Benign Ovarian Tumour
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.10%
1/962 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Brain Neoplasm
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.10%
1/962 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Ovarian Cancer
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.40%
1/250 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/962 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Nervous system disorders
Convulsion
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.40%
1/250 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.10%
1/962 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Nervous system disorders
Headache
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.40%
1/250 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/962 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Psychiatric disorders
Depression
0.81%
2/246 • Number of events 2 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.40%
1/250 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
1.0%
10/962 • Number of events 10 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Psychiatric disorders
Mania
0.81%
2/246 • Number of events 2 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
1.2%
3/250 • Number of events 3 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.52%
5/962 • Number of events 5 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Psychiatric disorders
Agitation
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.21%
2/962 • Number of events 2 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Psychiatric disorders
Suicidal Ideation
0.81%
2/246 • Number of events 2 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.21%
2/962 • Number of events 2 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Psychiatric disorders
Bipolar 1 Disorder
0.41%
1/246 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.80%
2/250 • Number of events 2 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.21%
2/962 • Number of events 2 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Psychiatric disorders
Bipolar Disorder
0.41%
1/246 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/962 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Psychiatric disorders
Intentional Self Injury
0.41%
1/246 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/962 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Psychiatric disorders
Suicide Attempt
0.41%
1/246 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.21%
2/962 • Number of events 2 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Psychiatric disorders
Depressive Symptom
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.21%
2/962 • Number of events 2 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Psychiatric disorders
Acute Psychosis
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.10%
1/962 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Psychiatric disorders
Anxiety
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.10%
1/962 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Psychiatric disorders
Insomnia
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.10%
1/962 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Psychiatric disorders
Panic Attack
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.10%
1/962 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Psychiatric disorders
Somatoform Disorder
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.10%
1/962 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Renal and urinary disorders
Nephrolithiasis
0.41%
1/246 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/962 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Reproductive system and breast disorders
Ovarian Cyst
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.40%
1/250 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/962 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Reproductive system and breast disorders
Uterine Prolapse
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.10%
1/962 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Respiratory, thoracic and mediastinal disorders
Asthma
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.10%
1/962 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Vascular disorders
Hypotension
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.40%
1/250 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/962 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Musculoskeletal and connective tissue disorders
Joint Swelling
0.41%
1/246 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/962 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Nervous system disorders
Cerebral edema
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.40%
1/250 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.10%
1/962 • Number of events 1 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section

Other adverse events

Other adverse events
Measure
Lurasidone 20-80 mg Flexible Dose
n=246 participants at risk
Lurasidone: Lurasidone 20 mg daily (days 1-3), Lurasidone 40 mg daily (days 4-7), Lurasidone 20-80 mg daily (flexible dose) thereafter
Placebo
n=250 participants at risk
Placebo: 20-80 mg flexible dose
All Subjects
n=962 participants at risk
During the open-label stabilization phase, subjects received flexible does of lurasidone 20-80 mg daily
Gastrointestinal disorders
Nausea
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
11.5%
111/962 • Number of events 126 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Gastrointestinal disorders
Vomiting
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
6.1%
59/962 • Number of events 66 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Gastrointestinal disorders
Diarrhoea
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
5.5%
53/962 • Number of events 56 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Gastrointestinal disorders
Fatigue
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
3.0%
29/962 • Number of events 30 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Infections and infestations
Nasopharyngitis
6.1%
15/246 • Number of events 17 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
4.8%
12/250 • Number of events 12 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
4.1%
39/962 • Number of events 45 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Infections and infestations
Upper Respiratory Tract Infection
0.81%
2/246 • Number of events 2 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
3.6%
9/250 • Number of events 9 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/962 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Investigations
Weight Increased
9.8%
24/246 • Number of events 24 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
5.2%
13/250 • Number of events 15 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/962 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Metabolism and nutrition disorders
Increased Appetite
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
3.1%
30/962 • Number of events 30 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Nervous system disorders
Headache
8.5%
21/246 • Number of events 25 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
6.8%
17/250 • Number of events 21 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
9.1%
88/962 • Number of events 114 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Nervous system disorders
Tremor
6.1%
15/246 • Number of events 16 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
4.4%
11/250 • Number of events 12 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
4.5%
43/962 • Number of events 48 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Nervous system disorders
Somnolence
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
1.6%
4/250 • Number of events 4 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
7.2%
69/962 • Number of events 75 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Nervous system disorders
Sedation
0.00%
0/246 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
0.00%
0/250 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
3.5%
34/962 • Number of events 44 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Psychiatric disorders
Insomnia
3.7%
9/246 • Number of events 10 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
6.4%
16/250 • Number of events 25 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
8.0%
77/962 • Number of events 108 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Psychiatric disorders
Anxiety
1.6%
4/246 • Number of events 7 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
4.4%
11/250 • Number of events 17 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
4.3%
41/962 • Number of events 54 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Nervous system disorders
Akathisia
3.7%
9/246 • Number of events 10 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
3.2%
8/250 • Number of events 12 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
8.3%
80/962 • Number of events 91 • For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section

Additional Information

CNS Medical Director

Sunovion Pharmaceuticlas Inc.

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Results disclosure agreements

  • Principal investigator is a sponsor employee In the event the Study is part of a multi-center study, the first publication of the results of the study shall be made in conjunction with the results of other participating study sites as a multi-center publication; provided however, if a multi-center publication is not forthcoming within twenty-four (24) months following completion of the Study at all sites, Institution and Investigator shall be free to publish.
  • Publication restrictions are in place

Restriction type: OTHER