Safety, Tolerability, and Efficacy of Cariprazine in Participants With Bipolar Depression

NCT ID: NCT01396447

Last Updated: 2018-05-01

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

584 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-07-26

Study Completion Date

2014-01-10

Brief Summary

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The objective of this study was to evaluate the efficacy, safety, and tolerability of cariprazine relative to placebo for the treatment of participants with bipolar depression.

Detailed Description

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Conditions

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Depression, Bipolar

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo

Participants received placebo orally once a day for 8 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo was supplied in capsules.

Cariprazine 0.75 mg

Participants received cariprazine 0.5 mg orally once on Days 1-2 and cariprazine 0.75 mg orally once a day starting on Day 3 for the remainder of the 8 week treatment period.

Group Type EXPERIMENTAL

Cariprazine

Intervention Type DRUG

Cariprazine was supplied in capsules.

Cariprazine 1.5 mg

Participants received cariprazine 0.5 mg orally once on Days 1-2, cariprazine 0.75 mg orally once on Days 3-4, cariprazine 1.0 mg orally once on Days 5-7, and cariprazine 1.5 mg orally once a day starting on Day 8 for the remainder of the 8 week treatment period.

Group Type EXPERIMENTAL

Cariprazine

Intervention Type DRUG

Cariprazine was supplied in capsules.

Cariprazine 3.0 mg

Participants received cariprazine 0.5 mg orally once on Days 1-2, cariprazine 0.75 mg orally once on Days 3-4, cariprazine 1.0 mg orally once on Days 5-7, cariprazine 1.5 mg orally on Days 8-14, and cariprazine 3.0 mg orally once a day starting on Day 15 for the remainder of the 8 week treatment period.

Group Type EXPERIMENTAL

Cariprazine

Intervention Type DRUG

Cariprazine was supplied in capsules.

Interventions

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Placebo

Placebo was supplied in capsules.

Intervention Type DRUG

Cariprazine

Cariprazine was supplied in capsules.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Participants who have provided informed consent prior to any study specific procedures.
* Participants currently meeting the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) criteria for bipolar I disorder as confirmed by the Structured Clinical Interview (SCID) with a current with a current major depressive episode of at least 4 weeks and not exceeding 12 months in duration.
* Participants with normal physical examination, laboratory, vital signs, and/or echocardiogram (ECG).
* Verified previous manic or mixed episode.
* Participants with a total Hamilton Rating Scale for Depression (HAMD)-17 score ≥ 20.
* Participants with a HAMD-17 item 1 score ≥ 2.
* Participants with a Clinical Global Impression of Severity (CGI-S) score ≥ 4.

Exclusion Criteria

* Participants with a DSM-IV-TR diagnosis of an axis I disorder other than bipolar I disorder that was the primary focus of treatment within the previous 6 months.
* Women who are pregnant or breast feeding
* Participants with Young Mania Rating Scale (YMRS) total score \> 10
* Participants who have dementia, mental retardation, schizophrenia/schizoaffective disorder.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gedeon Richter Ltd.

INDUSTRY

Sponsor Role collaborator

Forest Laboratories

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Willie Earley, MD

Role: STUDY_DIRECTOR

Allergan

Locations

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Forest Investigative Site 021

Birmingham, Alabama, United States

Site Status

Forest Investigative Site 017

Springdale, Arkansas, United States

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Forest Investigative Site 030

Beverly Hills, California, United States

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Forest Investigative Site 018

Cerritos, California, United States

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Forest Investigative Site 028

Costa Mesa, California, United States

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Forest Investigative Site 015

Oceanside, California, United States

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Forest Investigative Site 011

Temecula, California, United States

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Forest Investigative Site 012

Jacksonville, Florida, United States

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Forest Investigative Site 035

Orlando, Florida, United States

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Forest Investigative Site 013

Winter Park, Florida, United States

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Forest Investigative Site 038

Atlanta, Georgia, United States

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Forest Investigative Site 005

Atlanta, Georgia, United States

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Forest Investigative Site 029

Chicago, Illinois, United States

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Forest Investigative Site 024

Indianapolis, Indiana, United States

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Forest Investigative Site 031

Prairie Village, Kansas, United States

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Forest Investigative Site 041

Lake Charles, Louisiana, United States

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Forest Investigative Site 040

Shreveport, Louisiana, United States

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Forest Investigative Site 039

Flowood, Mississippi, United States

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Forest Investigative Site 026

Creve Coeur, Missouri, United States

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Forest Investigative Site 037

Las Vegas, Nevada, United States

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Forest Investigative Site 023

Cherry Hill, New Jersey, United States

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Forest Investigative Site 014

Marlton, New Jersey, United States

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Forest Investigative Site 006

Albuquerque, New Mexico, United States

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Forest Investigative Site 003

Brooklyn, New York, United States

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Forest Investigative Site 025

New York, New York, United States

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Forest Investigative Site 036

Canton, Ohio, United States

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Forest Investigative Site 008

Dayton, Ohio, United States

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Forest Investigative Site 042

Salem, Oregon, United States

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Forest Investigative Site 009

Allentown, Pennsylvania, United States

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Forest Investigative Site 010

Media, Pennsylvania, United States

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Forest Investigative Site 033

Lincoln, Rhode Island, United States

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Forest Investigative Site 019

Memphis, Tennessee, United States

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Forest Investigative Site 007

Dallas, Texas, United States

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Forest Investigative Site 016

Houston, Texas, United States

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Forest Investigative Site 027

Houston, Texas, United States

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Forest Investigative Site 020

San Antonio, Texas, United States

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Forest Investigative Site 043

Bellevue, Washington, United States

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Forest Investigative Site 032

Seattle, Washington, United States

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Forest Investigative Site 311

Kardzhali, , Bulgaria

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Forest Investigative Site 307

Kazanlak, , Bulgaria

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Forest Investigative Site 310

Lovech, , Bulgaria

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Forest Investigative Site 313

Novi Iskar, , Bulgaria

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Forest Investigative Site 309

Pazardzhik, , Bulgaria

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Forest Investigative Site 302

Pleven, , Bulgaria

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Forest Investigative Site 301

Plovdiv, , Bulgaria

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Forest Investigative Site 305

Sofia, , Bulgaria

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Forest Investigative Site 306

Sofia, , Bulgaria

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Forest Investigative Site 308

Tsarev Brod, , Bulgaria

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Forest Investigative Site 312

Tserova Koria, , Bulgaria

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Forest Investigative Site 102

Kelowna, British Columbia, Canada

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Forest Investigative Site 103

Penticton, British Columbia, Canada

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Forest Investigative Site 101

Chatham, Ontario, Canada

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Forest Investigative Site 804

Barranquilla, , Colombia

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Forest Investigative Site 806

Barranquilla, , Colombia

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Forest Investigative Site 803

Bogotá, , Colombia

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Forest Investigative Site 805

Bogotá, , Colombia

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Forest Investigative Site 808

Bogotá, , Colombia

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Forest Investigative Site 807

Pereira, , Colombia

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Forest Investigative Site 601

Arkhangelsk, , Russia

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Forest Investigative Site 605

Moscow, , Russia

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Forest Investigative Site 607

Moscow, , Russia

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Forest Investigative Site 611

Moscow, , Russia

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Forest Investigative Site 619

Moscow, , Russia

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Forest Investigative Site 603

Nizhny Novgorod, , Russia

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Forest Investigative Site 604

Saint Petersburg, , Russia

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Forest Investigative Site 606

Saint Petersburg, , Russia

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Forest Investigative Site 602

Saint Petersburg, , Russia

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Forest Investigative Site 613

Saint Petersburg, , Russia

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Forest Investigative Site 608

Saint Petersburg, , Russia

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Forest Investigative Site 615

Saint Petersburg, , Russia

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Forest Investigative Site 612

Saint Petersburg, , Russia

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Forest Investigative Site 617

Samara, , Russia

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Forest Investigative Site 616

Saratov, , Russia

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Forest Investigative Site 609

Tomsk, , Russia

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Forest Investigative Site 618

Tver', , Russia

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Forest Investigative Site 610

Voronezh, , Russia

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Forest Investigative Site 707

Kerch, AR Crimea, Ukraine

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Forest Investigative Site 709

Kherson, Vil. Stepanivka, Ukraine

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Forest Investigative Site 714

Donetsk, , Ukraine

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Forest Investigative Site 712

Ivano-Frankivsk, , Ukraine

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Forest Investigative Site 703

Kharkiv, , Ukraine

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Forest Investigative Site 704

Kharkiv, , Ukraine

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Forest Investigative Site 702

Kharkiv, , Ukraine

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Forest Investigative Site 708

Kyiv, , Ukraine

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Forest Investigative Site 701

Kyiv, , Ukraine

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Forest Investigative Site 710

Odesa, , Ukraine

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Forest Investigative Site 706

Simferopol, , Ukraine

Site Status

Forest Investigative Site 705

Vinnytsia, , Ukraine

Site Status

Countries

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United States Bulgaria Canada Colombia Russia Ukraine

References

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McIntyre RS, Llorca PM, Aronin LC, Yu J, Nguyen HB. Effect of Cariprazine on Anhedonia in Patients with Bipolar I Depression: Post Hoc Analysis of Three Randomized Placebo-Controlled Clinical Trials. Adv Ther. 2025 Jan;42(1):246-260. doi: 10.1007/s12325-024-03009-2. Epub 2024 Nov 9.

Reference Type DERIVED
PMID: 39520655 (View on PubMed)

Vieta E, Calabrese JR, Whelan J, Tohen M, Earley WR. The efficacy of cariprazine on function in patients with bipolar depression: a post hoc analysis of a randomized controlled trial. Curr Med Res Opin. 2021 Sep;37(9):1635-1643. doi: 10.1080/03007995.2021.1932446. Epub 2021 Jun 7.

Reference Type DERIVED
PMID: 34034612 (View on PubMed)

Citrome L, Yatham LN, Patel MD, Barabassy A, Hankinson A, Earley WR. Cariprazine and akathisia, restlessness, and extrapyramidal symptoms in patients with bipolar depression. J Affect Disord. 2021 Jun 1;288:191-198. doi: 10.1016/j.jad.2021.03.076. Epub 2021 Mar 31.

Reference Type DERIVED
PMID: 33915374 (View on PubMed)

Thase ME, Harrington A, Calabrese J, Montgomery S, Niu X, Patel MD. Evaluation of MADRS severity thresholds in patients with bipolar depression. J Affect Disord. 2021 May 1;286:58-63. doi: 10.1016/j.jad.2021.02.043. Epub 2021 Feb 20.

Reference Type DERIVED
PMID: 33677183 (View on PubMed)

Yatham LN, Vieta E, McIntyre RS, Jain R, Patel M, Earley W. Broad Efficacy of Cariprazine on Depressive Symptoms in Bipolar Disorder and the Clinical Implications. Prim Care Companion CNS Disord. 2020 Sep 17;22(5):20m02611. doi: 10.4088/PCC.20m02611.

Reference Type DERIVED
PMID: 32942346 (View on PubMed)

Earley WR, Burgess M, Rekeda L, Hankinson A, McIntyre RS, Suppes T, Calabrese JR, Yatham LN. A pooled post hoc analysis evaluating the safety and tolerability of cariprazine in bipolar depression. J Affect Disord. 2020 Feb 15;263:386-395. doi: 10.1016/j.jad.2019.11.098. Epub 2019 Nov 22.

Reference Type DERIVED
PMID: 31969269 (View on PubMed)

Durgam S, Earley W, Lipschitz A, Guo H, Laszlovszky I, Nemeth G, Vieta E, Calabrese JR, Yatham LN. An 8-Week Randomized, Double-Blind, Placebo-Controlled Evaluation of the Safety and Efficacy of Cariprazine in Patients With Bipolar I Depression. Am J Psychiatry. 2016 Mar 1;173(3):271-81. doi: 10.1176/appi.ajp.2015.15020164. Epub 2015 Nov 6.

Reference Type DERIVED
PMID: 26541814 (View on PubMed)

Other Identifiers

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2011-002334-39

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

RGH-MD-56

Identifier Type: -

Identifier Source: org_study_id

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