Safety and Efficacy Study of ELND005 as an Adjunctive Maintenance Treatment in Bipolar I Disorder

NCT ID: NCT01674010

Last Updated: 2019-10-21

Study Results

Results available

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

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

309 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-08-31

Study Completion Date

2014-06-30

Brief Summary

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The primary purpose of this study is to determine whether ELND005 is effective in the maintenance treatment of bipolar 1 disorder when added to other therapies.

Detailed Description

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Conditions

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Bipolar 1 Disorder

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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Lamotrigine or Valproic acid + ELND005

Lamotrigine or valproic acid plus ELND005 film coated tablets, 500mg BID for up to 48 weeks

Group Type EXPERIMENTAL

ELND005

Intervention Type DRUG

Lamotrigine

Intervention Type DRUG

Valproic acid

Intervention Type DRUG

Lamotrigine or Valproic acid + placebo

Lamotrigine or valproic acid plus matched placebo BID for up to 48 weeks

Group Type PLACEBO_COMPARATOR

Lamotrigine

Intervention Type DRUG

Valproic acid

Intervention Type DRUG

Placebo

Intervention Type DRUG

Interventions

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ELND005

Intervention Type DRUG

Lamotrigine

Intervention Type DRUG

Valproic acid

Intervention Type DRUG

Placebo

Intervention Type DRUG

Other Intervention Names

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Scyllo-inositol

Eligibility Criteria

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Inclusion Criteria

* Meets the DSM-IV-TR criteria for BPD I by the SCID, prior to the Screening Visit.
* Has a history in the last 3 years of ≥ 1 manic or mixed episodes of sufficient severity that required hospitalization and/or treatment with a mood stabilizer or antipsychotic, or confirmed by a family member or medical records to ensure the episode fulfills the DSM-IV-TR criteria.
* Has experienced a mood episode of any polarity within 4 months prior to the Screening Visit and responded to StOC therapy.
* Is euthymic at the Screening Visit (ie, score of ≤ 12 on the MADRS and a score of ≤ 12 on the Y-MRS).
* Is receiving maintenance treatment for his or her BPD I with either LTG or VPA; on stable doses for past 4 weeks and therapeutic drug levels (total VPA 50--125 µg/mL and LTG 10-50 µmol/L or as deemed appropriate by the investigator). Dose adjustments made for tolerability reasons will be acceptable.

A study patient must meet the following additional criteria to be eligible for randomization in the Double-blind Randomization Phase of this study:

\- Maintained in a stable euthymic state during Phase 1, defined as Y-MRS and MADRS scores of ≤ 12, with the following exceptions: a maximum of 2 nonconsecutive excursions will be allowed throughout Phase 1. Excursions are defined as Y-MRS or MADRS scores \>12 but ≤ 16.

Exclusion Criteria

* Woman of childbearing potential who is unwilling or unable to use an acceptable method of birth control or is using a prohibited contraceptive method.
* Is found to be actively suicidal on the C-SSRS (answer of "yes" to question 4 or 5 \[current or over the last 30 days\]) or a score of ≥4 on the MADRS item 10 at the Screening Visit.
* Has suboptimally treated thyroid disease as evidenced by thyroid-stimulating hormone (TSH) \>3 mIU/L at the Screening Visit.
* Has received electroconvulsive therapy (ECT) during the current episode or within 6 months prior to the Screening Visit.
* Has an estimated glomerular filtration rate \<40 mL/min/1.73 m2 according to the Modification of Diet in Renal Disease formula.

A study patient who meets ANY of the above and ANY of the criteria below will not be eligible for enrollment in the Double-blind Randomization Phase of this study:

* Has current signs or symptoms of psychosis.
* Has become actively suicidal as defined by C-SSRS answer of "yes" to question 4 or 5 (current or over the last 30 days) and/or has a score of ≥4 on MADRS item 10.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Elan Pharmaceuticals

INDUSTRY

Sponsor Role collaborator

OPKO Health, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Elan Investigational Site

Birmingham, Alabama, United States

Site Status

Elan Investigational Site

Glendale, Arizona, United States

Site Status

Elan Investigational Site

Phoenix, Arizona, United States

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Elan Investigational Site

Little Rock, Arkansas, United States

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Elan Investigational Site

Little Rock, Arkansas, United States

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Elan Investigational Site

Cerritos, California, United States

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Elan Investigational Site

Costa Mesa, California, United States

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Elan Investigational Site

Escondido, California, United States

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Elan Investigational Site

Garden Grove, California, United States

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Elan Investigational Site

National City, California, United States

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Elan Investigational Site

Oceanside, California, United States

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Elan Investigational Site

Palo Alto, California, United States

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Elan Investigational Site

Riverside, California, United States

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Elan Investigational Site

San Diego, California, United States

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Elan Investigational Site

Santa Ana, California, United States

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Elan Investigational Site

Stanford, California, United States

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Elan Investigational Site

Norwich, Connecticut, United States

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Elan Investigational Site

North Miami, Florida, United States

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Elan Investigational Site

Oakland Park, Florida, United States

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Elan Investigational Site

Tampa, Florida, United States

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Elan Investigational Site

Atlanta, Georgia, United States

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Elan Investigational Site

Roswell, Georgia, United States

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Elan Investigational Site

Creve Coeur, Missouri, United States

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Elan Investigational Site

St Louis, Missouri, United States

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Elan Investigational Site

St Louis, Missouri, United States

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Elan Investigational Site

Lincoln, Nebraska, United States

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Elan Investigational Site

Marlton, New Jersey, United States

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Elan Investigational Site

Fresh Meadows, New York, United States

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Elan Investigational Site

New York, New York, United States

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Elan Investigational Site

Raleigh, North Carolina, United States

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Elan Investigational Site

Beachwood, Ohio, United States

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Elan Investigational Site

Cincinnati, Ohio, United States

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Elan Investigational Site

Cleveland, Ohio, United States

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Elan Investigational Site

Oklahoma City, Oklahoma, United States

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Elan Investigational Site

Philadelphia, Pennsylvania, United States

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Elan Investigational Site

Charleston, South Carolina, United States

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Elan Investigational Site

Houston, Texas, United States

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Elan Investigational Site

Hurst, Texas, United States

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Elan Investigational Site

San Antonio, Texas, United States

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Elan Investigational Site

Salt Lake City, Utah, United States

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Elan Investigational Site

Bellevue, Washington, United States

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Elan Investigational Site

Kardzhali, , Bulgaria

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Elan Investigational Site

Pazardzhik, , Bulgaria

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Elan Investigational Site

Sofia, , Bulgaria

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Elan Investigational Site

Sofia, , Bulgaria

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Elan Investigational Site

Varna, , Bulgaria

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Elan Investigational Site

Vratsa, , Bulgaria

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Elan Investigational Site

Edmonton, Alberta, Canada

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Elan Investigational Site

Kelowna, British Columbia, Canada

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Elan Investigational Site

Halifax, Nova Scotia, Canada

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Elan Investigational Site

Chatham, Ontario, Canada

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Elan Investigational Site

Kingston, Ontario, Canada

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Elan Investigational Site

London, Ontario, Canada

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Elan Investigational Site

Toronto, Ontario, Canada

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Elan Investigational Site

Toronto, Ontario, Canada

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Elan Investigational Site

Prague, , Czechia

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Elan Investigational Site

Prague, , Czechia

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Elan Investigational Site

Prague, , Czechia

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Elan Investigational Site

Prague, , Czechia

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Elan Investigational Site

Strakonice, , Czechia

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Elan Investigational Site

Bully-les-Mines, , France

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Elan Investigational Site

Dole, , France

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Elan Investigational Site

Élancourt, , France

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Elan Investigational Site

Nîmes, , France

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Elan Investigational Site

Toulouse, , France

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Elan Investigational Site

Toulouse, , France

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Elan Investigational Site

Bydgoszcz, , Poland

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Elan Investigational Site

Gdansk, , Poland

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Elan Investigational Site

Lodz, , Poland

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Elan Investigational Site

Tuszyn, , Poland

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Elan Investigational Site

Brasov, , Romania

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Elan Investigational Site

Bucharest, , Romania

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Elan Investigational Site

Craiova, , Romania

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Elan Investigational Site

Sibiu, , Romania

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Elan Investigational Site

Torrevieja, Alicante, Spain

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Elan Investigational Site

Oviedo, Principality of Asturias, Spain

Site Status

Elan Investigational Site

Barcelona, , Spain

Site Status

Elan Investigational Site

Vitoria-Gasteiz, , Spain

Site Status

Elan Investigational Site

Ankara, , Turkey (Türkiye)

Site Status

Elan Investigational Site

Diyarbakır, , Turkey (Türkiye)

Site Status

Elan Investigational Site

Edirne, , Turkey (Türkiye)

Site Status

Elan Investigational Site

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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United States Bulgaria Canada Czechia France Poland Romania Spain Turkey (Türkiye)

Other Identifiers

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2012-001935-30

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

ELND005-BPD201

Identifier Type: -

Identifier Source: org_study_id

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