Open-label Study to Evaluate the Effectiveness of an Intramuscular Formulation of Aripiprazole (OPC-14597) as Maintenance Treatment in Patients With Bipolar I Disorder

NCT ID: NCT01710709

Last Updated: 2018-09-21

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

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

748 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-11-30

Study Completion Date

2016-12-31

Brief Summary

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This will be an open-label uncontrolled trial to evaluate the safety and tolerability of aripiprazole IM depot administered every 4 weeks for up to 52 weeks to patients with bipolar I disorder. The trial will enroll subjects who completed Trial 31-08-250 and de novo subjects not participating in Trial 31-08-250.

Detailed Description

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This will be an open-label, uncontrolled study which will enroll subjects completing Study 31-08-250 and new subjects. The treatment history of subjects prior to enrollment in the open-label study will vary according to the design of the pivotal double-blind study (i.e 31-08-250).

This open-label study will be comprised of phases similar to the pivotal double-blind study (i.e. Study 250): a screening phase (if applicable), a conversion phase (Phase A, if applicable), an oral stabilization phase (Phase B, if applicable), and an IM depot open-label maintenance phase (Phase C). Phase C will be a minimum of 28 weeks up to a 52-week treatment period with a 4 week follow up period.

During Phase C (the open-label maintenance phase) rescue medication will be allowed for subjects who do not meet stability criteria. This analysis focuses on Phase C due to ClinicalTrials.gov system limitations.

Conditions

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Bipolar I

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Experimental

Aripiprazole, Intramuscular (IM) Depot

Group Type EXPERIMENTAL

Aripiprazole

Intervention Type DRUG

400mg or 300mg, intramuscular injections every 4 weeks.

Interventions

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Aripiprazole

400mg or 300mg, intramuscular injections every 4 weeks.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Completed participation in Trial 31-08-250
* De novo subjects not participating in Trial 31-08-250
* Subjects who are able to provide written informed consent.
* Male and female subjects 18 years of age or older at time of informed consent
* Subjects who, in the investigator's judgment, require chronic treatment with an antipsychotic medication for their bipolar I disorder and would benefit from extended treatment with a long-acting injectable formulation
* Subjects who have a recurrence of mood episode or exacerbations of mood symptoms when they are not receiving treatment for their bipolar I disorder or are noncompliant with treatment for their bipolar I disorder
* Have an outpatient status

Exclusion Criteria

* Experienced 9 or more mood episodes within the past year
* A current manic episode with a duration of \> 2 years
* Currently meet DSM-IV-TR criteria for substance abuse or substance dependence; this includes the abuse of alcohol and benzodiazepines, but excludes the use of caffeine and/or nicotine
* Hypothyroidism or hyperthyroidism, unless condition has been stabilized
* Diagnosed with epilepsy or a history of seizures
* Known to be allergic, intolerant, or unresponsive to prior treatment with aripiprazole or other quinolinones
* Sexually active women of childbearing potential and sexually active men who will not commit to utilizing 2 of the approved birth control methods or who will not remain abstinent during this trial and for 180 days following the last dose of trial medication
* Females breastfeeding or pregnant (positive blood pregnancy test prior to receiving trial drug)
* Risk of committing suicide
* Abnormal laboratory test results, vital signs and ECG results
* Participated in any clinical trial other than Trial 250 with an investigational agent within the 30 days prior to screening
* Had electroconvulsive therapy (ECT) treatment during the current episode or within 3 months
* Subjects who have not met criteria for stabilization for 4 consecutive weeks
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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H. Lundbeck A/S

INDUSTRY

Sponsor Role collaborator

Otsuka Pharmaceutical Development & Commercialization, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Joan Amatniek, MD

Role: STUDY_DIRECTOR

Otsuka Pharmaceutical Development & Commercialization, Inc. (OPDC)

Locations

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Birmingham, Alabama, United States

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Little Rock, Arkansas, United States

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Rogers, Arkansas, United States

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Bellflower, California, United States

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Beverly Hills, California, United States

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Costa Mesa, California, United States

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Culver City, California, United States

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Garden Grove, California, United States

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Lemon Grove, California, United States

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Oakland, California, United States

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Orange, California, United States

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Pico Rivera, California, United States

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Riverside, California, United States

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San Diego, California, United States

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Temecula, California, United States

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Upland, California, United States

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Wildomar, California, United States

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Colorado Springs, Colorado, United States

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Gainesville, Florida, United States

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Hialeah, Florida, United States

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Jacksonville, Florida, United States

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Leesburg, Florida, United States

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Orlando, Florida, United States

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Tampa, Florida, United States

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Atlanta, Georgia, United States

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Decatur, Georgia, United States

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Smyrna, Georgia, United States

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Chicago, Illinois, United States

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Chicago, Illinois, United States

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Hinsdale, Illinois, United States

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Naperville, Illinois, United States

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Schaumburg, Illinois, United States

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Prairie Village, Kansas, United States

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Lake Charles, Louisiana, United States

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Baltimore, Maryland, United States

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Gaithersburg, Maryland, United States

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Boston, Massachusetts, United States

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O'Fallon, Missouri, United States

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St Louis, Missouri, United States

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Lincoln, Nebraska, United States

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Berlin, New Jersey, United States

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Cherry Hill, New Jersey, United States

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Brooklyn, New York, United States

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Buffalo, New York, United States

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New York, New York, United States

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New York, New York, United States

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Rochester, New York, United States

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Rochester, New York, United States

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Staten Island, New York, United States

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Staten Island, New York, United States

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Cincinnati, Ohio, United States

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Oklahoma City, Oklahoma, United States

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Oklahoma City, Oklahoma, United States

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Oklahoma City, Oklahoma, United States

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Portland, Oregon, United States

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Allentown, Pennsylvania, United States

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Media, Pennsylvania, United States

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Columbia, South Carolina, United States

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Memphis, Tennessee, United States

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Arlington, Texas, United States

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Austin, Texas, United States

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Dallas, Texas, United States

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Plano, Texas, United States

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Plano, Texas, United States

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Sugar Land, Texas, United States

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Wichita Falls, Texas, United States

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Orem, Utah, United States

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Salt Lake City, Utah, United States

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Richmond, Virginia, United States

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Bellevue, Washington, United States

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Spokane, Washington, United States

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Middleton, Wisconsin, United States

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Kentville, Nova Scotia, Canada

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Chatham, Ontario, Canada

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Élancourt, , France

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Limoges, , France

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Nîmes, , France

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Toulouse, , France

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Budapest, , Hungary

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Nyireghaza, , Hungary

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Vác, , Hungary

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Fukuoka, , Japan

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Fukuoka, , Japan

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Fukuoka, , Japan

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Fukushima, , Japan

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Fukushima, , Japan

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Fukushima, , Japan

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Gunma, , Japan

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Gunma, , Japan

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Ibaraki, , Japan

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Ibaraki, , Japan

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Iizuka, , Japan

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Kanagawa, , Japan

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Kanagawa, , Japan

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Kanagawa, , Japan

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Kanagawa, , Japan

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Kanagawa, , Japan

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Kanagawa, , Japan

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Kochi, , Japan

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Kouchi, , Japan

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Kumamoto, , Japan

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Nagano-ken, , Japan

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Okayama, , Japan

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Okinawa, , Japan

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Okinawa, , Japan

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Osaka, , Japan

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Ōsaka, , Japan

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Ōsaka, , Japan

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Ōsaka, , Japan

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Ōsaka, , Japan

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Ōsaka, , Japan

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Sapporo, , Japan

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Shizuoka, , Japan

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Tokyo, , Japan

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Tokyo, , Japan

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Tokyo, , Japan

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Tokyo, , Japan

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Tokyo, , Japan

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Tokyo, , Japan

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Yamagata, , Japan

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Yatsushiro, , Japan

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Johor Bahru, , Malaysia

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Perak, , Malaysia

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Sarawak, , Malaysia

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Bydgoszcz, , Poland

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Chełmno, , Poland

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Choroszcz, , Poland

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Gdansk, , Poland

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Lublin, , Poland

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Pruszków, , Poland

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Tuszyn, , Poland

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Bucharest, , Romania

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Bucharest, , Romania

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Bucharest, , Romania

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Iași, , Romania

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Târgovişte, , Romania

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Târgu Mureş, , Romania

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Goyang-si, , South Korea

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Jeju City, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Taipei, , Taiwan

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Countries

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United States Canada France Hungary Japan Malaysia Poland Romania South Korea Taiwan

References

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Calabrese JR, Jin N, Johnson B, Such P, Baker RA, Madera J, Hertel P, Ottinger J, Amatniek J, Kawasaki H. Aripiprazole once-monthly as maintenance treatment for bipolar I disorder: a 52-week, multicenter, open-label study. Int J Bipolar Disord. 2018 Jun 10;6(1):14. doi: 10.1186/s40345-018-0122-z.

Reference Type DERIVED
PMID: 29886522 (View on PubMed)

Other Identifiers

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31-08-252

Identifier Type: -

Identifier Source: org_study_id

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