A Phase III Study of SM-13496 in Patients With Bipolar I Depression.

NCT ID: NCT01986101

Last Updated: 2022-04-12

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

525 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-02-19

Study Completion Date

2017-02-16

Brief Summary

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The study evaluates the efficacy and safety of SM-13496 compared with placebo in patients with Bipolar I Depression.

Detailed Description

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The primary objective is to compare the efficacy of SM-13496 (20-60 or 80-120 mg/day) monotherapy with that of placebo in patients with depressive symptoms associated with bipolar I disorder by assessing the change from baseline in the MADRS total score at Week 6.

Conditions

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Bipolar Depression

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

once daily orally

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo comparator

SM-13496 20 - 60 mg/day

once daily orally

Group Type EXPERIMENTAL

SM-13496

Intervention Type DRUG

SM-13496 20mg for Days 1-7 and beginning Day 8 flexibly dosed 20-60 mg/day for Weeks 2-6

SM-13496 80 - 120 mg/day

once daily orally

Group Type EXPERIMENTAL

SM-13496

Intervention Type DRUG

SM-13496 20 mg/day for Days 1-2, 40 mg/day for Days 3-4, 60 mg/day for Days 5-6, 80 mg/day on Day 7 and beginning Day 8 flexibly dosed 80-120 mg/day for Weeks 2-6

Interventions

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Placebo

Placebo comparator

Intervention Type DRUG

SM-13496

SM-13496 20mg for Days 1-7 and beginning Day 8 flexibly dosed 20-60 mg/day for Weeks 2-6

Intervention Type DRUG

SM-13496

SM-13496 20 mg/day for Days 1-2, 40 mg/day for Days 3-4, 60 mg/day for Days 5-6, 80 mg/day on Day 7 and beginning Day 8 flexibly dosed 80-120 mg/day for Weeks 2-6

Intervention Type DRUG

Other Intervention Names

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Lurasidone HCl Lurasidone HCl

Eligibility Criteria

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Inclusion Criteria

* Patients who were fully informed of and understand the objectives, procedures, and possible benefits and risks of the study and who provided written voluntary consent to participate in the study.
* Outpatients aged 18 through 74 years at the time of consent
* Patients meets DSM-IV-TR criteria for bipolar I disorder, most recent episode depressed (≥ 4 weeks and less than 12 months) without psychotic features.

Exclusion Criteria

* Patients with imminent risk of suicide or injury to self, others, or property.
* Patients who had been hospitalized because of a manic or mixed episode within 60 days prior to screening.
* Patients who are otherwise considered ineligible for the study by the investigator.
Minimum Eligible Age

18 Years

Maximum Eligible Age

74 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sumitomo Pharma Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Director, Drug Development Division

Role: STUDY_DIRECTOR

Sumitomo Pharma Co., Ltd.

Locations

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Japan 76 sites

Tokyo, , Japan

Site Status

Lithuania 3 sites

Kaunas, , Lithuania

Site Status

Malaysia 5 sites

Kuala Lumpur, , Malaysia

Site Status

Philippines 4 sites

Manila, , Philippines

Site Status

Russia 19 sites

Moscow, , Russia

Site Status

Slovakia 5 sites

Žilina, , Slovakia

Site Status

Taiwan 7 sites

Taipei, , Taiwan

Site Status

Ukraine 9 sites

Kiev, , Ukraine

Site Status

Countries

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Japan Lithuania Malaysia Philippines Russia Slovakia Taiwan Ukraine

References

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Kato T, Ishigooka J, Miyajima M, Watabe K, Fujimori T, Masuda T, Higuchi T, Vieta E. Double-blind, placebo-controlled study of lurasidone monotherapy for the treatment of bipolar I depression. Psychiatry Clin Neurosci. 2020 Dec;74(12):635-644. doi: 10.1111/pcn.13137. Epub 2020 Sep 24.

Reference Type RESULT
PMID: 32827348 (View on PubMed)

Hopkins SC, Tomioka S, Szabo ST, Koblan KS. A clinical trial inclusion criteria to enrich for patients presenting with canonical symptom structure in bipolar depression. Contemp Clin Trials. 2024 Oct;145:107644. doi: 10.1016/j.cct.2024.107644. Epub 2024 Aug 3.

Reference Type DERIVED
PMID: 39098761 (View on PubMed)

Kishi T, Nakamura H, Kato T, Iwata N. A diagnostic test to examine early improvement as a predictor of later response to lurasidone in bipolar depression. Neuropsychopharmacol Rep. 2023 Mar;43(1):137-140. doi: 10.1002/npr2.12319. Epub 2023 Jan 12.

Reference Type DERIVED
PMID: 36632763 (View on PubMed)

Kishi T, Yoshimura R, Sakuma K, Okuya M, Iwata N. Lurasidone, olanzapine, and quetiapine extended-release for bipolar depression: A systematic review and network meta-analysis of phase 3 trials in Japan. Neuropsychopharmacol Rep. 2020 Dec;40(4):417-422. doi: 10.1002/npr2.12137. Epub 2020 Sep 9.

Reference Type DERIVED
PMID: 32902200 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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JapicCTI-132318

Identifier Type: REGISTRY

Identifier Source: secondary_id

2013-003038-34

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

D1002001

Identifier Type: -

Identifier Source: org_study_id

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