Trial Outcomes & Findings for Aripiprazole for Bipolar Disorder and Alcohol Use Disorder (NCT NCT02918370)

NCT ID: NCT02918370

Last Updated: 2024-09-19

Results Overview

The Timeline Followback (TLFB) is used to assess recent alcohol use (and if present, other substance use). The calculation is based on the change between baseline and week 12.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

75 participants

Primary outcome timeframe

12 weeks

Results posted on

2024-09-19

Participant Flow

Participant milestones

Participant milestones
Measure
Aripiprazole
Aripiprazole will be given to the participant beginning at 2 mg per day(QD) then titrating up to 5 mg QD at week 1, 10 mg QD at week 2, 15 mg QD at week 3 until the end of the preliminary phase. If the participant qualifies for the extension phase, then they will be titrated up again at week 12 to 30 mg QD. Aripiprazole: Aripiprazole is an atypical antipsychotic drug that is used to treat mental/mood disorders. It works to restore the balance of neurotransmitters.
Placebo
Matching placebo will be given to the participant beginning at 2mg QD then titrating up to 5 mg QD at week 1, 10 mg QD at week 2, 15 mg QD at week 3 until the end of the preliminary phase. If the participant qualifies for the extension phase, then they will be titrated up again at week 12 to 30 mg QD. Placebo: Inactive ingredient matching the active comparators in appearance.
Overall Study
STARTED
36
39
Overall Study
COMPLETED
34
30
Overall Study
NOT COMPLETED
2
9

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Aripiprazole for Bipolar Disorder and Alcohol Use Disorder

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Aripiprazole
n=36 Participants
Aripiprazole will be given to the participant beginning at 2 mg per day(QD) then titrating up to 5 mg QD at week 1, 10 mg QD at week 2, 15 mg QD at week 3 until the end of the preliminary phase. If the participant qualifies for the extension phase, then they will be titrated up again at week 12 to 30 mg QD. Aripiprazole: Aripiprazole is an atypical antipsychotic drug that is used to treat mental/mood disorders. It works to restore the balance of neurotransmitters.
Placebo
n=39 Participants
Matching placebo will be given to the participant beginning at 2mg QD then titrating up to 5 mg QD at week 1, 10 mg QD at week 2, 15 mg QD at week 3 until the end of the preliminary phase. If the participant qualifies for the extension phase, then they will be titrated up again at week 12 to 30 mg QD. Placebo: Inactive ingredient matching the active comparators in appearance.
Total
n=75 Participants
Total of all reporting groups
Age, Continuous
43.71 years
STANDARD_DEVIATION 9.35 • n=5 Participants
43.58 years
STANDARD_DEVIATION 12.25 • n=7 Participants
43.65 years
STANDARD_DEVIATION 10.84 • n=5 Participants
Sex: Female, Male
Female
16 Participants
n=5 Participants
19 Participants
n=7 Participants
35 Participants
n=5 Participants
Sex: Female, Male
Male
20 Participants
n=5 Participants
20 Participants
n=7 Participants
40 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=5 Participants
7 Participants
n=7 Participants
12 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
27 Participants
n=5 Participants
28 Participants
n=7 Participants
55 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 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
14 Participants
n=5 Participants
20 Participants
n=7 Participants
34 Participants
n=5 Participants
Race (NIH/OMB)
White
20 Participants
n=5 Participants
15 Participants
n=7 Participants
35 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
TLFB (Drinks per Drinking Day)
8.42 standard drinks per drinking day
STANDARD_DEVIATION 5.12 • n=5 Participants
10.02 standard drinks per drinking day
STANDARD_DEVIATION 7.94 • n=7 Participants
9.25 standard drinks per drinking day
STANDARD_DEVIATION 6.74 • n=5 Participants
HRSD
13.62 units on a scale
STANDARD_DEVIATION 7.40 • n=5 Participants
14.19 units on a scale
STANDARD_DEVIATION 7.56 • n=7 Participants
13.82 units on a scale
STANDARD_DEVIATION 7.43 • n=5 Participants
IDS-SR
26.03 units on a scale
STANDARD_DEVIATION 15.79 • n=5 Participants
30.62 units on a scale
STANDARD_DEVIATION 15.42 • n=7 Participants
28.42 units on a scale
STANDARD_DEVIATION 15.66 • n=5 Participants
YMRS
8.92 units on a scale
STANDARD_DEVIATION 6.80 • n=5 Participants
10.33 units on a scale
STANDARD_DEVIATION 6.96 • n=7 Participants
9.85 units on a scale
STANDARD_DEVIATION 7.34 • n=5 Participants
CIWA-Ar
2.50 units on a scale
STANDARD_DEVIATION 2.67 • n=5 Participants
3.05 units on a scale
STANDARD_DEVIATION 3.60 • n=7 Participants
2.79 units on a scale
STANDARD_DEVIATION 3.18 • n=5 Participants
PACS
19.50 units on a scale
STANDARD_DEVIATION 6.31 • n=5 Participants
17.79 units on a scale
STANDARD_DEVIATION 7.53 • n=7 Participants
18.60 units on a scale
STANDARD_DEVIATION 6.98 • n=5 Participants
BIS-11
79.09 units on a scale
STANDARD_DEVIATION 13.41 • n=5 Participants
78.10 units on a scale
STANDARD_DEVIATION 13.34 • n=7 Participants
78.56 units on a scale
STANDARD_DEVIATION 13.29 • n=5 Participants

PRIMARY outcome

Timeframe: 12 weeks

The Timeline Followback (TLFB) is used to assess recent alcohol use (and if present, other substance use). The calculation is based on the change between baseline and week 12.

Outcome measures

Outcome measures
Measure
Aripiprazole
n=36 Participants
Aripiprazole will be given to the participant beginning at 2 mg per day(QD) then titrating up to 5 mg QD at week 1, 10 mg QD at week 2, 15 mg QD at week 3 until the end of the preliminary phase. If the participant qualifies for the extension phase, then they will be titrated up again at week 12 to 30 mg QD. Aripiprazole: Aripiprazole is an atypical antipsychotic drug that is used to treat mental/mood disorders. It works to restore the balance of neurotransmitters.
Placebo
n=39 Participants
Matching placebo will be given to the participant beginning at 2mg QD then titrating up to 5 mg QD at week 1, 10 mg QD at week 2, 15 mg QD at week 3 until the end of the preliminary phase. If the participant qualifies for the extension phase, then they will be titrated up again at week 12 to 30 mg QD. Placebo: Inactive ingredient matching the active comparators in appearance.
Timeline Follow Back (TLFB)
-0.82 drinks per drinking day
Standard Deviation 5.86
-0.71 drinks per drinking day
Standard Deviation 4.23

Adverse Events

Aripiprazole

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

Placebo

Serious events: 2 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Aripiprazole
n=36 participants at risk
Aripiprazole will be given to the participant beginning at 2 mg per day(QD) then titrating up to 5 mg QD at week 1, 10 mg QD at week 2, 15 mg QD at week 3 until the end of the preliminary phase. If the participant qualifies for the extension phase, then they will be titrated up again at week 12 to 30 mg QD.
Placebo
n=39 participants at risk
Matching placebo will be given to the participant beginning at 2mg QD then titrating up to 5 mg QD at week 1, 10 mg QD at week 2, 15 mg QD at week 3 until the end of the preliminary phase. If the participant qualifies for the extension phase, then they will be titrated up again at week 12 to 30 mg QD.
Metabolism and nutrition disorders
increased glucose
0.00%
0/36 • 12 weeks
2.6%
1/39 • 12 weeks
Nervous system disorders
Flare up of multiple sclerosis
0.00%
0/36 • 12 weeks
2.6%
1/39 • 12 weeks

Other adverse events

Other adverse events
Measure
Aripiprazole
n=36 participants at risk
Aripiprazole will be given to the participant beginning at 2 mg per day(QD) then titrating up to 5 mg QD at week 1, 10 mg QD at week 2, 15 mg QD at week 3 until the end of the preliminary phase. If the participant qualifies for the extension phase, then they will be titrated up again at week 12 to 30 mg QD.
Placebo
n=39 participants at risk
Matching placebo will be given to the participant beginning at 2mg QD then titrating up to 5 mg QD at week 1, 10 mg QD at week 2, 15 mg QD at week 3 until the end of the preliminary phase. If the participant qualifies for the extension phase, then they will be titrated up again at week 12 to 30 mg QD.
General disorders
Restlessness/Fidgeting
30.6%
11/36 • 12 weeks
5.1%
2/39 • 12 weeks
Renal and urinary disorders
Increased urinary frequency or difficulty
5.6%
2/36 • 12 weeks
7.7%
3/39 • 12 weeks
General disorders
Dry mouth
16.7%
6/36 • 12 weeks
2.6%
1/39 • 12 weeks
Nervous system disorders
Headache
8.3%
3/36 • 12 weeks
7.7%
3/39 • 12 weeks
Gastrointestinal disorders
Nausea or vomiting
36.1%
13/36 • 12 weeks
10.3%
4/39 • 12 weeks
General disorders
erectile dysfunction or decreased libido
0.00%
0/36 • 12 weeks
7.7%
3/39 • 12 weeks
General disorders
increased appetite or weight gain
11.1%
4/36 • 12 weeks
12.8%
5/39 • 12 weeks
General disorders
Somnolence
25.0%
9/36 • 12 weeks
5.1%
2/39 • 12 weeks
General disorders
Insomnia
5.6%
2/36 • 12 weeks
7.7%
3/39 • 12 weeks
Gastrointestinal disorders
diarrhea
0.00%
0/36 • 12 weeks
5.1%
2/39 • 12 weeks
General disorders
fatigue
5.6%
2/36 • 12 weeks
2.6%
1/39 • 12 weeks
Gastrointestinal disorders
dyspepsia
11.1%
4/36 • 12 weeks
0.00%
0/39 • 12 weeks
Gastrointestinal disorders
constipation
8.3%
3/36 • 12 weeks
2.6%
1/39 • 12 weeks
Nervous system disorders
tremors
2.8%
1/36 • 12 weeks
5.1%
2/39 • 12 weeks
Nervous system disorders
dizziness or lightheadedness
2.8%
1/36 • 12 weeks
7.7%
3/39 • 12 weeks

Additional Information

E. Sherwood Brown MD PhD MBA

UT Southwestern

Phone: 214-645-6950

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place