A Trial to Evaluate the Safety and Tolerability of Brexpiprazole in the Treatment of Participants With Bipolar I Disorder.

NCT ID: NCT03287869

Last Updated: 2020-08-17

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

381 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-10-24

Study Completion Date

2019-07-31

Brief Summary

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This study evaluated the safety and evaluate the safety and tolerability of open-label brexpiprazole (2 - 4 mg/day, with a starting dose of 2 mg/day) for the treatment of adult subjects with bipolar I disorder. All participants received a starting dose of brexpiprazole.

Detailed Description

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While the availability of atypical antipsychotics had increased the therapeutic options available, there remains a need for safer and more effective therapies in the treatment of manic and depressive episodes of bipolar I disorder. Brexpiprazole's specific receptor activity profile likely correlates with its established efficacy in schizophrenia and major depressive disorder, and may prove to be an effective target for the treatment of acute mania of bipolar I disorder.

Conditions

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Bipolar I Disorder Acute Mania

Study Design

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Intervention Model

PARALLEL

Group composed of eligible rollover participants who completed one of the double-blind, phase 3 efficacy trials (331-201-00080 (NCT03259555) or 331-201-00081 (NCT03257865)).
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Brexpiprazole

Brexpiprazole was administered in participants orally with flexible dosing from 2 mg/day from Days 1 to 3 regardless of treatment assignment in the previous double-blind trial, followed by titration to 3 mg/day on Day 4. Participants may have been titrated (or re-titrated) to a higher dose of brexpiprazole, up to a maximum of 4 mg/day, based on treatment response and at the investigator's discretion anytime at Day 7 or thereafter. Participants who were unable to tolerate their current dose could have been titrated down to a minimum of 2 mg/day any time after Day 4.

Group Type EXPERIMENTAL

Brexpiprazole

Intervention Type DRUG

Brexpiprazole tablets

Interventions

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Brexpiprazole

Brexpiprazole tablets

Intervention Type DRUG

Other Intervention Names

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OPC-34712

Eligibility Criteria

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Inclusion Criteria

* Participants remaining in hospital at the Day 21 visit of trial 331-201-00080 or 331-201-00081 were permitted to enroll in the 331-201-00083 trial at the week 3 visit of the double-blind trial if they were planned to be discharged from the hospital before the week 1 visit of trial 331-201-0083. Participants not discharged by the week 1 visit of trial 331-201-0083 were withdrawn.
* Participants who, in the opinion of the investigator, could potentially benefit from administration of oral brexpiprazole for the treatment of bipolar I disorder and who completed 3 weeks of post-randomization treatment in Trial 331-201-00080 \& Trial 331-201-00081.

Exclusion Criteria

* Participants with a major protocol violation during the course of their participation in the double-blind phase 3 trials (331-201-00080 or 331-201-00081).
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

Locations

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Woodland International Research Group

Little Rock, Arkansas, United States

Site Status

Woodland Research Northwest, LLC

Rogers, Arkansas, United States

Site Status

Citrials Inc.

Bellflower, California, United States

Site Status

Radiant Research

Cerritos, California, United States

Site Status

ProScience Research Group

Culver City, California, United States

Site Status

Collaborative Neuroscience Network, LLC

Garden Grove, California, United States

Site Status

Behavioral Research Specialists, LLC

Glendale, California, United States

Site Status

Apostle Clinical Trials

Long Beach, California, United States

Site Status

Pacific Research Partners, LLC

Oakland, California, United States

Site Status

NRC Research Institute

Orange, California, United States

Site Status

Asclepes Research Centers, PC

Panorama City, California, United States

Site Status

CI Trials

Riverside, California, United States

Site Status

CNRI-San Diego

San Diego, California, United States

Site Status

Artemis Institute for Clinical Research

San Diego, California, United States

Site Status

Sharp Mesa Vista Hospital

San Diego, California, United States

Site Status

CI Trials

Santa Ana, California, United States

Site Status

Collaborative Neuroscience Network, LLC

Torrance, California, United States

Site Status

Shreenath Clinical Service

Yorba Linda, California, United States

Site Status

Optimus U Corp

Coral Gables, Florida, United States

Site Status

Segal Trials

Fort Lauderdale, Florida, United States

Site Status

Galiz Research

Hialeah, Florida, United States

Site Status

Research Centers of America, LLC

Hollywood, Florida, United States

Site Status

Florida Behavioral Medicine

Largo, Florida, United States

Site Status

University of South Florida Board of Trustees

Tampa, Florida, United States

Site Status

iResearch Atlanta, LLC

Decatur, Georgia, United States

Site Status

Alexian Brothers Center for Psychiatric Research

Hoffman Estates, Illinois, United States

Site Status

NeuroPsychiatric Research

Winfield, Illinois, United States

Site Status

Louisiana Clinical Research

Shreveport, Louisiana, United States

Site Status

CBH Health

Gaithersburg, Maryland, United States

Site Status

St. Charles Psychiatric Associates

Saint Charles, Missouri, United States

Site Status

Arch Clinical Trials, LLC

St Louis, Missouri, United States

Site Status

St. Louis Clinical Trials

St Louis, Missouri, United States

Site Status

Hassman Research Institute, LLC

Berlin, New Jersey, United States

Site Status

Clinical Trials of America-NC, LLC

Hickory, North Carolina, United States

Site Status

Richard H Weisler, MD PA Associates

Raleigh, North Carolina, United States

Site Status

SP Research PLLC

Oklahoma City, Oklahoma, United States

Site Status

Cutting Edge Research Group

Oklahoma City, Oklahoma, United States

Site Status

Community Clinical Research, Inc.

Austin, Texas, United States

Site Status

InSite Clinical Research

DeSoto, Texas, United States

Site Status

North Texas Clinical Trials

Fort Worth, Texas, United States

Site Status

Pillar Clinical Research LLC

Garland, Texas, United States

Site Status

Pillar Clinical Research, LLC

Richardson, Texas, United States

Site Status

Core Clinical Research

Everett, Washington, United States

Site Status

Mid Columbia Research

Richland, Washington, United States

Site Status

Mental Health Center Prof. Dr. Ivan Temkov - Burgas EOOD, Department for Treatment of Emergency Psychiatric Condition

Burgas, , Bulgaria

Site Status

State Psychiatry Hospital - Kardzhali,Third Male Department, First Female Department

Kardzhali, , Bulgaria

Site Status

State Psychiatry Hospital Sv. Ivan Rilski, First Male department, First Female Department

Novi Iskar, , Bulgaria

Site Status

University Multiprofile Hospital for Active Treatment Sveti Georgi EAD, Clinic of Psychiatry

Plovdiv, , Bulgaria

Site Status

"Mental Health Centre-Ruse" EOOD, Male department for persons with severe mental disorders, Female department for persons with severe mental disorders

Rousse, , Bulgaria

Site Status

University Multiprofile Hospital for Active Treatment -Alexandrovska EAD, Clinic of Psychiatry, First Department of Psychiatry

Sofia, , Bulgaria

Site Status

Multiprofile Hospital for Active Treatment - Targovishte AD, Department of Psychiatry

Targovishte, , Bulgaria

Site Status

Mental Health Center - Veliko Tarnovo EOOD, Department of Psychiatry for Active Treatment of Persons with Severe Mental Disorders

Veliko Tarnovo, , Bulgaria

Site Status

Mental Health Center - Vratsa EOOD, Department of Psychiatry

Vratsa, , Bulgaria

Site Status

CHC Rijeka-Clinic for Psychiatrics

Rijeka, , Croatia

Site Status

Poliklinika Neuron /Polyclinic Neuron

Zagreb, , Croatia

Site Status

Indywidualna Specjalistyczna Praktyka Lekarska Wieslaw Jerzy Cubala

Gdansk, , Poland

Site Status

NZOZ Prywatna Klinika Psychiatryczna Inventiva

Tuszyn, , Poland

Site Status

CHC Dr Dragisa Misovic

Belgrade, , Serbia

Site Status

Clinic for Psychiatric Disorders, Dr Laza Lazarevic

Belgrade, , Serbia

Site Status

Clinic for Psychiatry

Belgrade, , Serbia

Site Status

Specialized Hospital for Psychiatry Diseases Kovin

Kovin, , Serbia

Site Status

Clinical Center Kragujevac, Clinic of Psychiatry

Kragujevac, , Serbia

Site Status

Klinika za psihijariju, Klinicki Centar Vojvodine

Novi Sad, , Serbia

Site Status

Regional Clinical Hospital n.a I.I. Mechnicov

Dnipro, , Ukraine

Site Status

SI of Neurology Psychiatry and Narcology NAMS

Kharkiv, , Ukraine

Site Status

Kherson Regional Psychiatric Hospital

Kherson, , Ukraine

Site Status

Kyiv Regional Medical Incorporation Psychiatry

Kyiv, , Ukraine

Site Status

CI of LOR Lviv Regional Clinical Psychiatric Hospital, Department #25

Lviv, , Ukraine

Site Status

Communal Institution of Lviv Regional Council "Lviv Regional Clinical Psychiatric Hospital", department #20

Lviv, , Ukraine

Site Status

Odesa Regional Psychiatric Hospital 2

Odesa, , Ukraine

Site Status

Maltsev Regional Clinical Psychiatric Hospital

Poltava, , Ukraine

Site Status

Ternopil Regional Municipal Clinical Psychoneurological Hospital

Ternopil, , Ukraine

Site Status

O.I. Yushenko Vinnitsa Regional Clinic

Vinnitsa, , Ukraine

Site Status

Countries

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United States Bulgaria Croatia Poland Serbia Ukraine

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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2017-002225-38

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

331-201-00083

Identifier Type: -

Identifier Source: org_study_id

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