CClinicalTrials.gg
WithdrawnNCT00221481Updated Jun 1, 2015

An Evaluation of Divalproex vs. Olanzapine for Alcohol Abuse Relapse Prevention in Patients With Bipolar Disorder

A Phase 4 interventional study of divalproex or olanzapine in Bipolar Disorder, sponsored by Mayo Clinic. Withdrawn at 1 site in United States. Open to male participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2015-06-01.

Sponsored by Mayo Clinic · Phase 4, Interventional, and Treatment

Why this study was withdrawn
Lack of recruitment
Phase
Phase 4
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
Male
01

Study summary

This study will evaluate how effective mood stabilizers are in the treatment of bipolar disorder with comorbid alcoholism

Read the detailed description

Bipolar affective disorder is a medical illness with substantial morbidity and mortality. Further fueling the severity of this illness is the substantial co-occurrence with substance abuse that together poses an enormous public health problem.

This study will evaluate the efficacy of divaproex sodium (DVPX) vs. olanzapine (ZYP) vs. for alcohol relapse prevention and secondary mood stabilization. Bipolar patients who are actively drinking will be randomized to either Depakote ER ® (flexible dose schedule up to 2500 mg) or Zyprexa® (flexible dose schedule up to 20 mg). Adjunctive benzodiazepine will be utilized for the treatment of alcohol withdrawal and as an adjunct anxiolytic during the early titration of DVPX and ZYP. Patients who, after 2 weeks, have stabilized will continue in the prophylaxis study which will last up to 46 weeks. Flexible dose scheduling and adjunctive antidepressant treatment as clinically indicated will be done to maximize tolerability, treatment compliance, and mood stability.

The primary outcome measure will be alcohol abuse relapse which will be defined, a priori, as 5 drinks in a 24 hour period. Patients who have a relapse as such defined will be terminated from the study. Secondary alcohol outcome measures (i.e. number of drinking days, % drinking days per month, standard drinks per drinking occasion, craving) will be assessed through the time-line follow-back method. Secondary outcome measures of mood stabilization (major mood relapse and adjunctive medication) will be assessed by prospective life charting.

02

Conditions studied

  • Bipolar Disorder

Keywords

  • Bipolar
  • Alcohol
03

In context

Alcoholism

1,606 studies on the registry are indexed under Alcoholism; 329 are open to participants now.

Browse Alcoholism studies →

Lead sponsor

Mayo Clinic is the lead sponsor of 3,218 studies on the registry; 670 are open to participants now.

Of its 445 completed or terminated interventional studies of FDA-regulated products, 313 (70%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  • Age 18-65
  • DSM-IV criteria for manic episode based on the SCID (Spitzer 1996)
  • DSM-IV criteria for alcohol dependence or abuse based on the SCID. Meeting criteria for polysubstance dependence or abuse will not be exclusionary.
  • Alcohol dependence/abuse confirmed by corroboration.
  • Negative urine pregnancy test l

Exclusion criteria

Exclusion Criteria:

  • Inability to give informed consent
  • Liver function tests greater than 3X the upper limit of normal
  • History of adverse reaction to divalproex sodium or olanzapine
  • History of seizure other than directly associated with prior alcohol withdrawal
  • History of major head trauma with LOC > 5 minutes or skull fracture
  • History of hypertension, neurologic illness
  • Active hepatitis, hepatic encephalopathy, or history of pancreatitis
  • Not practicing a reliable form of birth control
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Single group
Masking
Single
Enrollment
0 participants (actual)

Interventions

  • Drugdivalproex or olanzapine
06

Study locations

1 site
  • UCLA Neuropsychiatric Institute
    Los Angeles, California 90095, United States
07

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 1, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
08

Registry details

Key details

Study ID
NCT00221481
Lead sponsor
Mayo Clinic
Collaborators
University of California, Los Angeles
Responsible party
Mark Frye (Principal Investigator, Mayo Clinic) — Principal investigator
First posted
Sep 22, 2005
Completion
Mar 2006
Last update
Jun 1, 2015

Study contacts

Mark A Frye, MD
principal investigator · University of California, Los Angeles
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Feb 2009. You cannot join it, but the record below documents what was studied.

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