CClinicalTrials.gg
CompletedNCT00223496Updated May 16, 2017Results posted

12- Week Open Label Treatment of Refractory Bipolar Depression

A Phase 4 interventional study of Aripiprazole in Bipolar Disorder, sponsored by The University of Texas Health Science Center at San Antonio. Completed at 1 site in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2017-05-16.

Sponsored by The University of Texas Health Science Center at San Antonio · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
32
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
01

Study summary

  1. Determine the change in symptomatology and function in refractory bipolar depression, when treated with combination of DEP+AZP for a period of 12 weeks
  2. Determine the tolerability and safety of AZP added to DEP in the treatment of refractory bipolar depression
Read the detailed description

)Determine the change in symptomatology and function in refractory bipolar depression, when treated with combination of DEP+AZP for a period of 12 weeks

  1. Determine the tolerability and safety of AZP added to DEP in the treatment of refractory bipolar depression
02

Conditions studied

  • Bipolar Disorder

Keywords

  • Bipolar Depression
  • Refractory
03

In context

Depression

8,057 studies on the registry are indexed under Depression; 1,641 are open to participants now.

This study's enrollment of 32 is below the median of 84 across 6,720 interventional studies indexed under Depression.

Browse Depression studies →

Lead sponsor

The University of Texas Health Science Center at San Antonio is the lead sponsor of 435 studies on the registry; 88 are open to participants now.

Of its 62 completed or terminated interventional studies of FDA-regulated products, 31 (50%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • diagnosis of bipolar disorder I or II according to M.I.N.I.
  • patient has signed informed consent
  • male, or female who is using effective birth control if of child bearing age
  • age 18 and above
  • currently in a depressed phase, with or without psychotic features, of the illness based on DSM-IV/MINI criteria
  • score of more than 19 on the MADRS
  • history of treatment refractory bipolar depression as defined by failure of the depressive episode to respond to a mood stabilizer alone or a combination of 2 or more mood stabilizers or a combination of a mood stabilizer and an antidepressant

Exclusion criteria

Exclusion Criteria:

  • current liver disease,
  • illness precluding the use of depakote er
  • patients who have been treated with a DEP and AZP combination in the past
  • Alcohol/drug dependence in the past one month
  • CNS neoplasms, demyelinating diseases, degenerative neurological condition or active CNS infection
  • history of seizure, known EEG with frank paroxysmal activity, known CT of brain showing gross structural abnormalities, cerebral vascular disease by history or structural brain damage from trauma
  • thyroid dysfunction
  • unstable general medical condition
  • require antipsychotic other than abilify
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
32 participants (actual)

Study arms

  • Experimental
    Aripiprazole

    Aripiprazole open-label in doses ranging from 5-30mg QD adjunct to Divalproex 500-2500mg QD.

    Drug: Aripiprazole

Interventions

  • DrugAripiprazole

    Aripiprazole5mg - 30mg, every day (QD), for 12 weeks.

06

What researchers measure

Primary outcomes

  1. Primary Measure:Reduction in Depression Symptoms

    Primary efficacy will be assessed by the proportion of patients achieving a 50% reduction (range 0- 60, higher the number the more depressed) on the Montgomery Asberg Depression Rating Scale (MADRS) (defined as response) concomitant with a Clinical Global Impression Scale(CGI-S) improvement of 1 or 2 (range 0-7, higher the number the more severe the overall bipolar symptoms).

    Time frame: up to 12 weeks

07

Results

Posted May 21, 2013

Participant flow

Recruitment from March 2006 to June 2009 from clinic patients and those responding to public advertisements.

Participant flow — Overall Study
MilestoneAripiprazole Plus Divalproex ER
Started32
Completed10
Not completed22
Withdrew: Screen failure9
Withdrew: Lost to follow-up4
Withdrew: Lack of efficacy6
Withdrew: Withdrawal by subject1
Withdrew: Physician decision2

Outcome measures

PrimaryPrimary Measure:Reduction in Depression Symptoms

Primary efficacy will be assessed by the proportion of patients achieving a 50% reduction (range 0- 60, higher the number the more depressed) on the Montgomery Asberg Depression Rating Scale (MADRS) (defined as response) concomitant with a Clinical Global Impression Scale(CGI-S) improvement of 1 or 2 (range 0-7, higher the number the more severe the overall bipolar symptoms).

Time frame:
up to 12 weeks
Reported as:
Number · participants
Primary Measure:Reduction in Depression Symptoms
participantsAripiprazole Plus Divalalproex ER
Primary Measure:Reduction in Depression Symptoms16

Adverse events

Collected over 3-31-2006 to 9-11-2009, 3 yrs 6 mo. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Aripiprazole Plus Divalproex ER—0/19 (0%)6/16 (37.5%)
Most frequent other events
Most frequent other events
EventAripiprazole Plus Divalproex ER
AkathisiaNervous system disorders6/16

Baseline characteristics

32 subjects consented, 19 subjects were baselined

Age, Categorical
Age, Categorical(Participants)Aripiprazole
<=18 years0
Between 18 and 65 years19
>=65 years0
Age, Continuous
Age, Continuous(years)Aripiprazole
Mean41 ± 10.0
Sex: Female, Male
Sex: Female, Male(Participants)Aripiprazole
Female13
Male6
Region of Enrollment
Region of Enrollment(participants)Aripiprazole
United States19
08

Study locations

1 site
  • Univ of Texas Helath Science Center at San Antonio
    San Antonio, Texas 78229, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 16, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00223496
Lead sponsor
The University of Texas Health Science Center at San Antonio
Collaborators
Bristol-Myers Squibb
Responsible party
Charles L. Bowden (Principal Investigator, The University of Texas Health Science Center at San Antonio) — Principal investigator
First posted
Sep 22, 2005
Start date
Sep 2004
Primary completion
Sep 2009
Completion
Sep 2009
Results posted
May 21, 2013
Last update
May 16, 2017

Study contacts

Vivek Singh, MD
principal investigator · University of Texas
Charles L Bowden, MD
principal investigator · University of Texas

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2017. You cannot join it, but the record below documents what was studied.

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