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CompletedNCT01195363Updated Mar 23, 2017Results posted

Quetiapine Sr as Adjunctive Treatment In Mixed States of Bipolar Disorder

A Phase 4 interventional study of quetiapine SR and quetiapine sr placebo 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 65 Years. Per ClinicalTrials.gov, last updated 2017-03-23.

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

Phase
Phase 4
Study type
Interventional
Enrollment
28
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
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Study summary

To assess the acute and long-term bimodal efficacy of QTP, as an adjunct to ongoing treatment with lithium (Li) or divalproex (DIV) or lamotrigine (LAM) or any combination of the three thereof, in a group of patients with an index episode of a mixed state in BD.

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Conditions studied

  • Bipolar Disorder

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Keywords

  • bipolar disorder, mania, depression
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In context

Bipolar Disorder

1,601 studies on the registry are indexed under Bipolar Disorder; 254 are open to participants now.

This study's enrollment of 28 is below the median of 64 across 1,223 interventional studies indexed under Bipolar Disorder.

Browse Bipolar Disorder 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.

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Who can participate

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

Inclusion criteria

  • Male or female;
  • Age 18 years and older
  • Patients on:

    • Li at a stable dose for 4 weeks or longer, and a serum level at screening of 0.5 mEq/l OR
    • DIV dose for 4 weeks or longer, and a serum level at screening of 45 g/ml OR
    • LAM (dosage/day ≥100mg) at a stable dose for 4 weeks or longer OR
    • Any combination 3a, 3b, or 3c
  • Patients meeting DSM-IV TR diagnosis of bipolar disorder, I or II, as assessed using the MINI, (Sheehan et al., 1998) PLUS any ONE of criteria 5 or 6 or 7
  • Patients meeting DSM-IV TR diagnostic criteria for a mixed manic episode with Young Mania Rating Scale (YMRS) score>/=14 and Montgomery Asberg Depression Rating Scale (MADRS) score>/=14
  • Patients meeting the criteria for a manic/hypomanic episode for at least 2 days with the simultaneous presence of Young Mania Rating Scale (YMRS) score>/=14 PLUS Montgomery Asberg Depression Rating Scale (MADRS) score>/=14 ;
  • Patients meeting DSM-IV TR diagnostic criteria for a major depressive episode with the simultaneous presence of MADRS score>/=14 PLUS meeting the criteria for a manic/hypomanic episode for at least 2 days with the simultaneous presence of Young Mania Rating Scale (YMRS) score>/=14

Exclusion criteria

Exclusion Criteria:

  • Patients with a current Axis I diagnosis of schizophrenia, schizophreniform disorder, schizotypal disorder, bipolar disorder with psychotic subtype, drug induced mania or AIDS induced mania
  • Women with a positive pregnancy test or who are lactating
  • Women of child-bearing potential who are not practicing a clinically accepted method of contraception
  • Patients with general medical conditions that contraindicate psychoactive medications or uncontrolled medical disorder or central nervous system diseases.
  • Patients whose clinical status requires inpatient or day hospital treatment
  • History of severe side effects associated with therapeutic doses of Li, DIV, LAM
  • Alcohol or drug dependent at time of enrollment
  • Suicidal at time of enrollment.
  • Current or previous exposure to QTP
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
28 participants (actual)

Study arms

  • Active comparator
    quetiapine SR

    quetiapine SR, 200-600mg, po, qd

    Drug: quetiapine SR

  • Placebo comparator
    quetiapine sr Placebo

    quetiapine SR placebo, 200-600mg, po qd

    Drug: quetiapine sr placebo

Interventions

  • Drugquetiapine SR

    quetiapine SR, dose range 200-600mg, each night QHS for 6mos

    Also known as: Seroquel SR

  • Drugquetiapine sr placebo

    quetiapine sr placebo, dose range 200-600mg, each night QHS for 6mos

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What researchers measure

Primary outcomes

  1. Number of Patients Whose Mood Improved According to MADRS and YMRS Scale Scores.

    The primary outcome measure was assessed by 50% reduction in: 1. depression scores on the Montgomery Asberg Depression Rating Scale (MADRS), which ranges from 0 indicating no symptoms to 60 indicating most symptoms 2. mania scores on the Young Mania Rating Scale (YMRS), which ranges from 0 indicating no symptoms to 60 indicating most symptoms.

    Time frame: Baseline visit to week 24

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Results

Posted Feb 12, 2015
Limitations and caveats
Overall limitations were screen failures and lost to follow-ups which led to not reaching recruitment goals.

Participant flow

Participants were recruited in our University, Center for Healthcare Services, and by televison ads between Oct 2007 and January 2011.

Participant flow — Overall Study
MilestoneQuetiapine SR, 200-600mg , po, QDQuetiapine sr Placebo 200-600mg, po, qd
Started1513
Completed44
Not completed119
Withdrew: Lost to follow-up74
Withdrew: Adverse event31
Withdrew: Lack of efficacy04
Withdrew: Incarceration10

Outcome measures

PrimaryNumber of Patients Whose Mood Improved According to MADRS and YMRS Scale Scores.

The primary outcome measure was assessed by 50% reduction in: 1. depression scores on the Montgomery Asberg Depression Rating Scale (MADRS), which ranges from 0 indicating no symptoms to 60 indicating most symptoms 2. mania scores on the Young Mania Rating Scale (YMRS), which ranges from 0 indicating no symptoms to 60 indicating most symptoms.

Time frame:
Baseline visit to week 24
Reported as:
Number · participants
Number of Patients Whose Mood Improved According to MADRS and YMRS Scale Scores.
participantsActive Quetiapine S.R., 200-600mg, po, qdPlacebo Quetiapine S.R. 200-600mg, po, qd
MADRS44
YMRS44

Adverse events

Collected over 10/30/2007 - 6/1/2011, 2 yrs 8 mos.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Mood Stabilizer Plus Quetiapine SR—0/15 (0%)10/15 (66.7%)
Mood Stabilizer Plus Quetiapine sr Placebo—0/13 (0%)7/13 (53.8%)
Most frequent other events
Most frequent other events
EventMood Stabilizer Plus Quetiapine SRMood Stabilizer Plus Quetiapine sr Placebo
drowsiness/sedationInvestigations7/153/13
dry mouthGeneral disorders4/152/13
headacheGeneral disorders1/152/13
increased appetiteMetabolism and nutrition disorders1/152/13
joint painGeneral disorders2/150/13
interrupted sleepInvestigations2/150/13
muscle weaknessMusculoskeletal and connective tissue disorders2/150/13
nauseaGastrointestinal disorders2/150/13

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Active Quetiapine SRQuetiapine SR PlaceboTotal
<=18 years000
Between 18 and 65 years151328
>=65 years000
Age, Continuous
Age, Continuous(years)Active Quetiapine SRQuetiapine SR PlaceboTotal
Mean35.5 ± 10.132.1 ± 9.834 ± 9.9
Sex: Female, Male
Sex: Female, Male(Participants)Active Quetiapine SRQuetiapine SR PlaceboTotal
Female81119
Male729
Region of Enrollment
Region of Enrollment(participants)Active Quetiapine SRQuetiapine SR PlaceboTotal
United States151328
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Study locations

1 site
  • The University of Texas Health Science Center at San Antonio
    San Antonio, Texas 78229, United States
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 23, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01195363
Lead sponsor
The University of Texas Health Science Center at San Antonio
Collaborators
AstraZeneca
Responsible party
Charles L. Bowden (MD, The University of Texas Health Science Center at San Antonio) — Principal investigator
First posted
Sep 6, 2010
Start date
Apr 2007
Primary completion
Dec 2010
Completion
Jun 2011
Results posted
Feb 12, 2015
Last update
Mar 23, 2017

Study contacts

Charles 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 Mar 2017. You cannot join it, but the record below documents what was studied.

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