ClinicalTrials.gg
CompletedNCT06419582Updated Dec 16, 2025

BHV-7000 Acute Treatment of Bipolar Mania

A Phase 2/3 interventional study of BHV-7000 and Placebo in Bipolar Disorder, sponsored by Biohaven Therapeutics Ltd.. Completed at 32 sites in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-12-16.

Sponsored by Biohaven Therapeutics Ltd. · Phase 2/3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Jan 2025, 1 year 9 months ago, and no results have been posted to the registry; the sponsor requested a delay in submitting them in Dec 2025.
Phase
Phase 2/3
Study type
Interventional
Enrollment
274
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The purpose of this study is to determine whether BHV-7000 is a safe and effective acute treatment for manic episodes in bipolar disorder I.

02

Conditions studied

  • Bipolar Disorder

Keywords

  • bipolar
  • mania
  • manic episode
  • manic state
  • bipolar disorder type 1
  • manic depressive
  • manic bipolar
  • mixed features
  • mixed episode
  • mixed mania
  • bipolar episode
03

In context

Bipolar Disorder

1,683 studies on the registry are indexed under Bipolar Disorder; 266 are open to participants now.

This study's enrollment of 274 is above the median of 64 across 1,279 interventional studies indexed under Bipolar Disorder.

Browse Bipolar Disorder studies →

Lead sponsor

Biohaven Therapeutics Ltd. is the lead sponsor of 20 studies on the registry; 9 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 0 (0%) 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

Eligibility criteria

Key Inclusion Criteria:

  1. Participant must be voluntarily hospitalized for a current manic episode.
  2. Male and female participants 18 years to 75 years of age at the time of the screening visit.
  3. (BMI) must be ≥ 18 kg/m2 and ≤ 35 kg/m2.
  4. Meets criteria for bipolar disorder type I, with or without mixed features, as confirmed by MINI interview with at least one well- defined prior mood episode (in addition to the current episode). The most recent prior manic episode must have occurred in the last 2 years.
  5. Episode of mania must not exceed 12 weeks in duration.
  6. Participants must be able and willing to discontinue all other psychotropic medications during the Screening Phase (e.g., antidepressant, antimanic, antipsychotic medications).

Key Exclusion Criteria:

  1. Rapid cycling is excluded as defined herein by subjects who have experienced ≥ 6 distinct mood episodes in a year. Consecutive mood episodes must be demarcated either by a partial or full remission of at least 2 months' duration or by a switch to an episode of opposite polarity. Each manic or mixed episode must have lasted at least 1 week, and each hypomanic episode must have lasted at least 4 days.
  2. Participants with a confirmed lifetime history of schizophrenia, psychotic disorders, dementia, delirium, amnesia, neurodegenerative disease, traumatic brain injury with sequalae, seizure disorder, or other neurocognitive disorder. Previous diagnosis of psychotic spectrum disorders are allowable if the Investigator deems the diagnosis to be describing symptoms related to bipolar disorder.
  3. Any medical condition, based on the judgement of the Investigator, that would confound the ability to adequately assess safety and efficacy outcome measures.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
274 participants (actual)

Study arms

  • Experimental
    BHV-7000

    Drug: BHV-7000

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • BHV-7000 75 mg taken once daily for 21 days

  • DrugPlacebo

    Matching placebo taken once daily for 21 days

06

What researchers measure

Primary outcomes

  1. Change in Young Mania Rating Scale (YMRS) total score from baseline to day 21

    The YMRS is a clinician administered scale that consists of 11 items used to assess the subject's symptoms of mania (total scores range from 0 to 60). The higher the YMRS score, the more severe the subject's symptoms of mania.

    Time frame: Baseline (day 1) to day 21

Secondary outcomes

  1. Change in Clinical Global Clinical Impression - Severity Scale (CGI-S) total score

    This objective will be measured by the change in Clinical Global Impression of Severity (CGI-S) score from baseline (day 1) to day 21). The CGI-S is a global index of patient disease severity as rated by the clinician on a scale from 1 to 7, where 7 represents most severe patients.

    Time frame: Baseline (day 1) to day 21

  2. Percentage of participants showing treatment response

    Treatment response is defined as greater than or equal to 50% reduction from baseline to day 21 on the YMRS total score. The YMRS is a clinician administered scale that consists of 11 items used to assess the subject's symptoms of mania (total scores range from 0 to 60). The higher the YMRS score, the more severe the subject's symptoms of mania.

    Time frame: Baseline (day 1) to day 21

  3. Percentage of participants showing treatment remission

    Treatment remission is defined as score of less than or equal to 12 on the YMRS total score from baseline to day 21. The YMRS is a clinician administered scale that consists of 11 items used to assess the subject's symptoms of mania (total scores range from 0 to 60). The higher the YMRS score, the more severe the subject's symptoms of mania.

    Time frame: Baseline (day 1) to day 21

  4. Change in Young Mania Rating Scale (YMRS) total score from baseline to day 7

    This objective will be measured by the change in YMRS total score from baseline (day 1) to day 7. The YMRS is a clinician administered scale that consists of 11 items used to assess the subject's symptoms of mania (total scores range from 0 to 60). The higher the YMRS score, the more severe the subject's symptoms of mania.

    Time frame: Baseline (day 1) to day 7

  5. Change in Young Mania Rating Scale (YMRS) total score from baseline to day 4

    This objective will be measured by the change in YMRS total score from baseline (day 1) to day 4. The YMRS is a clinician administered scale that consists of 11 items used to assess the subject's symptoms of mania (total scores range from 0 to 60). The higher the YMRS score, the more severe the subject's symptoms of mania.

    Time frame: Baseline (day 1) to day 4

  6. Change in Montgomery-Åsberg Depression Rating Scale (MADRS) score from baseline to day 21

    This objective will be measured by the change in MADRS total score from baseline (day 1) to day 21. The MADRS, Montgomery-Asberg Rating Scale, measures depression on a 10 item scale. The overall score ranges from 0 to 60. The higher the MADRS score indicates more severe depression.

    Time frame: Baseline (day 1) to day 21

  7. Number of Participants With Serious AEs (SAEs), AEs Leading to Study Drug Discontinuation, and AEs judged to be related to study medication

    To assess the safety and tolerability of BHV-7000. This objective will be measured by assessing the number of unique subjects with SAEs, AEs leading to discontinuation, AEs judged to be related to study medication that are observed during the Double-blind Treatment Phase (21 days).

    Time frame: Baseline (day 1) to day 21

  8. Number of Participants With Clinically Significant Laboratory Abnormalities

    To assess the safety and tolerability of BHV-7000. This objective will be measured by assessing the number of unique subjects with grade 3 or 4 laboratory abnormalities.

    Time frame: Baseline (day 1) to day 21

  9. Number of Participants With Vital Sign Abnormalities

    Time frame: Baseline (day 1) to day 21

  10. Number of Participants With Electrocardiogram (ECG) Abnormalities specific to QTc elevation

    Time frame: Baseline (day 1) to day 21

07

Study locations

32 sites
  • Pillar Clinical Research, LLC
    Bentonville, Arkansas 72712, United States
  • WIRG
    Little Rock, Arkansas 72211, United States
  • WRN
    Rogers, Arkansas 72758, United States
  • Advanced Research Center, Inc.
    Anaheim, California 92805, United States
  • CIT LA
    Bellflower, California 90706, United States
  • ProScience Research Group
    Culver City, California 90230, United States
  • Cenexel CNS
    Garden Grove, California 92845, United States
  • Synergy San Diego
    Lemon Grove, California 91945, United States
  • NRC Research Institute
    Orange, California 92868, United States
  • CIT IE
    Riverside, California 92506, United States
  • Cenexel CNS
    Torrance, California 90504, United States
  • Segal Trials - Larkin Behavioral Health Services-Inpatient & Early Phase Site
    Hollywood, Florida 33021, United States
  • Cenexel - RCA
    Hollywood, Florida 33024, United States
  • LCC Medical Research Inst
    Miami, Florida 33126, United States
  • Floridian Neuroscience Institute
    Miami Lakes, Florida 33016, United States
  • Segal Trials - Miami Lakes Medical Research-Inpatient & Early Phase Site
    Miami Lakes, Florida 33016, United States
  • Neuroscience Research Institute
    West Palm Beach, Florida 33407, United States
  • Atlanta Center for Medical Research
    Atlanta, Georgia 30331, United States
  • CenExel iResearch, LLC
    Decatur, Georgia 30030, United States
  • CenExel iResearch, LLC
    Savannah, Georgia 31405, United States
  • Uptown Research Institute
    Chicago, Illinois 60640, United States
  • Pillar Clinical Research
    Chicago, Illinois 60641, United States
  • CBH Health
    Gaithersburg, Maryland 20877, United States
  • Precise Clinical Research
    Flowood, Mississippi 39232, United States
  • Arch Clinical Trials
    St Louis, Missouri 63141, United States
  • Hassman Research Institute
    Marlton, New Jersey 08053, United States
  • RBA
    Staten Island, New York 10329, United States
  • Midwest Clinical Research Center
    Dayton, Ohio 45417, United States
  • NBCR
    North Canton, Ohio 44720, United States
  • Community Clinical Research, Inc.
    Austin, Texas 78754, United States
  • InSite Clinical Research, LLC
    DeSoto, Texas 75115, United States
  • Pillar Clinical Research, LLC
    Richardson, Texas 75080, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 16, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06419582
Lead sponsor
Biohaven Therapeutics Ltd.
Responsible party
Sponsor
First posted
May 17, 2024
Start date
May 28, 2024
Primary completion
Jan 15, 2025
Completion
Jan 30, 2025
Last update
Dec 16, 2025

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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