ClinicalTrials.gg
CompletedNCT07046494Updated Oct 26, 2026

Study Evaluating the Efficacy and Safety of RAP-219 in Adult Participants With Bipolar I Disorder

A Phase 2 interventional study of RAP-219 and Placebo in Bipolar 1 Disorder, sponsored by Rapport Therapeutics Inc.. Completed at 20 sites in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-10-26.

Sponsored by Rapport Therapeutics Inc. · Phase 2, Interventional, and Treatment

Updated Oct 26, 2026Now CompletedStudy completion movedGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
253
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This is a clinical research study for an investigational drug called RAP-219 in participants with bipolar I disorder. This study is being conducted to determine if RAP-219 is safe and effective in participants experiencing mania associated with bipolar I disorder.

Read the detailed description

This is a Phase 2, proof-of-concept, multi-center, randomized, double blind, placebo-controlled study designed to evaluate the efficacy, safety and tolerability of RAP-219 in adult participants experiencing mania associated with bipolar I disorder. This is a 3-week inpatient clinical trial.

02

Conditions studied

  • Bipolar 1 Disorder

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Keywords

  • Bipolar
  • Mania
  • Acute
  • In-patient
  • Manic State
  • Manic Episode
  • Mixed Features
  • Episode with Mixed Features
  • Mixed Mania
  • Bipolar Episode
03

In context

Mania

166 studies on the registry are indexed under Mania; 13 are open to participants now.

This study's enrollment of 253 is above the median of 89 across 138 interventional studies indexed under Mania.

Browse Mania studies →

Lead sponsor

Rapport Therapeutics Inc. is the lead sponsor of 6 studies on the registry; 4 are open to participants now.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Meets the , Fifth Edition (DSM-5) diagnosis of bipolar I disorder, with or without psychotic symptoms, as confirmed by the Structured Clinical Interview for DSM-5, Clinical Trials Version (SCID-5-CT). Episode may contain mixed features, as confirmed by Montgomery-Åsberg Depression Rating Scale (MADRS).
  • Had at least one prior documented manic episode (with or without psychotic symptoms) that required treatment, within 5 years prior to Visit 1

Exclusion criteria

Exclusion Criteria:

  • History of any of the following diagnoses: a. schizophrenia; schizoaffective disorder; major depressive disorder; moderate or severe substance or alcohol use disorder; as assessed by the SCID-5-CT b. delirium, dementia, amnestic, or other cognitive disorders; borderline, paranoid, histrionic, schizotypal, schizoid, or antisocial personality disorders; by medical history and/or Investigator opinion Note: Any other current diagnoses must be discussed with the Medical Monitor.
  • Rapid cycler, defined as experiencing ≥4 distinct mood episodes (ie, manic or depressive) each meeting full criteria in the previous 12 months, and each separated by ≥2 months of full or partial remission, or a switch to an episode of the opposite polarity, as assessed by the SCID-5-CT
Terms in these criteria, in plain language(1)

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.

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.

05

Study design

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

Study arms

  • Experimental
    Active Arm

    Treatment with RAP-219

    Drug: RAP-219

  • Placebo comparator
    Placebo

    Inert comparator matching the active treatment

    Other: Placebo

Interventions

  • RAP-219 tablets administered orally, once daily for 21 days

  • OtherPlacebo

    Matching placebo tablets administered orally, once daily for 21 days

06

What researchers measure

Primary outcomes

  1. Young Mania Rating Scale (YMRS)

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

    Time frame: Baseline to End of Treatment at Week 3

Secondary outcomes

  1. Clinical Global Impression-Bipolar Version (CGI-BP) Severity of Illness Mania score

    The CGI-BP Severity of Illness Mania score is a clinician-rated scale used to assess the severity of manic symptoms, depression and overall illness severity in individuals with bipolar disorder. The mania score ranges from 1 (not ill) to 7 (very severely ill), with higher scores indicating greater severity of manic symptoms.

    Time frame: Baseline to end of Treatment at Week 3

  2. Treatment Emergent Adverse Events (TEAEs)

    Incidence and severity of treatment-emergent adverse events (TEAEs).

    Time frame: Baseline to end of Study Period 8 Weeks after date of last dose

  3. Heart Rate

    Change in Heart Rate (BPM)

    Time frame: Baseline to end of Study Period 8 Weeks after date of last dose

  4. Respiratory Rate

    Change in Respiratory Rate (breaths per minute)

    Time frame: Baseline to end of Study Period 8 Weeks after date of last dose

  5. Body Temperature

    Change in body temperature

    Time frame: Baseline to end of Study Period 8 Weeks after date of last dose

  6. Blood Pressure

    Change in blood pressure (Hg mm)

    Time frame: Baseline to end of Study Period 8 Weeks after date of last dose

  7. Laboratory Analytes

    Change in laboratory analytes (absolute value)

    Time frame: Baseline to end of Study Period 8 Weeks after date of last dose

  8. Electrocardiogram (ECG) QTc interval

    Changes in electrocardiogram (ECGs); QTc prolongation

    Time frame: Baseline to end of Study Period 8 Weeks after date of last dose

  9. Electrocardiogram (ECG) abnormal findings

    Shift table of normal to abnormal ECG findings

    Time frame: Baseline to end of Study Period 8 Weeks after date of last dose

  10. Suicidality

    Incidence of suicidality using the Columbia-Suicide Severity Rating Scale (C-SSRS).

    Time frame: Baseline to end of Study Period 8 Weeks after date of last dose

07

Study locations

20 sites
  • Pillar Clinical Research - Little Rock
    Little Rock, Arkansas 72204, United States
  • Woodland Research Northwest
    Rogers, Arkansas 72758, United States
  • Inland Psychiatric Medical Group - Chino
    Chino, California 91710, United States
  • Synergy Clinical Research Center - San Diego
    Lemon Grove, California 91945, United States
  • Collaborative Neuroscience Research - Los Alamitos
    Los Alamitos, California 90720, United States
  • NRC Research Institute - Orange
    Orange, California 92868, United States
  • NeuroBehavioral Hospitals of the Palm Beaches - South
    Boynton Beach, Florida 33426, United States
  • United Research Institute
    Hialeah, Florida 33012, United States
  • CenExel - Hollywood
    Hollywood, Florida 33024, United States
  • Segal Trials - Miami Lakes Medical Research Early Phase, Inpatient & Outpatient Site
    Miami Lakes, Florida 33016, United States
  • Neuroscience Research Institute at Ambrosia
    West Palm Beach, Florida 33407, United States
  • CenExel - Decatur
    Decatur, Georgia 30030, United States
  • Pillar Clinical Research - Chicago
    Chicago, Illinois 60641, United States
  • CenExel - Gaithersburg
    Gaithersburg, Maryland 20877, United States
  • Arch Clinical Trials
    St Louis, Missouri 63125, United States
  • Richmond Behavioral Associates
    Staten Island, New York 10314, United States
  • New Hope Clinical Research
    Charlotte, North Carolina 28211, United States
  • Community Clinical Research, Inc.
    Austin, Texas 78754, United States
  • HD Research - Memorial Hermann Village
    Houston, Texas 77043, United States
  • Pillar Clinical Research - Richardson
    Richardson, Texas 75080, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it moved

Ran from Jul 2025 to primary completion in Aug 2026, 12 months.

Completion moved once since we started tracking on Sep 25, 2026: Oct 2026 → Sep 2026, on Oct 26, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
May 30, 2025
First posted
Jul 1, 2025
StartActual
Jul 25, 2025
Primary completionActual
Aug 5, 2026
CompletionActual
Sep 24, 2026was Oct 2026
Last update
Oct 26, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Active, not recruiting→Completed
changed Oct 26, 2026
Study completion
Oct 2026→Sep 24, 2026 (actual)
Oct 26, 2026
Show all 1 update
  1. Oct 26, 2026
    Active, not recruiting→Completed
    Study completion Oct 2026→Sep 24, 2026 (now actual)
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07046494
Lead sponsor
Rapport Therapeutics Inc.
Responsible party
Sponsor
First posted
Jul 1, 2025
Start date
Jul 25, 2025
Primary completion
Aug 5, 2026
Completion
Sep 24, 2026
Last update
Oct 26, 2026

Study contacts

Edwin A Gomez, MD
principal investigator · CenExel Research Centers of America

Oversight

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

Not currently enrolling

This study is completed, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: RAP-219

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