Study of the Efficacy of a Fixed-dose Regimen of Cariprazine Compared to Placebo for Treatment of the Depressive Episode in Participants With Bipolar I Disorder



Status:Completed
Conditions:Depression, Psychiatric, Bipolar Disorder
Therapuetic Areas:Psychiatry / Psychology
Healthy:No
Age Range:18 - 65
Updated:3/14/2019
Start Date:March 31, 2016
End Date:January 18, 2018

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A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Multicenter, Fixed-Dose Clinical Trial Evaluating The Efficacy, Safety And Tolerability Of Cariprazine In Patients With Bipolar I Depression

This study is designed to prospectively confirm the efficacy of a fixed-dose regimen of
cariprazine 1.5 milligrams (mg)/day or 3 mg/day compared to placebo for treatment of the
depressive episode in participants with bipolar I disorder. The safety and tolerability of
the fixed-dose regimens will be evaluated.


Inclusion Criteria:

- Currently meet the Diagnostic and Statistical Manual of Mental Disorders, Fifth
Edition (DSM-5) criteria for bipolar I disorder without psychotic features confirmed
by the administration of the Mini International Neuropsychiatric Interview (MINI),
with a current major depressive episode of at least 4 weeks and not exceeding 12
months in duration

- Currently treated as an outpatient at the time of enrollment

- A verified previous manic or mixed episode. Verification must include one of the
following sources:

- Treatment of mania with an anti-manic agent (eg, lithium or divalproate) or
antipsychotic medication with an approved indication for mania

- Hospital records/Medical records

- Patient report corroborated by caretaker or previous or current treating
clinician

- 17-item Hamilton Depression Rating Scale (HAMD-17) total score ≥ 20

- HAMD-17 item 1 score ≥ 2

- CGI-S score ≥ 4

- Negative serum β-human chorionic gonadotropin (β-hCG) pregnancy test (women of
childbearing potential only)

- Normal physical examination, clinical laboratory test results, and electrocardiogram
(ECG) results or abnormal findings that are judged not clinically significant by the
Principal Investigator (PI)

Exclusion Criteria:

- Young Mania Rating Scale (YMRS) total score > 12

- Four or more episodes of a mood disturbance (depression, mania, hypomania, or mixed
state) within the 12 months before Visit 1

- Any current axis 1 psychiatric diagnosis other than bipolar disorder with the
exception of specific phobias

- History of meeting DSM-5 criteria for:

- Dementia, amnesic, or other cognitive disorder

- Schizophrenia, schizoaffective, or other psychotic disorder

- Mental retardation

- DSM-5-based diagnosis of borderline or antisocial personality disorder or other axis
II disorder of sufficient severity to interfere with participation in this study

- History of meeting DSM-5 criteria for alcohol or substance abuse or dependence (other
than nicotine or caffeine) within the 6 months before Visit 1

- Positive result on blood alcohol test or urine drug screen for any prohibited
medication. Exception:

- Patients with a positive cannabinoid on entry may be retested before
randomization. If the patient remains positive, the patient is no longer eligible

- Patients positive for opiates on entry, discussion with Study Physician is
required.

- Electroconvulsive therapy in the 3 months before Visit 1

- Previous lack of response to electroconvulsive therapy

- Treatment with a depot antipsychotic drug within 1 treatment cycle before Visit 1

- Treatment with clozapine in a dose of > 50 mg/day in the past 2 years

- Prior participation in any investigational study of RGH-188 or cariprazine within the
past 12 months

- Previous treatment with vagus nerve stimulation or transcranial magnetic stimulation
within 6 months before Visit 1

- Prior participation with any clinical trials, involving experimental or
investigational drugs, within 6 months before Visit 1 or during the study

- Initiation or termination of psychotherapy for depression within the 3 months
preceding Visit 1, or plans to initiate, terminate, or change such therapy during the
course of the study.

- Pregnant, breastfeeding, or planning to become pregnant or breastfeed during the study

- Gastric bypass or any condition that would be expected to affect drug absorption (lap
band procedures are acceptable if there is no problem with absorption)

- Known history of cataracts or retinal detachment

- Known human immunodeficiency virus infection

- Employee, or immediate relative of an employee, of the Sponsor, any of its affiliates
or partners, or the study center
We found this trial at
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Little Rock, Arkansas 72211
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1720 2nd Ave S
Birmingham, Alabama 35233
(205) 934-4011 
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One Utah Avenue
Cherry Hill, New Jersey 08002
856-857-9500
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911 E. Hallandale Beach Blvd
Hallandale Beach, Florida 33009
954-455-5757
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Anaheim, California 92805
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811 Juniper St NE
Atlanta, Georgia 30308
(404) 881-5800
Atlanta Center for Medical Research Welcome to the Atlanta Center for Medical Research, a leader...
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Bothell, Washington 98011
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Brooklyn, New York 11214
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Brooklyn, New York 11235
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Cerritos, California 90703
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Charleston, South Carolina 29405
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Coral Springs, Florida 33067
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Creve Coeur, Missouri 63141
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Dothan, Alabama 36303
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Garden Grove, California 92845
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Glendale, California 91204
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Hickory, North Carolina 28601
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Hoffman Estates, Illinois 60169
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Lauderhill, Florida 33319
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Libertyville, Illinois 60048
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Marlton, New Jersey 08053
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Media, Pennsylvania 19063
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1801 Coral Way
Miami, Florida 33133
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Naperville, Illinois 60563
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New York, New York 10021
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New York, New York 10022
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Oakland Park, Florida 33334
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Oceanside, California 92056
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Rochester, New York 14618
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Washington, District of Columbia 20016
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3300 Seymour Highway
Wichita Falls, Texas 76309
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