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NCT01396447

Safety, Tolerability, and Efficacy of Cariprazine in Participants With Bipolar Depression

Completed Phase 2 Results posted Last updated 1 May 2018
What this trial tests

Phase 2 trial testing Placebo in Depression, Bipolar in 584 participants. Completed in 10 January 2014.

Timeline
26 July 2011
Primary endpoint
10 January 2014
10 January 2014

Quick facts

Lead sponsorForest Laboratories
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment584
Start date26 July 2011
Primary completion10 January 2014
Estimated completion10 January 2014
Sites88 locations across Colombia, Russia, Ukraine, Canada, Bulgaria, United States

Drugs / interventions tested

Conditions studied

Sponsor

Forest Laboratories — full company profile →

Who can join

Adults 18 to 65, any sex, with Depression, Bipolar. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change From Baseline in the Montgomery-Åsberg Depression Rating Scale Total Score at Week 6 Primary · Baseline to Week 6

The Montgomery-Åsberg Depression Rating Scale is a 10-item, clinician-rated scale that evaluates the participant's depressive symptomatology during the past week. Participants are rated on items assessing feelings of sadness, lassitude, pessimism, inner tension, suicidality, reduced sleep or appetite, difficulty in concentration, and lack of interest. Each item is scored on a 7-point scale with a score of 0 reflecting no symptoms and a score of 6 reflecting symptoms of maximum severity. The scores on the 10 items are summed for a total score that can range from 0 to 60. A higher score indicate

GroupValue95% CI
Placebo-11.1± 0.9
Cariprazine 0.75 mg-13.0± 0.9
Cariprazine 1.5 mg-15.1± 0.8
Cariprazine 3.0 mg-13.7± 0.9
Change From Baseline in the Clinical Global Impressions-Severity Total Score at Week 6 Secondary · Baseline to Week 6

The Clinical Global Impressions-Severity scale is a clinician-rated scale that measures the overall severity of a participant's illness in comparison with the severity of illness in other participants the physician has observed. The participant is rated on a scale from 1 to 7 with 1 indicating a "normal state" and 7 indicating "among the most extremely ill participants." A higher score indicates greater illness. A negative change score indicates improvement.

GroupValue95% CI
Placebo-1.0± 0.1
Cariprazine 0.75 mg-1.1± 0.1
Cariprazine 1.5 mg-1.4± 0.1
Cariprazine 3.0 mg-1.3± 0.1

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse Events were collected and recorded from the time the participant signs the informed consent form until 30 days after the last dose of treatment.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 5/145 (3%)
Deaths: 0/145
Cariprazine 0.75 mg
Serious: 1/141 (1%)
Deaths: 0/141
Cariprazine 1.5 mg
Serious: 2/146 (1%)
Deaths: 0/146
Cariprazine 3.0 mg
Serious: 2/146 (1%)
Deaths: 0/146

Serious adverse events (10 terms)

ReactionSystemPlaceboCariprazine 0.75 mgCariprazine 1.5 mgCariprazine 3.0 mg
FallInjury, poisoning and procedural complications
Lower limb fractureInjury, poisoning and procedural complications
InjuryInjury, poisoning and procedural complications
Vertigo CNS originNervous system disorders
HemiparesisNervous system disorders
DepressionPsychiatric disorders
HypomaniaPsychiatric disorders
ManiaPsychiatric disorders
Suicidal ideationPsychiatric disorders
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders
Other adverse events (7 terms — click to expand)

ReactionSystemPlaceboCariprazine 0.75 mgCariprazine 1.5 mgCariprazine 3.0 mg
AkathisiaNervous system disorders
HeadacheNervous system disorders
InsomniaPsychiatric disorders
NauseaGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
SomnolenceNervous system disorders
RestlessnessPsychiatric disorders

Most-reported serious reactions: Fall, Lower limb fracture, Injury, Vertigo CNS origin, Hemiparesis, Depression, Hypomania, Mania.

Data from ClinicalTrials.gov NCT01396447 adverse events section.

Sponsor's own description

The objective of this study was to evaluate the efficacy, safety, and tolerability of cariprazine relative to placebo for the treatment of participants with bipolar depression.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Cariprazine efficacy in bipolar I depression with and without concurrent manic symptoms: post hoc analysis of 3 randomized, placebo-controlled studies.
    McIntyre RS, Suppes T, Earley W, Patel M, et al · · 2020 · cited 29× · PMID 31576791 · DOI 10.1017/s1092852919001287
  2. Evaluation of MADRS severity thresholds in patients with bipolar depression.
    Thase ME, Harrington A, Calabrese J, Montgomery S, et al · · 2021 · cited 20× · PMID 33677183 · DOI 10.1016/j.jad.2021.02.043
  3. A pooled post hoc analysis evaluating the safety and tolerability of cariprazine in bipolar depression.
    Earley WR, Burgess M, Rekeda L, Hankinson A, et al · · 2020 · cited 18× · PMID 31969269 · DOI 10.1016/j.jad.2019.11.098
  4. The efficacy of cariprazine on function in patients with bipolar depression: a <i>post hoc</i> analysis of a randomized controlled trial.
    Vieta E, Calabrese JR, Whelan J, Tohen M, et al · · 2021 · cited 17× · PMID 34034612 · DOI 10.1080/03007995.2021.1932446
  5. Broad Efficacy of Cariprazine on Depressive Symptoms in Bipolar Disorder and the Clinical Implications.
    Yatham LN, Vieta E, McIntyre RS, Jain R, et al · · 2020 · cited 15× · PMID 32942346 · DOI 10.4088/pcc.20m02611
  6. Minimal Effects of Cariprazine on Prolactin Levels in Bipolar Disorder and Schizophrenia.
    Culpepper L, Vieta E, Kelly DL, Patel MD, et al · · 2022 · cited 13× · PMID 35591886 · DOI 10.2147/ndt.s348143
  7. Efficacy of cariprazine in bipolar I depression across patient characteristics: a post hoc analysis of pooled randomized, placebo-controlled studies.
    Patel M, Jain R, Tohen M, Maletic V, et al · · 2021 · cited 9× · PMID 33230026 · DOI 10.1097/yic.0000000000000344
  8. Efficacy of cariprazine in patients with bipolar depression and higher or lower levels of baseline anxiety: a pooled post hoc analysis.
    Jain R, McIntyre RS, Cutler AJ, Earley WR, et al · · 2024 · cited 8× · PMID 37551609 · DOI 10.1097/yic.0000000000000500

Verify or expand the search:

Other trials of Cariprazine

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