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NCT01396486

Inositol and Omega-3 Fatty Acids in Pediatric Mania

Completed Phase 4 Results posted Last updated 13 August 2020
What this trial tests

Phase 4 trial testing Omega-3 in Pediatric Bipolar Spectrum Disorders in 69 participants. Completed in 11 April 2019.

Timeline
3 February 2012
Primary endpoint
11 April 2019
11 April 2019

Quick facts

Lead sponsorMassachusetts General Hospital
PhasePhase 4
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designsingle group
Maskingquadruple
Primary purposetreatment
Enrollment69
Start date3 February 2012
Primary completion11 April 2019
Estimated completion11 April 2019
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Massachusetts General Hospital

Who can join

Adults 5 to 12, any sex, with Pediatric Bipolar Spectrum Disorders. 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.

Improvement in Mania Symptoms by Change in Young Mania Rating Scale (YMRS) Primary · Baseline to endpoint (12 weeks or last observation carried forward if dropped prior to week 12)

The Young Mania Rating Scale (YMRS) consists of 7 items rated on a scale from 0 (symptoms not present) to 4 (symptoms extremely severe) and 4 items rated on a scale from 0 (symptom not present) to 8 (symptom extremely severe).The YMRS score ranges from 0-60. Questions are asked about the last week. A higher score signifies more severe manic symptoms.

GroupValue95% CI
Omega-3/Placebo-4.8± 7.9
Placebo/Inositol-6.4± 6.4
Omega-3/Inositol-10.2± 9.0
Improvement in Depression Symptoms by Children's Depression Rating Scale (CDRS) Primary · Baseline to endpoint (12 weeks or last observation carried forward if dropped prior to week 12)

The Children's Depression Rating Scale (CDRS) is a clinician-rated instrument with 17 items scored on a 1 to 5 or 1 to 7 scale. A rating of 1 indicates normal, thus the minimum score is 17. The maximum score is 113. Scores of 20-30 suggest borderline depression. Scores of 40-60 indicate moderate depression.

GroupValue95% CI
Omega-3/Placebo-4.9± 10.6
Placebo/Inositol-5.6± 10.1
Omega-3/Inositol-10.8± 7.4

Adverse events — posted to ClinicalTrials.gov

Time frame: 12 weeks. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Omega-3/Placebo
Serious: 1/20 (5%)
Deaths: 0/20
Placebo/Inositol
Serious: 1/19 (5%)
Deaths: 0/19
Omega-3/Inositol
Serious: 0/22 (0%)
Deaths: 0/22

Serious adverse events (1 terms)

ReactionSystemOmega-3/PlaceboPlacebo/InositolOmega-3/Inositol
Agitated/IrritablePsychiatric disorders
Other adverse events (25 terms — click to expand)

ReactionSystemOmega-3/PlaceboPlacebo/InositolOmega-3/Inositol
Nausea/Vomit/DiarrheaGastrointestinal disorders
Cold/Infection/AllergyInfections and infestations
Agitated/IrritablePsychiatric disorders
Increased AppetiteGeneral disorders
HeadacheGeneral disorders
InsomniaNervous system disorders
SedationNervous system disorders
TicsPsychiatric disorders
MusculoskeletalMusculoskeletal and connective tissue disorders
PulmonaryRespiratory, thoracic and mediastinal disorders
DermatologicalSkin and subcutaneous tissue disorders
ThirstyGeneral disorders
Dizzy/LightheadedGeneral disorders
Bet WettingGeneral disorders
EaracheEar and labyrinth disorders
Irregular BehaviorGeneral disorders
Weight GainGeneral disorders
NeurologicalNervous system disorders
AutonomicNervous system disorders
Strep ThroatInfections and infestations
Psychotic EpisodePsychiatric disorders
Sleep WalkingNervous system disorders
ScrapeInjury, poisoning and procedural complications
Chewing Inside of CheekGeneral disorders
Agitated with Homicidal StatementsPsychiatric disorders

Most-reported serious reactions: Agitated/Irritable.

Data from ClinicalTrials.gov NCT01396486 adverse events section.

Sponsor's own description

The purpose of this study is to a) evaluate the efficacy of omega-3 fatty acids versus inositol in the treatment of pediatric bipolar disorder, b) evaluate the efficacy of omega-3 fatty acid plus inositol in the treatment of pediatric bipolar disorder, and c) assess the side effect profile of omega-3 fatty acids plus inositol. This study will be a 12-week trial with children ages 5-12 years old with bipolar spectrum disorders.

Publications & conference data

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

  1. A randomized clinical trial of high eicosapentaenoic acid omega-3 fatty acids and inositol as monotherapy and in combination in the treatment of pediatric bipolar spectrum disorders: a pilot study.
    Wozniak J, Faraone SV, Chan J, Tarko L, et al · · 2015 · cited 17× · PMID 26646031 · DOI 10.4088/jcp.14m09267
  2. A Randomized, Double-Blind, Controlled Clinical Trial of Omega-3 Fatty Acids and Inositol as Monotherapies and in Combination for the Treatment of Pediatric Bipolar Spectrum Disorder in Children Age 5-12.
    Wozniak J, Farrell A, DiSalvo M, Ceranoglu A, et al · · 2022 · cited 3× · PMID 36339275 · DOI 10.64719/pb.4449

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Other trials of Omega-3

Trials testing the same drug.

Other Massachusetts General Hospital trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01396486.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing