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NCT01986101

A Phase III Study of SM-13496 in Patients With Bipolar I Depression.

Completed Phase 3 Results posted Last updated 12 April 2022
What this trial tests

Phase 3 trial testing Placebo in Bipolar Depression in 525 participants. Completed in 16 February 2017.

Timeline
19 February 2014
Primary endpoint
1 February 2017
16 February 2017

Quick facts

Lead sponsorSumitomo Pharma Co., Ltd.
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment525
Start date19 February 2014
Primary completion1 February 2017
Estimated completion16 February 2017
Sites8 locations across Japan, Russia, Slovakia, Malaysia, Ukraine, Taiwan, Philippines, Lithuania

Drugs / interventions tested

Conditions studied

Sponsor

Sumitomo Pharma Co., Ltd. — full company profile →

Who can join

Adults 18 to 74, any sex, with Bipolar Depression. 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 Montgomery-Asberg Depression Rating Scale (MADRS) Total Score at Week 6 Primary · Baseline to 6 weeks

Montgomery-Asberg Depression Rating Scale (MADRS)is a clinician-rated assessment of a subject's level of depression. The MADRS total score ranges from a minimum of 0 to a maximum of 60. For the MADRS total score, low scores indicate a better outcome and high scores indicate a worse outcome. When change from baseline is considered, a negative (decrease in score) value is considered a better outcome, and a positive (increase in score) value is considered a worse outcome. The MADRS contains ten (10) items. The total score is computed as the sum of the scores for the 10 items.

GroupValue95% CI
Placebo-10.6± 0.72
SM-13496 20 - 60 mg/Day-13.6± 0.69
SM-13496 80 - 120 mg/Day-12.6± 0.73
Change From Baseline in the CGI-BP-S (Depression) Score at Week 6 Secondary · Baseline to 6 weeks

Clinical Global Impression Bipolar Version, Severity of Illness (CGI-BP-S) score (depression) is a clinician-rated assessment of a subject's level of depression. The CGI depression score ranges from a minimum of 1 to a maximum of 7. For the CGI depression score, low scores indicate a better outcome and high scores indicate a worse outcome. When change from baseline is considered, a negative (decrease in score) value is considered a better outcome, and a positive (increase in score) value is considered a worse outcome.

GroupValue95% CI
Placebo-1.11± 0.092
SM-13496 20 - 60 mg/Day-1.51± 0.088
SM-13496 80 - 120 mg/Day-1.41± 0.093
Change From Baseline in the SDS Total Score at Week 6 (LOCF) Secondary · Baseline to 6 weeks

Sheehan Disability Scale (SDS) total score is a subject-rated assessment of a subject's level of functional impairment in work/school, social life and family life/home responsibilities. The SDS total score ranges from a minimum of 0 to a maximum of 30. For the SDS total score, low scores indicate a better outcome and high scores indicate a worse outcome. When change from baseline is considered, a negative (decrease in score) value is considered a better outcome, and a positive (increase in score) value is considered a worse outcome. The SDS contains three (3) items. The total score is comput

GroupValue95% CI
Placebo-5.7± 0.66
SM-13496 20 - 60 mg/Day-7.6± 0.62
SM-13496 80 - 120 mg/Day-6.8± 0.67
Change From Baseline in the YMRS Total Score at Week 6 Secondary · Baseline to 6 weeks

YMRS (Young Mania Rating Scale) is a clinician-rated assessment of the severity of mania in subjects with a diagnosis of bipolar disorder. The YMRS total score ranges from a minimum of 0 to a maximum of 60. For the YMRS total score, low scores indicate a better outcome and high scores indicate a worse outcome. When change from baseline is considered, a negative (decrease in score) value is considered a better outcome, and a positive (increase in score) value is considered a worse outcome. The YMRS contains eleven (11) items. The total score is computed as the sum of the scores for the 11 ite

GroupValue95% CI
Placebo-0.51± 0.190
SM-13496 20 - 60 mg/Day-0.98± 0.180
SM-13496 80 - 120 mg/Day-0.99± 0.191
Change From Baseline in the HAM-A Total Score at Week 6 (LOCF) Secondary · Baseline to 6 weeks

The Hamilton Rating Scale for Anxiety (HAM-A) scale is a rating scale developed to quantify the severity of anxiety symptomatology. The HAM-A total score ranges from a minimum of 0 to a maximum of 56. For the HAM-A total score, low scores indicate a better outcome and high scores indicate a worse outcome. When change from baseline is considered, a negative (decrease in score) value is considered a better outcome, and a positive (increase in score) value is considered a worse outcome. The HAM-A contains fourteen (14) items. The total score is computed as the sum of the scores for the 14 items

GroupValue95% CI
Placebo-5.7± 0.51
SM-13496 20 - 60 mg/Day-7.4± 0.49
SM-13496 80 - 120 mg/Day-6.4± 0.50

Adverse events — posted to ClinicalTrials.gov

Time frame: 6 weeks. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 5/172 (3%)
Deaths: 0/172
SM-13496 20 - 60 mg/Day
Serious: 2/184 (1%)
Deaths: 0/184
SM-13496 80 - 120 mg/Day
Serious: 4/169 (2%)
Deaths: 0/169

Serious adverse events (9 terms)

ReactionSystemPlaceboSM-13496 20 - 60 mg/DaySM-13496 80 - 120 mg/Day
Acute myocardial infarctionCardiac disorders
Abdominal painGastrointestinal disorders
Disease progressionGeneral disorders
Tendon ruptureInjury, poisoning and procedural complications
Bipolar I disorderPsychiatric disorders
ManiaPsychiatric disorders
Panic attackPsychiatric disorders
Suicidal ideationPsychiatric disorders
Suicide attemptPsychiatric disorders
Other adverse events (6 terms — click to expand)

ReactionSystemPlaceboSM-13496 20 - 60 mg/DaySM-13496 80 - 120 mg/Day
AkathisiaNervous system disorders
NauseaGastrointestinal disorders
HeadacheNervous system disorders
SomnolenceNervous system disorders
NasopharyngitisInfections and infestations
ParkinsonismNervous system disorders

Most-reported serious reactions: Acute myocardial infarction, Abdominal pain, Disease progression, Tendon rupture, Bipolar I disorder, Mania, Panic attack, Suicidal ideation.

Data from ClinicalTrials.gov NCT01986101 adverse events section.

Sponsor's own description

The study evaluates the efficacy and safety of SM-13496 compared with placebo in patients with Bipolar I Depression.

Publications & conference data

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

  1. Double-blind, placebo-controlled study of lurasidone monotherapy for the treatment of bipolar I depression.
    Kato T, Ishigooka J, Miyajima M, Watabe K, et al · · 2020 · cited 30× · PMID 32827348 · DOI 10.1111/pcn.13137
  2. Lurasidone, olanzapine, and quetiapine extended-release for bipolar depression: A systematic review and network meta-analysis of phase 3 trials in Japan.
    Kishi T, Yoshimura R, Sakuma K, Okuya M, et al · · 2020 · cited 8× · PMID 32902200 · DOI 10.1002/npr2.12137
  3. A diagnostic test to examine early improvement as a predictor of later response to lurasidone in bipolar depression.
    Kishi T, Nakamura H, Kato T, Iwata N. · · 2023 · cited 2× · PMID 36632763 · DOI 10.1002/npr2.12319
  4. A clinical trial inclusion criteria to enrich for patients presenting with canonical symptom structure in bipolar depression.
    Hopkins SC, Tomioka S, Szabo ST, Koblan KS. · · 2024 · cited 1× · PMID 39098761 · DOI 10.1016/j.cct.2024.107644
  5. Identifying Anticipated Events of Future Clinical Trials by Leveraging Data from the Placebo Arms of Completed Trials.
    Tan XL, Kern DM, Cepeda MS. · · 2021 · PMID 33165761 · DOI 10.1007/s43441-020-00237-w

Verify or expand the search:

Other trials of SM-13496

Trials testing the same drug.

Other recruiting trials for Bipolar Depression

Currently open trials in the same condition.

Other Sumitomo Pharma Co., Ltd. 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/NCT01986101.

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