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NCT03573297

A Cariprazine Study in the Prevention of Relapse in Bipolar I Disorder Patients Whose Current Episode is Manic or Depressive, With or Without Mixed Features

Completed Phase 3 Results posted Last updated 28 September 2023
What this trial tests

Phase 3 trial testing Cariprazine in Bipolar I Disorder in 901 participants. Completed in 5 September 2022.

Timeline
15 June 2018
Primary endpoint
5 September 2022
5 September 2022

Quick facts

Lead sponsorAbbVie
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment901
Start date15 June 2018
Primary completion5 September 2022
Estimated completion5 September 2022
Sites108 locations across Russia, Malaysia, Ukraine, Serbia, Taiwan, Poland, South Korea, Puerto Rico

Drugs / interventions tested

Conditions studied

Sponsor

AbbVie — full company profile →

Who can join

Adults 18 to 65, any sex, with Bipolar I Disorder or Mania. 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.

Time to First Relapse of Any Mood Episode During the Double-Blind Treatment Period Primary · From Week 16 to Week 55

Relapse was defined as the occurrence of any 1 of the following: * Young Mania Rating Score (YMRS) total score ≥ 17 (range 0-60; higher score indicates a worse outcome); * Montgomery Asberg Depression Rating Scale; (MADRS) total score ≥ 20 (range 0-60; higher score indicates more depressive symptoms); * Clinical Global Impression-Improvement scale (CGI-S) ≥ 4 (range from 1 \[normal, not at all ill\] to 7 \[extremely ill\]); * Initiation of additional psychiatric medication; * Psychiatric hospitalization; * Exacerbation of illness as judged by clinical impression of the Investigator. Time to

25% percentile
GroupValue95% CI
Double-Blind Placebo QDNA156.0 – NA
Double-Blind Cariprazine 1.5 mg QDNA220.0 – NA
Double-Blind Cariprazine 3.0 mg QDNA224.0 – NA
50% percentile
GroupValue95% CI
Double-Blind Placebo QDNANA – NA
Double-Blind Cariprazine 1.5 mg QDNANA – NA
Double-Blind Cariprazine 3.0 mg QDNANA – NA
75% percentile
GroupValue95% CI
Double-Blind Placebo QDNANA – NA
Double-Blind Cariprazine 1.5 mg QDNANA – NA
Double-Blind Cariprazine 3.0 mg QDNANA – NA

Adverse events — posted to ClinicalTrials.gov

Time frame: Open Label Treatment Period: from enrollment (all-cause mortality [ACM]) or first dose of study drug (adverse events [AEs]) through Week 16 (Day113). Double-Blind Treatment Period (ACM/AEs): From first dose of double-blind treatment up to end of study, Week 59 (Day 414).. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Open Label Treatment Period
Serious: 19/896 (2%)
Deaths: 1/901
Double-Blind Placebo QD
Serious: 5/145 (3%)
Deaths: 1/145
Double-Blind Cariprazine 1.5 mg QD
Serious: 7/144 (5%)
Deaths: 0/147
Double-Blind Cariprazine 3.0 mg QD
Serious: 3/147 (2%)
Deaths: 0/148

Serious adverse events (26 terms)

ReactionSystemOpen Label Treatment PeriodDouble-Blind Placebo QDDouble-Blind Cariprazine 1…Double-Blind Cariprazine 3…
SUICIDAL IDEATIONPsychiatric disorders
BIPOLAR DISORDERPsychiatric disorders
MANIAPsychiatric disorders
BIPOLAR I DISORDERPsychiatric disorders
PALPITATIONSCardiac disorders
APPENDICEAL ABSCESSInfections and infestations
APPENDICITIS PERFORATEDInfections and infestations
CORONAVIRUS PNEUMONIAInfections and infestations
COVID-19Infections and infestations
GASTROENTERITIS VIRALInfections and infestations
SEPSISInfections and infestations
FALLInjury, poisoning and procedural complications
OVERDOSEInjury, poisoning and procedural complications
SPINAL COMPRESSION FRACTUREInjury, poisoning and procedural complications
MUSCULAR WEAKNESSMusculoskeletal and connective tissue disorders
CERVIX CARCINOMANeoplasms benign, malignant and unspecified (incl cysts and polyps)
HYPOAESTHESIANervous system disorders
PARAESTHESIANervous system disorders
SACRAL RADICULOPATHYNervous system disorders
DEPRESSIONPsychiatric disorders
HALLUCINATION, AUDITORYPsychiatric disorders
MAJOR DEPRESSIONPsychiatric disorders
SUICIDE ATTEMPTPsychiatric disorders
ASTHMARespiratory, thoracic and mediastinal disorders
PULMONARY EMBOLISMRespiratory, thoracic and mediastinal disorders
Other adverse events (6 terms — click to expand)

ReactionSystemOpen Label Treatment PeriodDouble-Blind Placebo QDDouble-Blind Cariprazine 1…Double-Blind Cariprazine 3…
AKATHISIANervous system disorders
HEADACHENervous system disorders
INSOMNIAPsychiatric disorders
NAUSEAGastrointestinal disorders
WEIGHT INCREASEDInvestigations
UPPER RESPIRATORY TRACT INFECTIONInfections and infestations

Most-reported serious reactions: SUICIDAL IDEATION, BIPOLAR DISORDER, MANIA, BIPOLAR I DISORDER, PALPITATIONS, APPENDICEAL ABSCESS, APPENDICITIS PERFORATED, CORONAVIRUS PNEUMONIA.

Data from ClinicalTrials.gov NCT03573297 adverse events section.

Sponsor's own description

1\) To evaluate the efficacy and safety of cariprazine at a target dose of 3.0 mg/day compared with placebo in prevention of relapse in patients with bipolar I disorder whose current episode (i.e. index episode) is manic or depressive, with or without mixed features; 2) To evaluate the efficacy and safety of cariprazine at a target dose of 1.5 mg/day compared with placebo in prevention of relapse in patients with bipolar I disorder whose current episode (i.e. index episode) is manic or depressive, with or without mixed features who were initially stabilized on a target dose of 3.0 mg/day

Publications & conference data

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

  1. Cariprazine in the Treatment of Bipolar Disorder: Within and Beyond Clinical Trials.
    Do A, Keramatian K, Schaffer A, Yatham L. · · 2021 · cited 9× · PMID 34970166 · DOI 10.3389/fpsyt.2021.769897
  2. Cariprazine for Treating Schizophrenia, Mania, Bipolar Depression, and Unipolar Depression: A Review of Its Efficacy.
    Tarzian M, Ndrio M, Kaja S, Beason E, et al · · 2023 · cited 5× · PMID 37378203 · DOI 10.7759/cureus.39309
  3. Existing and emerging pharmacological approaches to the treatment of mania: A critical overview.
    Sparacino G, Verdolini N, Vieta E, Pacchiarotti I. · · 2022 · cited 4× · PMID 35461339 · DOI 10.1038/s41398-022-01928-8
  4. ACNP 63rd Annual Meeting: Poster Abstracts P1-P304
    · 2024
  5. Efficacy of Cariprazine in the Psychosis Spectrum: A Systematic Review and Network Meta-Analysis of Randomised Controlled Trials in Schizophrenia and Bipolar Disorder.
    Tarchi L, Bugini S, Dani C, Cassioli E, et al · · 2024 · PMID 39382790 · DOI 10.1007/s40263-024-01125-9

Verify or expand the search:

Other trials of Cariprazine

Trials testing the same drug.

Other recruiting trials for Bipolar I Disorder

Currently open trials in the same condition.

Other AbbVie trials

Trials by the same sponsor.

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