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
CompletedPhase 3Results postedLast 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.
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 PeriodPrimary· 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
Group
Value
95% CI
Double-Blind Placebo QD
NA
156.0 – NA
Double-Blind Cariprazine 1.5 mg QD
NA
220.0 – NA
Double-Blind Cariprazine 3.0 mg QD
NA
224.0 – NA
50% percentile
Group
Value
95% CI
Double-Blind Placebo QD
NA
NA – NA
Double-Blind Cariprazine 1.5 mg QD
NA
NA – NA
Double-Blind Cariprazine 3.0 mg QD
NA
NA – NA
75% percentile
Group
Value
95% CI
Double-Blind Placebo QD
NA
NA – NA
Double-Blind Cariprazine 1.5 mg QD
NA
NA – NA
Double-Blind Cariprazine 3.0 mg QD
NA
NA – 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)
Reaction
System
Open Label Treatment Period
Double-Blind Placebo QD
Double-Blind Cariprazine 1…
Double-Blind Cariprazine 3…
SUICIDAL IDEATION
Psychiatric disorders
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BIPOLAR DISORDER
Psychiatric disorders
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MANIA
Psychiatric disorders
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BIPOLAR I DISORDER
Psychiatric disorders
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PALPITATIONS
Cardiac disorders
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APPENDICEAL ABSCESS
Infections and infestations
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APPENDICITIS PERFORATED
Infections and infestations
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CORONAVIRUS PNEUMONIA
Infections and infestations
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COVID-19
Infections and infestations
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GASTROENTERITIS VIRAL
Infections and infestations
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SEPSIS
Infections and infestations
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FALL
Injury, poisoning and procedural complications
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OVERDOSE
Injury, poisoning and procedural complications
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SPINAL COMPRESSION FRACTURE
Injury, poisoning and procedural complications
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MUSCULAR WEAKNESS
Musculoskeletal and connective tissue disorders
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—
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CERVIX CARCINOMA
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
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):
NCT06433635 — Sequential Multiple Assignment Randomized Trial for Bipolar Depression
· Phase 4
· active not recruiting
NCT05913947 — Lithium Versus Cariprazine in the Acute Phase Treatment of Bipolar Depression (DUAG9)
· Phase 4
· recruiting
NCT05368558 — Study to Assess Adverse Events and Change in Disease Activity of Oral Cariprazine Capsules in Adult Participants With Sc
· Phase 3
· terminated
NCT05384483 — Cariprazine Versus Placebo for Social Anxiety Disorder
· Phase 4
· completed
Other recruiting trials for Bipolar I Disorder
Currently open trials in the same condition.
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NCT06433635 — Sequential Multiple Assignment Randomized Trial for Bipolar Depression
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NCT05648591 — Safety and Tolerability of Open-Labeled Iloperidone in Adolescents
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NCT05427123 — Children's Bipolar Network Treatment Trial I
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Publications: Europe PMC API search by NCT ID, retrieved 9 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by AbbVie
Last refreshed: 28 September 2023
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/NCT03573297.