Combination Therapy for the Treatment of Bipolar Disorders
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Purpose
This study will compare triple and double drug regimens in the treatment of patients with depression, hypomania, or mania.
| Condition | Intervention | Phase |
|---|---|---|
|
Bipolar Disorder |
Drug: Lithium Drug: Lamotrigine Drug: Divalproex |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double-Blind Primary Purpose: Treatment |
| Official Title: | Combination Therapy in Bipolar Rapid Cycling |
| Estimated Enrollment: | 90 |
| Study Start Date: | February 2002 |
| Study Completion Date: | July 2007 |
| Primary Completion Date: | July 2007 (Final data collection date for primary outcome measure) |
Early studies have shown lithium to produce a high percentage of satisfactory clinical response in patients with bipolar disorders. These studies, however, do not include lithium-refractory subgroups, such as bipolar II disorder patients. When the wide spectrum of bipolar disorders is considered, the lithium response rate decreases significantly. More broadly effective regimens are needed.
Participants in this study will be randomly assigned to receive either lithium plus divalproex or lithium, divalproex, and lamotrigine for 7 months. Symptoms of depression and mania will be assessed with scales and patient questionnaires.
Eligibility| Ages Eligible for Study: | 16 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Bipolar I or II Disorder
- Meet criteria for rapid cycling, defined as four or more episodes over the past 12 months
- Meet criteria for a major depressive episode
Exclusion Criteria:
- History of intolerability of lithium, divalproex, or lamotrigine
Contacts and Locations| United States, Ohio | |
| University Hospitals of Cleveland | |
| Cleveland, Ohio, United States, 44106 | |
| Principal Investigator: | Keming Gao, MD, PhD | Case Western Reserve University / University Hospitals of Cleveland |
More Information
No publications provided
| Responsible Party: | Joseph R. Calabrese, University Hospitals Case Medical Center |
| ClinicalTrials.gov Identifier: | NCT00063362 History of Changes |
| Other Study ID Numbers: | R21 MH62650, DSIR AT-SO |
| Study First Received: | June 25, 2003 |
| Last Updated: | February 8, 2008 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by National Institute of Mental Health (NIMH):
|
Depression |
Additional relevant MeSH terms:
|
Bipolar Disorder Affective Disorders, Psychotic Mood Disorders Mental Disorders Lithium Lamotrigine Antipsychotic Agents Tranquilizing Agents Central Nervous System Depressants Physiological Effects of Drugs |
Pharmacologic Actions Central Nervous System Agents Therapeutic Uses Psychotropic Drugs Antimanic Agents Calcium Channel Blockers Membrane Transport Modulators Molecular Mechanisms of Pharmacological Action Cardiovascular Agents Anticonvulsants |
ClinicalTrials.gov processed this record on May 19, 2013