Safety, Tolerability, and Efficacy of Cariprazine in Participants With Bipolar Depression
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ClinicalTrials.gov Identifier: NCT01396447 |
Recruitment Status :
Completed
First Posted : July 18, 2011
Results First Posted : May 1, 2018
Last Update Posted : May 1, 2018
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Condition or disease | Intervention/treatment | Phase |
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Depression, Bipolar | Drug: Placebo Drug: Cariprazine | Phase 2 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 584 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor) |
Primary Purpose: | Treatment |
Official Title: | A Double-Blind, Placebo-Controlled Evaluation of the Safety and Efficacy of Cariprazine in Patients With Bipolar Depression |
Actual Study Start Date : | July 26, 2011 |
Actual Primary Completion Date : | January 10, 2014 |
Actual Study Completion Date : | January 10, 2014 |

Arm | Intervention/treatment |
---|---|
Placebo Comparator: Placebo
Participants received placebo orally once a day for 8 weeks.
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Drug: Placebo
Placebo was supplied in capsules. |
Experimental: Cariprazine 0.75 mg
Participants received cariprazine 0.5 mg orally once on Days 1-2 and cariprazine 0.75 mg orally once a day starting on Day 3 for the remainder of the 8 week treatment period.
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Drug: Cariprazine
Cariprazine was supplied in capsules. |
Experimental: Cariprazine 1.5 mg
Participants received cariprazine 0.5 mg orally once on Days 1-2, cariprazine 0.75 mg orally once on Days 3-4, cariprazine 1.0 mg orally once on Days 5-7, and cariprazine 1.5 mg orally once a day starting on Day 8 for the remainder of the 8 week treatment period.
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Drug: Cariprazine
Cariprazine was supplied in capsules. |
Experimental: Cariprazine 3.0 mg
Participants received cariprazine 0.5 mg orally once on Days 1-2, cariprazine 0.75 mg orally once on Days 3-4, cariprazine 1.0 mg orally once on Days 5-7, cariprazine 1.5 mg orally on Days 8-14, and cariprazine 3.0 mg orally once a day starting on Day 15 for the remainder of the 8 week treatment period.
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Drug: Cariprazine
Cariprazine was supplied in capsules. |
- Change From Baseline in the Montgomery-Åsberg Depression Rating Scale Total Score at Week 6 [ Time Frame: Baseline to Week 6 ]The Montgomery-Åsberg Depression Rating Scale is a 10-item, clinician-rated scale that evaluates the participant's depressive symptomatology during the past week. Participants are rated on items assessing feelings of sadness, lassitude, pessimism, inner tension, suicidality, reduced sleep or appetite, difficulty in concentration, and lack of interest. Each item is scored on a 7-point scale with a score of 0 reflecting no symptoms and a score of 6 reflecting symptoms of maximum severity. The scores on the 10 items are summed for a total score that can range from 0 to 60. A higher score indicates greater depression. A negative change score indicates improvement.
- Change From Baseline in the Clinical Global Impressions-Severity Total Score at Week 6 [ Time Frame: Baseline to Week 6 ]The Clinical Global Impressions-Severity scale is a clinician-rated scale that measures the overall severity of a participant's illness in comparison with the severity of illness in other participants the physician has observed. The participant is rated on a scale from 1 to 7 with 1 indicating a "normal state" and 7 indicating "among the most extremely ill participants." A higher score indicates greater illness. A negative change score indicates improvement.

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Ages Eligible for Study: | 18 Years to 65 Years (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Participants who have provided informed consent prior to any study specific procedures.
- Participants currently meeting the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) criteria for bipolar I disorder as confirmed by the Structured Clinical Interview (SCID) with a current with a current major depressive episode of at least 4 weeks and not exceeding 12 months in duration.
- Participants with normal physical examination, laboratory, vital signs, and/or echocardiogram (ECG).
- Verified previous manic or mixed episode.
- Participants with a total Hamilton Rating Scale for Depression (HAMD)-17 score ≥ 20.
- Participants with a HAMD-17 item 1 score ≥ 2.
- Participants with a Clinical Global Impression of Severity (CGI-S) score ≥ 4.
Exclusion Criteria:
- Participants with a DSM-IV-TR diagnosis of an axis I disorder other than bipolar I disorder that was the primary focus of treatment within the previous 6 months.
- Women who are pregnant or breast feeding
- Participants with Young Mania Rating Scale (YMRS) total score > 10
- Participants who have dementia, mental retardation, schizophrenia/schizoaffective disorder.

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01396447

Study Director: | Willie Earley, MD | Allergan |
Responsible Party: | Forest Laboratories |
ClinicalTrials.gov Identifier: | NCT01396447 |
Other Study ID Numbers: |
RGH-MD-56 2011-002334-39 ( EudraCT Number ) |
First Posted: | July 18, 2011 Key Record Dates |
Results First Posted: | May 1, 2018 |
Last Update Posted: | May 1, 2018 |
Last Verified: | March 2018 |
Bipolar I disorder Bipolar depression Depression Bipolar disorder |
Depression Depressive Disorder Bipolar Disorder Behavioral Symptoms Mood Disorders Mental Disorders Bipolar and Related Disorders |
Cariprazine Antipsychotic Agents Tranquilizing Agents Central Nervous System Depressants Physiological Effects of Drugs Psychotropic Drugs |