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Bipolar DisorderPhase 4NCT00277212

A Phase IV Study of the Safety and Efficacy of Aripiprazole in Combination With Lamotrigine in the Long-Term Maintenance Treatment of Patients With Bipolar I Disorder With A Recent Manic or Mixed Episode

A Phase 4 study testing Lamotrigine + Aripiprazole in people with Bipolar Disorder, run by Otsuka Pharmaceutical Development & Commercialization, Inc. at 66 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Efficacy of Aripiprazole in Combination with Lamotrigine in the Long-Term Maintenance Treatment of Bipolar I Disorder in Outpatients with Recent Manic or Mixed Episode Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Bipolar Disorder
What is being tested?
Lamotrigine + Aripiprazole
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,169 participants
Where
66 sitesin 2 countries
Study dates
1 Dec 2005to 1 Jul 2009
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Men and women ≥ 18 years of age meeting Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (Text Revision) (DSM-IV-TR) criteria for bipolar I disorder, recently experiencing a manic or mixed episode with a history of one or more manic or mixed episodes of sufficient severity to require treatment with a mood stabilizer or antipsychotic

Who cannot join

  • First manic episode
  • Current manic or mixed episode with > 2 years duration
  • Treated with aripiprazole within the past 3 months
  • Allergic, intolerant, hypersensitive or refractory to aripiprazole or lamotrigine

Trial locations and contacts

66 sites in 2 countries.

66 sites in 2 countries

United States62 sites
  • Lehigh Valley Hospital

    Allentown, Pennsylvania, 18103

  • Lehigh Center For Clinical Research

    Allentown, Pennsylvania, 18104

  • Pravin Kansagra, M.D.

    Anaheim, California, 92801

  • Comprehensive Neuroscience, Inc

    Atlanta, Georgia, 30328

  • Sheppard Pratt Health System

    Baltimore, Maryland, 21285

  • University Of Alabama At Birmingham

    Birmingham, Alabama, 35205

  • Horizon Medical Services

    Bismarck, North Dakota, 58501

  • Health Sciences America, Llc

    Boca Raton, Florida, 33432

  • Pacific Institute Of Medical Sciences

    Bothell, Washington, 98011

  • Buffalo Psychiatric Center

    Buffalo, New York, 14213

  • Neuro Behavioral Clinical Research, Inc.

    Canton, Ohio, 44708

  • University Of Virginia Health System

    Charlottesville, Virginia, 22903

  • University Of Medicine & Dentistry Of New Jersey

    Cherry Hill, New Jersey, 08002

  • Community Research

    Cincinnati, Ohio, 45227

  • Saroj Brar Md, Inc

    Cleveland, Ohio, 44113

  • Cns Clinical Research Group

    Coral Springs, Florida, 33065

  • College Hospital Costa Mesa

    Costa Mesa, California, 92627

  • Act Clinical Research Institute, Llc

    Daytona Beach, Florida, 32124

  • Dubois Regional Medical Center

    DuBois, Pennsylvania, 15801

  • Duke University Medical Center

    Durham, North Carolina, 27705

  • Freimer, Martin

    East Stroudsburg, Pennsylvania, 18301

  • Psychopharmacology Research Corporation

    Farmington Hills, Michigan, 48334

  • Precise Research Centers

    Flowood, Mississippi, 39232

  • Neuropsychiatric Research Center Of Southwest Florida

    Fort Myers, Florida, 33912

  • Clinical Insights

    Glen Burnie, Maryland, 21061

  • Valle Vista Health System

    Greenwood, Indiana, 46143

  • Bayou City Research, Ltd.

    Houston, Texas, 77007

  • University Of Kentucky, Dept. Of Psychiatry

    Lexington, Kentucky, 40509

  • Pacific Institute For Medical Research, Inc.

    Los Angeles, California, 90024

  • Ut Medical Group/Odyssey Research

    Memphis, Tennessee, 38105

  • Aurora-Cuervo Clinical Trials

    Miami, Florida, 33143

  • Aurora Health Care

    Milwaukee, Wisconsin, 53233

  • University Of Minnesota

    Minneapolis, Minnesota, 55455

  • Health Research Center

    Morgantown, West Virginia, 26506

  • Psychiatric Consultants, Pc

    Nashville, Tennessee, 37203

  • Excell Research

    Oceanside, California, 92056

  • University Of Oklahoma Health Sciences Center

    Oklahoma City, Oklahoma, 73104

  • Cutting Edge Research

    Oklahoma City, Oklahoma, 73116

  • Owensboro Behavioral Care

    Owensboro, Kentucky, 42301

  • Southern Ca Clinical Research, Inc.

    Pasadena, California, 91106

  • University Of Pennsylvania

    Philadelphia, Pennsylvania, 19104

  • Belmont Center For Comprehensive Treatment

    Philadelphia, Pennsylvania, 19131

  • Cns Research Institute

    Philadelphia, Pennsylvania, 19149

  • Harmony Research, Llc

    Piney Flats, Tennessee, 37686

  • Gulf Coast Medical Research

    Port Charlotte, Florida, 33952

  • Summit Research Network

    Portland, Oregon, 97210

  • Clinical Trials Technology, Inc

    Prairie Village, Kansas, 66206

  • Zarzar Psychiatric Associates, Pllc

    Raleigh, North Carolina, 27607

  • Finger Lakes Clinical Research

    Rochester, New York, 14618

  • Capital Clinical Research Associates

    Rockville, Maryland, 20852

  • Regions Hospital

    Saint Paul, Minnesota, 55101

  • Alamo Superior Research

    San Antonio, Texas, 78229

  • Summit Research Network (Seattle) Llc

    Seattle, Washington, 98104

  • Stanford University

    Stanford, California, 94305

  • Richmond Behavioral Associates

    Staten Island, New York, 10312

  • Clinco

    Terre Haute, Indiana, 47802

  • Los Angeles Biomedical Research Institute

    Torrance, California, 90502

  • Southwest Biomedical Research Foundation

    Tucson, Arizona, 85712

  • Pacific Clinical Research Medical Group

    Upland, California, 91786

  • Windwood Centre

    Virginia Beach, Virginia, 23452

  • Janus Center For Psychiatric Research

    West Palm Beach, Florida, 33407

  • Clinical Research Institute

    Wichita, Kansas, 67213

Other trials in United States

Puerto Rico4 sites
  • Local Institution

    Cabo Rojo, 00623

  • Local Institution

    Ponce, 00731

  • Local Institution

    Rio Piedras, 00926

  • Local Institution

    San Juan, 00918

Other trials in Puerto Rico

About this study

Official title: A Multicenter, Double-blind, Study of the Efficacy and Safety of Aripiprazole in Combination With Lamotrigine in the Long-term Maintenance Treatment of Patients With Bipolar I Disorder With a Recent Manic or Mixed Episode

Efficacy of Aripiprazole in Combination with Lamotrigine in the Long-Term Maintenance Treatment of Bipolar I Disorder in Outpatients with Recent Manic or Mixed Episode

Being tested
Lamotrigine + Aripiprazole, Lamotrigine + Placebo
Keywords
Bipolar I Disorder with a recent manic or mixed episode
Medical subject headings
Bipolar Disorder

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Lamotrigine + AripiprazoleDrug

    Also called Abilify, BMS-337039

    Tablets, Oral, once daily, Phase 1 (all subjects) - up to 24 weeks; Phase 2 - up to 52 weeks

    Lamotrigine 100-200 mg/day

    Aripiprazole 10-30 mg/day

  • Lamotrigine + PlaceboDrug

    Tablets, Oral, once daily, Phase 2 - up to 52 weeks

    Lamotrigine 100-200 mg/day

    placebo 0 mg/day

Study groups in NCT00277212
Study groupRoleWhat they receive
A1ExperimentalPhase 1: Single-Blind Treatment, Lamotrigine + Aripiprazole ; Phase 2 Double-Blind Treatment: Lamotrigine + Aripiprazole
Receives: Drug: Lamotrigine + Aripiprazole
A2Placebo comparatorPhase 2 Double-Blind Treatment: Lamotrigine + Placebo
Receives: Drug: Lamotrigine + Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Proportion of Participants Not Experiencing Relapse Through Week 52 in the Double-Blind Relapse Assessment Phase (Phase 2)

    Time from randomization to relapse to a manic or mixed episode in the Double-Blind Relapse Assessment Phase as measured by the Proportion of Participants without Relapse Through Week 52 (Kaplan-Meier's estimated survival rate).

    Measured: Weeks 0, 2, 4, 6, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52

Secondary outcomes (16)
  1. Proportion of Participants Not Experiencing Relapse (Manic, Mixed, Depressive) in the Double-blind Relapse Assessment Phase Phase 2

    Proportion of Participants without Relapse Through Week 52 (Kaplan-Meier's estimated survival rate).

    Measured: Weeks 0, 2, 4, 6, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52

  2. Proportion of Participants Not Experiencing a Depressive Relapse in the Double-blind Relapse Assessment Phase (Phase 2)

    Proportion of Participants without Relapse Through Week 52 (Kaplan-Meier's estimated survival rate).

    Measured: Weeks 0, 2, 4, 6, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52

  3. Proportion of Participants Without Discontinuation for Any Reason in the Double-blind Relapse Assessment Phase (Phase 2)

    Proportion of Participants without Discontinuation Through Week 52(Kaplan-Meier's estimated survival rate).

    Measured: Weeks 0, 2, 4, 6, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52

  4. Deaths, Treatment-Emergent Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation of Study Medication, Treatment-Emergent AEs and Treatment-Emergent Extrapyramidal Syndrome (EPS)-Related AEs

    AE is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition. SAE is any untoward medical occurrence that at any dose results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a cancer, is a congenital anomaly/birth defect, results in the development of drug dependency or drug abuse, is an important medical event.

    Measured: Throughout Phase 2 (up to 52 weeks)

  5. Adjusted Mean Change From Baseline in Body Weight, Phase 2

    Adjusted for index mood episode and baseline assessment

    Measured: Baseline, Week 52

  6. Number of Participants Showing Clinically Relevant Weight Loss by Study Week

    Weight Loss of at least a 7% decrease from Baseline.

    Measured: Weeks 12, 24, 36, 52

  7. Number of Participants Showing Clinically Relevant Weight Gain by Study Week

    Weight gain of at least a 7% increase from Baseline.

    Measured: Weeks 12, 24, 36, 52

  8. Adjusted Mean Change From Baseline in BMI by Study Week

    Adjusted for index mood episode and baseline assessment.

    Measured: Baseline, Weeks 12, 24, 36, 52

  9. Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) Abnormalities Occurring During Double-Blind Treatment

    Abbreviations and further description used in table: Sinus tachycardia, ≥120 beats per minute (bpm) and ↑ ≥15 bpm \& no current diagnosis of supraventricular or ventricular tachycardia/atrial fibrillation (AF)/atrial flutter/ other rhythm abnormality. Sinus bradycardia, ≤ 50 bpm and ↓ 15 bpm \& no current diagnosis of AF/atrial flutter/other rhythm abnormality. Supraventricular premature beat (SPB), Ventricular premature beat (VPB), Atroventricular (A-V). Other intraventricular block, QRS ≥0.12 sec and ↑ ≥0.02 sec \& no current diagnosis of left or right bundle branch block.

    Measured: Throughout the study, up to Week 52

  10. Number of Participants With Potentially Clinically Relevant Vital Sign Abnormalities Occurring During Double-Blind Treatment

    In order to be identified as clinically relevant abnormal, an on-drug value must meet the Criterion Value (CV) and also represent a change from the patient's pretreatment value of at least the Change Relative to Baseline (CRB) magnitude. Heart Rate CV: 120 beats per minute (bpm), CRB: increase of ≥15 / CV: 50 bpm, CRB: decrease of ≥15. Systolic BP CV: 180 mmHg, CRB: increase of ≥20 / CV: 90 mmHg, CRB: decrease of ≥20. Diastolic BP CV: 105 mmHg, CRB: increase of ≥15 / CV: 50 mmHg, CRB: decrease of ≥15.

    Measured: Up to 52 Weeks

  11. Number of Participants With Potentially Clinically Relevant Laboratory Abnormalities Occurring During Double-Blind Treatment (Phase 2)

    Chemistry, hematology, and urinalysis abnormalities.Abbreviations used: alanine aminotransferase (ALT), institutional upper limit of normal (ULN), aspartate aminotransferase (AST), alkaline phosphatase (ALP), lactate dehydrogenase (LDH), high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C), baseline (BL)

    Measured: Throughout Phase 2 of the study, up to Week 52

  12. Summary of Concomitant Medications, Phase 1

    Measured: Phase 1 (9 to 24 Week Single-blind Stabilization Phase)

  13. Summary of Concomitant Medications, Phase 2

    Measured: Phase 2 (52 Week Double-blind Relapse Assessment Phase)

  14. Adjusted Mean Change From Baseline in Simpson-Angus Scale (SAS) Total Score

    The SAS is a 10-item instrument used to evaluate the presence and severity of parkinsonian symptomatology. The ten items focus on rigidity rather than bradykinesia, and do not assess subjective rigidity or slowness. Items are rated for severity on a 0-4 scale, with definitions given for each anchor point. The total SAS Score has a possible range from 10 to 50. Negative change scores indicate improvement.

    Measured: Baseline, Weeks 8, 24, 36, 52

  15. Adjusted Mean Change From Baseline in Abnormal Involuntary Movement Scale (AIMS) Total Score

    The AIMS is an assessment of movement dysfunctions. It is a 12-item instrument assessing abnormal involuntary movements associated with antipsychotic drugs and 'spontaneous' motor disturbance related to the illness itself. Scoring the AIMS consists of rating the severity of movement in 3 main anatomic areas (facial/oral, extremities, and trunk), based on a five-point scale (0=none, 4=severe). The AIMS Total Score has a possible range from 0 to 28. Negative change scores indicate improvement in movement dysfunction.

    Measured: Baseline, Weeks 8, 24, 36, 52

  16. Adjusted Mean Change From Baseline in Barnes Akathisia Global Clinical Assessment,

    The Barnes Akathisia Rating Scale is a 4-item scale to assess presence and severity of drug-induced akathisia, including both objective items and subjective items, together with a global clinical assessment of akathisia. Global assessment is made on a scale of 0 to 5 with comprehensive definitions provided for each anchor point on scale: 0=absent; 1=questionable; 2=mild akathisia; 3=moderate akathisia; 4=marked akathisia; 5=severe akathisia. Score has a possible range from 0 (absent) to 5 (severe akathisia). Negative change scores indicate improvement in akathisia.

    Measured: Baseline, Weeks 8, 24, 36, 52

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Jan 2006 (estimated)
  2. Study start1 Dec 2005
  3. Primary completion1 Jul 2009
  4. Study completion1 Jul 2009

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
1,169 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00277212
Sponsor's protocol ID
CN138-392 ST
Status last verified
Apr 2026
First submitted
13 Jan 2006
Last updated
13 May 2026
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Lamotrigine + Aripiprazole in people with Bipolar Disorder, run by Otsuka Pharmaceutical Development & Commercialization, Inc. at 66 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 13 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 66 sites in United States, Puerto Rico. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 20 Oct 2010). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Proportion of Participants Not Experiencing Relapse Through Week 52 in the Double-Blind Relapse Assessment Phase (Phase 2) (time frame: Weeks 0, 2, 4, 6, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 May 2026.

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