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Bipolar DisorderPhase 3NCT00282464

A Six-week Flexible Dose Study Evaluating the Efficacy and Safety of Geodon in Patients With Bipolar I Depression.

A Phase 3 study testing Geodon (Ziprasidone) in people with Bipolar Disorder, run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. at 43 sites in United States.

Completed

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

Official record
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Trial summary

This is a 6-week trial that evaluates the efficacy and safety of Geodon (ziprasidone) in outpatient subjects ages 18 and older with Bipolar Disorder type I, depressed. Subjects are required to undergo a washout period of at least 7 days of any prior med. 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?
Geodon (Ziprasidone)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
392 participants
Where
43 sitesUnited States
Study dates
Feb 2006to Mar 2008
Phase
Phase 3
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

  • Subjects must have a primary diagnosis of Bipolar I Disorder, most recent episode depressed, with or without rapid cycling, without psychotic features, as defined in DSM-IV-TR (296.5X) and confirmed by a structured Mini International Neuropsychiatric Interview (MINI)

Who cannot join

  • Subjects with a DSM-IV TR diagnosis of schizophrenia (295.XX), schizoaffective disorder (295.70), schizophreniform disorder (295.40), delusional disorder (297.1), or psychotic disorder NOS (298.9).
  • Subjects with other DSM-IV TR Axis I or Axis II disorder (in addition to Bipolar I disorder) are ineligible if the comorbid condition is clinically unstable, requires treatment, or has been a primary focus of treatment within the 6 month period prior to screening.

Trial locations and contacts

43 sites in 1 country.

43 sites in 1 country

United States43 sites
  • Pfizer Investigational Site

    Anaheim, California, 92804

  • Pfizer Investigational Site

    Atlanta, Georgia, 30328

  • Pfizer Investigational Site

    Boca Raton, Florida, 33432

  • Pfizer Investigational Site

    Bradenton, Florida, 34208

  • Pfizer Investigational Site

    Brooklyn, New York, 11223

  • Pfizer Investigational Site

    Brooklyn, New York, 11235

  • Pfizer Investigational Site

    Cerritos, California, 90703

  • Pfizer Investigational Site

    Charlottesville, Virginia, 22903-4895

  • Pfizer Investigational Site

    Chula Vista, California, 91910

  • Pfizer Investigational Site

    Dallas, Texas, 75231

  • Pfizer Investigational Site

    Darien, Connecticut, 06820

  • Pfizer Investigational Site

    Denver, Colorado, 80220

  • Pfizer Investigational Site

    Dothan, Alabama, 36303

  • Pfizer Investigational Site

    Durham, North Carolina, 27704

  • Pfizer Investigational Site

    Eagle, Idaho, 83616

  • Pfizer Investigational Site

    Escondido, California, 92025

  • Pfizer Investigational Site

    Glen Burnie, Maryland, 21061

  • Pfizer Investigational Site

    Granite City, Illinois, 62040-4749

  • Pfizer Investigational Site

    Houston, Texas, 77007

  • Pfizer Investigational Site

    Jacksonville, Florida, 32256-2006

  • Pfizer Investigational Site

    Lincoln, Rhode Island, 02865

  • Pfizer Investigational Site

    Little Rock, Arkansas, 77205

  • Pfizer Investigational Site

    Los Angeles, California, 90027-5302

  • Pfizer Investigational Site

    Marietta, Georgia, 30060

  • Pfizer Investigational Site

    Melbourne, Florida, 32901

  • Pfizer Investigational Site

    New York, New York, 10003

  • Pfizer Investigational Site

    Olean, New York, 14760

  • Pfizer Investigational Site

    Orange City, Florida, 32763

  • Pfizer Investigational Site

    Philadelphia, Pennsylvania, 19149

  • Pfizer Investigational Site

    Princeton, New Jersey, 08540

  • Pfizer Investigational Site

    Raleigh, North Carolina, 27609

  • Pfizer Investigational Site

    Riverside, California, 92506

  • Pfizer Investigational Site

    Rochester, Minnesota, 55905

  • Pfizer Investigational Site

    San Antonio, Texas, 78229

  • Pfizer Investigational Site

    San Diego, California, 92126

  • Pfizer Investigational Site

    Santa Ana, California, 92705

  • Pfizer Investigational Site

    Scranton, Pennsylvania, 18503

  • Pfizer Investigational Site

    St Louis, Missouri, 63118

  • Pfizer Investigational Site

    Tampa, Florida, 33613

  • Pfizer Investigational Site

    Terre Haute, Indiana, 47802

  • Pfizer Investigational Site

    Toledo, Ohio, 43623

  • Pfizer Investigational Site

    Towson, Maryland, 21204

  • Pfizer Investigational Site

    Tulsa, Oklahoma, 74135

Other trials in United States

About this study

Official title: A Six-Week, Double-Blind, Multicenter, Placebo-Controlled Study Evaluating the Efficacy and Safety of Flexible Doses of Oral Ziprasidone in Outpatients With Bipolar I Depression

This is a 6-week trial that evaluates the efficacy and safety of Geodon (ziprasidone) in outpatient subjects ages 18 and older with Bipolar Disorder type I, depressed. Subjects are required to undergo a washout period of at least 7 days of any prior med.

Being tested
Placebo, Geodon (Ziprasidone)
Keywords
Bipolar I Depression
Medical subject headings
Bipolar Disorder

What participants receive

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

  • PlaceboDrug

    Subjects will start on placebo and remain on placebo for six weeks. All cards for the Placebo arm will be 0 mg bid.

  • Geodon (Ziprasidone)Drug

    Ziprasidone flexible dosing treatment arm (20-80 mg bid). For the Ziprasidone arm, the Baseline card will contain 20 mg bid (one 20 mg capsule) for days 1-2 and 40 mg bid (two 20 mg capsules) for days 3-6. Cards A, B, C, and D will contain either 20 mg bid (one 20 mg capsule), 40 mg bid (two 20 mg capsules), 60 mg bid (one 60 mg capsule), or 80 mg bid (one 60 mg capsule and one 20 mg capsule).

Study groups in NCT00282464
Study groupRoleWhat they receive
Ziprasidone 20 and 60mgActive comparatorFor the Ziprasidone arm, the Baseline card will contain 20 mg bid (one 20 mg capsule) for days 1-2 and 40 mg bid (two 20 mg capsules) for days 3-6. Cards A, B, C, and D will contain either 20 mg bid (one 20 mg capsule), 40 mg bid (two 20 mg capsules), 60 mg bid (one 60 mg capsule), or 80 mg bid (one 60 mg capsule and one 20 mg capsule).
Receives: Drug: Geodon (Ziprasidone)
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo

What is being measured

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

  1. Change in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score

    Change is observed value at each visit minus baseline value. MADRS:10-item instrument measuring depression; scale range between 0(Normal) - 6(most abnormal)for each item. Total possible score is 0 - 60. Overall is average response Week 1 - Week 6.

    Measured: Baseline to Week 6

Secondary outcomes (21)
  1. Response Greater Than or Equal to 50 Percent Decrease From Baseline in Montgomery-Asberg Rating Scale (MADRS) Total Score

    Participants with MADRS Total Score greater than or equal to 50 percent decrease from baseline responded yes; others responded no. MADRS: 10-item instrument measuring depression; scale 0(Normal) \& 6 (most abnormal)for each item. Total possible score is 0 - 60. Endpoint is last observation carried forward (LOCF)

    Measured: Baseline to Week 6

  2. Response Greater Than or Equal to 50 Percent Decrease From Baseline in Hamilton Depression Rating Scale (HAM-D 17) Total Score

    Participants with greater than or equal to 50 percent decrease from baseline in HAM-D 17 total score responded yes; others responded no. Total score is first 17 items of the HAM-D 25: measures range of depressive symptoms. Scale: 8 items 0-2 \& 9 items 0-4, higher scores being more severe. Total possible score is 0 - 52. Endpoint is LOCF.

    Measured: Baseline to Week 3, Week 6

  3. Remission as Measured by Montgomery Asberg Depression Scale (MADRS) Total Score Less Than or Equal to 12

    Remission response is yes if MADRS total score less than or equal to 12; if not, response is no. MADRS: 10-item instrument measuring depression; scale 0(Normal) \& 6(most abnormal).Total possible score is 0 - 60. Endpoint is LOCF.

    Measured: Week 1 to Week 6

  4. Remission as Measured by Hamilton Asberg Depression Rating Scale (HAM-D 17) Total Score Less Than or Equal to 7

    Remission response is yes when HAM-D 17 total score is less than or equal to 7; if not, response is no. Total score is first 17 items of HAM-D 25, measures range of depressive symptoms. Scale: 8 items 0-2 and 9 items 0-4, higher scores more severe. Total possible score is 0 - 52. Endpoint is LOCF.

    Measured: Week 3, Week 6

  5. Change in Hamilton Depression Rating Scale (HAM-D 17) Total Score

    Change is observed value at each visit minus baseline value. HAM-D 17 Total score is first 17 items of HAM-D 25; measures range of depressive symptoms patient currently experiencing. Scale: 8 items 0-2 \& 9 items 0-4; 0=absent or not depressed, 2 or 4=most severe or extreme. Total possible score is 0 - 52.Endpoint is LOCF

    Measured: Baseline to Weeks 3, 6

  6. Change in Total Score in Hamiliton Depression Rating Scale (HAM-D 25)

    Change is observed value at each visit minus baseline value. HAM-D: 25-item instrument measuring the range of depressive symptoms patient currently experiencing. Scale: 14 items 0-2 \& 11 items 0-4; 0=absent or not depressed, 2 or 4=most severe or extreme. Total possible score is 0 - 72. Endpoint is LOCF.

    Measured: Baseline to Weeks 3, 6

  7. Change in Bech Melancholia Score

    Change is observed value at each visit minus baseline value. Bech Melancholia is sum of scores on 6 Items pertaining to melancholia within HAM-D. Scale range 0 to 4; higher scores, greater severity. Total possible score is 0 - 24. Endpoint is LOCF.

    Measured: Baseline to Weeks 3, 6

  8. Change in Anxiety/Somatizations Factor Total Score

    Change is observed value at each visit minus baseline value. This test is sum of Scores on 6 Items pertaining to anxiety/somatization within HAM-D. Scale range 0 to 4 with higher scores reflecting greater severity. Total possible score is 0 - 24. Endpoint is LOCF.

    Measured: Baseline to Weeks 3, 6

  9. Change in Retardation Factor Scores

    Change is observed value at each visit minus baseline value. Retardation Factor is the sum of scores of 4 items which pertain to retardation within HAM-D. Scores 0 to 4, higher scores reflecting greater severity.Total possible score is 0 - 16. Endpoint is LOCF.

    Measured: Baseline to Weeks 3, 6

  10. Change in Sleep Disturbance Factor Score

    Change is observed value at each visit minus baseline value. Sleep Disturbance is the sum of scores of 3 items which pertain to sleep disturbance within Hamilton Depression Rating Scale (HAM-D). Scale range 0 to 4 with higher scores reflecting greater severity. Total possible score is 0 - 12.

    Measured: Baseline to Weeks 3, 6

  11. Change in Hamilton Anxiety Rating (HAM-A)

    Change is observed value at each visit minus baseline value. HAM-A:14-item scale to rate the intensity of psychic anxiety (items 1- 6, 14) and somatic anxiety (items 7-13) on a 5-point severity scale (0=not present to 4=very severe). Total possible score is 0 - 56.

    Measured: Baseline to Weeks 3, 6

  12. Change in Total Score of Young Mania Rating Scale (YMRS)

    Change is observed value at each visit minus baseline value. YMRS: 11 item instrument with scale range 0 to 4 for 7 items and 0 to 8 for 4 items. 0=normal; 4 or 8=most abnormal. Total possible score is 0 - 60. Overall is average response Week 1 - 6.

    Measured: Baseline to week 6

  13. Change in Global Clinical Severity of Symptoms (CGI-S)

    Change is observed value at each visit minus baseline value. CGI-S is an instrument to measure severity of mental illness. Scale range: 0 = not assessed, 1 = normal, 7 = among most extremely ill

    Measured: Baseline to week 6

  14. Change in Global Clinical Improvement of Symptoms (CGI -I)

    Change is observed value at each visit minus baseline value. CGI-I is an instrument for Global assessment of improvement in patient's condition. Scale range:0=not assessed, 1=very much improved, 7=very much worse

    Measured: Baseline to Week 6

  15. Change in Global Assessment of Functioning (GAF)

    Change is observed value at each visit minus baseline value. GAF is an instrument used to assess global psychological, social, \& occupational functioning. Scale range: 100 = normal and 0 = greatest abnormality.

    Measured: Baseline to week 6 (Endpoint)

  16. Change in Quality of Life, Enjoyment, and Satisfaction Scale (Q-LES-Q) Total Score

    Change is observed value at each visit minus baseline value. Q-LES-Q: 16- item instrument for a patient's assessment of his/her quality of life. Scale range: overall level of satisfaction 1=very poor to 5=Very good. 1 item (medication)can be left blank. Total possible score 15 - 80.

    Measured: Baseline to week 6 (endpoint)

  17. Change in Sheehan Disability Scale (SDS) Total Score

    Change is observed value at each visit minus baseline value. SDS is a patient rated measure of disability and impairment in work/school, social life, family life/home responsibilities. Scale range: 0-10 with 0=no disruption,10=extreme disruption. Total possible score is 0 - 30.

    Measured: Baseline to week 6 (endpoint)

  18. Change in Bipolar Cognition Rating Scale (BPCoRS) Interviewer Global Rating of Subject

    Change is observed value at each visit minus baseline value. BPCoRs: Subject interview with 20-items measuring cognitive deficits \& degree of affect on functioning. Scale range:0 to 4, higher numbers, greater impairment. Total possible score is 0 - 80. Endpoint=last observation carried forward (LOCF)

    Measured: Baseline to week 6 (endpoint)

  19. Change in Bipolar Cognition Rating Scale (BPCoRS) Informant Global Rating

    Change is observed value at each visit minus baseline value. Informant Global Rating is interview with informant of subject using BPCoRS, a 20-item instrument measuring cognitive deficits \& degree of affect on functioning. Scale: 0 to 4, higher numbers = greater impairment. Total possible score is 0 - 80. Endpoint is LOCF.

    Measured: Baseline to week 6 (endpoint)

  20. Change in Bipolar Cognition Rating Scale (BPCoRS) Global Rating by Interviewer

    Change in Rating by interviewer, using BPCoRS, 20-item instrument measuring cognitive deficits and the degree of affect on functioning; 4 point scale with higher numbers reflecting greater impairment.Total possible score is 0 - 80.

    Measured: Baseline to week 6 (endpoint)

  21. Change in Bipolar Cognition Rating Scale (BPCoRS) Subject Rating at Endpoint

    Change is observed value at each visit minus baseline value. Subject Rating: Subject's perceived change in status using a 20-item instrument measuring cognitive deficits and degree of affect on funtioning. Scale 0 to 4, higher numbers reflecting greater impairment. Total possible score is 0 - 80. Endpoint is last observation carried forward.

    Measured: Baseline to Week 6 (endpoint)

Timeline

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

  1. First posted26 Jan 2006 (estimated)
  2. Study startFeb 2006
  3. Primary completionMar 2008
  4. Study completionMar 2008

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
392 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00282464
Sponsor's protocol ID
A1281139
Status last verified
Mar 2021
First submitted
24 Jan 2006
Last updated
29 Mar 2021
Data monitoring committee
Yes

Publications

  • Gao K, Pappadopulos E, Karayal ON, Kolluri S, Calabrese JR. Risk for adverse events and discontinuation due to adverse events of ziprasidone monotherapy relative to placebo in the acute treatment of bipolar depression, mania, and schizophrenia. J Clin Psychopharmacol. 2013 Jun;33(3):425-31. doi: 10.1097/JCP.0b013e3182917f3f.

    PubMed 23609405

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Geodon (Ziprasidone) in people with Bipolar Disorder, run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. at 43 sites in United States.

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 2 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 29 Mar 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 43 sites in United States. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 2 Jun 2009). 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?

Change in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score (time frame: Baseline to Week 6). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00282464, which also lists 1 linked publication.

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 29 Mar 2021.

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