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Depression, BipolarPhase 2NCT01396447

Safety, Tolerability, and Efficacy of Cariprazine in Participants With Bipolar Depression

A Phase 2 study testing Cariprazine in people with Depression, Bipolar, run by Forest Laboratories at 88 sites in 6 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

The objective of this study was to evaluate the efficacy, safety, and tolerability of cariprazine relative to placebo for the treatment of participants with bipolar depression. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Depression, Bipolar
What is being tested?
Cariprazine
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
584 participants
Where
88 sitesin 6 countries
Study dates
26 Jul 2011to 10 Jan 2014
Phase
Phase 2
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 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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.

Who cannot join

  • 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.

Trial locations and contacts

88 sites in 6 countries.

88 sites in 6 countries

United States38 sites
  • Forest Investigative Site 006

    Albuquerque, New Mexico, 87109

  • Forest Investigative Site 009

    Allentown, Pennsylvania, 18104

  • Forest Investigative Site 038

    Atlanta, Georgia, 30308

  • Forest Investigative Site 005

    Atlanta, Georgia, 30328

  • Forest Investigative Site 043

    Bellevue, Washington, 98007

  • Forest Investigative Site 030

    Beverly Hills, California, 90210

  • Forest Investigative Site 021

    Birmingham, Alabama, 35216

  • Forest Investigative Site 003

    Brooklyn, New York, 11214

  • Forest Investigative Site 036

    Canton, Ohio, 44718

  • Forest Investigative Site 018

    Cerritos, California, 90703

  • Forest Investigative Site 023

    Cherry Hill, New Jersey, 08002

  • Forest Investigative Site 029

    Chicago, Illinois, 60640

  • Forest Investigative Site 028

    Costa Mesa, California, 92626

  • Forest Investigative Site 026

    Creve Coeur, Missouri, 63141

  • Forest Investigative Site 007

    Dallas, Texas, 75231

  • Forest Investigative Site 008

    Dayton, Ohio, 45417

  • Forest Investigative Site 039

    Flowood, Mississippi, 39232

  • Forest Investigative Site 016

    Houston, Texas, 77008

  • Forest Investigative Site 027

    Houston, Texas, 77054

  • Forest Investigative Site 024

    Indianapolis, Indiana, 46260

  • Forest Investigative Site 012

    Jacksonville, Florida, 32256

  • Forest Investigative Site 041

    Lake Charles, Louisiana, 70629

  • Forest Investigative Site 037

    Las Vegas, Nevada, 89102

  • Forest Investigative Site 033

    Lincoln, Rhode Island, 02865

  • Forest Investigative Site 014

    Marlton, New Jersey, 08053

  • Forest Investigative Site 010

    Media, Pennsylvania, 19063

  • Forest Investigative Site 019

    Memphis, Tennessee, 38119

  • Forest Investigative Site 025

    New York, New York, 10021

  • Forest Investigative Site 015

    Oceanside, California, 92056

  • Forest Investigative Site 035

    Orlando, Florida, 32806

  • Forest Investigative Site 031

    Prairie Village, Kansas, 66206

  • Forest Investigative Site 042

    Salem, Oregon, 97301

  • Forest Investigative Site 020

    San Antonio, Texas, 78229

  • Forest Investigative Site 032

    Seattle, Washington, 98104

  • Forest Investigative Site 040

    Shreveport, Louisiana, 71104

  • Forest Investigative Site 017

    Springdale, Arkansas, 72764

  • Forest Investigative Site 011

    Temecula, California, 92591

  • Forest Investigative Site 013

    Winter Park, Florida, 32789

Other trials in United States

Russia18 sites
  • Forest Investigative Site 601

    Arkhangelsk, 163530

  • Forest Investigative Site 605

    Moscow, 107076

  • Forest Investigative Site 607

    Moscow, 115522

  • Forest Investigative Site 611

    Moscow, 117152

  • Forest Investigative Site 619

    Moscow, 127083

  • Forest Investigative Site 603

    Nizhny Novgorod, 603152

  • Forest Investigative Site 604

    Saint Petersburg, 190005

  • Forest Investigative Site 606

    Saint Petersburg, 190121

  • Forest Investigative Site 602

    Saint Petersburg, 191119

  • Forest Investigative Site 613

    Saint Petersburg, 191119

  • Forest Investigative Site 608

    Saint Petersburg, 192019

  • Forest Investigative Site 615

    Saint Petersburg, 192019

  • Forest Investigative Site 612

    Saint Petersburg, 199034

  • Forest Investigative Site 617

    Samara, 443016

  • Forest Investigative Site 616

    Saratov, 410028

  • Forest Investigative Site 609

    Tomsk, 634014

  • Forest Investigative Site 618

    Tver', 170005

  • Forest Investigative Site 610

    Voronezh, 394052

Other trials in Russia

Ukraine12 sites
  • Forest Investigative Site 714

    Donetsk, 83008

  • Forest Investigative Site 712

    Ivano-Frankivsk, 76014

  • Forest Investigative Site 707

    Kerch, AR Crimea, 98310

  • Forest Investigative Site 703

    Kharkiv, 61068

  • Forest Investigative Site 704

    Kharkiv, 61068

  • Forest Investigative Site 702

    Kharkiv, 61103

  • Forest Investigative Site 709

    Kherson, Vil. Stepanivka, 73488

  • Forest Investigative Site 708

    Kyiv, 02660

  • Forest Investigative Site 701

    Kyiv, 04080

  • Forest Investigative Site 710

    Odesa, 65014

  • Forest Investigative Site 706

    Simferopol, 95006

  • Forest Investigative Site 705

    Vinnytsia, 21005

Other trials in Ukraine

Bulgaria11 sites
  • Forest Investigative Site 311

    Kardzhali, 6600

  • Forest Investigative Site 307

    Kazanlak, 6100

  • Forest Investigative Site 310

    Lovech, 5500

  • Forest Investigative Site 313

    Novi Iskar, 1282

  • Forest Investigative Site 309

    Pazardzhik, 4400

  • Forest Investigative Site 302

    Pleven, 5800

  • Forest Investigative Site 301

    Plovdiv, 4002

  • Forest Investigative Site 305

    Sofia, 1431

  • Forest Investigative Site 306

    Sofia, 1431

  • Forest Investigative Site 308

    Tsarev Brod, 9747

  • Forest Investigative Site 312

    Tserova Koria, 5047

Other trials in Bulgaria

Colombia6 sites
  • Forest Investigative Site 804

    Barranquilla

  • Forest Investigative Site 806

    Barranquilla

  • Forest Investigative Site 803

    Bogotá

  • Forest Investigative Site 805

    Bogotá

  • Forest Investigative Site 808

    Bogotá

  • Forest Investigative Site 807

    Pereira

Other trials in Colombia

Canada3 sites
  • Forest Investigative Site 101

    Chatham, Ontario, N7L 5L9

  • Forest Investigative Site 102

    Kelowna, British Columbia, V1Y 1Z9

  • Forest Investigative Site 103

    Penticton, British Columbia, V2A 4M4

Other trials in Canada

About this study

Official title: A Double-Blind, Placebo-Controlled Evaluation of the Safety and Efficacy of Cariprazine in Patients With Bipolar Depression

The objective of this study was to evaluate the efficacy, safety, and tolerability of cariprazine relative to placebo for the treatment of participants with bipolar depression.

Being tested
Placebo, Cariprazine
Keywords
Bipolar I disorder, Bipolar depression, Depression, Bipolar disorder
Medical subject headings
Bipolar Disorder, Depression

What participants receive

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

  • PlaceboDrug

    Placebo was supplied in capsules.

  • CariprazineDrug

    Cariprazine was supplied in capsules.

Study groups in NCT01396447
Study groupRoleWhat they receive
PlaceboPlacebo comparatorParticipants received placebo orally once a day for 8 weeks.
Receives: Drug: Placebo
Cariprazine 0.75 mgExperimentalParticipants 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.
Receives: Drug: Cariprazine
Cariprazine 1.5 mgExperimentalParticipants 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.
Receives: Drug: Cariprazine
Cariprazine 3.0 mgExperimentalParticipants 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.
Receives: Drug: Cariprazine

What is being measured

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

  1. Change From Baseline in the Montgomery-Åsberg Depression Rating Scale Total Score at 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.

    Measured: Baseline to Week 6

Secondary outcomes (1)
  1. Change From Baseline in the Clinical Global Impressions-Severity Total Score at 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.

    Measured: Baseline to Week 6

Timeline

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

  1. First posted18 Jul 2011 (estimated)
  2. Study start26 Jul 2011
  3. Primary completion10 Jan 2014
  4. Study completion10 Jan 2014

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
584 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01396447
Sponsor's protocol ID
RGH-MD-56
Other IDs
2011-002334-39
Status last verified
Mar 2018
First submitted
15 Jul 2011
Last updated
1 May 2018
Data monitoring committee
No

Publications

  • McIntyre RS, Llorca PM, Aronin LC, Yu J, Nguyen HB. Effect of Cariprazine on Anhedonia in Patients with Bipolar I Depression: Post Hoc Analysis of Three Randomized Placebo-Controlled Clinical Trials. Adv Ther. 2025 Jan;42(1):246-260. doi: 10.1007/s12325-024-03009-2. Epub 2024 Nov 9.

    PubMed 39520655
  • Vieta E, Calabrese JR, Whelan J, Tohen M, Earley WR. The efficacy of cariprazine on function in patients with bipolar depression: a post hoc analysis of a randomized controlled trial. Curr Med Res Opin. 2021 Sep;37(9):1635-1643. doi: 10.1080/03007995.2021.1932446. Epub 2021 Jun 7.

    PubMed 34034612
  • Citrome L, Yatham LN, Patel MD, Barabassy A, Hankinson A, Earley WR. Cariprazine and akathisia, restlessness, and extrapyramidal symptoms in patients with bipolar depression. J Affect Disord. 2021 Jun 1;288:191-198. doi: 10.1016/j.jad.2021.03.076. Epub 2021 Mar 31.

    PubMed 33915374
  • Thase ME, Harrington A, Calabrese J, Montgomery S, Niu X, Patel MD. Evaluation of MADRS severity thresholds in patients with bipolar depression. J Affect Disord. 2021 May 1;286:58-63. doi: 10.1016/j.jad.2021.02.043. Epub 2021 Feb 20.

    PubMed 33677183
  • Yatham LN, Vieta E, McIntyre RS, Jain R, Patel M, Earley W. Broad Efficacy of Cariprazine on Depressive Symptoms in Bipolar Disorder and the Clinical Implications. Prim Care Companion CNS Disord. 2020 Sep 17;22(5):20m02611. doi: 10.4088/PCC.20m02611.

    PubMed 32942346
  • Earley WR, Burgess M, Rekeda L, Hankinson A, McIntyre RS, Suppes T, Calabrese JR, Yatham LN. A pooled post hoc analysis evaluating the safety and tolerability of cariprazine in bipolar depression. J Affect Disord. 2020 Feb 15;263:386-395. doi: 10.1016/j.jad.2019.11.098. Epub 2019 Nov 22.

    PubMed 31969269
  • Durgam S, Earley W, Lipschitz A, Guo H, Laszlovszky I, Nemeth G, Vieta E, Calabrese JR, Yatham LN. An 8-Week Randomized, Double-Blind, Placebo-Controlled Evaluation of the Safety and Efficacy of Cariprazine in Patients With Bipolar I Depression. Am J Psychiatry. 2016 Mar 1;173(3):271-81. doi: 10.1176/appi.ajp.2015.15020164. Epub 2015 Nov 6.

    PubMed 26541814

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Cariprazine in people with Depression, Bipolar, run by Forest Laboratories at 88 sites in 6 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 7 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 1 May 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 88 sites in United States, Russia, Ukraine, Bulgaria, Colombia and 1 more country. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 1 May 2018). 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 From Baseline in the Montgomery-Åsberg Depression Rating Scale Total Score at Week 6 (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 NCT01396447, which also lists 7 linked publications.

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 1 May 2018.

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