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Bipolar DisorderPhase 2NCT00126009

SOLMANIA - Comparison of Valproate-Amisulpride and Valproate-Haloperidol in Bipolar I Patients

A Phase 2 study testing Amisulpride in people with Bipolar Disorder, run by Sanofi at 5 sites in 5 countries.

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

The primary objective is: To compare the efficacy of the association valproate-amisulpride (400 to 800 mg/day) to the association valproate-haloperidol (5 to 15 mg/day) in bipolar I patients suffering from a manic episode according to DSM IV TR (American Psychiatric Association [APA] 2000) and treated for a 3-month… Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Bipolar Disorder
What is being tested?
Amisulpride
How many people
120 participants
Where
5 sitesin 5 countries
Study dates
May 2004to not given
Phase
Phase 2
Are there results?
None posted in the registry

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

  • Pre-Inclusion Criteria on D-3:
  • In-patients
  • From 18 to 65 years old
  • Able to comply with the protocol
  • Having given their written informed consent (with a legal representative or a person of trust)
  • Current diagnosis of bipolar I disorder according to DSM IV TR (APA 2000)
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  • Having had at least one manic episode in the past
  • Currently suffering from a manic episode according to DSM IV TR (APA 2000)
  • A minimum total score of 20 on the Young Mania Rating Scale (Y-MRS) at D-3
  • Having completed at least one day of the one to three-day washout period
  • A minimum total score of 20 on the Young Mania Rating Scale at D0
  • A score of > or = 3 for 2 of the following Y-MRS items: elevated mood; increased motor activity energy; sleep; content (grandiosity).
  • A score of > or = 5 on the Clinical Global Impression Severity Scale for the severity of mania items at D0
  • Using an effective contraception method (women of childbearing age only)

Who cannot join

  • Having participated in a clinical trial within the three previous months
  • Pregnant or breast-feeding. Female patients should therefore be using reliable contraceptive methods (oral or parenteral contraception, intra-uterine device or surgical sterilisation)
  • Uncontrolled gastro-intestinal, renal, hepatic, endocrine, cardiovascular, pulmonary, immunological or hematological disease
  • Central nervous system (CNS) neoplasm; demyelinating disease; degenerative neurological disorder; active CNS infection; or any progressive disorder that may confound interpretation of the study results
  • Prolactin-dependant tumor
  • Past or current pancreatitis
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  • Acute hepatitis, chronic hepatitis, or family history of severe hepatitis, especially drug related, hepatic porphyry
  • Current or recent (within 3 months) DSM IV diagnosis of substance dependence (with the exception of nicotine or caffeine dependence); or substance abuse with stimulants including, but not limited to, cocaine, crack, amphetamines, pseudoephedrine, cold medications with phenylephrine, or other stimulants. Alcohol and marijuana abuse prior to study entry would be acceptable if related to the current manic episode, based on the investigator's judgement
  • Parkinson's disease
  • Phaeochromocytoma
  • History of epilepsy
  • History of allergy or hypersensitivity to haloperidol or benzamides or valproate
  • Treated with fluoxetin within the past 4 weeks
  • Treated with injectable long-acting neuroleptics if, for the patient, the interval between 2 injection periods has not elapsed before pre-inclusion (D-3)
  • Treated with a mood stabiliser (other than valproate) at effective dose for less than 7 days preceding D-3 and for whom a modification is not justified
  • Bradycardia < 55 beats per minute (bpm)
  • Known hypokaliaemia
  • Congenital prolongation of the QT interval
  • Treated with any of the following medications: Class Ia antiarrhythmic agents such as quinidine, disopyramide/Class III antiarrhythmic agents such as amiodarone, sotalol; Drugs like: beperidil, cisapride, sultopride, thioridazine, intravenous (IV) erythromycin, IV vincamine, halofantrine, pentamidine, or sparfloxacin.
  • Potentially significant alterations of laboratory tests on D0:
  • ASAT or ALAT > 2 upper limit of normal (ULN). If ASAT or ALAT values range between 1.5 ULN and 2 ULN, the patient can be randomized and a new test will be performed 7 days after randomization;
  • Alkaline phosphatase levels or bilirubin levels not within normal reference range.
  • QTc prolongation on D0; QTc Bazett > 450ms in male patients and QTc > 470ms in female patients on electrocardiogram (ECG).

Trial locations and contacts

5 sites in 5 countries.

5 sites in 5 countries

Czechia1 site
  • Sanofi-Aventis

    Prague

Other trials in Czechia

France1 site
  • Sanofi-Aventis

    Paris

Other trials in France

Poland1 site
  • Sanofi-Aventis

    Warsaw

Other trials in Poland

Slovakia1 site
  • Sanofi-Aventis

    Bratislava

Other trials in Slovakia

Spain1 site
  • Sanofi-Aventis

    Barcelona

Other trials in Spain

About this study

Official title: A 3-Month, Open, Randomised Trial Comparing the Efficacy and Safety of the Association Valproate-Amisulpride to the Association Valproate-Haloperidol in Bipolar I Patients Suffering From a Manic Episode

The primary objective is:

  • To compare the efficacy of the association valproate-amisulpride (400 to 800 mg/day) to the association valproate-haloperidol (5 to 15 mg/day) in bipolar I patients suffering from a manic episode according to DSM IV TR (American Psychiatric Association [APA] 2000) and treated for a 3-month period.

The secondary objectives are:

  • To evaluate the clinical and biological safety of the association valproate-amisulpride to the association valproate-haloperidol;
  • To assess the patient status 3 weeks and 3 months after inclusion; and
  • To assess patient satisfaction at 3 months.
Being tested
Amisulpride
Medical subject headings
Bipolar Disorder

What participants receive

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

  • AmisulprideDrug

What is being measured

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

  1. Combination of the percentage of responders defined by a decrease of at least 50% of the Y-MRS (Young Mania Rating Scale) between D0 and D END and the completion of the 3-month treatment period.

Secondary outcomes (1)
  1. Other efficacy criteria (such as the changes in Y-MRS scores between D0 and D 21, between D0 and D END.The percentage of remission defined as the Y-MRS < or = 12 at D END...). Safety data (clinical, ECG and laboratory data)

Timeline

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

  1. First posted2 Aug 2005 (estimated)
  2. Study startMay 2004

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
None (open label)
Enrolment
120 participants
IDs, dates and publications
ClinicalTrials.gov ID
NCT00126009
Sponsor's protocol ID
C_8428
Status last verified
Apr 2008
First submitted
18 Jul 2005
Last updated
10 Apr 2008
Results posted
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Amisulpride in people with Bipolar Disorder, run by Sanofi at 5 sites in 5 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 14 inclusion and 23 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 10 Apr 2008. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in Czechia, France, Poland, Slovakia, Spain. 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. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Combination of the percentage of responders defined by a decrease of at least 50% of the Y-MRS (Young Mania Rating Scale) between D0 and D END and the completion of the 3-month treatment period.. 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 10 Apr 2008.

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