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Bipolar ManiaPhase 3NCT00280566

Safety and Maintenance of Effect of Ziprasidone Plus a Mood Stabilizer in Bipolar I Disorder (Manic or Mixed)

A Phase 3 study testing Ziprasidone Oral Capsule in people with Bipolar Mania and Bipolar Disorder, run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. at 107 sites in 13 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 purpose of this study is to determine if ziprasidone plus a mood stabilizer will continue to be a safe and effective treatment regimen for adults with Bipolar I Disorder (manic or mixed symptoms) after they have achieved 8 consecutive weeks of symptom improvement on the regimen. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Bipolar Mania, Bipolar Disorder
What is being tested?
Ziprasidone Oral Capsule
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
107 sitesin 13 countries
Study dates
Dec 2005to May 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

  • Adults meeting DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition) criteria for Bipolar I Disorder (currently with manic or mixed symptoms)

Who cannot join

  • Ultra rapid cyclers and subjects with significant cardiovascular disease including history of QT prolongation and/or congenital long QT syndrome

Trial locations and contacts

107 sites in 13 countries.

107 sites in 13 countries

United States73 sites
  • Pfizer Investigational Site

    Altamonte Springs, Florida, 32701

  • Pfizer Investigational Site

    Arlington, Texas, 76012

  • Pfizer Investigational Site

    Austin, Texas, 78756

  • Pfizer Investigational Site

    Baltimore, Maryland, 21285

  • Pfizer Investigational Site

    Bellaire, Texas, 77401

  • Pfizer Investigational Site

    Bethany, Oklahoma, 73008

  • Pfizer Investigational Site

    Birmingham, Alabama, 35226

  • Pfizer Investigational Site

    Birmingham, Alabama, 35294

  • Pfizer Investigational Site

    Birmingham, Alabama, 35924

  • Pfizer Investigational Site

    Buffalo, New York, 14215

  • Pfizer Investigational Site

    Cincinnati, Ohio, 45267-0559

  • Pfizer Investigational Site

    Columbus, Ohio, 43210

  • Pfizer Investigational Site

    Costa Mesa, California, 92626

  • Pfizer Investigational Site

    Dallas, Texas, 75231

  • Pfizer Investigational Site

    Dallas, Texas, 75390-9121

  • Pfizer Investigational Site

    Decatur, Georgia, 30033

  • Pfizer Investigational Site

    Des Plaines, Illinois, 60016

  • Pfizer Investigational Site

    DeSoto, Texas, 75115

  • Pfizer Investigational Site

    Fort Lauderdale, Florida, 33319

  • Pfizer Investigational Site

    Fort Myers, Florida, 33912

  • Pfizer Investigational Site

    Honolulu, Hawaii, 96826

  • Pfizer Investigational Site

    Houston, Texas, 77008

  • Pfizer Investigational Site

    Houston, Texas, 77054

  • Pfizer Investigational Site

    Houston, Texas, 77057

  • Pfizer Investigational Site

    Jacksonville, Florida, 32216

  • Pfizer Investigational Site

    Las Vegas, Nevada, 89106

  • Pfizer Investigational Site

    Lexington, Kentucky, 40509

  • Pfizer Investigational Site

    Libertyville, Illinois, 60048

  • Pfizer Investigational Site

    Lincoln, Nebraska, 68506

  • Pfizer Investigational Site

    Lincoln, Nebraska, 68510

  • Pfizer Investigational Site

    Little Rock, Arkansas, 72223

  • Pfizer Investigational Site

    Los Angeles, California, 90026

  • Pfizer Investigational Site

    Maitland, Florida, 32751

  • Pfizer Investigational Site

    Media, Pennsylvania, 19063

  • Pfizer Investigational Site

    Memphis, Tennessee, 38117

  • Pfizer Investigational Site

    Miami, Florida, 33016

  • Pfizer Investigational Site

    Miami, Florida, 33126

  • Pfizer Investigational Site

    Naperville, Illinois, 60540

  • Pfizer Investigational Site

    Naperville, Illinois, 60563

  • Pfizer Investigational Site

    Nashua, New Hampshire, 03060

  • Pfizer Investigational Site

    National City, California, 91950

  • Pfizer Investigational Site

    North Miami, Florida, 33161

  • Pfizer Investigational Site

    Oak Brook, Illinois, 60523

  • Pfizer Investigational Site

    Oklahoma City, Oklahoma, 73103

  • Pfizer Investigational Site

    Oklahoma City, Oklahoma, 73116

  • Pfizer Investigational Site

    Olean, New York, 14760

  • Pfizer Investigational Site

    Olive Branch, Mississippi, 38654

  • Pfizer Investigational Site

    Omaha, Nebraska, 68131

  • Pfizer Investigational Site

    Orlando, Florida, 32806

  • Pfizer Investigational Site

    Owensboro, Kentucky, 42301

  • Pfizer Investigational Site

    Paramus, New Jersey, 07652

  • Pfizer Investigational Site

    Pittsburgh, Pennsylvania, 15206

  • Pfizer Investigational Site

    Pittsburgh, Pennsylvania, 15213

  • Pfizer Investigational Site

    Pittsfield, Massachusetts, 01201

  • Pfizer Investigational Site

    Raleigh, North Carolina, 27609

  • Pfizer Investigational Site

    Ridgeland, Mississippi, 39157

  • Pfizer Investigational Site

    Rochester, New York, 14618

  • Pfizer Investigational Site

    Rockville, Maryland, 20852

  • Pfizer Investigational Site

    Sacramento, California, 95823

  • Pfizer Investigational Site

    Saint Charles, Missouri, 63301

  • Pfizer Investigational Site

    San Diego, California, 92108

  • Pfizer Investigational Site

    Schaumburg, Illinois, 60194

  • Pfizer Investigational Site

    Scottsdale, Arizona, 85251

  • Pfizer Investigational Site

    Smyrna, Georgia, 30080

  • Pfizer Investigational Site

    Taunton, Massachusetts, 02780

  • Pfizer Investigational Site

    Tavares, Florida, 32778

  • Pfizer Investigational Site

    Teaneck, New Jersey, 07666

  • Pfizer Investigational Site

    Temecula, California, 92590

  • Pfizer Investigational Site

    Temecula, California, 92591

  • Pfizer Investigational Site

    Terre Haute, Indiana, 47802

  • Pfizer Investigational Site

    Toledo, Ohio, 43609

  • Pfizer Investigational Site

    Topeka, Kansas, 66606

  • Pfizer Investigational Site

    Wichita, Kansas, 67207

Other trials in United States

India7 sites
  • Pfizer Investigational Site

    Bangalore, Karnataka, 560 010

  • Pfizer Investigational Site

    Chennai, Tamil Nadu, 600 003

  • Pfizer Investigational Site

    Ellisbridge, Ahmedabad, 380 006

  • Pfizer Investigational Site

    Ludhiana, 141001

  • Pfizer Investigational Site

    Mysore, Karnataka, 570004

  • Pfizer Investigational Site

    Pune, 411 030

  • Pfizer Investigational Site

    Tirupati, Andhra Pradesh, 517 507

Other trials in India

France4 sites
  • Pfizer Investigational Site

    Angoulême, 16000

  • Pfizer Investigational Site

    Brest Naval, 29240

  • Pfizer Investigational Site

    Douai, 59500

  • Pfizer Investigational Site

    Mulhouse, 68100

Other trials in France

Germany4 sites
  • Pfizer Investigational Site

    Berlin, 13509

  • Pfizer Investigational Site

    Berlin, 14050

  • Pfizer Investigational Site

    Cham, 93413

  • Pfizer Investigational Site

    Essen, 45136

Other trials in Germany

Italy4 sites
  • Pfizer Investigational Site

    Catania, 95123

  • Pfizer Investigational Site

    Florence, 50134

  • Pfizer Investigational Site

    Parma, 43100

  • Pfizer Investigational Site

    Pisa, 56126

Other trials in Italy

Spain3 sites
  • Pfizer Investigational Site

    Barcelona, 08019

  • Pfizer Investigational Site

    Barcelona, 08036

  • Pfizer Investigational Site

    Madrid, 28007

Other trials in Spain

Chile2 sites
  • Pfizer Investigational Site

    Santiago, RM

  • Pfizer Investigational Site

    Santiago

Other trials in Chile

Mexico2 sites
  • Pfizer Investigational Site

    Mexico City, Mexico City, 03740

  • Pfizer Investigational Site

    Zapopan, Jalisco, 45200

Other trials in Mexico

Russia2 sites
  • Pfizer Investigational Site

    Arkhangelskaya Obl, Primorsky Raion, 163530

  • Pfizer Investigational Site

    Khot'kovo, 141371

Other trials in Russia

Taiwan2 sites
  • Pfizer Investigational Site

    Taipei, 110

  • Pfizer Investigational Site

    Taipei, 112

Other trials in Taiwan

Venezuela2 sites
  • Pfizer Investigational Site

    Caracas, Distrito Federal, 1010

  • Pfizer Investigational Site

    Caracas, Distrito Federal, 1050

Other trials in Venezuela

Guatemala1 site
  • Pfizer Investigational Site

    Guatemala City

Other trials in Guatemala

Hong Kong1 site
  • Pfizer Investigational Site

    New Territories

Other trials in Hong Kong

About this study

Official title: A Phase 3, Randomized, 6-Month, Double-Blind Trial in Subjects With Bipolar I Disorder to Evaluate the Continued Safety and Maintenance of Effect of Ziprasidone Plus a Mood Stabilizer (vs Placebo Plus a Mood Stabilizer) Following a Minimum of 2 Months of Response to Open-Label Treatment With Both Agents

The purpose of this study is to determine if ziprasidone plus a mood stabilizer will continue to be a safe and effective treatment regimen for adults with Bipolar I Disorder (manic or mixed symptoms) after they have achieved 8 consecutive weeks of symptom improvement on the regimen.

Being tested
Placebo, Ziprasidone Oral Capsule
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

    Oral capsule formulation: Patients will be treated initially with open-label ziprasidone in the range of 40-80 mg BID (twice a day) for at least 10 weeks and up to 16 weeks. Patients who achieve a stable treatment regimen and whose symptoms stabilize for 8 consecutive weeks by Week 16 (Week 10 at the earliest) will be randomized. Patients randomized to placebo will be tapered off the open-label ziprasidone by 20 mg BID every 2 days (in a double-blinded manner) until they are completely off ziprasidone and are on matching placebo capsules for up to 24 weeks of double-blind treatment.

  • Ziprasidone Oral CapsuleDrug

    Also called Geodon, Zeldox

    Oral capsule formulation: Patients will be treated initially with open-label ziprasidone in the range of 40-80 mg BID for at least 10 weeks and up to 16 weeks. Patients who achieve a stable treatment regimen and whose symptoms stabilize for 8 consecutive weeks by Week 16 (Week 10 at the earliest) will be randomized. Patients randomized to ziprasidone will continue to receive the same stable treatment regimen achieved during the open-label treatment, ie, either 40 mg BID, 60 mg BID or 80 mg BID for up to 24 weeks of double-blind treatment.

Study groups in NCT00280566
Study groupRoleWhat they receive
ZiprasidoneExperimentalActive treatment, double-blind, randomized arm
Receives: Drug: Ziprasidone Oral Capsule
PlaceboPlacebo comparatorPlacebo treatment, double-blind, randomized arm
Receives: Drug: Placebo

What is being measured

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

  1. Time to Intervention for a Mood Episode During Double Blind Period

    Time to Intervention for Mood Episode (TIME) while on randomized drug after at least 8 weeks of symptom reduction on open-label ziprasidone plus mood stabilizer. Mood episode considered to have occurred and subject discontinued if one or more of the following: Investigator (INV) decides discontinuation is in best interest of subject; loss of effect and/or change to treatment regimen (INV judgment); subject hospitalized for disease under study; Mania Rating Scale (MRS) and/or Montgomery-Asberg Rating Scale (MADRS) rating is ≥18 for 2 consecutive visits scheduled no more than 10 days apart.

    Measured: Period 2: 24 weeks or time of early termination

Secondary outcomes (9)
  1. Time to Discontinuation for Any Reason During Double Blind Period 2

    Key Secondary endpoint is time to discontinuation for any reason. Profile of patients remaining in the trial over time.

    Measured: Period 2: 24 weeks or time of early termination

  2. Modified Time to Intervention for a Mood Episode (TIME)

    Time to intervention for a mood episode or time to discontinuation for treatment related adverse events, or death due to drug, or death due to disease. Mood episode considered to have occurred and subject discontinued if one or more of the following: Investigator (INV) decides discontinuation is in best interest of subject; loss of effect and/or change to treatment regimen (INV judgment); subject hospitalized for disease under study; Mania Rating Scale (MRS) and/or Montgomery-Asberg Rating Scale (MADRS) rating is ≥18 for 2 consecutive visits scheduled no more than 10 days apart.

    Measured: Period 2: Week 24 or time of early termination

  3. Change From Baseline in Mania Rating Scale (MRS) by Visit During Double Blind Period

    Period 2 Baseline = last observation in Period 1 to the start of Period 2. MRS is 11-item scale to measure mania; derived from Schedule for Affective Disorders and Schizophrenia-Change Behavior (SADS-CB). Subscales: Manic Syndrome (elevated mood, less need for sleep, excessive energy and activity, grandiosity), Behavior and Ideation (irritability, motor hyperactivity, accelerated speech, racing thoughts, poor judgment), and Impaired Insight. Racing thoughts range=0 to 2 (highest level of abnormal=2); all other items 0 to 5 (highest level of abnormal=5). Higher score = greater abnormality.

    Measured: Period 2: Weeks 1 - 24 or time of early termination

  4. Change From Baseline in Clinical Global Impression Severity (CGI-S) Score by Visit During Double Blind Period

    Baseline for Period 2 is the last observation in Period 1 to the start of Period 2. Clinical Global Impression Severity Score is 7-item scale rates severity of illness from 0=not assessed, 1= normal to 7=most extremely ill.

    Measured: Period 2: Weeks 1 - 24 or time of early termination

  5. Clinical Global Impression - Improvement (CGI-I) Score by Visit During Double Blind Period

    Clinical Global Impression measures 7 items in Global assessment of improvement in patient's condition; 0=not assessed, 1= very much improved to 7= very much worse.

    Measured: Period 2: Weeks 1 - 24 or time of early termination

  6. Change From Baseline in Montgomery-Asberg Rating Scale (MADRS) Score by Visit During Double Blind Period

    Baseline for Period 2 is the last observation in Period 1 to the start of Period 2. MADRS is 10-item instrument measuring depression: scales from 0=Normal to 6 = most abnormal.

    Measured: Period 2: Weeks 1 - 24 or time of early termination

  7. Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score by Visit During Double Blind Period

    Baseline for Period 2 is the last observation in Period 1 to the start of Period 2. Positive and Negative Syndrome Scale Total Score is 30-item scale measuring severity of psychopathology (16 items), positive symptoms (7 items) and negative symptoms (7 items); scale from 1 (absent) to 7 (extreme)

    Measured: Period 2: Weeks 4 - 24 or time of early termination

  8. Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Postive Scale by Visit During Double Blind Period

    Baseline for Period 2 is the last observation in Period 1 to the start of Period 2. Positive Scale is 7-items derived from PANSS; 1 (absent), 2 (minimal) to 7 (extreme).

    Measured: Period 2: Weeks 4 - 24 or time of early termination

  9. Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Negative Scale by Visit During Double Blind Period

    Baseline for Period 2 is the last observation in Period 1 to the start of Period 2. Negative Scale is 7 items derived from PANSS; scale is 1 (absent) to 7 (extreme).

    Measured: Period 2: Weeks 4 - 24 or time of early termination

Timeline

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

  1. First posted23 Jan 2006 (estimated)
  2. Study startDec 2005
  3. Primary completionMay 2008
  4. Study completionMay 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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
584 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00280566
Sponsor's protocol ID
A1281137
Status last verified
Mar 2021
First submitted
19 Jan 2006
Last updated
25 Mar 2021
Data monitoring committee
No

Publications

  • Bowden CL, Vieta E, Ice KS, Schwartz JH, Wang PP, Versavel M. Ziprasidone plus a mood stabilizer in subjects with bipolar I disorder: a 6-month, randomized, placebo-controlled, double-blind trial. J Clin Psychiatry. 2010 Feb;71(2):130-7. doi: 10.4088/JCP.09m05482yel. Epub 2010 Jan 26.

    PubMed 20122373

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Ziprasidone Oral Capsule in people with Bipolar Mania and Bipolar Disorder, run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. at 107 sites in 13 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 1 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 25 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 107 sites in United States, India, France, Germany, Italy and 8 more countries. 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 14 Dec 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?

Time to Intervention for a Mood Episode During Double Blind Period (time frame: Period 2: 24 weeks or time of early termination). 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 NCT00280566, 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 25 Mar 2021.

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