Bipolar I DisorderPhase 2NCT06696755
A Study to Assess Adverse Events and Change in Disease Activity of Oral Icalcaprant in Adult Participants With Bipolar I or II Disorder
A Phase 2 study testing Icalcaprant in people with Bipolar I Disorder and Bipolar II Disorder, run by AbbVie at 33 sites in United States.
Trial summary
Bipolar disorder is a severe chronic mood disorder that affects up to 4% of the adult population and 1.8% of the pediatric population in the United States. This study will assess how safe and effective Icalcaprant is in treating adult participants with bipolar I or II disorder. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Bipolar I Disorder, Bipolar II Disorder
- What is being tested?
- Icalcaprant
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 195 participants
- Where
- 33 sitesUnited States
- Study dates
- 3 Feb 2026to Nov 2027
- Phase
- Phase 2
- Are there results?
- Not yet: the study is under way
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 with a diagnosis of bipolar I or II according to the DSM-5-TR without psychotic features, confirmed by the MINI 7.0.2, and currently experiencing an MDE beginning at least 4 weeks prior to consent and not exceeding 12 months prior to Screening.
- Body Mass Index (BMI) is >= 18.0 to ≤<= 35.0 kg/m^2.
- A condition of general good health, based upon the results of a medical history, physical examination, vital signs, laboratory profile and a 12-lead ECG.
- CGI-S-BP score of ≥ 4 for depression and overall bipolar illness at screening (Visit 1) and baseline (Visit 2).
- YMRS total score <= 12 at screening (Visit 1) and baseline (Visit 2).
- Participants on treatment with a single mood stabilizer (lithium, valproate, or lamotrigine), maintained at a stable dose for >= 28 days prior to screening. Current mood stabilizer dose must remain unchanged for the duration of the study.
- If taking lithium or valproate, participant must have a therapeutic blood level at screening of lithium (0.4 - 1.2 mg/dL) or valproate (50 - 125 mg/dL).
- If taking lamotrigine, participant should be taking a dose within the FDA accepted range (50-400 mg/day, target dose is 200 mg/day) and investigator clinical judgment determines that the dose the participant is taking is likely to prevent onset of mood episodes.
Who cannot join
- History of an allergic reaction or significant sensitivity to constituents of the study drug (and its excipients) and/or other products in the same class.
- History of or active medical conditions(s) that might interfere with the conduct of the study, confound the interpretation of the study results, or endanger the subject's well-being. This includes any unstable condition, history or evidence of malignancy (other than treated basal or squamous cell carcinoma), or any significant hematologic, endocrine, cardiovascular, respiratory, renal, hepatic, gastrointestinal, or neurological disorder (if there is a history of such disease but the condition has been stable for more than 1 year, does not require treatment with prohibited medications, and is judged by the investigator not to interfere with the participant's participation in the study, the participant may be included in the study).
Trial locations and contacts
33 sites in 1 country. Contact the study team or a site near you to ask about taking part.
33 sites in 1 country
United States33 sites, 33 recruiting
- Recruiting
Advanced Research Center /ID# 272828
Anaheim, California, 92805
- Recruiting
Georgia Psychiatric Consultants and Advanced Discovery Research /ID# 279438
Atlanta, Georgia, 30318
- Recruiting
Community Clinical Research - Cross Park Drive /ID# 272940
Austin, Texas, 78754
- Recruiting
Northwest Clinical Research Center /ID# 272847
Bellevue, Washington, 98007
- Recruiting
Sanro Clinical Research Group /ID# 279462
Bryant, Arkansas, 72022
- Recruiting
Chandler Clinical Research Trials /ID# 274500
Chandler, Arizona, 85224
- Recruiting
Pillar Clinical Research - Chicago /ID# 272823
Chicago, Illinois, 60641
Site Coordinator, 2245347332
- Recruiting
University Of Cincinnati Medical Center /ID# 274160
Cincinnati, Ohio, 45219
- Recruiting
The Ohio State University /ID# 272954
Columbus, Ohio, 43210
- Recruiting
Core Clinical Research /ID# 272955
Everett, Washington, 98201
- Recruiting
Sarkis Clinical Trials- Gainesville /ID# 272861
Gainesville, Florida, 32607
- Recruiting
Collaborative Neuroscience Research - Garden Grove /ID# 271917
Garden Grove, California, 92845
- Recruiting
CenExel Hollywood FL /ID# 273101
Hollywood, Florida, 33024
- Recruiting
Elixia - Houston /ID# 279200
Houston, Texas, 77007
- Recruiting
University of Alabama - Huntsville Regional Medical Campus /ID# 272951
Huntsville, Alabama, 35801
- Recruiting
Accel Research Sites Network - St. Pete /ID# 272962
Largo, Florida, 33777
- Recruiting
Mind Matters Psychiatry /ID# 273536
Missouri City, Texas, 77459-5204
- Recruiting
Catalina Research Institute /ID# 272831
Montclair, California, 91763
- Recruiting
Manhattan Behavioral Medicine /ID# 279769
New York, New York, 10036
- Recruiting
Excell Research /ID# 272854
Oceanside, California, 92056
- Recruiting
Sooner Clinical Research /ID# 272856
Oklahoma City, Oklahoma, 73116
- Recruiting
Pacific Neuropsychiatric Specialists - Orange /ID# 273118
Orange, California, 92868
- Recruiting
Apg Research /ID# 272925
Orlando, Florida, 32803
- Recruiting
Combined Research Orlando /ID# 279458
Orlando, Florida, 32814
- Recruiting
Clinical Research Center Of Florida /ID# 278790
Pompano Beach, Florida, 33060
- Recruiting
Pillar Clinical Research - Richardson /ID# 272821
Richardson, Texas, 75080
- Recruiting
St. Johns Center for Clinical Research - Saint Augustine Location /ID# 279465
Saint Augustine, Florida, 32086
- Recruiting
Saint Charles Psychiatric Associates /ID# 279239
Saint Charles, Missouri, 63304
- Recruiting
Schuster Medical Research Institute /ID# 272848
Sherman Oaks, California, 91403
- Recruiting
Family Psychiatry Of The Woodlands /ID# 275177
The Woodlands, Texas, 77381
- Recruiting
Del Sol Research Management - East Tanque Verde Road - Tucson /ID# 279767
Tucson, Arizona, 85715
- Recruiting
Amr Conventions Research /ID# 272867
Warrenville, Illinois, 60555
- Recruiting
Neuroscience Institute - West Palm Beach /ID# 272922
West Palm Beach, Florida, 33407
About this study
Official title: A Phase 2, Multicenter, 6-Week, Double Blind, Placebo- Controlled Study to Evaluate the Efficacy and Safety of Icalcaprant in Subjects With Bipolar Depression
Bipolar disorder is a severe chronic mood disorder that affects up to 4% of the adult population and 1.8% of the pediatric population in the United States. This study will assess how safe and effective Icalcaprant is in treating adult participants with bipolar I or II disorder.
Icalcaprant is an investigational drug being developed for the treatment of depressive episodes in adult participants with bipolar I or II disorder. Participants are placed in 1 of 3 groups, called treatment arms. There is a 1 in 3 chance that a participant will be assigned to a placebo. Around 195 adult participants with bipolar I or II disorder will be enrolled in approximately 35 sites across the United States of America.
Read more
Participants will receive oral capsules of Icalcaprant or matching placebo once daily for 6 weeks, with a 4-week safety follow-up period.
There may be a higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.
- Conditions
- Bipolar I Disorder, Bipolar II Disorder
- Being tested
- Icalcaprant, Placebo for Icalcaprant
- Keywords
- Bipolar I Disorder, Bipolar II Disorder, Bipolar Disorder, lcalcaprant, ABBV-1354, CVL-354
- Medical subject headings
- Bipolar Disorder
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
IcalcaprantDrug
Also called ABBV-1354, CVL-354
Oral Capsules
Placebo for IcalcaprantDrug
Oral Capsules
| Study group | Role | What they receive |
|---|---|---|
| Group 1: Icalcaprant Dose A | Experimental | Participants will receive oral Icalcaprant dose A once daily for 6 weeks and followed for 4 weeks. Receives: Drug: Icalcaprant |
| Group 2: Icalcaprant Dose B | Experimental | Participants will receive oral Icalcaprant dose B once daily for 6 weeks and followed for 4 weeks. Receives: Drug: Icalcaprant |
| Group 3: Placebo for Icalcaprant | Placebo comparator | Participants will receive oral placebo for Icalcaprant daily for 6 weeks and followed for 4 weeks. Receives: Drug: Placebo for Icalcaprant |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from Baseline to Week 6 in the MADRS (Montgomery-Åsberg Depression Rating Scale) total score
MADRS is a depression rating scale consisting of 10 items representing the core symptoms of depressive illness, each rated 0 (no symptom) to 6 (severe symptom). Total score ranges from 0 (no depression) to 60 (severely depressed).
Measured: Up to approximately Week 6
Number of Participants with Adverse Events (AEs)
An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment. The investigator assesses the relationship of each event to the use of study
Measured: Up to approximately 10 weeks
Secondary outcomes (1)
Change from Baseline to Week 6 in Clinician Global Impression of Severity - Bipolar Disorder (CGI-S-BP) score
Clinician Global Impression of Severity - Bipolar Disorder (CGI-S-BP) is a clinician-reported measure of severity of mania, depression, and overall bipolar disorder. Clinicians are asked to consider their total clinical experience with bipolar subjects and assess how severely ill has the participant been during the past 7 days. Response options range from 'Normal, not ill' to 'Very severely ill'.
Measured: Up to approximately Week 6
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Nov 2024
- Study start3 Feb 2026
- Primary completionNov 2027 (estimated)
- Study completionNov 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Bipolar I DisorderStudies of the same condition, open and under way.
- More trials run by AbbVieThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 195 participants (estimated)
Sponsor and investigators
- Lead sponsor
- AbbVie
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- ABBVIE INC., Study director, AbbVie
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06696755
- Sponsor's protocol ID
- M25-526
- Status last verified
- Aug 2026
- First submitted
- 18 Nov 2024
- Last updated
- 14 Aug 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information.
Study at a glance
From the registry record, last updated by the sponsor on 14 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2, Multicenter, 6-Week, Double Blind, Placebo- Controlled Study to Evaluate the Efficacy and Safety of Icalcaprant in Subjects With Bipolar Depression
- ClinicalTrials.gov ID
- NCT06696755
- Acronym / sponsor ID
- M25-526
- Conditions
- Bipolar I Disorder, Bipolar II Disorder
- Keywords
- Bipolar I Disorder, Bipolar II Disorder, Bipolar Disorder, lcalcaprant, ABBV-1354, CVL-354
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 195 participants (estimated)
- Lead sponsor
- AbbVieIndustry (pharma, biotech, devices)
- Study start
- 3 Feb 2026 (actual)
- Primary completion
- Nov 2027 (estimated)
- Study completion
- Nov 2027 (estimated)
- First posted
- 20 Nov 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Bipolar disorder is a severe chronic mood disorder that affects up to 4% of the adult population and 1.8% of the pediatric population in the United States. This study will assess how safe and effective Icalcaprant is in treating adult participants with bipolar I or II disorder.
Icalcaprant is an investigational drug being developed for the treatment of depressive episodes in adult participants with bipolar I or II disorder. Participants are placed in 1 of 3 groups, called treatment arms. There is a 1 in 3 chance that a participant will be assigned to a placebo. Around 195 adult participants with bipolar I or II disorder will be enrolled in approximately 35 sites across the United States of America.
Participants will receive oral capsules of Icalcaprant or matching placebo once daily for 6 weeks, with a 4-week safety follow-up period.
There may be a higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Group 1: Icalcaprant Dose A | Experimental | Drug: IcalcaprantParticipants will receive oral Icalcaprant dose A once daily for 6 weeks and followed for 4 weeks. |
| Group 2: Icalcaprant Dose B | Experimental | Drug: IcalcaprantParticipants will receive oral Icalcaprant dose B once daily for 6 weeks and followed for 4 weeks. |
| Group 3: Placebo for Icalcaprant | Placebo comparator | Drug: Placebo for IcalcaprantParticipants will receive oral placebo for Icalcaprant daily for 6 weeks and followed for 4 weeks. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Participants with a diagnosis of bipolar I or II according to the DSM-5-TR without psychotic features, confirmed by the MINI 7.0.2, and currently experiencing an MDE beginning at least 4 weeks prior to consent and not exceeding 12 months prior to Screening.
- Body Mass Index (BMI) is >= 18.0 to ≤<= 35.0 kg/m^2.
- A condition of general good health, based upon the results of a medical history, physical examination, vital signs, laboratory profile and a 12-lead ECG.
- CGI-S-BP score of ≥ 4 for depression and overall bipolar illness at screening (Visit 1) and baseline (Visit 2).
- YMRS total score <= 12 at screening (Visit 1) and baseline (Visit 2).
Key exclusion criteria (2 listed)
- History of an allergic reaction or significant sensitivity to constituents of the study drug (and its excipients) and/or other products in the same class.
- History of or active medical conditions(s) that might interfere with the conduct of the study, confound the interpretation of the study results, or endanger the subject's well-being. This includes any unstable condition, history or evidence of malignancy (other than treated basal or squamous cell carcinoma), or any significant hematologic, endocrine, cardiovascular, respiratory, renal, hepatic, gastrointestinal, or neurological disorder (if there is a history of such disease but the condition has been stable for more than 1 year, does not require treatment with prohibited medications, and is judged by the investigator not to interfere with the participant's participation in the study, the participant may be included in the study).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| IcalcaprantAlso: ABBV-1354, CVL-354Oral Capsules | Drug | Group 1: Icalcaprant Dose A, Group 2: Icalcaprant Dose B |
| Placebo for IcalcaprantOral Capsules | Drug | Group 3: Placebo for Icalcaprant |
Primary outcome
Change from Baseline to Week 6 in the MADRS (Montgomery-Åsberg Depression Rating Scale) total score
Time frame: Up to approximately Week 6
MADRS is a depression rating scale consisting of 10 items representing the core symptoms of depressive illness, each rated 0 (no symptom) to 6 (severe symptom). Total score ranges from 0 (no depression) to 60 (severely depressed).
Number of Participants with Adverse Events (AEs)
Time frame: Up to approximately 10 weeks
An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment. The investigator assesses the relationship of each event to the use of study
1 secondary outcome
Change from Baseline to Week 6 in Clinician Global Impression of Severity - Bipolar Disorder (CGI-S-BP) score
Time frame: Up to approximately Week 6
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Aug 2026.
- Individual participant dataSharing planned: Yes. AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
ABBVIE INC. study director
AbbVie
33 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Icalcaprant in people with Bipolar I Disorder and Bipolar II Disorder, run by AbbVie at 33 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 8 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: looking for participants now, as of the sponsor's last update on 14 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 33 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 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact ABBVIE CALL CENTER (844-663-3742, abbvieclinicaltrials@abbvie.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change from Baseline to Week 6 in the MADRS (Montgomery-Åsberg Depression Rating Scale) total score (time frame: Up to approximately Week 6). The study lists 2 primary outcomes in all. 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 14 Aug 2026.