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Safety and Tolerability of Ziprasidone in Children and Adolescents With Bipolar I Disorder (Manic or Mixed)

Phase 3
Completed
Conditions
Bipolar Disorder
Interventions
Registration Number
NCT00265330
Lead Sponsor
Pfizer's Upjohn has merged with Mylan to form Viatris Inc.
Brief Summary

The purpose of this study is to assess the safety and tolerability of ziprasidone during long-term open-label administration in children and adolescents (ages 10-17) with bipolar I disorder (manic or mixed)

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
169
Inclusion Criteria
  • Participation in double-blind treatment study A1281132, meeting specific criteria of duration and safety
Exclusion Criteria
  • Imminent risk of suicide or homicide, as judged by the site investigator;serious adverse event related to study medication in study A1281132; significant prolongation of QT interval in study A1281132.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
OpenZiprasidone oral capsules-
Primary Outcome Measures
NameTimeMethod
Young Mania Rating Scale (YMRS) Total Score Change From Baselinebaseline and 26 Weeks; 26 Weeks Last Observation Carried Forward (LOCF)

YMRS: 11-item instrument with scales 0 (normal) to 4 (highest abnormal)for 7 items and 0 (normal) to 8 (highest abnormal) for 4 items. Total possible 0 - 60. Baseline is from parent study A1281132.

Incidence of Lab AbnormalitiesWeek 26

number of subjects with an abnormal lab value for those parameters with 5% or greater incidence of abnormality.

Change in Low-Density Lipoprotein (LDL) Cholesterol and Fasting CholesterolWeek 6, Week 26

Mean Change: lab value at observation minus lab value at baseline.

Change in HormonesWeek 6, Week 26

Mean Change: lab value at observation minus lab value at baseline

Mean Change From Baseline in Supine Systolic Blood PressureWeek 1 through Week 26

Mean Change: vital sign value at observation minus vital sign value at baseline

Clinical Global Impression of Severity (CGI-S) Change From Baselinebaseline and 26 Weeks; 26 Weeks LOCF

CGI-S Scale:standardized assessment tool to rate severity of subject's illness; assesses investigator's impression of subject's current illness state. Change: score at observation minus score at baseline. Score: 1 (not ill at all) to 7 (among most extremely ill). Baseline = last available observation from parent double-blind study(A1281132).

Mean Change From Baseline in Supine Diastolic Blood PressureWeek 1 through Week 26

Mean Change: vital sign value at observation minus vital sign value at baseline

Mean Change From Baseline in Supine Pulse RatesWeek 1 through Week 26

Mean Change: vital sign value at observation minus vital sign value at baseline

Mean Change From Baseline in Standing Diastolic Blood PressureWeek 1 through Week 26

Mean Change: vital sign value at observation minus vital sign value at baseline

Mean Change From Baseline for Body WeightWeek 6, Week 26

Mean change; body weight value at observation minus body weight value at baseline.

Body Mass Index (BMI) Z-score FrequencyWeek 26

change in body weight BMI -Z score calculated by subtracting median reference value of the population from observed value and dividing by standard deviation of reference population (kg/m squared). 0=no change

Mean Change From Baseline for QTcF IntervalsBaseline to Week 26 (end of study)

QT intervals (observed in an electrocardiogram)corrected using Fridericia's formula (QTcF). Mean change: mean change of observation minus baseline. Baseline: last available observation in the parent double-blind study.

Mean Change From Baseline in Standing Systolic Blood PressureWeek 1 through Week 26

Mean Change: vital sign value at observation minus vital sign value at baseline

Mean Change From Baseline in Standing Pulse RatesWeek 1 through Week 26

Mean Change: vital sign value at observation minus vital sign value at baseline

Frequency of Largest Categorical Increases in QTcF for MalesWeek 26 (end of study)

QT intervals (observed in an electrocardiogram) corrected with Fridericia's Formula (QTcF). Number of subjects with corresponding categorical increase in QTcF.

Frequency of Largest Categorical Increases in QTcF - All SubjectsWeek 26 (end of study)

QT intervals (observed in an electrocardiogram)corrected using Fridericia Formula (QTcF). Number of subjects with corresponding categorical increase in QTcF.

Mean Change From Baseline for Body Mass Index (BMI) Z-ScoreWeek 6, 26, early termination

mean change in body weight BMI -Z score calculated by subtracting median reference value of the population from observed value and dividing by standard deviation of reference population (kg/m squared). 0=no change

Frequency of Largest Categorical Increases in QTcF for FemalesWeek 26 (end of study)

QT interval (observed in an electrocardiogram) corrected using Fridericia Formula (QTcF). Number of subjects with corresponding categorical increase in QTcF.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Pfizer Investigational Site

🇺🇸

West Allis, Wisconsin, United States

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