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40 Week Trial to Study the Safety of Asenapine When Added to Lithium or Valproate in the Treatment of Bipolar Disorder (A7501009)(P05786)

Phase 3
Completed
Conditions
Bipolar Disorder
Interventions
Drug: Placebo
Registration Number
NCT00145509
Lead Sponsor
Organon and Co
Brief Summary

The primary objective of this trial was to characterize the long-term (up to 40 weeks) safety and tolerability of asenapine in bipolar I disorder subjects who had not completely responded to continuing treatment with lithium or valproic acid (VPA) for the treatment of an acute manic or mixed episodes upon enrollment into the 12-week lead-in trial, A7501008 (NCT00145470). The safety comparison was between the group receiving lithium or VPA and placebo against the group receiving lithium or VPA and asenapine, with the caveat that all subjects may have received benzodiazepine and/or antidepressant rescue medication as needed.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
77
Inclusion Criteria
  • Have bipolar I disorder (current episode manic or mixed), be treated with lithium or valproic acid, and have completed the a 12-week lead-in trial
Exclusion Criteria
  • Have an unstable medical condition or clinically significant laboratory abnormality.
  • Have a primary diagnosis other than bipolar I disorder.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
AsenapineAsenapineAsenapine
PlaceboPlaceboPlacebo
Primary Outcome Measures
NameTimeMethod
Number of Participants Who Experienced an Adverse Eventup to 52 weeks

Participants who experienced treatment-emergent adverse events, defined as adverse events reported on or after the first dose of study medication in the 12-week lead-in study through the last dose of study drug + 7 days (or + 30 days for serious adverse events).

Number of Participants Who Discontinued Because of an Adverse Event40 weeks

Participants who discontinued study medication due to adverse events.

Change From Baseline to Week 52 on the Montgomery Asberg Depression Rating Scale (MADRS) ScoreBaseline and 52 Weeks

The MADRS is a 10-item clinician-rated scale for assessing the severity of symptoms of depression. MADRS total score range = 0-60; higher scores indicate greater severity of symptoms.

Change From Baseline to Week 52 on the Young-Mania Rating Scale (Y-MRS) ScoreBaseline and 52 Weeks

The Y-MRS is an 11-item, clinician-rated instrument used for assessing the symptoms of mania. Y-MRS total score range = 0-60; higher scores indicate greater severity of symptoms.

Secondary Outcome Measures
NameTimeMethod
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