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Phase II Study to Assess RG2417 in the Treatment of Bipolar I Depression

Primary Purpose

Bipolar Depression

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Uridine
Sponsored by
Repligen Corporation
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Bipolar Depression focused on measuring manic depression, bipolar disorder, depression, uridine, RG2417

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All Sexes

Inclusion Criteria: DSM-IV-TR diagnosis of Bipolar I Depression 18 to 65 years of age, inclusive Depressive phase, as measured by MADRS greater than or equal to 20 at Screening and Day1 Duration of current depressive episode of at least four weeks by Day 1 Competent to give informed consent Exclusion Criteria: Manic/hypomanic/mixed episode as determined by the MINI at Screening and/or a Young Mania Rating Scale (YMRS) score of > 12 at Screening and/or Day 1 Dementia or any current Axis I diagnosis (excluding bipolar I) requiring pharmacological treatments A history of alcohol or substance dependence within six months of Day 1, or a history of alcohol or substance abuse within three months of Day 1 Urine drug screen positive for amphetamines, cocaine metabolites, opiates and/or phencyclindine (PCP) An Axis II diagnosis that is likely to interfere with protocol compliance Initiation of or increase in psychotherapy within 4 weeks of Screening Psychotropic medication (excluding fluoxetine) within 24 hours of initiation of study drug on Day 1; fluoxetine within 2 weeks of initiation of study drug on Day 1 Serious suicidal or homicidal risk as determined by the investigator and/or a score of > 5 on the suicide item #10 of the MADRS at Screening and/or Day 1 History of sensitivity to any of the ingredients in the study drug Clinically significant abnormality in any screening laboratory results Clinically significant organic disease, including cardiovascular, endocrine, hepatic, pulmonary, neurologic, or renal disease, or any other medical condition, serious intercurrent illness, or extenuating circumstances that, in the opinion of the investigator, would interfere with the performance or interpretability of, or put the patient at risk from, the study procedures Women who are pregnant, breastfeeding, or refuse to use adequate birth control Current seizure disorder Participation in an investigational drug study within twenty-eight days of Day 1 Current psychotic episode Clozaril use and/or electroconvulsive therapy within six months of Day 1 Failure of three or more adequate trials of standard therapies for depression during the current episode Current episode of depression is longer than one year

Sites / Locations

  • Stanford University
  • Carman Research
  • Indiana University-Purdue University Indianapolis
  • Marc Hertzman, MD, PC
  • Massachusetts General Hospital
  • Medical & Behavioral Health Research, PC
  • University of Cincinnati
  • Cleveland Clinic Foundation
  • Future Search Trials of Austin
  • Future Search Trials of Dallas
  • University of Texas Health Science Center at San Antonio

Outcomes

Primary Outcome Measures

Improvement of MADRS and CGI BP C for RG2417 treatment in comparison to placebo

Secondary Outcome Measures

Full Information

First Posted
May 4, 2006
Last Updated
November 8, 2007
Sponsor
Repligen Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT00322764
Brief Title
Phase II Study to Assess RG2417 in the Treatment of Bipolar I Depression
Official Title
Dose-Escalating, Phase II Study to Assess the Safety and Tolerability of RG2417 in the Treatment of Bipolar I Depression
Study Type
Interventional

2. Study Status

Record Verification Date
November 2007
Overall Recruitment Status
Completed
Study Start Date
March 2006 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
Repligen Corporation

4. Oversight

5. Study Description

Brief Summary
The primary purpose of this study is to determine the safety and efficacy of oral RG2417 (Uridine) when administered to patients with Bipolar I depression twice daily for six weeks.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Bipolar Depression
Keywords
manic depression, bipolar disorder, depression, uridine, RG2417

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
80 (Anticipated)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Uridine
Primary Outcome Measure Information:
Title
Improvement of MADRS and CGI BP C for RG2417 treatment in comparison to placebo

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Eligibility Criteria
Inclusion Criteria: DSM-IV-TR diagnosis of Bipolar I Depression 18 to 65 years of age, inclusive Depressive phase, as measured by MADRS greater than or equal to 20 at Screening and Day1 Duration of current depressive episode of at least four weeks by Day 1 Competent to give informed consent Exclusion Criteria: Manic/hypomanic/mixed episode as determined by the MINI at Screening and/or a Young Mania Rating Scale (YMRS) score of > 12 at Screening and/or Day 1 Dementia or any current Axis I diagnosis (excluding bipolar I) requiring pharmacological treatments A history of alcohol or substance dependence within six months of Day 1, or a history of alcohol or substance abuse within three months of Day 1 Urine drug screen positive for amphetamines, cocaine metabolites, opiates and/or phencyclindine (PCP) An Axis II diagnosis that is likely to interfere with protocol compliance Initiation of or increase in psychotherapy within 4 weeks of Screening Psychotropic medication (excluding fluoxetine) within 24 hours of initiation of study drug on Day 1; fluoxetine within 2 weeks of initiation of study drug on Day 1 Serious suicidal or homicidal risk as determined by the investigator and/or a score of > 5 on the suicide item #10 of the MADRS at Screening and/or Day 1 History of sensitivity to any of the ingredients in the study drug Clinically significant abnormality in any screening laboratory results Clinically significant organic disease, including cardiovascular, endocrine, hepatic, pulmonary, neurologic, or renal disease, or any other medical condition, serious intercurrent illness, or extenuating circumstances that, in the opinion of the investigator, would interfere with the performance or interpretability of, or put the patient at risk from, the study procedures Women who are pregnant, breastfeeding, or refuse to use adequate birth control Current seizure disorder Participation in an investigational drug study within twenty-eight days of Day 1 Current psychotic episode Clozaril use and/or electroconvulsive therapy within six months of Day 1 Failure of three or more adequate trials of standard therapies for depression during the current episode Current episode of depression is longer than one year
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
David Jacoby, MD, PhD
Organizational Affiliation
Repligen Corporation
Official's Role
Study Director
Facility Information:
Facility Name
Stanford University
City
Stanford
State/Province
California
ZIP/Postal Code
94305
Country
United States
Facility Name
Carman Research
City
Smyrna
State/Province
Georgia
ZIP/Postal Code
30080
Country
United States
Facility Name
Indiana University-Purdue University Indianapolis
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202
Country
United States
Facility Name
Marc Hertzman, MD, PC
City
Rockville
State/Province
Maryland
ZIP/Postal Code
20852
Country
United States
Facility Name
Massachusetts General Hospital
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Facility Name
Medical & Behavioral Health Research, PC
City
New York City
State/Province
New York
ZIP/Postal Code
10023
Country
United States
Facility Name
University of Cincinnati
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45267
Country
United States
Facility Name
Cleveland Clinic Foundation
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States
Facility Name
Future Search Trials of Austin
City
Austin
State/Province
Texas
ZIP/Postal Code
78756
Country
United States
Facility Name
Future Search Trials of Dallas
City
Dallas
State/Province
Texas
ZIP/Postal Code
75231
Country
United States
Facility Name
University of Texas Health Science Center at San Antonio
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States

12. IPD Sharing Statement

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Phase II Study to Assess RG2417 in the Treatment of Bipolar I Depression

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