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Abilify in Bipolar Disorder for 24 Weeks Treatment Effectiveness (SMART-M)

Primary Purpose

Bipolar Disorder

Status
Completed
Phase
Phase 4
Locations
Korea, Republic of
Study Type
Interventional
Intervention
Abilify(aripiprazole)
Depakote (divalproate)
Sponsored by
Korea Otsuka Pharmaceutical Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Bipolar Disorder

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Mania or mixed episode of bipolar disorder according to DSM-IV
  2. Male and female between the age of 18 and 65 (In case of child-bearing women, negative pregnancy test results should be confirmed before the administration of the investigational drug and appropriate contraception be used. Pregnant and breast-feeding women cannot be included)
  3. Patients who can consent to participate in this clinical trial
  4. Patients who understand this trial and comply with all protocol requirements
  5. Patients who fulfill the following remission criteria for bipolar disorder in the two consecutive evaluation performed every week at Week 6 of 6-week study and thereafter:

(Definition of remission: a score less than 12 on the YMRS total score and simultaneously a score less than 13 on the MADRS total score)

Exclusion Criteria:

  1. Patients with the following clinical symptoms diagnosed using DSM-1. Patients with the following clinical symptoms diagnosed using DSM-IV:

    • Delirium, dementia, amnestic or other cognitive disorders
    • Schizophrenia or schizoaffective disorder
  2. Patients who do not respond to clozapine
  3. Patients who are expected to require the administration of prohibited concomitant drugs during the clinical trial period
  4. Patients diagnosed with substance-related disorder according to DSM-IV within the past 3 months (abuse, intoxication, dependency and/or withdrawal symptoms). The abuse of benzodiazepines is included with the exception of caffeine or nicotine.
  5. Patients known to have allergy or hypersensitivity reaction to Abilify(aripiprazole) or other quinolinones
  6. Patients at high risk of suicide attempt or with the history of murder or mental status test
  7. Patients with the history of neuroleptic malignant syndrome
  8. Patients with the past history which may cause serious adverse events that can affect the safety or efficacy evaluation during the clinical trial period
  9. Patients with clinically significantly abnormal laboratory results, vital sign or ECG results
  10. Pregnant women or child-bearing women who do not or cannot use appropriate contraception
  11. Patients with the history of convulsive disorder
  12. Patients judged to have decreased compliance to the investigational drugs during a 6-week trial period by an investigator
  13. Patients who commit serious protocol violation during a 6-week trial

Sites / Locations

  • St. Mary's Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

1

2

Arm Description

Abilify(aripiprazole) + Depakote(divalproate)

Divalproate + Placebo

Outcomes

Primary Outcome Measures

Time to recurrence of bipolar disorder from randomization

Secondary Outcome Measures

Full Information

First Posted
October 16, 2007
Last Updated
August 10, 2010
Sponsor
Korea Otsuka Pharmaceutical Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT00545675
Brief Title
Abilify in Bipolar Disorder for 24 Weeks Treatment Effectiveness
Acronym
SMART-M
Official Title
Multi-center, Double-blind, Randomized, Comparative Phase 4 Clinical Trial to Evaluate the Efficacy and Safety of Co-administration of Abilify and Depakote in 24-week Treatment of Mania in Patients With Bipolar Disorder Remitted After 6-week Treatment With Abilify and Depakote
Study Type
Interventional

2. Study Status

Record Verification Date
December 2009
Overall Recruitment Status
Completed
Study Start Date
December 2007 (undefined)
Primary Completion Date
July 2010 (Actual)
Study Completion Date
July 2010 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Korea Otsuka Pharmaceutical Co., Ltd.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To demonstrate the difference between Abilify with Depakote vs. Placebo with Depakote in 24-week treatment in patients with remission status after Abilify with Depakote in the 6-week study of acute mania in patients with bipolar disorder
Detailed Description
Further study details as provided by Korea OIAA

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Bipolar Disorder

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
146 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
Abilify(aripiprazole) + Depakote(divalproate)
Arm Title
2
Arm Type
Placebo Comparator
Arm Description
Divalproate + Placebo
Intervention Type
Drug
Intervention Name(s)
Abilify(aripiprazole)
Intervention Description
Abilify and Depakote in 24-week treatment of mania in patients with bipolar disorder
Intervention Type
Drug
Intervention Name(s)
Depakote (divalproate)
Intervention Description
Placebo and Depakote in 24-week treatment of mania in patients with bipolar disorder
Primary Outcome Measure Information:
Title
Time to recurrence of bipolar disorder from randomization
Time Frame
Throughout the study

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Mania or mixed episode of bipolar disorder according to DSM-IV Male and female between the age of 18 and 65 (In case of child-bearing women, negative pregnancy test results should be confirmed before the administration of the investigational drug and appropriate contraception be used. Pregnant and breast-feeding women cannot be included) Patients who can consent to participate in this clinical trial Patients who understand this trial and comply with all protocol requirements Patients who fulfill the following remission criteria for bipolar disorder in the two consecutive evaluation performed every week at Week 6 of 6-week study and thereafter: (Definition of remission: a score less than 12 on the YMRS total score and simultaneously a score less than 13 on the MADRS total score) Exclusion Criteria: Patients with the following clinical symptoms diagnosed using DSM-1. Patients with the following clinical symptoms diagnosed using DSM-IV: Delirium, dementia, amnestic or other cognitive disorders Schizophrenia or schizoaffective disorder Patients who do not respond to clozapine Patients who are expected to require the administration of prohibited concomitant drugs during the clinical trial period Patients diagnosed with substance-related disorder according to DSM-IV within the past 3 months (abuse, intoxication, dependency and/or withdrawal symptoms). The abuse of benzodiazepines is included with the exception of caffeine or nicotine. Patients known to have allergy or hypersensitivity reaction to Abilify(aripiprazole) or other quinolinones Patients at high risk of suicide attempt or with the history of murder or mental status test Patients with the history of neuroleptic malignant syndrome Patients with the past history which may cause serious adverse events that can affect the safety or efficacy evaluation during the clinical trial period Patients with clinically significantly abnormal laboratory results, vital sign or ECG results Pregnant women or child-bearing women who do not or cannot use appropriate contraception Patients with the history of convulsive disorder Patients judged to have decreased compliance to the investigational drugs during a 6-week trial period by an investigator Patients who commit serious protocol violation during a 6-week trial
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Won-Myong Bahk, MD
Organizational Affiliation
St Mary's Hospital, London
Official's Role
Principal Investigator
Facility Information:
Facility Name
St. Mary's Hospital
City
Seoul
Country
Korea, Republic of

12. IPD Sharing Statement

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Abilify in Bipolar Disorder for 24 Weeks Treatment Effectiveness

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