Status:

TERMINATED

Treatment Study of Bipolar Depression

Lead Sponsor:

Icahn School of Medicine at Mount Sinai

Conditions:

Bipolar Disorder

Eligibility:

All Genders

21-70 years

Phase:

PHASE4

Brief Summary

The purpose of this study is to determine whether a single intravenous administration of an N-methyl-D-aspartate antagonist is safe and effective for the acute treatment of bipolar depression.

Detailed Description

Bipolar disorder (BPD) is a common, recurrent, and disabling medical condition. Although mania is the defining feature of BPD, depression represents the majority of illness burden in patients with thi...

Eligibility Criteria

Inclusion

  • Male or female patients, 21-70 years;
  • Primary diagnosis of bipolar I or II disorder as assessed by the SCID-P and confirmed by a study psychiatrist;
  • Current depressive episode ≥ 8 weeks duration;
  • History of a failure to respond to at least three (3) adequate pharmacotherapy trials in the current depressive episode (see above for definition for adequate trials);
  • Subjects must be on a stable dose of divalproex ER with serum levels greater than 55 mcg/ml prior to enrollment;
  • Subjects must be free of psychotropic medication for at least 2 weeks (4 weeks for fluoxetine) prior to enrollment (with the exception of divalproex ER as above);
  • Subjects must have scored ≥ 32 on the IDS-C30 at both Screening and Infusion Day #1 and #2;

Exclusion

  • Women who plan to become pregnant, are pregnant or are breast-feeding;
  • Any unstable medical illness including hepatic, renal, gastroenterologic, respiratory, cardiovascular, endocrinologic, neurologic, immunologic, or hematologic disease;
  • Clinically significant abnormal findings of laboratory parameters, physical examination, or ECG;
  • Lifetime history of schizophrenia, schizoaffective disorder, OCD, mental retardation, pervasive developmental disorders, or Tourette's syndrome;
  • Current presence of psychotic, mixed or manic symptoms;
  • Lifetime history of antidepressant-induced switch to a manic episode;
  • History of rapid cycling bipolar subtype;
  • Drug or alcohol abuse within the preceding 3 months or dependence within the preceding 5 years;
  • Lifetime exposure to ketamine or phencyclidine;
  • Patients judged by study investigator to be at high risk for suicide.

Key Trial Info

Start Date :

July 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 1 2009

Estimated Enrollment :

1 Patients enrolled

Trial Details

Trial ID

NCT00947791

Start Date

July 1 2009

End Date

October 1 2009

Last Update

May 17 2017

Active Locations (1)

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1

Mount Sinai School of Medicine

New York, New York, United States, 10029