Treatment of Mania Symptoms With Drug Therapy

Sponsor
Palo Alto Veterans Institute for Research (Other)
Overall Status
Completed
CT.gov ID
NCT00183443
Collaborator
National Institute of Mental Health (NIMH) (NIH)
75
1
3
69
1.1

Study Details

Study Description

Brief Summary

This study will determine the effectiveness of three different drug therapies in treating the symptoms of mania.

Condition or Disease Intervention/Treatment Phase
Phase 3

Detailed Description

Mania is a serious condition characterized by extreme excitement, mental and physical hyperactivity, insomnia, and disconnected thoughts. Symptoms of mania are common in patients with schizophrenia or bipolar disorder. When associated with these conditions, mania reaches psychotic proportions and often includes hallucinations, paranoia, and feelings of omnipotence. Such symptoms may put individuals with mania and those around them at risk for physical harm. Drug therapies that can safely and effectively treat symptoms of mania are needed. This study will compare three drug combinations in their ability to treat symptoms of mania in people with schizophrenia or bipolar I disorder.

This study will comprise a 12-week acute phase and a 14-week continuation phase. While the acute phase is the primary component of this study, the continuation phase will provide extended data on the characteristics and course of responders to the initial treatment combinations. Results from the continuation phase will be reported elsewhere. In the acute phase, participants will be randomly assigned to receive one of three treatments: divalproex-extended release (DV-ER) and lithium, DV-ER and quetiapine, or DV-ER and placebo. Participants will receive their intervention for 12 weeks. Participants will have weekly study visits for the first 4 weeks of the acute phase; biweekly study visits will occur for the following 8 weeks. After the acute phase, participants who have not responded to their drug regimen will complete their participation in the study.

Participants whose symptoms of mania have decreased will be offered enrollment in the 14-week continuation phase, during which time participants will continue the drug regimen they began in the acute phase. Participants will have biweekly study visits in the continuation phase. During each study visit in both phases, participants will be interviewed about their mania symptoms. Mania, depression, quality of life, and overall functioning scales will assess participants at study entry, at the end of the acute phase, and at the end of the continuation phase. Participants over 50 years of age will have an electrocardiogram (EKG) at study entry to determine cardiac function.

Study Design

Study Type:
Interventional
Actual Enrollment :
75 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
Divalproex Extended Release and Placebo, Lithium, or Quetiapine for Mania
Study Start Date :
Feb 1, 2005
Actual Primary Completion Date :
Nov 1, 2010
Actual Study Completion Date :
Nov 1, 2010

Arms and Interventions

Arm Intervention/Treatment
Placebo Comparator: DVP + placebo

Participants will receive divalproex ER at a therapeutic dose, plus placebo

Drug: Divalproex-extended release (DVP-ER)
Divalproex ER will be given in 250 mg or 500 mg tablets. Dosing is once a day, every day, for the duration of study participation, either 12 or 26 weeks.
Other Names:
  • depakote ER
  • Active Comparator: DVP + Quetiapine

    Participants will receive divalproex ER at a therapeutic dose, plus quetiapine up to 800 mg

    Drug: Divalproex-extended release (DVP-ER)
    Divalproex ER will be given in 250 mg or 500 mg tablets. Dosing is once a day, every day, for the duration of study participation, either 12 or 26 weeks.
    Other Names:
  • depakote ER
  • Drug: Quetiapine
    Quetiapine will be dosed to efficacy, provided in 50 mg, 100 mg, 200 mg, or 300 mg pills.
    Other Names:
  • Seroquel
  • Active Comparator: DVP + Lithium

    Participants will receive divalproex ER at a therapeutic dose, plus lithium at a therapeutic blood level

    Drug: Divalproex-extended release (DVP-ER)
    Divalproex ER will be given in 250 mg or 500 mg tablets. Dosing is once a day, every day, for the duration of study participation, either 12 or 26 weeks.
    Other Names:
  • depakote ER
  • Drug: Lithium
    Extended release lithium will be provided in 300 mg capsules. Participants will be dosed to a therapeutic blood level of lithium from 0.8 to 1.2 mcg/L.
    Other Names:
  • Lithobid
  • Outcome Measures

    Primary Outcome Measures

    1. Symptoms of Mania, as Measured by Young Mania Rating Scale [Week 12]

      Symptoms of mania, as measured by Young Mania Rating Scale. The scale is eleven-item multiple choice diagnostic questionnaire (range 0-60), which psychiatrists use to measure the severity of manic episodes in children and young adults. Typically, 20 is the minimum score required for mania. Higher scores represent increased severity of mania symptoms.

    Secondary Outcome Measures

    1. Hamilton Rating Scale for Depression (HAM-D,17) [Week 12]

      The Hamilton Rating Scale for Depression is a multiple item questionnaire used to provide an indication of depression, and as a guide to evaluate recovery. The questionnaire is designed for adults and is used to rate the severity of their depression by probing mood, feelings of guilt, suicide ideation, insomnia, agitation or retardation, anxiety, weight loss, and somatic symptoms. The 17-item Likert-type scale (range 0-50) includes eight questions with a 5-point scale (ranging from 0=not present to 4=severe) and nine items scored from 0 to 2. Higher scores indicate increased depression severity. The total sum of these 17 answers is used to arrive at the final score: normal (0-7), mild (8-13), moderate (14-18), severe (19-22), or very severe (>=23).

    2. Clinical Global Impression Scale for Bipolar Disorder (CGI-BD) [Week 12]

      The Clinical Global Impression (CGI) rating scale was modified by Spearing and colleagues (1997) for use in bipolar disorder. CGI scales are measures of symptom severity, treatment response and the efficacy of treatments in treatment studies of patients with mental disorders. The revised CGI-Bipolar Version (CGI-BP) is effective in rating severity of manic and depressive episodes and the degree of change from the immediately preceding phase and from the worst phase of illness. The CGI-BP is rated on a 7-point scale, with the severity of illness scale using a range of responses from 1 (normal, not ill) to 7 (very severely ill). Each component of the CGI is rated separately; the instrument does not yield a global score. Only severity of illness scores are reported. Increased scores represent increased illness severity

    3. Global Assessment of Functioning [Week 12]

      The Global Assessment of Functioning (GAF) is a numeric scale used by mental health clinicians and physicians to rate subjectively the social, occupational, and psychological functioning of an individual, e.g., how well one is meeting various problems-in-living. Scores range from 100 (extremely high functioning) to 1 (severely impaired).

    4. Social and Occupational Functioning Assessment Scale (SOFAS) [Week 12]

      The Social and Occupational Functioning Assessment Scale (SOFAS) provides a rating of global social and occupational function independent of clinical symptoms. SOFAS is provided in the Diagnostic and Statistical Manual (DSM-IV) as an Axis V measure. The SOFAS is a global rating of current functioning, which is scored positively on a scale from 0 to 100. Higher scores represent higher levels of functioning. This instrument is a one-item rating of consumer functioning.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 65 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Diagnosis of bipolar I disorder or schizophrenia

    • Experiencing symptoms of mania at study entry

    • Able to speak and understand English

    • Willing and able to comply with all study requirements

    Exclusion Criteria:
    • History of partial response or nonresponse to any of the drugs or drug combinations given in this study

    • History of intolerance to DVP, DVP-ER, lithium, or quetiapine

    • Disorders that would contraindicate the use of DV, DV-ER, lithium, or quetiapine

    • Use of antidepressants within 1 month prior to study entry

    • Use of fluoxetine within 3 months prior to study entry

    • Impaired cardiac function, as evidenced by abnormal EKG in participants 50 or over

    • Unstable medical illness within 2 months prior to study entry

    • At risk for suicide

    • Substance abuse or dependence within 1 month prior to study entry

    • Pregnancy, breastfeeding, or plans to become pregnant during the study

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 VA Palo Alto Health Care System Palo Alto California United States 94304

    Sponsors and Collaborators

    • Palo Alto Veterans Institute for Research
    • National Institute of Mental Health (NIMH)

    Investigators

    • Principal Investigator: Trisha Suppes, MD, PhD, Stanford School of Medicine and VA Palo Alto Health Care System

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Patricia Suppes, Director, Bipolar and Depression Research Program, National Institute of Mental Health (NIMH)
    ClinicalTrials.gov Identifier:
    NCT00183443
    Other Study ID Numbers:
    • SUP0001AGG/ADO
    • R01MH069801
    • DSIR 83-ATSO
    First Posted:
    Sep 16, 2005
    Last Update Posted:
    Jul 17, 2018
    Last Verified:
    Jun 1, 2018
    Keywords provided by Patricia Suppes, Director, Bipolar and Depression Research Program, National Institute of Mental Health (NIMH)
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title DVP + Placebo DVP + Quetiapine DVP + Lithium
    Arm/Group Description Participants will receive divalproex ER at a therapeutic dose, plus placebo Divalproex-extended release (DVP-ER): Divalproex ER will be given in 250 mg or 500 mg tablets. Dosing is once a day, every day, for the duration of study participation, either 12 or 26 weeks. Participants will receive divalproex ER at a therapeutic dose, plus quetiapine up to 800 mg Divalproex-extended release (DVP-ER): Divalproex ER will be given in 250 mg or 500 mg tablets. Dosing is once a day, every day, for the duration of study participation, either 12 or 26 weeks. Quetiapine: Quetiapine will be dosed to efficacy, provided in 50 mg, 100 mg, 200 mg, or 300 mg pills. Participants will receive divalproex ER at a therapeutic dose, plus lithium at a therapeutic blood level Divalproex-extended release (DVP-ER): Divalproex ER will be given in 250 mg or 500 mg tablets. Dosing is once a day, every day, for the duration of study participation, either 12 or 26 weeks. Lithium: Extended release lithium will be provided in 300 mg capsules. Participants will be dosed to a therapeutic blood level of lithium from 0.8 to 1.2 mcg/L.
    Period Title: Overall Study
    STARTED 24 26 25
    COMPLETED 24 26 25
    NOT COMPLETED 0 0 0

    Baseline Characteristics

    Arm/Group Title DVP + Placebo DVP + Quetiapine DVP + Lithium Total
    Arm/Group Description Participants will receive divalproex ER at a therapeutic dose, plus placebo Divalproex-extended release (DVP-ER): Divalproex ER will be given in 250 mg or 500 mg tablets. Dosing is once a day, every day, for the duration of study participation, either 12 or 26 weeks. Participants will receive divalproex ER at a therapeutic dose, plus quetiapine up to 800 mg Divalproex-extended release (DVP-ER): Divalproex ER will be given in 250 mg or 500 mg tablets. Dosing is once a day, every day, for the duration of study participation, either 12 or 26 weeks. Quetiapine: Quetiapine will be dosed to efficacy, provided in 50 mg, 100 mg, 200 mg, or 300 mg pills. Participants will receive divalproex ER at a therapeutic dose, plus lithium at a therapeutic blood level Divalproex-extended release (DVP-ER): Divalproex ER will be given in 250 mg or 500 mg tablets. Dosing is once a day, every day, for the duration of study participation, either 12 or 26 weeks. Lithium: Extended release lithium will be provided in 300 mg capsules. Participants will be dosed to a therapeutic blood level of lithium from 0.8 to 1.2 mcg/L. Total of all reporting groups
    Overall Participants 24 26 25 75
    Age (Count of Participants)
    <=18 years
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Between 18 and 65 years
    24
    100%
    26
    100%
    25
    100%
    75
    100%
    >=65 years
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    39.5
    (11.6)
    33.1
    (9.8)
    34.9
    (9.0)
    35.6
    (10.3)
    Sex: Female, Male (Count of Participants)
    Female
    10
    41.7%
    16
    61.5%
    12
    48%
    38
    50.7%
    Male
    14
    58.3%
    10
    38.5%
    13
    52%
    37
    49.3%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    2
    8.3%
    1
    3.8%
    4
    16%
    7
    9.3%
    Not Hispanic or Latino
    22
    91.7%
    25
    96.2%
    21
    84%
    68
    90.7%
    Unknown or Not Reported
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Region of Enrollment (participants) [Number]
    United States
    24
    100%
    26
    100%
    25
    100%
    75
    100%
    Mean Number of Lifetime Episodes of Depression (episodes of depression) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [episodes of depression]
    3.4
    (1.0)
    3.5
    (1.3)
    3.7
    (0.9)
    3.5
    (1.1)

    Outcome Measures

    1. Primary Outcome
    Title Symptoms of Mania, as Measured by Young Mania Rating Scale
    Description Symptoms of mania, as measured by Young Mania Rating Scale. The scale is eleven-item multiple choice diagnostic questionnaire (range 0-60), which psychiatrists use to measure the severity of manic episodes in children and young adults. Typically, 20 is the minimum score required for mania. Higher scores represent increased severity of mania symptoms.
    Time Frame Week 12

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title DVP + Placebo DVP + Quetiapine DVP + Lithium
    Arm/Group Description Participants will receive divalproex ER at a therapeutic dose, plus placebo Divalproex-extended release (DVP-ER): Divalproex ER will be given in 250 mg or 500 mg tablets. Dosing is once a day, every day, for the duration of study participation, either 12 or 26 weeks. Participants will receive divalproex ER at a therapeutic dose, plus quetiapine up to 800 mg Divalproex-extended release (DVP-ER): Divalproex ER will be given in 250 mg or 500 mg tablets. Dosing is once a day, every day, for the duration of study participation, either 12 or 26 weeks. Quetiapine: Quetiapine will be dosed to efficacy, provided in 50 mg, 100 mg, 200 mg, or 300 mg pills. Participants will receive divalproex ER at a therapeutic dose, plus lithium at a therapeutic blood level Divalproex-extended release (DVP-ER): Divalproex ER will be given in 250 mg or 500 mg tablets. Dosing is once a day, every day, for the duration of study participation, either 12 or 26 weeks. Lithium: Extended release lithium will be provided in 300 mg capsules. Participants will be dosed to a therapeutic blood level of lithium from 0.8 to 1.2 mcg/L.
    Measure Participants 24 26 25
    Mean (Standard Deviation) [units on a scale]
    5.7
    (5.5)
    11.1
    (7.8)
    10.0
    (6.9)
    2. Secondary Outcome
    Title Hamilton Rating Scale for Depression (HAM-D,17)
    Description The Hamilton Rating Scale for Depression is a multiple item questionnaire used to provide an indication of depression, and as a guide to evaluate recovery. The questionnaire is designed for adults and is used to rate the severity of their depression by probing mood, feelings of guilt, suicide ideation, insomnia, agitation or retardation, anxiety, weight loss, and somatic symptoms. The 17-item Likert-type scale (range 0-50) includes eight questions with a 5-point scale (ranging from 0=not present to 4=severe) and nine items scored from 0 to 2. Higher scores indicate increased depression severity. The total sum of these 17 answers is used to arrive at the final score: normal (0-7), mild (8-13), moderate (14-18), severe (19-22), or very severe (>=23).
    Time Frame Week 12

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title DVP + Placebo DVP + Quetiapine DVP + Lithium
    Arm/Group Description Participants will receive divalproex ER at a therapeutic dose, plus placebo Divalproex-extended release (DVP-ER): Divalproex ER will be given in 250 mg or 500 mg tablets. Dosing is once a day, every day, for the duration of study participation, either 12 or 26 weeks. Participants will receive divalproex ER at a therapeutic dose, plus quetiapine up to 800 mg Divalproex-extended release (DVP-ER): Divalproex ER will be given in 250 mg or 500 mg tablets. Dosing is once a day, every day, for the duration of study participation, either 12 or 26 weeks. Quetiapine: Quetiapine will be dosed to efficacy, provided in 50 mg, 100 mg, 200 mg, or 300 mg pills. Participants will receive divalproex ER at a therapeutic dose, plus lithium at a therapeutic blood level Divalproex-extended release (DVP-ER): Divalproex ER will be given in 250 mg or 500 mg tablets. Dosing is once a day, every day, for the duration of study participation, either 12 or 26 weeks. Lithium: Extended release lithium will be provided in 300 mg capsules. Participants will be dosed to a therapeutic blood level of lithium from 0.8 to 1.2 mcg/L.
    Measure Participants 24 26 25
    Mean (Standard Deviation) [units on a scale]
    13.2
    (11.6)
    18.3
    (9.2)
    18.8
    (11.0)
    3. Secondary Outcome
    Title Clinical Global Impression Scale for Bipolar Disorder (CGI-BD)
    Description The Clinical Global Impression (CGI) rating scale was modified by Spearing and colleagues (1997) for use in bipolar disorder. CGI scales are measures of symptom severity, treatment response and the efficacy of treatments in treatment studies of patients with mental disorders. The revised CGI-Bipolar Version (CGI-BP) is effective in rating severity of manic and depressive episodes and the degree of change from the immediately preceding phase and from the worst phase of illness. The CGI-BP is rated on a 7-point scale, with the severity of illness scale using a range of responses from 1 (normal, not ill) to 7 (very severely ill). Each component of the CGI is rated separately; the instrument does not yield a global score. Only severity of illness scores are reported. Increased scores represent increased illness severity
    Time Frame Week 12

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title DVP + Placebo DVP + Quetiapine DVP + Lithium
    Arm/Group Description Participants will receive divalproex ER at a therapeutic dose, plus placebo Divalproex-extended release (DVP-ER): Divalproex ER will be given in 250 mg or 500 mg tablets. Dosing is once a day, every day, for the duration of study participation, either 12 or 26 weeks. Participants will receive divalproex ER at a therapeutic dose, plus quetiapine up to 800 mg Divalproex-extended release (DVP-ER): Divalproex ER will be given in 250 mg or 500 mg tablets. Dosing is once a day, every day, for the duration of study participation, either 12 or 26 weeks. Quetiapine: Quetiapine will be dosed to efficacy, provided in 50 mg, 100 mg, 200 mg, or 300 mg pills. Participants will receive divalproex ER at a therapeutic dose, plus lithium at a therapeutic blood level Divalproex-extended release (DVP-ER): Divalproex ER will be given in 250 mg or 500 mg tablets. Dosing is once a day, every day, for the duration of study participation, either 12 or 26 weeks. Lithium: Extended release lithium will be provided in 300 mg capsules. Participants will be dosed to a therapeutic blood level of lithium from 0.8 to 1.2 mcg/L.
    Measure Participants 24 26 25
    Mean (Standard Deviation) [units on a scale]
    1.58
    (1.02)
    2.54
    (1.33)
    2.32
    (1.35)
    4. Secondary Outcome
    Title Global Assessment of Functioning
    Description The Global Assessment of Functioning (GAF) is a numeric scale used by mental health clinicians and physicians to rate subjectively the social, occupational, and psychological functioning of an individual, e.g., how well one is meeting various problems-in-living. Scores range from 100 (extremely high functioning) to 1 (severely impaired).
    Time Frame Week 12

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title DVP + Placebo DVP + Quetiapine DVP + Lithium
    Arm/Group Description Participants will receive divalproex ER at a therapeutic dose, plus placebo Divalproex-extended release (DVP-ER): Divalproex ER will be given in 250 mg or 500 mg tablets. Dosing is once a day, every day, for the duration of study participation, either 12 or 26 weeks. Participants will receive divalproex ER at a therapeutic dose, plus quetiapine up to 800 mg Divalproex-extended release (DVP-ER): Divalproex ER will be given in 250 mg or 500 mg tablets. Dosing is once a day, every day, for the duration of study participation, either 12 or 26 weeks. Quetiapine: Quetiapine will be dosed to efficacy, provided in 50 mg, 100 mg, 200 mg, or 300 mg pills. Participants will receive divalproex ER at a therapeutic dose, plus lithium at a therapeutic blood level Divalproex-extended release (DVP-ER): Divalproex ER will be given in 250 mg or 500 mg tablets. Dosing is once a day, every day, for the duration of study participation, either 12 or 26 weeks. Lithium: Extended release lithium will be provided in 300 mg capsules. Participants will be dosed to a therapeutic blood level of lithium from 0.8 to 1.2 mcg/L.
    Measure Participants 24 26 25
    Mean (Standard Deviation) [units on a scale]
    68.3
    (13.4)
    62.3
    (11.1)
    60.8
    (10.4)
    5. Secondary Outcome
    Title Social and Occupational Functioning Assessment Scale (SOFAS)
    Description The Social and Occupational Functioning Assessment Scale (SOFAS) provides a rating of global social and occupational function independent of clinical symptoms. SOFAS is provided in the Diagnostic and Statistical Manual (DSM-IV) as an Axis V measure. The SOFAS is a global rating of current functioning, which is scored positively on a scale from 0 to 100. Higher scores represent higher levels of functioning. This instrument is a one-item rating of consumer functioning.
    Time Frame Week 12

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title DVP + Placebo DVP + Quetiapine DVP + Lithium
    Arm/Group Description Participants will receive divalproex ER at a therapeutic dose, plus placebo Divalproex-extended release (DVP-ER): Divalproex ER will be given in 250 mg or 500 mg tablets. Dosing is once a day, every day, for the duration of study participation, either 12 or 26 weeks. Participants will receive divalproex ER at a therapeutic dose, plus quetiapine up to 800 mg Divalproex-extended release (DVP-ER): Divalproex ER will be given in 250 mg or 500 mg tablets. Dosing is once a day, every day, for the duration of study participation, either 12 or 26 weeks. Quetiapine: Quetiapine will be dosed to efficacy, provided in 50 mg, 100 mg, 200 mg, or 300 mg pills. Participants will receive divalproex ER at a therapeutic dose, plus lithium at a therapeutic blood level Divalproex-extended release (DVP-ER): Divalproex ER will be given in 250 mg or 500 mg tablets. Dosing is once a day, every day, for the duration of study participation, either 12 or 26 weeks. Lithium: Extended release lithium will be provided in 300 mg capsules. Participants will be dosed to a therapeutic blood level of lithium from 0.8 to 1.2 mcg/L.
    Measure Participants 24 26 25
    Mean (Standard Deviation) [units on a scale]
    68.2
    (13.7)
    62.1
    (11.9)
    59.8
    (11.8)

    Adverse Events

    Time Frame
    Adverse Event Reporting Description
    Arm/Group Title DVP + Placebo DVP + Quetiapine DVP + Lithium
    Arm/Group Description Participants will receive divalproex ER at a therapeutic dose, plus placebo Divalproex-extended release (DVP-ER): Divalproex ER will be given in 250 mg or 500 mg tablets. Dosing is once a day, every day, for the duration of study participation, either 12 or 26 weeks. Participants will receive divalproex ER at a therapeutic dose, plus quetiapine up to 800 mg Divalproex-extended release (DVP-ER): Divalproex ER will be given in 250 mg or 500 mg tablets. Dosing is once a day, every day, for the duration of study participation, either 12 or 26 weeks. Quetiapine: Quetiapine will be dosed to efficacy, provided in 50 mg, 100 mg, 200 mg, or 300 mg pills. Participants will receive divalproex ER at a therapeutic dose, plus lithium at a therapeutic blood level Divalproex-extended release (DVP-ER): Divalproex ER will be given in 250 mg or 500 mg tablets. Dosing is once a day, every day, for the duration of study participation, either 12 or 26 weeks. Lithium: Extended release lithium will be provided in 300 mg capsules. Participants will be dosed to a therapeutic blood level of lithium from 0.8 to 1.2 mcg/L.
    All Cause Mortality
    DVP + Placebo DVP + Quetiapine DVP + Lithium
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN) / (NaN)
    Serious Adverse Events
    DVP + Placebo DVP + Quetiapine DVP + Lithium
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/24 (0%) 0/26 (0%) 0/25 (0%)
    Other (Not Including Serious) Adverse Events
    DVP + Placebo DVP + Quetiapine DVP + Lithium
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 7/24 (29.2%) 1/26 (3.8%) 1/25 (4%)
    General disorders
    Sedation 1/24 (4.2%) 9 1/26 (3.8%) 21 1/25 (4%) 2
    Metabolism and nutrition disorders
    Increased Appetite 7/24 (29.2%) 11 1/26 (3.8%) 12 1/25 (4%) 12

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

    Results Point of Contact

    Name/Title Dr. Patricia Suppes
    Organization Stanford University
    Phone 6504935000 ext 62567
    Email tsuppes@Stanford.edu
    Responsible Party:
    Patricia Suppes, Director, Bipolar and Depression Research Program, National Institute of Mental Health (NIMH)
    ClinicalTrials.gov Identifier:
    NCT00183443
    Other Study ID Numbers:
    • SUP0001AGG/ADO
    • R01MH069801
    • DSIR 83-ATSO
    First Posted:
    Sep 16, 2005
    Last Update Posted:
    Jul 17, 2018
    Last Verified:
    Jun 1, 2018