Carbamazepine Extended-Release for the Treatment of Bipolar Depression

NCT00203567 | Completed Phase 4

• 1 other identifier: TREAC Equetro in Bipolar
• Study Type: interventional
• Target: 25
• Locations: 1 country
• Sites: 1

Brief Summary

To study the efficacy and safety of beaded extended-release Carbamazepine (Equetro) in the treatment of patients with Bipolar Disorder with a Major Depressive Episode.

Conditions

Bipolar Depression

Keywords

bipolar depression; carbamazepine ER; Equetro

Outcome Measures

Primary Outcomes (1)

• To study the efficacy and safety of beaded extended-release Carbamazepine (Equetro) in the treatment of patients with Bipolar Disorder with a Major Depressive Episode.

  8 weeks

Secondary Outcomes (1)

• The treatment phase will include Mean Change from Baseline to Endpoint (Week 8 LOCF) on the CGI-BP, Q-LES-Q, and Ham-A.

  8 weeks

Study Arms (1)

Equetro

ACTIVE COMPARATOR

Equetro

Drug: carbamazepine ER

Interventions

carbamazepine ER DRUG

Active study drug, no comparator

Equetro

Eligibility Criteria

• Age: 19 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age 19 -65.
• Diagnosis of Bipolar I or II Disorder, currently experiencing a major depressive episode without psychotic features, as confirmed by the Mini International Neuropsychiatric Interview (M.I.N.I.).
• Must have experienced at least two previous mood episodes during the past 10 years, at least one of which was a hypomanic, full manic or mixed episode. The current depressive episode must be ≥ 2 weeks, but ≤ 2 years in duration.
• Must currently have clinically significant depressive symptoms as defined by a CGI-S total score of ≥ 4.
• Must have been washed out of all psychotropic medications (except for the allowed concomitant sedatives for insomnia) for their bipolar illness for at least 3 days for mood stabilizers and 1 week for antidepressants prior to study drug initiation (medications should be tapered at the investigator's discretion prior to washout), while continuing to meet entry criteria for depressive symptoms. Must be willing to discontinue all psychotropic medication (except for the allowed concomitant sedative for insomnia) during the study period.
• No substance abuse/dependence for the previous 4 weeks (except for nicotine/caffeine)
• Must give informed consent, and/or consent must be obtained from a legally acceptable representative (as required by IRB) prior to the initiation of any protocol required procedures.
• Must be able to understand the nature of the study, agree to comply with the prescribed dosage regiments, report for regularly scheduled office visits and communicate to study personnel about adverse events and concomitant medication.
• Women of childbearing potential (WOCBP) must use medically approved methods of birth control to avoid pregnancy throughout the study and for up to four weeks after completion of the study in such a manner that the risk of pregnancy is minimized. WOCBP must have a negative serum or urine pregnancy test within 72 hours prior to the start of the study.
• Male or female, any race or ethic origin

You may not qualify if:

• Patients with current diagnosis of delirium, dementia, amnestic or other cognitive disorder; schizophrenia; borderline or antisocial personality disorder; or any other mental disorder that would interfere with efficacy or safety evaluations or compliance.
• WOCBP who are unwilling or unable to use an acceptable method to avoid pregnancy for the entire study period and for up to four weeks after completion of the study. Acceptable methods include oral, injectable or implanted contraceptives, intrauterine devices or barrier methods such as condoms, diaphragm, and spermicides. Women who are pregnant or breast-feeding, or who plan to become pregnant during the study.
• Patients at significant risk of committing suicide or homicide based on history, mental status exam, or investigator's judgment.
• Patients receiving psychotherapy (individual, group, marriage, or family therapy) unless participation has been regular for at least 3 months prior to randomization.
• Patients with clinically significant thyroid pathology that would interfere with efficacy or safety evaluations and patients with a thyroid stimulating hormone (TSH) level \> 60% above the upper limit of normal. Patients who are undergoing treatment for their thyroid pathology (e.g. thyroid supplementation) should be stable for at least two months prior to randomization.
• Patients who have a history or evidence of a medical condition that would expose them to an undue risk of a significant adverse event or interfere with assessments of safety or efficacy during the course of the trial, including but not limited to hepatic, renal respiratory, cardiovascular, endocrine, neurologic, or hematologic disease as determined by the clinical judgment of the investigator.
• Patients with a history of seizures (except for a single childhood febrile seizure, posttraumatic, alcohol withdrawal) or a history of severe head trauma, or stroke.
• Patients on medications that may have serious drug-drug interactions with ERC-CBZ
• Clinically significant abnormal laboratory tests results:
• Platelets \< 75,000/mm³
• Hemoglobin \< 9g/dL
• Neutrophils, Absolute \< 1000/mm³
• SGOT (AST) \>3x Upper limit of Normal
• SGPT (ALT) \> 3x Upper Limit of Normal
• Creatinine \>2mg/dL

Sponsors & Collaborators

• Tuscaloosa Research & Education Advancement Corporation: lead
• Shire: collaborator

Study Sites (1)

Tuscaloosa Research and Education Advancement Corporation

Tuscaloosa, Alabama, 35404, United States

Location

Related Publications (1)

• Swainston Harrison T, Keating GM. Extended-release carbamazepine capsules : in bipolar I disorder. CNS Drugs. 2005;19(8):709-16. doi: 10.2165/00023210-200519080-00006.

  PMID: 16097852 BACKGROUND

MeSH Terms

Conditions

Bipolar Disorder

Condition Hierarchy (Ancestors)

Bipolar and Related Disorders; Mood Disorders; Mental Disorders

Study Officials

• Lori L Davis, MD

  Tuscaloosa Veterans Affairs Medical Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 4
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: September 12, 2005
• First Posted: September 20, 2005
• Study Start: August 1, 2005
• Primary Completion: February 1, 2007
• Study Completion: May 1, 2008
• Last Updated: June 24, 2008

Record last verified: 2008-06

Locations

US (1)