NCT01128114

Brief Summary

The primary objective of this study is to evaluate the broad clinical benefit of dosing Seroquel XR with flexible in the treatment of acute bipolar mania patients with partial response to existing therapy. Clinical benefit will be assessed with the Clinical Global Impression-Clinical Benefit (CGI-CB) score, according to a classification based on the principles outlined in the CGI efficacy index. Improvement in clinical benefit will be defined as a decrease from baseline in CGI-CB.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
32

participants targeted

Target at below P25 for phase_4

Timeline
Completed

Started Jun 2010

Shorter than P25 for phase_4

Geographic Reach
1 country

11 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 20, 2010

Completed
1 day until next milestone

First Posted

Study publicly available on registry

May 21, 2010

Completed
11 days until next milestone

Study Start

First participant enrolled

June 1, 2010

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2011

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2011

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

April 10, 2012

Completed
Last Updated

April 17, 2012

Status Verified

April 1, 2012

Enrollment Period

9 months

First QC Date

May 20, 2010

Results QC Date

May 24, 2011

Last Update Submit

April 11, 2012

Conditions

Keywords

Acute bipolar maniaSeroquel XRQuetiapine fumarateAdd-on therapy

Outcome Measures

Primary Outcomes (1)

  • The Proportion of Patients With Improvement From Baseline to Week 4 in Clinical Global Impression-Clinical Benefit Score (LOCF)

    CGI-CB is used to evaluate the investigator's global weighted impression of efficacy and interference of adverse event from baseline to every visit. Improvement in clinical benefit is defined as a decrease from baseline in CGI-CB. Rank 1 denotes best possible benefit from new treatment and rank 10 indicates that there is no benefit from treatment.

    Baseline, week 4

Secondary Outcomes (3)

  • The Mean Change From Baseline to Week 4 in - YMRS (Young Mania Rating Scale) Total Score

    Baseline, week 4

  • The CGI-I (Clinical Global Impression-Improvement of Illness) Change From Baseline to Week 4

    Baseline, week 4

  • The Mean Change From Baseline to Week 4 in CGI-S (Clinical Global Impression-Severity of Illness) Score

    Baseline, week 4

Study Arms (1)

Quetiapine XR

EXPERIMENTAL

Quetiapine fumarate (Seroquel XR)

Drug: Quetiapine fumarate (Seroquel XR)

Interventions

Extended Release(XR) 50 mg, 200 mg, 300 mg and/or 400 mg tablet, oral, once daily in the evening, from assignment to the end of the study.

Also known as: Seroquel XR tablet
Quetiapine XR

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Documented clinical diagnosis meeting the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) criteria (1. Bipolar I Disorder, manic or mixed type with/without psychotic feature, 2. Diagnosis should be confirmed by the Mini Inte)
  • Currently on Lithium/Valproate without antipsychotics more than 3 weeks consecutive treatment YMRS total score ≥16 at study entry

You may not qualify if:

  • Non-response to antipsychotic treatments for manic symptoms in previous episodes
  • A patient with Diabetes Mellitus (DM) fulfilling one of the following criteria (1. Unstable DM defined as enrolment glycosylated hemoglobin (HbA1c) \>8.5%, 2. Admitted to hospital for treatment of DM or DM related illness in past 12 weeks, etc)
  • An absolute neutrophil count (ANC) of 1.5 x 10\^9 per liter

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (11)

Research Site

Junam, Choongnam, South Korea

Location

Research Site

Cheonan, Chungcheongnam-do, South Korea

Location

Research Site

Chuncheon, Gangwondo, South Korea

Location

Research Site

Bucheon-si, Gueonggido, South Korea

Location

Research Site

Suwon, Gyeonggi-do, South Korea

Location

Research Site

Gyeongju, Gyeongsangbuk-do, South Korea

Location

Research Site

Yongsan-gu, Seoul, South Korea

Location

Research Site

Daejeon, South Korea

Location

Research Site

Gyungbook, South Korea

Location

Research Site

Naju, South Korea

Location

Research Site

Seoul, South Korea

Location

MeSH Terms

Interventions

Quetiapine Fumarate

Intervention Hierarchy (Ancestors)

DibenzothiazepinesThiazepinesThiepinsSulfur CompoundsOrganic ChemicalsHeterocyclic Compounds, 3-RingHeterocyclic Compounds, Fused-RingHeterocyclic Compounds

Limitations and Caveats

In March 2011, considering the low patient inclusion rate (32 patients recruited so far whereas study objective was 125 patients for 85 completers), the study was ended prematurely earlier than the planned date. No analysis was conducted afterwards.

Results Point of Contact

Title
Gerard Lynch
Organization
AstraZeneca

Study Officials

  • Joon Woo Bahn

    AstraZeneca

    STUDY CHAIR
  • Won-Myong Bahk, MD

    St.Mary's hospital, The Catholic University of Korea

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 4
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 20, 2010

First Posted

May 21, 2010

Study Start

June 1, 2010

Primary Completion

March 1, 2011

Study Completion

March 1, 2011

Last Updated

April 17, 2012

Results First Posted

April 10, 2012

Record last verified: 2012-04

Locations