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lithium

Phase 3

Manic or Mixed Episode Associated With Bipolar I Disorder | Small molecule | Psychiatry |Eli Lilly and Company|Last Updated: Dec 28, 2010

Success Probability

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Trial Design

CONTROLLED
Total Trials1
Total Enrollment139

FDA Designations

No designations recorded

Clinical trial landscape

lithium · 1 trial · 1 indication

Phase 3 1
NCT00266630Efficacy and Safety of Olanzapine in the Extended Treatment for Manic or Mixed Episode of Bipolar I DisorderManic or Mixed Episode Associated With Bipolar I Disorder
COMPLETED139 Analytics
PHASE3COMPLETED
Efficacy and Safety of Olanzapine in the Extended Treatment for Manic or Mixed Episode of Bipolar I Disorder
Manic or Mixed Episode Associated With Bipolar I DisorderUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline to Endpoint in Young Mania Rating Scale (YMRS) Total Scores - Olanzapine Monotherapy Arm Only
baseline through 18 weeks

The YMRS is an 11-item scale that measures the severity of manic episodes. Four items are rated on a scale from 0 (symptom not present) to 8 (symptom extremely severe). The remaining items are rated on a scale from 0 (symptom not present) to 4 (symptom extremely severe). The YMRS total score ranges from 0 to 60. The primary objective was only interested in the effects in the olanzapine monotherapy arm.

Number of Participants With Response of Manic Symptoms - Olanzapine Monotherapy Arm Only
baseline through 18 weeks

Defined by a 50% or more reduction in YMRS total score from baseline in Study BMAC to endpoint. The YMRS is an 11-item scale that measures the severity of manic episodes. Four items are rated on a scale from 0 (symptom not present) to 8 (symptom extremely severe). The remaining items are rated on a scale from 0 (symptom not present) to 4 (symptom extremely severe). The YMRS total score ranges from 0 to 60. The primary objective was only interested in the effects in the olanzapine monotherapy arm.

Number of Participants With Remission of Mania - Olanzapine Monotherapy Arm Only
baseline through 18 weeks

Remission of Mania was defined as a YMRS total score of less than or equal to 12 at endpoint. The YMRS is an 11-item scale that measures the severity of manic episodes. Four items are rated on a scale from 0 (symptom not present) to 8 (symptom extremely severe). The remaining items are rated on a scale from 0 (symptom not present) to 4 (symptom extremely severe). The YMRS total score ranges from 0 to 60. The primary objective was only interested in the effects in the olanzapine monotherapy arm.

Number of Participants With Relapse of Manic Symptoms - Olanzapine Monotherapy Arm Only
baseline through 18 weeks

Patients achieved remission in Study BMAC (defined as YMRS total score \<=12 and HAMD-17 total score \<=7) and obtained YMRS total score of \>=15 at any time during Study BMEX. The YMRS is an 11-item scale that measures the severity of manic episodes. Four items are rated on a scale from 0 (symptom not present) to 8 (symptom extremely severe). The remaining items are rated on a scale from 0 (symptom not present) to 4 (symptom extremely severe). The YMRS total score ranges from 0 to 60. The primary objective was only interested in the effects in the olanzapine monotherapy arm.

Secondary Endpoints

Change From Baseline to Endpoint on the YMRS Total Score - Olanzapine + Mood Stabilizer Only
baseline through 18 weeks
Clinical Global Impressions - Bipolar Version, Severity of Illness (CGI-BP) Overall, Visit Data
baseline, Weeks 1, 2, 4, 6, 10, 14, 18
Number of Participants Who Experienced Switch to Symptomatic Depression as Measured by the Hamilton Depression Scale - 17 Item Version (HAMD-17)
baseline through 18 weeks
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Olanzapine MonotherapyEXPERIMENTALOlanzapine extension for Study BMAC patients who completed Visit 8. Patients received olanzapine 5-20 mg for 18 weeks.
Olanzapine + Mood StabilizerEXPERIMENTALOlanzapine extension for Study BMAC patients who discontinued at Visit 4 or 5. Patients received an initial dose of olanzapine 10 mg for 1 week and subsequent doses of olanzapine 5-20 mg for 17 weeks. Patients received one (1) mood stabilizer (lithium, valproate or carbamazepine) for 18 weeks.

Interventions

NameTypeDescription
olanzapineDRUGoral, daily
lithiumDRUGDose adjusted according to local package insert
valproateDRUGDose adjusted according to local package insert
carbamazepineDRUGDose adjusted according to local package insert
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Eligibility Criteria

Age Range20 Years to 65 Years
SexALL
Healthy VolunteersNo
Study Sites11

Inclusion Criteria: * Enrolled in and completed Study BMAC (NCT00129220), or those who discontinued Study BMAC at Visit 4 or Visit 5 due to lack of efficacy and for whom the Young Mania Rating Scale (YMRS) total score at the time of discontinuation was not lower than that at baseline of Study BMAC ...

Countries:Japan
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