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The purpose of this study is to determine if ziprasidone plus a mood stabilizer will continue to be a safe and effective treatment regimen for adults with Bipolar I Disorder (manic or mixed symptoms) after they have achieved 8 consecutive weeks of symptom improvement on the regimen.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ziprasidone | Experimental | Active treatment, double-blind, randomized arm |
|
| Placebo | Placebo Comparator | Placebo treatment, double-blind, randomized arm |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Placebo | Drug | Oral capsule formulation: Patients will be treated initially with open-label ziprasidone in the range of 40-80 mg BID (twice a day) for at least 10 weeks and up to 16 weeks. Patients who achieve a stable treatment regimen and whose symptoms stabilize for 8 consecutive weeks by Week 16 (Week 10 at the earliest) will be randomized. Patients randomized to placebo will be tapered off the open-label ziprasidone by 20 mg BID every 2 days (in a double-blinded manner) until they are completely off ziprasidone and are on matching placebo capsules for up to 24 weeks of double-blind treatment. |
| Measure | Description | Time Frame |
|---|---|---|
| Time to Intervention for a Mood Episode During Double Blind Period | Time to Intervention for Mood Episode (TIME) while on randomized drug after at least 8 weeks of symptom reduction on open-label ziprasidone plus mood stabilizer. Mood episode considered to have occurred and subject discontinued if one or more of the following: Investigator (INV) decides discontinuation is in best interest of subject; loss of effect and/or change to treatment regimen (INV judgment); subject hospitalized for disease under study; Mania Rating Scale (MRS) and/or Montgomery-Asberg Rating Scale (MADRS) rating is ≥18 for 2 consecutive visits scheduled no more than 10 days apart. | Period 2: 24 weeks or time of early termination |
| Measure | Description | Time Frame |
|---|---|---|
| Time to Discontinuation for Any Reason During Double Blind Period 2 | Key Secondary endpoint is time to discontinuation for any reason. Profile of patients remaining in the trial over time. | Period 2: 24 weeks or time of early termination |
| Modified Time to Intervention for a Mood Episode (TIME) |
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Inclusion Criteria:
Adults meeting DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition) criteria for Bipolar I Disorder (currently with manic or mixed symptoms)
Exclusion Criteria:
Ultra rapid cyclers and subjects with significant cardiovascular disease including history of QT prolongation and/or congenital long QT syndrome
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| Name | Affiliation | Role |
|---|---|---|
| Pfizer CT.gov Call Center | Pfizer | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pfizer Investigational Site | Birmingham | Alabama | 35226 | United States | ||
| Pfizer Investigational Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 20122373 | Derived | Bowden CL, Vieta E, Ice KS, Schwartz JH, Wang PP, Versavel M. Ziprasidone plus a mood stabilizer in subjects with bipolar I disorder: a 6-month, randomized, placebo-controlled, double-blind trial. J Clin Psychiatry. 2010 Feb;71(2):130-7. doi: 10.4088/JCP.09m05482yel. Epub 2010 Jan 26. |
| Label | URL |
|---|---|
| To obtain contact information for a study center near you, click here. | View source |
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Period 1:open label stabilization (ziprasidone plus lithium or valproic acid mood stabilizer). Period 2:subjects stabilized for 8 weeks randomized to blinded treatment (ziprasidone plus mood stabilizer or placebo plus mood stabilizer). 241 completed Period 1, 238 summarized in Period 2: 1 subject not randomized to Period 2, 2 excluded as per note.
Trial intended to be outpatient trial. Patients hospitalized at the screening visit due to disease under study were to be stable enough for outpatient status within approximately 5 days.
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| ID | Title | Description |
|---|---|---|
| FG000 | Period 1 Open Label Ziprasidone | 40 - 80 milligram (mg) ziprasidone twice/day (BID) plus mood stabilizer. Dose adjusted on basis of toleration and efficacy. |
| FG001 | Ziprasidone |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Period 1 Open Label Ziprasidone |
|
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|
| Ziprasidone Oral Capsule | Drug | Oral capsule formulation: Patients will be treated initially with open-label ziprasidone in the range of 40-80 mg BID for at least 10 weeks and up to 16 weeks. Patients who achieve a stable treatment regimen and whose symptoms stabilize for 8 consecutive weeks by Week 16 (Week 10 at the earliest) will be randomized. Patients randomized to ziprasidone will continue to receive the same stable treatment regimen achieved during the open-label treatment, ie, either 40 mg BID, 60 mg BID or 80 mg BID for up to 24 weeks of double-blind treatment. |
|
|
Time to intervention for a mood episode or time to discontinuation for treatment related adverse events, or death due to drug, or death due to disease. Mood episode considered to have occurred and subject discontinued if one or more of the following: Investigator (INV) decides discontinuation is in best interest of subject; loss of effect and/or change to treatment regimen (INV judgment); subject hospitalized for disease under study; Mania Rating Scale (MRS) and/or Montgomery-Asberg Rating Scale (MADRS) rating is ≥18 for 2 consecutive visits scheduled no more than 10 days apart. |
| Period 2: Week 24 or time of early termination |
| Change From Baseline in Mania Rating Scale (MRS) by Visit During Double Blind Period | Period 2 Baseline = last observation in Period 1 to the start of Period 2. MRS is 11-item scale to measure mania; derived from Schedule for Affective Disorders and Schizophrenia-Change Behavior (SADS-CB). Subscales: Manic Syndrome (elevated mood, less need for sleep, excessive energy and activity, grandiosity), Behavior and Ideation (irritability, motor hyperactivity, accelerated speech, racing thoughts, poor judgment), and Impaired Insight. Racing thoughts range=0 to 2 (highest level of abnormal=2); all other items 0 to 5 (highest level of abnormal=5). Higher score = greater abnormality. | Period 2: Weeks 1 - 24 or time of early termination |
| Change From Baseline in Clinical Global Impression Severity (CGI-S) Score by Visit During Double Blind Period | Baseline for Period 2 is the last observation in Period 1 to the start of Period 2. Clinical Global Impression Severity Score is 7-item scale rates severity of illness from 0=not assessed, 1= normal to 7=most extremely ill. | Period 2: Weeks 1 - 24 or time of early termination |
| Clinical Global Impression - Improvement (CGI-I) Score by Visit During Double Blind Period | Clinical Global Impression measures 7 items in Global assessment of improvement in patient's condition; 0=not assessed, 1= very much improved to 7= very much worse. | Period 2: Weeks 1 - 24 or time of early termination |
| Change From Baseline in Montgomery-Asberg Rating Scale (MADRS) Score by Visit During Double Blind Period | Baseline for Period 2 is the last observation in Period 1 to the start of Period 2. MADRS is 10-item instrument measuring depression: scales from 0=Normal to 6 = most abnormal. | Period 2: Weeks 1 - 24 or time of early termination |
| Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score by Visit During Double Blind Period | Baseline for Period 2 is the last observation in Period 1 to the start of Period 2. Positive and Negative Syndrome Scale Total Score is 30-item scale measuring severity of psychopathology (16 items), positive symptoms (7 items) and negative symptoms (7 items); scale from 1 (absent) to 7 (extreme) | Period 2: Weeks 4 - 24 or time of early termination |
| Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Postive Scale by Visit During Double Blind Period | Baseline for Period 2 is the last observation in Period 1 to the start of Period 2. Positive Scale is 7-items derived from PANSS; 1 (absent), 2 (minimal) to 7 (extreme). | Period 2: Weeks 4 - 24 or time of early termination |
| Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Negative Scale by Visit During Double Blind Period | Baseline for Period 2 is the last observation in Period 1 to the start of Period 2. Negative Scale is 7 items derived from PANSS; scale is 1 (absent) to 7 (extreme). | Period 2: Weeks 4 - 24 or time of early termination |
| Birmingham |
| Alabama |
| 35294 |
| United States |
| Pfizer Investigational Site | Birmingham | Alabama | 35924 | United States |
| Pfizer Investigational Site | Scottsdale | Arizona | 85251 | United States |
| Pfizer Investigational Site | Little Rock | Arkansas | 72223 | United States |
| Pfizer Investigational Site | Costa Mesa | California | 92626 | United States |
| Pfizer Investigational Site | Los Angeles | California | 90026 | United States |
| Pfizer Investigational Site | National City | California | 91950 | United States |
| Pfizer Investigational Site | Sacramento | California | 95823 | United States |
| Pfizer Investigational Site | San Diego | California | 92108 | United States |
| Pfizer Investigational Site | Temecula | California | 92590 | United States |
| Pfizer Investigational Site | Temecula | California | 92591 | United States |
| Pfizer Investigational Site | Altamonte Springs | Florida | 32701 | United States |
| Pfizer Investigational Site | Fort Lauderdale | Florida | 33319 | United States |
| Pfizer Investigational Site | Fort Myers | Florida | 33912 | United States |
| Pfizer Investigational Site | Jacksonville | Florida | 32216 | United States |
| Pfizer Investigational Site | Maitland | Florida | 32751 | United States |
| Pfizer Investigational Site | Miami | Florida | 33016 | United States |
| Pfizer Investigational Site | Miami | Florida | 33126 | United States |
| Pfizer Investigational Site | North Miami | Florida | 33161 | United States |
| Pfizer Investigational Site | Orlando | Florida | 32806 | United States |
| Pfizer Investigational Site | Tavares | Florida | 32778 | United States |
| Pfizer Investigational Site | Decatur | Georgia | 30033 | United States |
| Pfizer Investigational Site | Smyrna | Georgia | 30080 | United States |
| Pfizer Investigational Site | Honolulu | Hawaii | 96826 | United States |
| Pfizer Investigational Site | Des Plaines | Illinois | 60016 | United States |
| Pfizer Investigational Site | Libertyville | Illinois | 60048 | United States |
| Pfizer Investigational Site | Naperville | Illinois | 60540 | United States |
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| Pfizer Investigational Site | Oak Brook | Illinois | 60523 | United States |
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| Pfizer Investigational Site | Topeka | Kansas | 66606 | United States |
| Pfizer Investigational Site | Wichita | Kansas | 67207 | United States |
| Pfizer Investigational Site | Lexington | Kentucky | 40509 | United States |
| Pfizer Investigational Site | Owensboro | Kentucky | 42301 | United States |
| Pfizer Investigational Site | Baltimore | Maryland | 21285 | United States |
| Pfizer Investigational Site | Rockville | Maryland | 20852 | United States |
| Pfizer Investigational Site | Pittsfield | Massachusetts | 01201 | United States |
| Pfizer Investigational Site | Taunton | Massachusetts | 02780 | United States |
| Pfizer Investigational Site | Olive Branch | Mississippi | 38654 | United States |
| Pfizer Investigational Site | Ridgeland | Mississippi | 39157 | United States |
| Pfizer Investigational Site | Saint Charles | Missouri | 63301 | United States |
| Pfizer Investigational Site | Lincoln | Nebraska | 68506 | United States |
| Pfizer Investigational Site | Lincoln | Nebraska | 68510 | United States |
| Pfizer Investigational Site | Omaha | Nebraska | 68131 | United States |
| Pfizer Investigational Site | Las Vegas | Nevada | 89106 | United States |
| Pfizer Investigational Site | Nashua | New Hampshire | 03060 | United States |
| Pfizer Investigational Site | Paramus | New Jersey | 07652 | United States |
| Pfizer Investigational Site | Teaneck | New Jersey | 07666 | United States |
| Pfizer Investigational Site | Buffalo | New York | 14215 | United States |
| Pfizer Investigational Site | Olean | New York | 14760 | United States |
| Pfizer Investigational Site | Rochester | New York | 14618 | United States |
| Pfizer Investigational Site | Raleigh | North Carolina | 27609 | United States |
| Pfizer Investigational Site | Cincinnati | Ohio | 45267-0559 | United States |
| Pfizer Investigational Site | Columbus | Ohio | 43210 | United States |
| Pfizer Investigational Site | Toledo | Ohio | 43609 | United States |
| Pfizer Investigational Site | Bethany | Oklahoma | 73008 | United States |
| Pfizer Investigational Site | Oklahoma City | Oklahoma | 73103 | United States |
| Pfizer Investigational Site | Oklahoma City | Oklahoma | 73116 | United States |
| Pfizer Investigational Site | Media | Pennsylvania | 19063 | United States |
| Pfizer Investigational Site | Pittsburgh | Pennsylvania | 15206 | United States |
| Pfizer Investigational Site | Pittsburgh | Pennsylvania | 15213 | United States |
| Pfizer Investigational Site | Memphis | Tennessee | 38117 | United States |
| Pfizer Investigational Site | Arlington | Texas | 76012 | United States |
| Pfizer Investigational Site | Austin | Texas | 78756 | United States |
| Pfizer Investigational Site | Bellaire | Texas | 77401 | United States |
| Pfizer Investigational Site | Dallas | Texas | 75231 | United States |
| Pfizer Investigational Site | Dallas | Texas | 75390-9121 | United States |
| Pfizer Investigational Site | DeSoto | Texas | 75115 | United States |
| Pfizer Investigational Site | Houston | Texas | 77008 | United States |
| Pfizer Investigational Site | Houston | Texas | 77054 | United States |
| Pfizer Investigational Site | Houston | Texas | 77057 | United States |
| Pfizer Investigational Site | Santiago | RM | Chile |
| Pfizer Investigational Site | Santiago | Chile |
| Pfizer Investigational Site | Angoulême | 16000 | France |
| Pfizer Investigational Site | Brest Naval | 29240 | France |
| Pfizer Investigational Site | Douai | 59500 | France |
| Pfizer Investigational Site | Mulhouse | 68100 | France |
| Pfizer Investigational Site | Berlin | 13509 | Germany |
| Pfizer Investigational Site | Berlin | 14050 | Germany |
| Pfizer Investigational Site | Cham | 93413 | Germany |
| Pfizer Investigational Site | Essen | 45136 | Germany |
| Pfizer Investigational Site | Guatemala City | Guatemala |
| Pfizer Investigational Site | New Territories | Hong Kong |
| Pfizer Investigational Site | Ellisbridge | Ahmedabad | 380 006 | India |
| Pfizer Investigational Site | Tirupati | Andhra Pradesh | 517 507 | India |
| Pfizer Investigational Site | Bangalore | Karnataka | 560 010 | India |
| Pfizer Investigational Site | Mysore | Karnataka | 570004 | India |
| Pfizer Investigational Site | Chennai | Tamil Nadu | 600 003 | India |
| Pfizer Investigational Site | Ludhiana | 141001 | India |
| Pfizer Investigational Site | Pune | 411 030 | India |
| Pfizer Investigational Site | Catania | 95123 | Italy |
| Pfizer Investigational Site | Florence | 50134 | Italy |
| Pfizer Investigational Site | Parma | 43100 | Italy |
| Pfizer Investigational Site | Pisa | 56126 | Italy |
| Pfizer Investigational Site | Zapopan | Jalisco | 45200 | Mexico |
| Pfizer Investigational Site | Mexico City | Mexico City | 03740 | Mexico |
| Pfizer Investigational Site | Arkhangelskaya Obl, Primorsky Raion | 163530 | Russia |
| Pfizer Investigational Site | Khot'kovo | 141371 | Russia |
| Pfizer Investigational Site | Barcelona | 08019 | Spain |
| Pfizer Investigational Site | Barcelona | 08036 | Spain |
| Pfizer Investigational Site | Madrid | 28007 | Spain |
| Pfizer Investigational Site | Taipei | 110 | Taiwan |
| Pfizer Investigational Site | Taipei | 112 | Taiwan |
| Pfizer Investigational Site | Caracas | Distrito Federal | 1010 | Venezuela |
| Pfizer Investigational Site | Caracas | Distrito Federal | 1050 | Venezuela |
Double-blind, randomized ziprasidone at the dose level received during the last 4 weeks of Open Label Period.
| FG002 | Placebo | Double-blind,randomized to placebo plus mood stabilizer. Subjects were tapered off ziprasidone onto placebo by decreasing 20 mg BID every 2 days during the first week of Period 2 |
| COMPLETED |
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| NOT COMPLETED |
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| Period 2 Double Blind |
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Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Ziprasidone | Double-blind, randomized ziprasidone at the dose level received during the last 4 weeks of Open Label Period. |
| BG001 | Placebo | Double-blind,randomized to placebo plus mood stabilizer. Subjects were tapered off ziprasidone onto placebo by decreasing 20 mg BID every 2 days during the first week of Period 2 |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Time to Intervention for a Mood Episode During Double Blind Period | Time to Intervention for Mood Episode (TIME) while on randomized drug after at least 8 weeks of symptom reduction on open-label ziprasidone plus mood stabilizer. Mood episode considered to have occurred and subject discontinued if one or more of the following: Investigator (INV) decides discontinuation is in best interest of subject; loss of effect and/or change to treatment regimen (INV judgment); subject hospitalized for disease under study; Mania Rating Scale (MRS) and/or Montgomery-Asberg Rating Scale (MADRS) rating is ≥18 for 2 consecutive visits scheduled no more than 10 days apart. | Intent to Treat (ITT):Subjects took at least 1 dose double blind medication and had at least 1 post randomization observation. Double Blind Period followed at least 8 weeks open-label ziprasidone plus mood stabilizer; 25 out of 127 and 36 out of 111 subjects had an intervention for a mood episode. | Posted | Mean | Standard Error | Days | Period 2: 24 weeks or time of early termination |
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| Secondary | Time to Discontinuation for Any Reason During Double Blind Period 2 | Key Secondary endpoint is time to discontinuation for any reason. Profile of patients remaining in the trial over time. | Intent to Treat (ITT). Number of participants who discontinued was 43 and 57 for ziprasidone and placebo, respectively. | Posted | Mean | Standard Error | days | Period 2: 24 weeks or time of early termination |
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| Secondary | Modified Time to Intervention for a Mood Episode (TIME) | Time to intervention for a mood episode or time to discontinuation for treatment related adverse events, or death due to drug, or death due to disease. Mood episode considered to have occurred and subject discontinued if one or more of the following: Investigator (INV) decides discontinuation is in best interest of subject; loss of effect and/or change to treatment regimen (INV judgment); subject hospitalized for disease under study; Mania Rating Scale (MRS) and/or Montgomery-Asberg Rating Scale (MADRS) rating is ≥18 for 2 consecutive visits scheduled no more than 10 days apart. | Intent to Treat (ITT). 29 out of 127 ziprasidone subjects and 38 out of 111 placebo subjects met the modified criteria for an intervention for a mood episode | Posted | Mean | Standard Error | Days | Period 2: Week 24 or time of early termination |
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| Secondary | Change From Baseline in Mania Rating Scale (MRS) by Visit During Double Blind Period | Period 2 Baseline = last observation in Period 1 to the start of Period 2. MRS is 11-item scale to measure mania; derived from Schedule for Affective Disorders and Schizophrenia-Change Behavior (SADS-CB). Subscales: Manic Syndrome (elevated mood, less need for sleep, excessive energy and activity, grandiosity), Behavior and Ideation (irritability, motor hyperactivity, accelerated speech, racing thoughts, poor judgment), and Impaired Insight. Racing thoughts range=0 to 2 (highest level of abnormal=2); all other items 0 to 5 (highest level of abnormal=5). Higher score = greater abnormality. | Intent to Treat (ITT); (n) = number of subjects with analyzable data at observation for ziprasidone and placebo, respectively. | Posted | Mean | Standard Deviation | scores on scale | Period 2: Weeks 1 - 24 or time of early termination |
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| Secondary | Change From Baseline in Clinical Global Impression Severity (CGI-S) Score by Visit During Double Blind Period | Baseline for Period 2 is the last observation in Period 1 to the start of Period 2. Clinical Global Impression Severity Score is 7-item scale rates severity of illness from 0=not assessed, 1= normal to 7=most extremely ill. | intent to treat (ITT); (n) = number of subjects with analyzable data at observation for ziprasidone and placebo, respectively. | Posted | Mean | Standard Deviation | scores on scale | Period 2: Weeks 1 - 24 or time of early termination |
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| Secondary | Clinical Global Impression - Improvement (CGI-I) Score by Visit During Double Blind Period | Clinical Global Impression measures 7 items in Global assessment of improvement in patient's condition; 0=not assessed, 1= very much improved to 7= very much worse. | Intent to treat (ITT); (n) = number of subjects with analyzable data at observation for ziprasidone and placebo, respectively. | Posted | Mean | Standard Deviation | scores on scale | Period 2: Weeks 1 - 24 or time of early termination |
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| Secondary | Change From Baseline in Montgomery-Asberg Rating Scale (MADRS) Score by Visit During Double Blind Period | Baseline for Period 2 is the last observation in Period 1 to the start of Period 2. MADRS is 10-item instrument measuring depression: scales from 0=Normal to 6 = most abnormal. | Intent to Treat (ITT); (n) = number of subjects with analyzable data at observation for ziprasidone and placebo, respectively. | Posted | Mean | Standard Deviation | scores on scale | Period 2: Weeks 1 - 24 or time of early termination |
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| Secondary | Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score by Visit During Double Blind Period | Baseline for Period 2 is the last observation in Period 1 to the start of Period 2. Positive and Negative Syndrome Scale Total Score is 30-item scale measuring severity of psychopathology (16 items), positive symptoms (7 items) and negative symptoms (7 items); scale from 1 (absent) to 7 (extreme) | intent to treat (ITT); (n) = number of subjects with analyzable data at observation for ziprasidone and placebo, respectively. | Posted | Mean | Standard Deviation | scores on scale | Period 2: Weeks 4 - 24 or time of early termination |
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| Secondary | Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Postive Scale by Visit During Double Blind Period | Baseline for Period 2 is the last observation in Period 1 to the start of Period 2. Positive Scale is 7-items derived from PANSS; 1 (absent), 2 (minimal) to 7 (extreme). | intent to treat (ITT); (n) = number of subjects with analyzable data at observation for ziprasidone and placebo, respectively. | Posted | Mean | Standard Deviation | scores on scale | Period 2: Weeks 4 - 24 or time of early termination |
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| Secondary | Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Negative Scale by Visit During Double Blind Period | Baseline for Period 2 is the last observation in Period 1 to the start of Period 2. Negative Scale is 7 items derived from PANSS; scale is 1 (absent) to 7 (extreme). | intent to treat (ITT); (n) = number of subjects with analyzable data at observation for ziprasidone and placebo, respectively. | Posted | Mean | Standard Deviation | scores on scale | Period 2: Weeks 4 - 24 or time of early termination |
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Period 1 Open Label Ziprasidone | 40 - 80 milligram (mg) ziprasidone twice/day (BID) plus mood stabilizer. Dose adjusted on basis of toleration and efficacy. | 15 | 362 | ||||
| EG001 | Ziprasidone | Double-blind, randomized ziprasidone at the dose level received during the last 4 weeks of Open Label Period. | 3 | 22 | ||||
| EG002 | Placebo | Double-blind,randomized to placebo plus mood stabilizer. Subjects were tapered off ziprasidone onto placebo by decreasing 20 mg BID every 2 days during the first week of Period 2 | 2 | 24 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Influenza | Infections and infestations | MedDRA v 11.0 | Systematic Assessment |
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| Arrhythmia | Cardiac disorders | Systematic Assessment |
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| Dystonia | Nervous system disorders | Systematic Assessment |
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| Pregnancy | Pregnancy, puerperium and perinatal conditions | Systematic Assessment |
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| Affect lability | Psychiatric disorders | Systematic Assessment |
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| Anxiety | Psychiatric disorders | Systematic Assessment |
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| Bipolar I disorder | Psychiatric disorders | Systematic Assessment |
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| Bipolar disorder | Psychiatric disorders | Systematic Assessment |
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| Depression | Psychiatric disorders | Systematic Assessment |
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| Depression suicidal | Psychiatric disorders | Systematic Assessment |
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| Mania | Psychiatric disorders | Systematic Assessment |
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| Psychiatric decompensation | Psychiatric disorders | Systematic Assessment |
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| Psychotic disorder | Psychiatric disorders | Systematic Assessment |
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| Suicidal ideation | Psychiatric disorders | Systematic Assessment |
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| Suicide attempt | Psychiatric disorders | Systematic Assessment |
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| Thrombophlebitis | Vascular disorders | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nausea | Gastrointestinal disorders | MedDRA v 11.0 | Systematic Assessment |
| |
| Fatigue | General disorders | MedDRA v11.0 | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | Systematic Assessment |
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| Akathisia | Nervous system disorders | Systematic Assessment |
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| Dizziness | Nervous system disorders | Systematic Assessment |
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| Headache | Nervous system disorders | Systematic Assessment |
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| Sedation | Nervous system disorders | Systematic Assessment |
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| Somnolence | Nervous system disorders | Systematic Assessment |
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| Tremor | Nervous system disorders | Systematic Assessment |
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| Insomnia | Psychiatric disorders | Systematic Assessment |
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| Mania | Psychiatric disorders | Systematic Assessment |
|
This is a maintenance of effect design using a survival analysis methodology. In such a design it may be difficult to interpret timepoint by timepoint treatment group comparisons in MRS, CGI-S, CGI-I, MADRS, and PANSS.
Pfizer has the right to review disclosures, requesting a delay of < 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), < 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential info other than study results.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Pfizer ClinicalTrials.gov Call Center | Pfizer, Inc. | 1-800-718-1021 | ClinicalTrials.govCallCenter@pfizer.com |
| ID | Term |
|---|---|
| D001714 | Bipolar Disorder |
| ID | Term |
|---|---|
| D000068105 | Bipolar and Related Disorders |
| D019964 | Mood Disorders |
| D001523 | Mental Disorders |
Not provided
Not provided
| ID | Term |
|---|---|
| C092292 | ziprasidone |
Not provided
Not provided
Not provided
| Adverse Event |
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| Lost to Follow-up |
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| Withdrawal by Subject |
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| miscellaneous |
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