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| ID | Type | Description | Link |
|---|---|---|---|
| 2011-000986-10 | EudraCT Number |
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This is a multi-center, randomized, placebo-controlled, flexible-dose, parallel-group study designed to evaluate the efficacy and safety of lurasidone (in combination with lithium or divalproex) for the maintenance treatment of bipolar I disorder in subjects with or without rapid cycling and /or psychotic features.
This study is to evaluate the efficacy and safety of lurasidone (in combination with lithium or divalproex) for the maintenance treatment of bipolar I disorder in subjects with or without rapid cycling and/or psychotic features.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lurasidone 20-80 mg flexible dose | Experimental |
| |
| Placebo | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lurasidone | Drug | Lurasidone 20 mg daily (days 1-3), Lurasidone 40 mg daily (days 4-7), Lurasidone 20-80 mg daily (flexible dose) thereafter |
|
| Measure | Description | Time Frame |
|---|---|---|
| Time to Recurrence of Mood Event During the Double Blind Treatment Phase | A mood event is defined as one of the following during the double-blind phase: (1) Fulfilled Diagnostic and Statistical Manual of Mental Disorders, 4th Ed., Text Revision (DSM-IV-TR) criteria for manic, mixed manic, hypomanic, or depressive episode. (2) Required treatment intervention for manic, mixed manic, hypomanic, or depressive symptoms with any antipsychotic (other than study drug), antidepressant, mood stabilizer (other than lithium or divalproex), anxiolytic agents, benzodiazepine (beyond dosage allowed for anxiety, agitation, or insomnia). (3) Psychiatric hospitalization for any bipolar mood episode. (4) Young Mania Rating Scale (YMRS) or Montgomery-Asberg Depression Rating Scale (MADRS) total score ≥ 18 or Clinical Global Impression Bipolar Version, Severity of Illness (CGI BP S) score ≥ 4 at 2 consecutive assessments no more than 10 days apart. (5) Discontinuation from the study because of a mood event (as determined by the Investigator). | 28 weeks (up to 33 weeks) |
| Measure | Description | Time Frame |
|---|---|---|
| Time to All-cause Discontinuation | 28 weeks (up to 33 weeks) | |
| Time to Recurrence of a Manic, Mixed Manic, Hypomanic, or Depressed Episode | 28 weeks (up to 33 weeks) | |
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Inclusion Criteria:
Open-label Phase
18 years of age or older
Diagnostic and Statistical Manual of Mental Disorders, 4th Ed., Text Revision (DSM-IV-TR) diagnosis of bipolar I disorder
•≥ 1 manic, mixed manic, or depressed episode in past 2 years
YMRS or MADRS total score ≥ 14 if on lithium or divalproex; ≥ 18 if not on lithium or divalproex
Double-blind Phase
Inclusion Criteria:
Exclusion Criteria:
Open Label Phase
Double Blind Phase
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| Name | Affiliation | Role |
|---|---|---|
| Medical Director, MD | Sumitomo Pharma America, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Harmonex Neuroscience Research | Dothan | Alabama | 36303 | United States | ||
| Behavioral Research Specialists, LLC |
There were 2 phases in this study. In Phase 1 (Open-label Stabilization Phase), there was 1 reporting group. In phase 2 (Double-blind Maintenance Phase), there were 2 reporting groups.
7 subjects completed the open-label but were not randomized DB(3- mood episode,3-not meeting the criteria for the DB phase,and 1-insufficient clinical response)
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| ID | Title | Description |
|---|---|---|
| FG000 | Lurasidone 20-80 mg Flexible Dose | Lurasidone: Lurasidone 20 mg daily (days 1-3), Lurasidone 40 mg daily (days 4-7), Lurasidone 20-80 mg daily (flexible dose) thereafter |
| FG001 | Placebo |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Open Label Phase |
|
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| Placebo | Drug | 20-80 mg flexible dose |
|
| Percentage of Subjects Who Experience a Recurrence of a Manic, Mixed Manic, Hypomanic, or Depressed Episode |
| 28 weeks |
| Change From Double-blind Baseline to Week 28 (LOCF) in CGI-BP-S Overall Score | The CGI-BP-S overall score is a single value, clinician-rated assessment of overall bipolar illness severity and ranges from 1=Normal, not at all ill, to 7=Among the most extremely ill patients. a higher score is associated with greater illness severity. | Double-blind Baseline to week 28 |
| Change From Double -Blind Baseline to Week 28 (LOCF) in CGI-BP-S Mania Score | The CGI-BP-S mania score is a single value, clinician-rated assessment of mania illness severity and ranges from 1=Normal, not at all ill to 7=Among the most extremely ill patients. A high score is associated with greater illness severity | Double-blind Baseline to week 28 |
| Change From Double-blind Baseline to Week 28 (LOCF) in CGI+-BP-S Depression Score | The CGI-BP-S depression score is a single value, clinician-rated assessment of depression illness severity and ranges from 1=Normal, not at all ill to 7=Among the most extremely ill patients. A higher score is associated with a greater illness severity. | Double-blind Baseline to week 28 |
| Change From Double-blind Baseline to Week 28 (LOCF) in YMRS Total Score | the YMRS is an 11-item instrument used to assess the severity of mania in subjects with a diagnosis of bipolar disorder. Ratings are based on patient self-reporting, combined with clinician observation (accorded greater score). The YMRS total score is calculated as the sum of the 11 items. The YMRS total score ranges from 0 to 60. Higher scores are associated with greater severity of maia. | Double-blind Baseline to week 28 |
| Change From Double-blind Baseline to Week 28 (LOCF) in MADRS Total Score | The MADRS consists of 10 items, each rated on a Likert scale, from 0=Normal to 6=Most Severe. The MADRS total score is calculated as the sum of the 10 items. The MADRS total score ranges from 0 to 60. Higher scores are associated with greater severity of depressive symptoms. | Double-blind Baseline to week 28 |
| Change Fro Double-blind Baseline to Week 28 (LOCF) in QIDS-SR(16) Total Score | The QIDS-SR16 is a 16-item self-report measure of depressive symptomatology which uses a computerized assessment interface for administration. The scoring system for the QIDS-SR16 converts responses to 16 separate items into nine DSM-IV symptom criterion domains. The nine domains comprise: depressed mood (Item 5); concentration/decision making (Item 10); self outlook (Item 11); suicidal ideation (Item 12); decreased interest (Item 13); decreased energy (Item 14); sleep disturbance (initial, middle, and late insomnia or hypersomnia) (highest score of Items 1 to 4); appetite/weight disturbance (highest score of Items 6 to 9); and psychomotor disturbance (highest score of Items 15 and 16). The QIDS-SR16 total score is calculated as the sum of the 9 domain scores. The QIDS-SR16 total score ranges from 0 to 27 with a high score indicating more severe symptoms. | Double-blind Baseline to week 28 |
| Change From Double-blind Baseline to Week 28 (LOF) in PANSS Positive Symptom (PANNS-P) Subscale Score | The PANSS-P is a subset of items in the PANSS, an interview-based measure of the severity of psychopathology in adults with psychotic disorders. The measure contains seven questions to assess delusions, conceptual disorganization, hallucinations behavior, excitement, grandiosity, suspiciousness/persecution, and hostility. An anchored Likert scale from 1-7, where values of 2 and above indicate the presence of progressively more severe symptoms, is used to score each item. The PANSS-P subscale score is the sum of the 7 items and ranges from 7 through 49. A higher score is associated with greater illness severity. | Double-blind Baseline to week 28 |
| Change From Double-blind Baseline to Week 28 (LOCF) in SDS Total Score | The SDS is a composite of three self-rated items designed to measure the extent to which three major sectors in the patient's life are impaired by depressive symptoms. The SDS total score is calculated as the sum of the 3 items. The SDS total score ranges from 0 to 30. Higher scores are associated with greater severity of global functional impairments. If a subject has not worked/studied at all during the past week for reasons unrelated to the disorder, the SDS total score will be set to missing. | Double-blind Baseline to week 28 |
| Change From Double-blind Baseline to Week 28 (LOCF) in PIRS-2 Total Score | The PIRS-2 is a 2-item self-report of insomnia assessed via a computer interface. Each item is scored from 0-3. The PIRS-2 total score is calculated as the sum of the 2 items. The PIRS total score ranges from 0 to 6. Higher scores are associated with greater severity of insomnia. | Double-blind Baseline to week 28 |
| Change From Double-blind Baseline to Week 28 (LOCF) in Q-LES-Q-SF Percent Maximum Possible Score | The Q-LES-Q-SF is a 16-item self-report measure of the degree of enjoyment and satisfaction in various areas of daily living. The questionnaire was developed and validated for use in depressed outpatient subjects and has eight summary scales that reflect major areas of functioning: physical health, mood, leisure time activities, social relationships, general activities, work, household duties and school/coursework. Each item is rated on a 5-point scale, ranging from 1 (very poor) to 5 (very good). The Q-LES-Q-SF percentage maximum possible score is calculated as 100 × (Raw Score - 14 [Minimum Score]) / (70 [Maximum Score] - 14 [Minimum Score]). Higher percent maximum scores indicate better quality of life. | Double-blind Baseline to week 28 |
| Glendale |
| California |
| 91206 |
| United States |
| AXIS Clinical Trials | Los Angeles | California | 90036 | United States |
| Excell Research, Inc. | Oceanside | California | 92056 | United States |
| Stanford University School of Medicine Research Program VA Palo Alto Health Care System | Palo Alto | California | 94304 | United States |
| SF-CARE, Inc. | San Francisco | California | 94117 | United States |
| Neuropsychiatric Research Center of Orange County | Santa Ana | California | 92701 | United States |
| "Stanford University School of Medicine | Stanford | California | 94305 | United States |
| Florida Clinical Research LLC | Bradenton | Florida | 34201 | United States |
| Clinical Neuroscience Solutions, Inc. | Jacksonville | Florida | 32216 | United States |
| Galiz Research | Miami Springs | Florida | 33166 | United States |
| Clinical Neuroscience Solutions | Orlando | Florida | 32806 | United States |
| Atlanta Center for Medical Research | Atlanta | Georgia | 30308 | United States |
| Clinco | Terre Haute | Indiana | 47802 | United States |
| ActivMed Practices & Research Inc. | Haverhill | Massachusetts | 08130 | United States |
| Psych Care Consultants Research | St Louis | Missouri | 63128 | United States |
| Village Clinical Research Inc, | New York | New York | 10003 | United States |
| Finger Lakes Clinical Research | Rochester | New York | 14618 | United States |
| Charak Center for Health and Wellness | Garfield Heights | Ohio | 44125 | United States |
| Cutting Edge Research Groupd | Oklahoma City | Oklahoma | 73116 | United States |
| Suburban Research Associates | Media | Pennsylvania | 19063 | United States |
| Lincoln Research | Lincoln | Rhode Island | 02865 | United States |
| Carolina Clinical Trials, Inc. | Charleston | South Carolina | 29407 | United States |
| Clinical Neuroscience Solutions Inc. | Memphis | Tennessee | 38119 | United States |
| Psychoneuroendocrinology Research Group, Dept of Psychiatry, UT Southwestern Medical Center | Dallas | Texas | 75235 | United States |
| R/D Clinical Research, Inc. | Lake Jackson | Texas | 77566 | United States |
| Sanatorio Morra | Córdoba | Córdoba Province | 5009 | Argentina |
| Centro de Atencion E Invest. Clinica (CAICI) | Rosario | Santa Fe Province | 2000 | Argentina |
| Novain Neurociencias Group | Buenos Aires | C1117ABH | Argentina |
| Centro de Neuropsiquiatria | Buenos Aires | C1425AHQ | Argentina |
| IPEM-Instituto de Prevención de las Enfermedades Mentales. | Buenos Aires | Argentina |
| Instituto DAMCI | Córdoba | 5009 | Argentina |
| Clinica Privada de Salud Mental Santa Teresa de Avila | La Plata | 1900 | Argentina |
| Centro de Psiquiatria Biologica | Mendoza | 5500 | Argentina |
| The Lyell McEwin Hospital | Elizabeth Vale | South Australia | 5112 | Australia |
| RWF Medic Pty Ltd as Trustee for Farnbach Family Trust at Neurotherapy Victoria | Malvern | Victoria | 3144 | Australia |
| The Melbourne Clinic | Richmond | Victoria | 3121 | Australia |
| Hollywood Medical Centre | Fremantle | Western Australia | 6160 | Australia |
| Psychiatry Dispensary | Burgas | 80000 | Bulgaria |
| University Multiprofiled Hospital for Active Treatment "Sveti Georgi" | Plovdiv | 4002 | Bulgaria |
| Regional Psychiatric Dispensary | Rousse | 7003 | Bulgaria |
| Multiprofiled Hospital for Active Treatment "Alexandrovska" | Sofia | 1431 | Bulgaria |
| Psychiatric Clinic, Military Medical Academy | Sofia | 1606 | Bulgaria |
| Multprofiled Hospital for Active Treatment "Sveta Marina" | Varna | 9010 | Bulgaria |
| CETEP | Santiago | 27014 | Chile |
| Clinica Las Condes | Santiago | 27014 | Chile |
| Psicomedica | Santiago | 27014 | Chile |
| Clinic Hospital Centre Rijeka Clinic for Psychiatry | Rijeka | 51000 | Croatia |
| Clinical Hospital Centre Zagreb | Zagreb | 10000 | Croatia |
| Klinicki Bolnicki Centar Zagreb-Rebro | Zagreb | 10000 | Croatia |
| University Hospital Sestremilosrdnice | Zagreb | Croatia |
| University Hospital Centre Zagreb | Zagreg | 10000 | Croatia |
| Saint Anne s.r.o. | Brno | 602 00 | Czechia |
| Fakultni Nemocnice Brno | Brno-Bohunice | 62500 | Czechia |
| Psychiatricka ambulance | Havířov | 736 01 | Czechia |
| Psychiatricka Iecebna U Honzicka | Písek | 397 01 | Czechia |
| Clintrial s.r.o. | Prague | 100 00 | Czechia |
| Psychiatricka Ambulance | Prague | 10600 | Czechia |
| Psychiaricka ambulance | Prague | 140 00 | Czechia |
| Psychiatricka ambulance Prosek | Prague | 190 00 | Czechia |
| Psychiatricke Centrum Praha | Prague 8-Bohunice | 62500 | Czechia |
| Psychosocialni Centrum | Přerov | 75001 | Czechia |
| Psychiatricka ambulance | Ústí nad Labem | 401 13 | Czechia |
| CHS La Chartreuse-Pole 6 | Dijon | 21033 | France |
| Centre Hospitalier Specialise du Jura-Centre Medico Psychiatrique | Dole | 39100 | France |
| Hopital Lapeyronie | Montpellier | 34295 | France |
| CHRU de Nimes, Service de Psychiatrie adulte | Nîmes | 30029 | France |
| Obudai Egeszsegugyi Centurm Kft. | Budapest | 1036 | Hungary |
| Fovarosi Onkormanyzat Szent Istvan Korhaz es Szent Laszlo Korhaz | Budapest | 1096 | Hungary |
| Kutvolgyi Klinikai Tomb SOTE IIIsz Belgyogyaszati Klinika | Budapest | 1125 | Hungary |
| Nyiro Gyula Korhaz | Budapest | 1135 | Hungary |
| Fovarosi Onkormanyzat Nyiro Gyula Korhaz, I. Pszichiatria | Budapest | H-1135 | Hungary |
| Petz Aladar Megyei Oktato Korhaz | Győr | 9024 | Hungary |
| Bekes Megyei Kepviselotestulet Pandy Kalman Korhaz | Gyula | 5700 | Hungary |
| Haruna Hospital | Shibukawa | Gunma | Japan |
| Goryokai Medical Corporation | Sapporo | Hokkaido | 002-8029 | Japan |
| Sapporokousetsu Hospital | Sapporo | Hokkaido | Japan |
| Nagano Prefectural Mental Wellness Center-Komagane | Komagane | Nagano | Japan |
| Shonan Hospital | Matsumoto-shi | Nagano | 390-0847 | Japan |
| Asakayama General Hospital | Sakai | Osaka | Japan |
| National Hospital Organization Hizen Psychiatric Center | Kanzaki | Saga-ken | 842-0192 | Japan |
| Nishigahara Hospital | Kita-ku | Tokyo | 114-0024 | Japan |
| Okehazama Hospital Fujita Kokoro Care Center | Aichi | 470-1168 | Japan |
| Ongata Hospital | Hachioji, Tokyo | Japan |
| Yuge Hospital | Kumamoto | 861-8002 | Japan |
| Arakaki Hospital | Okinawa | 904-0012 | Japan |
| Kawada Hospital | Toyama | 933-0917 | Japan |
| NZOZ Syntonia | Gdynia | 81-361 | Poland |
| NZOZ BioMed | Kielce | 25411 | Poland |
| Wojewodzki Osrodek Lexznictwa Psychiatrycznego w Toruniu | Torun | 87-100 | Poland |
| Prywatny Gabinet Lekarski Jaroslaw Strzelec | Tuszyn | 95-080 | Poland |
| Przychodnia Lekarsko-Psychologiczna "Persona" Spolka Partnerska Lekarzy | Wroclaw | 50-227 | Poland |
| State Healthcare and Forensic Psychiatric Expertise Institution | Izhevsk | 462054 | Russia |
| Nizhny Novgorod Regional State Institution of Healthcare | Nizhny Novgorod | 603155 | Russia |
| St. Petersburg State Healthcare Institution (SPSHI) | Saint Petersburg | 190005 | Russia |
| St.Petersburg State Healthcare Institution (SPSHI) | Saint Petersburg | 190005 | Russia |
| St Petersburg State Government Healthcare Institution | Saint Petersburg | 190121 | Russia |
| Mental Health Research Institute of Rams | Tomsk | 634050 | Russia |
| Clinical Centre of Serbia | Belgrade | 11000 | Serbia |
| Clinical Hospital Centre Dragisa Misovic | Belgrade | 11000 | Serbia |
| Psychiatric Clinic Clinical Center Kragujevac | Kragujevac | 34000 | Serbia |
| Clinical Centre Nis | Niš | 18000 | Serbia |
| Specialized Hospital for Psychiatric Diseased "Sveti Vracevi" | Novi Kneževac | 23330 | Serbia |
| Vseobecna Nemocnica Rimavska Sobota, NaP, n.o. Bratislava | Rimavská Sobota | 97912 | Slovakia |
| Psychiatricka ambulancia | Zlaté Moravce | 95301 | Slovakia |
Placebo: 20-80 mg flexible dose
| FG002 | All Subjects | During the Open-label stabilization phase, subjects received flexible does of lurasidone 20 - 80 mg daily. |
| COMPLETED |
|
| NOT COMPLETED |
|
|
| Double-Blind Phase |
|
|
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Lurasidone 20-80 mg Flexible Dose | Lurasidone: Lurasidone 20 mg daily (days 1-3), Lurasidone 40 mg daily (days 4-7), Lurasidone 20-80 mg daily (flexible dose) thereafter |
| BG001 | Placebo | Placebo: 20-80 mg flexible dose |
| 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, Categorical | Count of Participants | Participants |
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| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| 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 Recurrence of Mood Event During the Double Blind Treatment Phase | A mood event is defined as one of the following during the double-blind phase: (1) Fulfilled Diagnostic and Statistical Manual of Mental Disorders, 4th Ed., Text Revision (DSM-IV-TR) criteria for manic, mixed manic, hypomanic, or depressive episode. (2) Required treatment intervention for manic, mixed manic, hypomanic, or depressive symptoms with any antipsychotic (other than study drug), antidepressant, mood stabilizer (other than lithium or divalproex), anxiolytic agents, benzodiazepine (beyond dosage allowed for anxiety, agitation, or insomnia). (3) Psychiatric hospitalization for any bipolar mood episode. (4) Young Mania Rating Scale (YMRS) or Montgomery-Asberg Depression Rating Scale (MADRS) total score ≥ 18 or Clinical Global Impression Bipolar Version, Severity of Illness (CGI BP S) score ≥ 4 at 2 consecutive assessments no more than 10 days apart. (5) Discontinuation from the study because of a mood event (as determined by the Investigator). | ITT (Intent to treat) population: all subjects who were randomized and received at least one dose of study medication in the double-blind phase. Subjects were analyzed based on the treatment they were randomized. | Posted | Median | 95% Confidence Interval | Days | 28 weeks (up to 33 weeks) |
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| Secondary | Time to All-cause Discontinuation | ITT population: all subjects who were randomized and received at least one dose of study medication in the double-blind phase. Subjects were analyzed based on the treatment they were randomized. | Posted | Median | 95% Confidence Interval | Days | 28 weeks (up to 33 weeks) |
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| Secondary | Time to Recurrence of a Manic, Mixed Manic, Hypomanic, or Depressed Episode | ITT population: all subjects who were randomized and received at least one dose of study medication in the double-blind phase. Subjects were analyzed based on the treatment they were randomized. | Posted | Median | 95% Confidence Interval | Days | 28 weeks (up to 33 weeks) |
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| Secondary | Percentage of Subjects Who Experience a Recurrence of a Manic, Mixed Manic, Hypomanic, or Depressed Episode | ITT population: all subjects who were randomized and received at least one dose of study medication in the double-blind phase. Subjects were analyzed based on the treatment they were randomized. | Posted | Number | percentage of participants | 28 weeks |
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| Secondary | Change From Double-blind Baseline to Week 28 (LOCF) in CGI-BP-S Overall Score | The CGI-BP-S overall score is a single value, clinician-rated assessment of overall bipolar illness severity and ranges from 1=Normal, not at all ill, to 7=Among the most extremely ill patients. a higher score is associated with greater illness severity. | ITT population: all subjects who were randomized and received at least one dose of study medication in the double-blind phase. Subjects were analyzed based on the treatment they were randomized. 2 lurasidone + Li/VPA subjects did not have post-DB baseline CGI-BP-S overall score. | Posted | Least Squares Mean | Standard Error | units on a scale | Double-blind Baseline to week 28 |
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| Secondary | Change From Double -Blind Baseline to Week 28 (LOCF) in CGI-BP-S Mania Score | The CGI-BP-S mania score is a single value, clinician-rated assessment of mania illness severity and ranges from 1=Normal, not at all ill to 7=Among the most extremely ill patients. A high score is associated with greater illness severity | ITT population: all subjects who were randomized and received at least one dose of study medication in the double-blind phase. Subjects were analyzed based on the treatment they were randomized. . 2 lurasidone + Li/VPA subjects did not have post-DB baseline CGI-BP-S mania score. | Posted | Least Squares Mean | Standard Error | units on a scale | Double-blind Baseline to week 28 |
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| Secondary | Change From Double-blind Baseline to Week 28 (LOCF) in CGI+-BP-S Depression Score | The CGI-BP-S depression score is a single value, clinician-rated assessment of depression illness severity and ranges from 1=Normal, not at all ill to 7=Among the most extremely ill patients. A higher score is associated with a greater illness severity. | ITT population: all subjects who were randomized and received at least one dose of study medication in the double-blind phase. Subjects were analyzed based on the treatment they were randomized. 2 lurasidone + Li/VPA subjects did not have post-DB baseline CGI-BP-S depression score. | Posted | Least Squares Mean | Standard Error | units on a scale | Double-blind Baseline to week 28 |
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| Secondary | Change From Double-blind Baseline to Week 28 (LOCF) in YMRS Total Score | the YMRS is an 11-item instrument used to assess the severity of mania in subjects with a diagnosis of bipolar disorder. Ratings are based on patient self-reporting, combined with clinician observation (accorded greater score). The YMRS total score is calculated as the sum of the 11 items. The YMRS total score ranges from 0 to 60. Higher scores are associated with greater severity of maia. | ITT population: all subjects who were randomized and received at least one dose of study medication in the double-blind phase. Subjects were analyzed based on the treatment they were randomized. . 2 lurasidone + Li/VPA subjects did not have post-DB baseline YMRS total score. | Posted | Least Squares Mean | Standard Error | units on a scale | Double-blind Baseline to week 28 |
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| Secondary | Change From Double-blind Baseline to Week 28 (LOCF) in MADRS Total Score | The MADRS consists of 10 items, each rated on a Likert scale, from 0=Normal to 6=Most Severe. The MADRS total score is calculated as the sum of the 10 items. The MADRS total score ranges from 0 to 60. Higher scores are associated with greater severity of depressive symptoms. | ITT population: all subjects who were randomized and received at least one dose of study medication in the double-blind phase. Subjects were analyzed based on the treatment they were randomized. 2 lurasidone + Li/VPA subjects did not have post-DB baseline MADRS total score. | Posted | Least Squares Mean | Standard Error | units on a scale | Double-blind Baseline to week 28 |
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| Secondary | Change Fro Double-blind Baseline to Week 28 (LOCF) in QIDS-SR(16) Total Score | The QIDS-SR16 is a 16-item self-report measure of depressive symptomatology which uses a computerized assessment interface for administration. The scoring system for the QIDS-SR16 converts responses to 16 separate items into nine DSM-IV symptom criterion domains. The nine domains comprise: depressed mood (Item 5); concentration/decision making (Item 10); self outlook (Item 11); suicidal ideation (Item 12); decreased interest (Item 13); decreased energy (Item 14); sleep disturbance (initial, middle, and late insomnia or hypersomnia) (highest score of Items 1 to 4); appetite/weight disturbance (highest score of Items 6 to 9); and psychomotor disturbance (highest score of Items 15 and 16). The QIDS-SR16 total score is calculated as the sum of the 9 domain scores. The QIDS-SR16 total score ranges from 0 to 27 with a high score indicating more severe symptoms. | ITT population: all subjects who were randomized and received at least one dose of study medication in the double-blind phase. Subjects were analyzed based on the treatment they were randomized. 7 lurasidone + Li/VPA subjects and 7 placebo +Li/VPA subjects did not have post-DB baseline QIDS-SR16 total score. | Posted | Least Squares Mean | Standard Error | units on a scale | Double-blind Baseline to week 28 |
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| Secondary | Change From Double-blind Baseline to Week 28 (LOF) in PANSS Positive Symptom (PANNS-P) Subscale Score | The PANSS-P is a subset of items in the PANSS, an interview-based measure of the severity of psychopathology in adults with psychotic disorders. The measure contains seven questions to assess delusions, conceptual disorganization, hallucinations behavior, excitement, grandiosity, suspiciousness/persecution, and hostility. An anchored Likert scale from 1-7, where values of 2 and above indicate the presence of progressively more severe symptoms, is used to score each item. The PANSS-P subscale score is the sum of the 7 items and ranges from 7 through 49. A higher score is associated with greater illness severity. | ITT Population: all subjects who were randomized and received at least one dose of study medication in the double-blind phase. Subjects were analyzed based on the treatment they were randomized. . 6 lurasidone + Li/VPA subjects and 3 placebo +Li/VPA subjects did not have post-DB baseline PANSS-P score. | Posted | Least Squares Mean | Standard Error | units on a scale | Double-blind Baseline to week 28 |
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| Secondary | Change From Double-blind Baseline to Week 28 (LOCF) in SDS Total Score | The SDS is a composite of three self-rated items designed to measure the extent to which three major sectors in the patient's life are impaired by depressive symptoms. The SDS total score is calculated as the sum of the 3 items. The SDS total score ranges from 0 to 30. Higher scores are associated with greater severity of global functional impairments. If a subject has not worked/studied at all during the past week for reasons unrelated to the disorder, the SDS total score will be set to missing. | ITT Population: all subjects who were randomized and received at least one dose of study medication in the double-blind phase. Subjects were analyzed based on treatment they were randomized. 63 lurasidone + Li/VPA subjects and 57 placebo +Li/VPA subjects did not have post-DB baseline SDS total score. | Posted | Least Squares Mean | Standard Error | units on a scale | Double-blind Baseline to week 28 |
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| Secondary | Change From Double-blind Baseline to Week 28 (LOCF) in PIRS-2 Total Score | The PIRS-2 is a 2-item self-report of insomnia assessed via a computer interface. Each item is scored from 0-3. The PIRS-2 total score is calculated as the sum of the 2 items. The PIRS total score ranges from 0 to 6. Higher scores are associated with greater severity of insomnia. | ITT Population: all subjects who were randomized and received at least one dose of study medication in the double-blind phase. Subjects were analyzed based on the treatment they were randomized. . 7 lurasidone + Li/VPA subjects and 7 placebo +Li/VPA subjects did not have post-DB baseline PIRS-2 total score. | Posted | Least Squares Mean | Standard Error | units on a scale | Double-blind Baseline to week 28 |
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| Secondary | Change From Double-blind Baseline to Week 28 (LOCF) in Q-LES-Q-SF Percent Maximum Possible Score | The Q-LES-Q-SF is a 16-item self-report measure of the degree of enjoyment and satisfaction in various areas of daily living. The questionnaire was developed and validated for use in depressed outpatient subjects and has eight summary scales that reflect major areas of functioning: physical health, mood, leisure time activities, social relationships, general activities, work, household duties and school/coursework. Each item is rated on a 5-point scale, ranging from 1 (very poor) to 5 (very good). The Q-LES-Q-SF percentage maximum possible score is calculated as 100 × (Raw Score - 14 [Minimum Score]) / (70 [Maximum Score] - 14 [Minimum Score]). Higher percent maximum scores indicate better quality of life. | ITT Population: all subjects who were randomized and received at least one dose of study medication in the double-blind phase. Subjects were analyzed based on the treatment they were randomized. . 12 lurasidone + Li/VPA subjects and 11 placebo +Li/VPA subjects did not have post-DB baseline Q-LES-Q-SF percent maximum possible score. | Posted | Least Squares Mean | Standard Error | units on a scale | Double-blind Baseline to week 28 |
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For all subjects column: during open label phase (up to 20 weeks) For 7 lurasidone + Li/VPA and placebo +Li/VPA columns: during double blind phase (up to 28 weeks).
During the open label phase there were 965 subjects There were three subjects that never received study drug and therefore are not included in this section
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Lurasidone 20-80 mg Flexible Dose | Lurasidone: Lurasidone 20 mg daily (days 1-3), Lurasidone 40 mg daily (days 4-7), Lurasidone 20-80 mg daily (flexible dose) thereafter | 13 | 246 | 81 | 246 | ||
| EG001 | Placebo | Placebo: 20-80 mg flexible dose | 11 | 250 | 81 | 250 | ||
| EG002 | All Subjects | During the open-label stabilization phase, subjects received flexible does of lurasidone 20-80 mg daily | 41 | 962 | 474 | 962 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Artiral fibrillation | Cardiac disorders | 15.0 | Non-systematic Assessment |
| |
| Adominal pain | Gastrointestinal disorders | Medra 15.0 | Non-systematic Assessment |
| |
| Chest discomfort | General disorders | Medra 15.0 | Non-systematic Assessment |
| |
| Cholelithiasis | Hepatobiliary disorders | Medra 15.0 | Non-systematic Assessment |
| |
| Cholecytitis acute | Hepatobiliary disorders | Medra 15.0 | Non-systematic Assessment |
| |
| Cholecystitis chronic | Hepatobiliary disorders | Medra 15.0 | Non-systematic Assessment |
| |
| Appendicitis | Infections and infestations | Medra 15.0 | Non-systematic Assessment |
| |
| Gastroenteritis | Infections and infestations | Medra 15.0 | Non-systematic Assessment |
| |
| Postoperative Wound Infection | Infections and infestations | Medra 15.0 | Non-systematic Assessment |
| |
| Ankle Fracture | Injury, poisoning and procedural complications | Medra 15.0 | Non-systematic Assessment |
| |
| Clavicle Fracture | Injury, poisoning and procedural complications | Medra 15.0 | Non-systematic Assessment |
| |
| Facial Bones Fracture | Injury, poisoning and procedural complications | Medra 15.0 | Non-systematic Assessment |
| |
| Lower Limb Fracture | Injury, poisoning and procedural complications | Medra 15.0 | Non-systematic Assessment |
| |
| Toxicity to Various Agents | Injury, poisoning and procedural complications | Medra 15.0 | Non-systematic Assessment |
| |
| Alanine Aminotransferase Increased | Investigations | Medra 15.0 | Non-systematic Assessment |
| |
| Aspartate Aminotransferase Increased | Investigations | Medra 15.0 | Non-systematic Assessment |
| |
| Hypokalaemia | Metabolism and nutrition disorders | Medra 15.0 | Non-systematic Assessment |
| |
| Type 2 Diabetes Mellitus | Metabolism and nutrition disorders | Medra 15.0 | Non-systematic Assessment |
| |
| Back Pain | Musculoskeletal and connective tissue disorders | Medra 15.0 | Non-systematic Assessment |
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| Chondromalacia | Musculoskeletal and connective tissue disorders | Medra 15.0 | Non-systematic Assessment |
| |
| Patellofemoral Pain Syndrome | Musculoskeletal and connective tissue disorders | Medra 15.0 | Non-systematic Assessment |
| |
| Benign Ovarian Tumour | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Medra 15.0 | Non-systematic Assessment |
| |
| Brain Neoplasm | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Medra 15.0 | Non-systematic Assessment |
| |
| Ovarian Cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Medra 15.0 | Non-systematic Assessment |
| |
| Convulsion | Nervous system disorders | Medra 15.0 | Non-systematic Assessment |
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| Headache | Nervous system disorders | Medra 15.0 | Non-systematic Assessment |
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| Depression | Psychiatric disorders | Medra 15.0 | Non-systematic Assessment |
| |
| Mania | Psychiatric disorders | Medra 15.0 | Non-systematic Assessment |
| |
| Agitation | Psychiatric disorders | Medra 15.0 | Non-systematic Assessment |
| |
| Suicidal Ideation | Psychiatric disorders | Medra 15.0 | Non-systematic Assessment |
| |
| Bipolar 1 Disorder | Psychiatric disorders | Medra 15.0 | Non-systematic Assessment |
| |
| Bipolar Disorder | Psychiatric disorders | Medra 15.0 | Non-systematic Assessment |
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| Intentional Self Injury | Psychiatric disorders | Medra 15.0 | Non-systematic Assessment |
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| Suicide Attempt | Psychiatric disorders | Medra 15.0 | Non-systematic Assessment |
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| Depressive Symptom | Psychiatric disorders | Medra 15.0 | Non-systematic Assessment |
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| Acute Psychosis | Psychiatric disorders | Medra 15.0 | Non-systematic Assessment |
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| Anxiety | Psychiatric disorders | Medra 15.0 | Non-systematic Assessment |
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| Insomnia | Psychiatric disorders | Medra 15.0 | Non-systematic Assessment |
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| Panic Attack | Psychiatric disorders | Medra 15.0 | Non-systematic Assessment |
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| Somatoform Disorder | Psychiatric disorders | Medra 15.0 | Non-systematic Assessment |
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| Nephrolithiasis | Renal and urinary disorders | 15.0 | Non-systematic Assessment |
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| Ovarian Cyst | Reproductive system and breast disorders | Medra 15.0 | Non-systematic Assessment |
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| Uterine Prolapse | Reproductive system and breast disorders | Medra 15.0 | Non-systematic Assessment |
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| Asthma | Respiratory, thoracic and mediastinal disorders | Medra 15.0 | Non-systematic Assessment |
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| Hypotension | Vascular disorders | Medra 15.0 | Non-systematic Assessment |
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| Joint Swelling | Musculoskeletal and connective tissue disorders | Medra 15.0 | Non-systematic Assessment |
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| Cerebral edema | Nervous system disorders | Medra 15.0 | Non-systematic Assessment | Cerebral edema, 15 days, post - last dose, not related to study drug |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nausea | Gastrointestinal disorders | 15.0 | Non-systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | Medra 15.0 | Non-systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | Medra 15.0 | Non-systematic Assessment |
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| Fatigue | Gastrointestinal disorders | Medra 15.0 | Non-systematic Assessment |
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| Nasopharyngitis | Infections and infestations | Medra 15.0 | Non-systematic Assessment |
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| Upper Respiratory Tract Infection | Infections and infestations | Medra 15.0 | Non-systematic Assessment |
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| Weight Increased | Investigations | Medra 15.0 | Non-systematic Assessment |
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| Increased Appetite | Metabolism and nutrition disorders | Medra 15.0 | Non-systematic Assessment |
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| Headache | Nervous system disorders | Medra 15.0 | Non-systematic Assessment |
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| Tremor | Nervous system disorders | Medra 15.0 | Non-systematic Assessment |
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| Somnolence | Nervous system disorders | Medra 15.0 | Non-systematic Assessment |
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| Sedation | Nervous system disorders | Medra 15.0 | Non-systematic Assessment |
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| Insomnia | Psychiatric disorders | Medra 15.0 | Non-systematic Assessment |
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| Anxiety | Psychiatric disorders | Medra 15.0 | Non-systematic Assessment |
| |
| Akathisia | Nervous system disorders | Medra 15.0 | Non-systematic Assessment |
|
In the event the Study is part of a multi-center study, the first publication of the results of the study shall be made in conjunction with the results of other participating study sites as a multi-center publication; provided however, if a multi-center publication is not forthcoming within twenty-four (24) months following completion of the Study at all sites, Institution and Investigator shall be free to publish.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| CNS Medical Director | Sunovion Pharmaceuticlas Inc. | 1-866-503-6351 | clinicaltrialdisclosure@sunvion.com |
| ID | Term |
|---|---|
| D000069056 | Lurasidone Hydrochloride |
| ID | Term |
|---|---|
| D013844 | Thiazoles |
| D013457 | Sulfur Compounds |
| D009930 | Organic Chemicals |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D054833 | Isoindoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
Not provided
Not provided
| Protocol Violation |
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| Protocol Violation |
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| Terminated at study completion |
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| Recurrence of mood event |
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| Administrative |
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| >=65 years |
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| Male |
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| Not Hispanic or Latino |
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| Unknown or Not Reported |
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| Asian |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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| Russian Federation |
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| Hungary |
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| United States |
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| Japan |
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| Czech Republic |
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| Poland |
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| Slovakia |
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| Bulgaria |
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| Chile |
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| France |
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| Serbia |
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| No |
| Superiority or Other |
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Placebo: 20-80 mg flexible dose |
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| Units | Counts |
|---|---|
| Participants |
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| Units |
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| Counts |
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| Participants |
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Placebo: 20-80 mg flexible dose
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