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Trial · NCT00261443

A Study of Aripiprazole (Abilify) in Patients With Bipolar Mania

NCT00261443, Phase 4, Completed, Otsuka Pharmaceutical Development & Commercialization, Inc.; results first posted 2011-04-27

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ConductScience Library. A Study of Aripiprazole (Abilify) in Patients With Bipolar Mania. Trials, record NCT00261443. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00261443

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study of Aripiprazole (Abilify) in Patients With Bipolar Mania
NCT number
NCT00261443
Status
Completed
Phases
Phase 4
Enrollment
1,270 participants, actual
Lead sponsor
Otsuka Pharmaceutical Development & Commercialization, Inc.
Conditions
Bipolar Disorder
Interventions
Lithium or Valproate with placebo (PBO), Lithium or Valproate with Aripiprazole
First posted
2005-12-05
Last updated
2023-04-18
Results first posted
2011-04-27

Source ClinicalTrials.gov

Registered outcomes124

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryProportion of Participants Not Experiencing Relapse to Any Mood Episode Through Week 52, Phase 3Week 0, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52 of Phase 3 (A 52-Week Assessment of Relapse Phase following Phase 2 [13 to 24 weeks] and Phase 1 [2 to 8 weeks])
Kaplan-Meier estimated survival rate. Criteria for relapse include one or more of the following: hospitalization for a manic, mixed or depressive episode; serious adverse event of worsening disease under study accompanied by a Y-MRS \> 16 and/or a MADRS \> 16; discontinuation due to lack of efficacy as determined by the investigator accompanied by a Y-MRS \> 16 and/or a MADRS \> 16.
SecondaryBaseline and Adjusted Mean Change From Baseline in Clinical Global Impression Scale for Bipolar Disorder (CGI-BP) Severity of Illness Score (Mania) Through Phase 3Baseline (end of Phase 2), 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52
Clinical Global Impression-Bipolar (CGI-BP) assesses global illness severity and change from baseline in patients with bipolar disorder. Patients are rated on mania, depression and overall bipolar illness items on a 7-point scale \[1 to 7\], with 1 being normal and 7 being very severely ill). A negative change score signifies improvement.
SecondaryProportion of Participants Not Experiencing Relapse of Manic Episode Through Phase 3Weeks 0, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52 of phase 3
Kaplan-Meier estimated survival rate. Criteria for relapse include one or more of the following: relapse is defined as any of the following events accompanied by a Young-Mania Rating Scale (Y-MRS) \>16 and/or a Montgomery Åsberg Depression Rating Scale (MADRS) \>16; serious adverse event of worsening disease, or discontinuation by the investigator for lack of efficacy. A hospitalization for a manic, mixed, or depressive episode does meet the criteria for relapse, however does not require an accompanying Y-MRS and/or MADRS score \>16.
SecondaryProportion of Participants Not Experiencing Relapse of Depressive Episode Through Week 52 During Phase 3Weeks 0, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52 of phase 3
Kaplan Meier estimated survival rate. Relapse is defined as any of the following events accompanied by a YMRS \> 16 and/or a MADRS \> 16; serious adverse event of worsening disease, or discontinuation by the investigator for lack of efficacy. A hospitalization for a manic, mixed, or depressive episode does meet the criteria for relapse, however does not require an accompanying Y-MRS and/or MADRS score \> 16.
SecondaryMean Baseline and Unadjusted Mean Change From Baseline in Young-Mania Rating Scale (Y-MRS) Total Score Through Phase 2
Baseline (end of ph 1), Weeks 1, 2, 4, 6, 8, 12, 16, 20, 24, and Phase 2 (Ph2) Endpoint. Phase 2 (13- to 24-week Stability and Maintenance of Stability Phase, which followed a 2- to 8-week Screening, Washout, + Confirmation of Partial Nonresponse Phase)
The Y-MRS consists of 11 items: 1) Elevated Mood, 2) Increased Motor Activity -Energy, 3) Sexual Interest, 4) Sleep, 5) Irritability, 6) Speech (Rate and Amount), 7) Language -Thought Disorder, 8) Content, 9) Disruptive-Aggressive Behavior, 10) Appearance, 11) Insight. Seven items are rated on a 0 to 4 scale, while 4 items (items 5, 6, 8 and 9) are rated on a 0 to 8 scale (twice the weight of the other items.) For all items, 0 is the "best" rating and 4 or 8 is the "worst" rating. Total Score is the sum of the ratings for all 11 items. The possible Total Scores are from 0 (best) to 60 (worst).
SecondaryMean Baseline and Adjusted Mean Change From Baseline in Young-Mania Rating Scale (Y-MRS) Total Score Through Phase 3Baseline (end of Ph 2), Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52 of Phase 3 (A 52-Week Assessment of Relapse Phase following Phase 2 [13 to 24 weeks] and Phase 1 [2 to 8 weeks])
The Y-MRS consists of 11 items: 1) Elevated Mood, 2) Increased Motor Activity -Energy, 3) Sexual Interest, 4) Sleep, 5) Irritability, 6) Speech (Rate and Amount), 7) Language -Thought Disorder, 8) Content, 9) Disruptive-Aggressive Behavior, 10) Appearance, 11) Insight. 7 items are rated on a 0 to 4 scale, while 4 items (items 5, 6, 8 and 9) are rated on a 0 to 8 scale (twice the weight of the other items.) For all items, 0 is the "best" rating and 4 or 8 is the "worst" rating. Total Score is the sum of the ratings for all 11 items. The possible Total Scores are from 0 (best) to 60 (worst).
SecondaryMean Baseline and Unadjusted Mean Change From Baseline in Montgomery Åsberg Depression Rating Scale (MADRS) Total Score Through Phase 2 and at Phase 2 Endpoint
Baseline (end of Ph 1), Weeks 1, 2, 4, 6, 8, 12, 16, 20, 24, and Phase 2 (Ph2) Endpoint. Phase 2 (13- to 24-week Stability and Maintenance of Stability Phase, which followed a 2- to 8-week Screening, Washout, and Confirmation of Partial Nonresponse Phase)
The Montgomery-Åsberg Depression Rating Scale (MADRS) is a ten-item diagnostic questionnaire used to measure the severity of depressive episodes in patients with mood disorders. MADRS total score, a 10-item, ordinal rating scale (0=no symptoms; 60=most severe symptoms). Change from baseline=postbaseline score - baseline score. A negative change score indicates improvement.
SecondaryMean Baseline and Adjusted Mean Change From Baseline in Montgomery Åsberg Depression Rating Scale (MADRS) Total Score Through Phase 3Baseline (end of Ph 2), Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52. Phase 3 (A 52-Week Assessment of Relapse Phase following Phase 2 [13 to 24 weeks] and Phase 1 [2 to 8 weeks])
The Montgomery-Åsberg Depression Rating Scale (MADRS) is a ten-item diagnostic questionnaire used to measure the severity of depressive episodes in patients with mood disorders. MADRS total score, a 10-item, ordinal rating scale (0=no symptoms; 60=most severe symptoms). Change from baseline=postbaseline score - baseline score. A negative change score indicates improvement.
SecondaryUnadjusted Mean Change Baseline and Mean Change From Baseline in the CGI-BP Severity of Illness (Overall) Through Phase 2
Baseline (end of Ph 1), Weeks 1, 2, 4, 6, 8, 12, 16, 20, 24, and Phase 2 Endpoint. Phase 2 (13- to 24-week Stability and Maintenance of Stability Phase, which followed a 2- to 8-week Screening, Washout, and Confirmation of Partial Nonresponse Phase)
Clinical Global Impression-Bipolar (CGI-BP) assesses global illness severity and change from baseline in patients with bipolar disorder. Patients are rated on mania, depression and overall bipolar illness items on a 7-point scale \[1 to 7\], with 1 being normal and 7 being very severely ill). A negative change score signifies improvement.
SecondaryBaseline and Adjusted Mean Change From Baseline in the CGI-BP Severity of Illness (Overall) Through Phase 3Baseline (end of Ph 2), Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52. Phase 3 (A 52-Week Assessment of Relapse Phase following Phase 2 [13 to 24 weeks] and Phase 1 [2 to 8 weeks])
Clinical Global Impression-Bipolar (CGI-BP) assesses global illness severity and change from baseline in patients with bipolar disorder. Patients are rated on mania, depression and overall bipolar illness items on a 7-point scale \[1 to 7\], with 1 being normal and 7 being very severely ill). A negative change score signifies improvement.

Outcomes124

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYProportion of Participants Not Experiencing Relapse to Any Mood Episode Through Week 52, Phase 3Week 0, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52 of Phase 3 (A 52-Week Assessment of Relapse Phase following Phase 2 [13 to 24 weeks] and Phase 1 [2 to 8 weeks])Randomized Sample; n=number of participants at risk at each time pointproportion of participantsNUMBER
SECONDARYBaseline and Adjusted Mean Change From Baseline in Clinical Global Impression Scale for Bipolar Disorder (CGI-BP) Severity of Illness Score (Mania) Through Phase 3Baseline (end of Phase 2), 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52LOCF data set, phase 3 efficacy sample; n=number of participants evaluated at given time pointunits on a scaleMEAN
SECONDARYProportion of Participants Not Experiencing Relapse of Manic Episode Through Phase 3Weeks 0, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52 of phase 3Randomized sample, n=number of participants at risk at given time pointproportion of participantsNUMBER
SECONDARYProportion of Participants Not Experiencing Relapse of Depressive Episode Through Week 52 During Phase 3Weeks 0, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52 of phase 3Randomized sample, n=number of participants at risk at given time pointproportion of participantsNUMBER
SECONDARYMean Baseline and Unadjusted Mean Change From Baseline in Young-Mania Rating Scale (Y-MRS) Total Score Through Phase 2
Baseline (end of ph 1), Weeks 1, 2, 4, 6, 8, 12, 16, 20, 24, and Phase 2 (Ph2) Endpoint. Phase 2 (13- to 24-week Stability and Maintenance of Stability Phase, which followed a 2- to 8-week Screening, Washout, + Confirmation of Partial Nonresponse Phase)
Observed Cases (OC) data set; n=number of participants with measurement at given time point.units on a scaleMEAN
SECONDARYMean Baseline and Adjusted Mean Change From Baseline in Young-Mania Rating Scale (Y-MRS) Total Score Through Phase 3Baseline (end of Ph 2), Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52 of Phase 3 (A 52-Week Assessment of Relapse Phase following Phase 2 [13 to 24 weeks] and Phase 1 [2 to 8 weeks])LOCF data set, phase 3 efficacy sample; n=number of participants with measurement at time pointunits on a scaleMEAN
SECONDARYMean Baseline and Unadjusted Mean Change From Baseline in Montgomery Åsberg Depression Rating Scale (MADRS) Total Score Through Phase 2 and at Phase 2 Endpoint
Baseline (end of Ph 1), Weeks 1, 2, 4, 6, 8, 12, 16, 20, 24, and Phase 2 (Ph2) Endpoint. Phase 2 (13- to 24-week Stability and Maintenance of Stability Phase, which followed a 2- to 8-week Screening, Washout, and Confirmation of Partial Nonresponse Phase)
Observed Cases (OC) data set; phase 2 endpoint was phase 2 efficacy sample. n=number of participants with evaluation at time pointunits on a scaleMEAN
SECONDARYMean Baseline and Adjusted Mean Change From Baseline in Montgomery Åsberg Depression Rating Scale (MADRS) Total Score Through Phase 3Baseline (end of Ph 2), Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52. Phase 3 (A 52-Week Assessment of Relapse Phase following Phase 2 [13 to 24 weeks] and Phase 1 [2 to 8 weeks])LOCF data set, phase 3 efficacy sample; N=number of participants evaluated at time point; 4 participants in the Week 4 placebo group were not evaluated.units on a scaleMEAN
SECONDARYUnadjusted Mean Change Baseline and Mean Change From Baseline in the CGI-BP Severity of Illness (Overall) Through Phase 2
Baseline (end of Ph 1), Weeks 1, 2, 4, 6, 8, 12, 16, 20, 24, and Phase 2 Endpoint. Phase 2 (13- to 24-week Stability and Maintenance of Stability Phase, which followed a 2- to 8-week Screening, Washout, and Confirmation of Partial Nonresponse Phase)
Observed Cases (OC) data set; phase 2 endpoint was phase 2 efficacy sample. n=number of participants with evaluation at time pointunits on a scaleMEAN
SECONDARYBaseline and Adjusted Mean Change From Baseline in the CGI-BP Severity of Illness (Overall) Through Phase 3Baseline (end of Ph 2), Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52. Phase 3 (A 52-Week Assessment of Relapse Phase following Phase 2 [13 to 24 weeks] and Phase 1 [2 to 8 weeks])LOCF data set, phase 3 efficacy sample; 4 participants in the Week 4 placebo group were not evaluated.units on a scaleMEAN

Results by group1,642

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Proportion of Participants Not Experiencing Relapse to Any Mood Episode Through Week 52, Phase 3PlaceboProportion at Week 0 (n=169, 168)1.00proportion of participants
Proportion of Participants Not Experiencing Relapse to Any Mood Episode Through Week 52, Phase 3AripiprazoleProportion at Week 0 (n=169, 168)1.00proportion of participants
Proportion of Participants Not Experiencing Relapse to Any Mood Episode Through Week 52, Phase 3PlaceboProportion at Week 4 (n=153, 148)0.95proportion of participants
Proportion of Participants Not Experiencing Relapse to Any Mood Episode Through Week 52, Phase 3AripiprazoleProportion at Week 4 (n=153, 148)0.96proportion of participants
Proportion of Participants Not Experiencing Relapse to Any Mood Episode Through Week 52, Phase 3PlaceboProportion at Week 8 (n=148, 139)0.93proportion of participants
Proportion of Participants Not Experiencing Relapse to Any Mood Episode Through Week 52, Phase 3AripiprazoleProportion at Week 8 (n=148, 139)0.94proportion of participants
Proportion of Participants Not Experiencing Relapse to Any Mood Episode Through Week 52, Phase 3PlaceboProportion at Week 12 (n=142, 133)0.90proportion of participants
Proportion of Participants Not Experiencing Relapse to Any Mood Episode Through Week 52, Phase 3AripiprazoleProportion at Week 12 (n=142, 133)0.93proportion of participants
Proportion of Participants Not Experiencing Relapse to Any Mood Episode Through Week 52, Phase 3PlaceboProportion at Week 16 (n=131, 130)0.87proportion of participants
Proportion of Participants Not Experiencing Relapse to Any Mood Episode Through Week 52, Phase 3AripiprazoleProportion at Week 16 (n=131, 130)0.92proportion of participants

Participant flow36

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
1: Confirmation of Partial NonresponseSTARTEDPre-Randomized Participants1,270
1: Confirmation of Partial NonresponseSTARTEDPlacebo0
1: Confirmation of Partial NonresponseSTARTEDAripiprazole0
1: Confirmation of Partial NonresponseCOMPLETEDPre-Randomized Participants686
1: Confirmation of Partial NonresponseCOMPLETEDPlacebo0
1: Confirmation of Partial NonresponseCOMPLETEDAripiprazole0
1: Confirmation of Partial NonresponseNOT COMPLETEDPre-Randomized Participants584
1: Confirmation of Partial NonresponseNOT COMPLETEDPlacebo0
1: Confirmation of Partial NonresponseNOT COMPLETEDAripiprazole0
2: Stability & Maintenance of StabilitySTARTEDPre-Randomized Participants686

Adverse events230

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherWEIGHT INCREASEDInvestigationsSingle-Blind Aripiprazole28682
otherWEIGHT INCREASEDInvestigationsDouble-Blind Placebo11166
otherWEIGHT INCREASEDInvestigationsDouble-Blind Aripiprazole15167
otherWEIGHT INCREASEDInvestigationsExtension Phase Placebo019
otherWEIGHT INCREASEDInvestigationsExtension Phase Aripiprazole123
otherINSOMNIAPsychiatric disordersSingle-Blind Aripiprazole61682
otherINSOMNIAPsychiatric disordersDouble-Blind Placebo16166
otherINSOMNIAPsychiatric disordersDouble-Blind Aripiprazole9167
otherINSOMNIAPsychiatric disordersExtension Phase Placebo019
otherINSOMNIAPsychiatric disordersExtension Phase Aripiprazole223

Adverse event totals15

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalitySingle-Blind Aripiprazole
Total, all-cause mortalityDouble-Blind Placebo
Total, all-cause mortalityDouble-Blind Aripiprazole
Total, all-cause mortalityExtension Phase Placebo
Total, all-cause mortalityExtension Phase Aripiprazole
Total, other adverse eventsSingle-Blind Aripiprazole402682
Total, other adverse eventsDouble-Blind Placebo61166
Total, other adverse eventsDouble-Blind Aripiprazole68167
Total, other adverse eventsExtension Phase Placebo519
Total, other adverse eventsExtension Phase Aripiprazole623

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
21443567DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00261443

GET https://conductscience.org/api/trials/v1/NCT00261443/registered?page=2