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Trial · NCT00277212

A Phase IV Study of the Safety and Efficacy of Aripiprazole in Combination With Lamotrigine in the Long-Term Maintenance Treatment of Patients With Bipolar I Disorder With A Recent Manic or Mixed Episode

NCT00277212, Phase 4, Completed, Otsuka Pharmaceutical Development & Commercialization, Inc.; results first posted 2010-10-20

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Phase IV Study of the Safety and Efficacy of Aripiprazole in Combination With Lamotrigine in the Long-Term Maintenance Treatment of Patients With Bipolar I Disorder With A Recent Manic or Mixed Episode. Trials, record NCT00277212. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00277212

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Trial

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

Title
A Phase IV Study of the Safety and Efficacy of Aripiprazole in Combination With Lamotrigine in the Long-Term Maintenance Treatment of Patients With Bipolar I Disorder With A Recent Manic or Mixed Episode
NCT number
NCT00277212
Status
Completed
Phases
Phase 4
Enrollment
1,169 participants, actual
Lead sponsor
Otsuka Pharmaceutical Development & Commercialization, Inc.
Conditions
Bipolar Disorder
Interventions
Lamotrigine + Aripiprazole, Lamotrigine + Placebo
First posted
2006-01-16
Last updated
2026-05-13
Results first posted
2010-10-20

Source ClinicalTrials.gov

Registered outcomes17

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

ListOutcomeTime frameDescription
PrimaryProportion of Participants Not Experiencing Relapse Through Week 52 in the Double-Blind Relapse Assessment Phase (Phase 2)Weeks 0, 2, 4, 6, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52
Time from randomization to relapse to a manic or mixed episode in the Double-Blind Relapse Assessment Phase as measured by the Proportion of Participants without Relapse Through Week 52 (Kaplan-Meier's estimated survival rate).
SecondaryProportion of Participants Not Experiencing Relapse (Manic, Mixed, Depressive) in the Double-blind Relapse Assessment Phase Phase 2Weeks 0, 2, 4, 6, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52Proportion of Participants without Relapse Through Week 52 (Kaplan-Meier's estimated survival rate).
SecondaryProportion of Participants Not Experiencing a Depressive Relapse in the Double-blind Relapse Assessment Phase (Phase 2)Weeks 0, 2, 4, 6, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52Proportion of Participants without Relapse Through Week 52 (Kaplan-Meier's estimated survival rate).
SecondaryProportion of Participants Without Discontinuation for Any Reason in the Double-blind Relapse Assessment Phase (Phase 2)Weeks 0, 2, 4, 6, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52Proportion of Participants without Discontinuation Through Week 52(Kaplan-Meier's estimated survival rate).
Secondary
Deaths, Treatment-Emergent Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation of Study Medication, Treatment-Emergent AEs and Treatment-Emergent Extrapyramidal Syndrome (EPS)-Related AEs
Throughout Phase 2 (up to 52 weeks)
AE is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition. SAE is any untoward medical occurrence that at any dose results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a cancer, is a congenital anomaly/birth defect, results in the development of drug dependency or drug abuse, is an important medical event.
SecondaryAdjusted Mean Change From Baseline in Body Weight, Phase 2Baseline, Week 52Adjusted for index mood episode and baseline assessment
SecondaryNumber of Participants Showing Clinically Relevant Weight Loss by Study WeekWeeks 12, 24, 36, 52Weight Loss of at least a 7% decrease from Baseline.
SecondaryNumber of Participants Showing Clinically Relevant Weight Gain by Study WeekWeeks 12, 24, 36, 52Weight gain of at least a 7% increase from Baseline.
SecondaryAdjusted Mean Change From Baseline in BMI by Study WeekBaseline, Weeks 12, 24, 36, 52Adjusted for index mood episode and baseline assessment.
SecondaryNumber of Participants With Potentially Clinically Significant Electrocardiogram (ECG) Abnormalities Occurring During Double-Blind TreatmentThroughout the study, up to Week 52
Abbreviations and further description used in table: Sinus tachycardia, ≥120 beats per minute (bpm) and ↑ ≥15 bpm \& no current diagnosis of supraventricular or ventricular tachycardia/atrial fibrillation (AF)/atrial flutter/ other rhythm abnormality. Sinus bradycardia, ≤ 50 bpm and ↓ 15 bpm \& no current diagnosis of AF/atrial flutter/other rhythm abnormality. Supraventricular premature beat (SPB), Ventricular premature beat (VPB), Atroventricular (A-V). Other intraventricular block, QRS ≥0.12 sec and ↑ ≥0.02 sec \& no current diagnosis of left or right bundle branch block.

Outcomes17

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYProportion of Participants Not Experiencing Relapse Through Week 52 in the Double-Blind Relapse Assessment Phase (Phase 2)Weeks 0, 2, 4, 6, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52Randomized Participants (comprises all patients who are randomized in Phase 2). n= number of randomized participants evaluated at given time point.Proportion of ParticipantsNUMBER
SECONDARYProportion of Participants Not Experiencing Relapse (Manic, Mixed, Depressive) in the Double-blind Relapse Assessment Phase Phase 2Weeks 0, 2, 4, 6, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52Randomized Participants (comprises all patients who are randomized in Phase 2). n= number of randomized participants evaluated at given time point.Proportion of ParticipantsNUMBER
SECONDARYProportion of Participants Not Experiencing a Depressive Relapse in the Double-blind Relapse Assessment Phase (Phase 2)Weeks 0, 2, 4, 6, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52Randomized Participants (comprises all patients who are randomized in Phase 2). n= number of randomized participants evaluated at given time point.Proportion of ParticipantsNUMBER
SECONDARYProportion of Participants Without Discontinuation for Any Reason in the Double-blind Relapse Assessment Phase (Phase 2)Weeks 0, 2, 4, 6, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52Randomized Participants (comprises all patients who are randomized in Phase 2). n= number of randomized participants evaluated at given time point.Proportion of ParticipantsNUMBER
SECONDARY
Deaths, Treatment-Emergent Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation of Study Medication, Treatment-Emergent AEs and Treatment-Emergent Extrapyramidal Syndrome (EPS)-Related AEs
Throughout Phase 2 (up to 52 weeks)The Phase 2 Safety Sample comprises all patients who are randomized into Phase 2 and take at least one dose of double-blind medication in Phase 2, as indicated on the study therapy form.participantsNUMBER
SECONDARYAdjusted Mean Change From Baseline in Body Weight, Phase 2Baseline, Week 52Participants from the phase 2 Safety Sample who had body weight evaluation at baseline and week 52 LOCF.kgMEAN
SECONDARYNumber of Participants Showing Clinically Relevant Weight Loss by Study WeekWeeks 12, 24, 36, 52
Observed cases (OC) data set (actual observation at each visit), Last observation carried forward (LOCF) data set (data recorded at a given visit or, if no observation is recorded at that visit, data carried forward from the previous visit), and Overall, Phase 2 Safety Sample; n=number assessed at given time point.
ParticipantsNUMBER
SECONDARYNumber of Participants Showing Clinically Relevant Weight Gain by Study WeekWeeks 12, 24, 36, 52
Observed cases (OC) data set (actual observation at each visit), Last observation carried forward (LOCF) data set (data recorded at a given visit or, if no observation is recorded at that visit, data carried forward from the previous visit), and Overall, Phase 2 Safety Sample; n=number assessed at given time point.
ParticipantsNUMBER
SECONDARYAdjusted Mean Change From Baseline in BMI by Study WeekBaseline, Weeks 12, 24, 36, 52
Observed cases (OC) data set (actual observation at each visit), Last observation carried forward (LOCF) data set (data recorded at a given visit or, if no observation is recorded at that visit, data carried forward from the previous visit), and Overall, Phase 2 Safety Sample; n=number assessed at given time point.
kg/m2MEAN
SECONDARYNumber of Participants With Potentially Clinically Significant Electrocardiogram (ECG) Abnormalities Occurring During Double-Blind TreatmentThroughout the study, up to Week 52
Participants with ECG evaluation from the phase 2 Safety Sample (all patients who are randomized into Phase 2 and take at least one dose of double-blind medication in Phase 2, as indicated on the study therapy form.)
particiapntsNUMBER

Results by group415

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

OutcomeGroupCategoryValueSpreadUnits
Proportion of Participants Not Experiencing Relapse Through Week 52 in the Double-Blind Relapse Assessment Phase (Phase 2)Phase 2 Double-Blind Treatment: Lamotrigine + PlaceboWeek 0 (n=173, n=178)1.00Proportion of Participants
Proportion of Participants Not Experiencing Relapse Through Week 52 in the Double-Blind Relapse Assessment Phase (Phase 2)Phase 2 Double-Blind Treatment: Lamotrigine + AripiprazoleWeek 0 (n=173, n=178)1.00Proportion of Participants
Proportion of Participants Not Experiencing Relapse Through Week 52 in the Double-Blind Relapse Assessment Phase (Phase 2)Phase 2 Double-Blind Treatment: Lamotrigine + PlaceboWeek 2 (n=162, n=172)0.98Proportion of Participants
Proportion of Participants Not Experiencing Relapse Through Week 52 in the Double-Blind Relapse Assessment Phase (Phase 2)Phase 2 Double-Blind Treatment: Lamotrigine + AripiprazoleWeek 2 (n=162, n=172)0.98Proportion of Participants
Proportion of Participants Not Experiencing Relapse Through Week 52 in the Double-Blind Relapse Assessment Phase (Phase 2)Phase 2 Double-Blind Treatment: Lamotrigine + PlaceboWeek 4 (n=154, n=159)0.97Proportion of Participants
Proportion of Participants Not Experiencing Relapse Through Week 52 in the Double-Blind Relapse Assessment Phase (Phase 2)Phase 2 Double-Blind Treatment: Lamotrigine + AripiprazoleWeek 4 (n=154, n=159)0.96Proportion of Participants
Proportion of Participants Not Experiencing Relapse Through Week 52 in the Double-Blind Relapse Assessment Phase (Phase 2)Phase 2 Double-Blind Treatment: Lamotrigine + PlaceboWeek 6 (n=142, n=147)0.95Proportion of Participants
Proportion of Participants Not Experiencing Relapse Through Week 52 in the Double-Blind Relapse Assessment Phase (Phase 2)Phase 2 Double-Blind Treatment: Lamotrigine + AripiprazoleWeek 6 (n=142, n=147)0.93Proportion of Participants
Proportion of Participants Not Experiencing Relapse Through Week 52 in the Double-Blind Relapse Assessment Phase (Phase 2)Phase 2 Double-Blind Treatment: Lamotrigine + PlaceboWeek 8 (n=135, n=135)0.93Proportion of Participants
Proportion of Participants Not Experiencing Relapse Through Week 52 in the Double-Blind Relapse Assessment Phase (Phase 2)Phase 2 Double-Blind Treatment: Lamotrigine + AripiprazoleWeek 8 (n=135, n=135)0.90Proportion of Participants

Participant flow30

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

PeriodMilestoneGroupParticipantsUnits counted
Phase 1 - Single-Blind TreatmentSTARTEDPhase 1: Single-Blind Treatment, Lamotrigine + Aripiprazole787
Phase 1 - Single-Blind TreatmentSTARTEDPhase 2 Double-Blind Treatment: Lamotrigine + Placebo0
Phase 1 - Single-Blind TreatmentSTARTEDPhase 2 Double-Blind Treatment: Lamotrigine + Aripiprazole0
Phase 1 - Single-Blind TreatmentPhase 1 Safety SamplePhase 1: Single-Blind Treatment, Lamotrigine + Aripiprazole787
Phase 1 - Single-Blind TreatmentPhase 1 Safety SamplePhase 2 Double-Blind Treatment: Lamotrigine + Placebo0
Phase 1 - Single-Blind TreatmentPhase 1 Safety SamplePhase 2 Double-Blind Treatment: Lamotrigine + Aripiprazole0
Phase 1 - Single-Blind TreatmentPhase 1 Efficacy SamplePhase 1: Single-Blind Treatment, Lamotrigine + Aripiprazole756
Phase 1 - Single-Blind TreatmentPhase 1 Efficacy SamplePhase 2 Double-Blind Treatment: Lamotrigine + Placebo0
Phase 1 - Single-Blind TreatmentPhase 1 Efficacy SamplePhase 2 Double-Blind Treatment: Lamotrigine + Aripiprazole0
Phase 1 - Single-Blind TreatmentCOMPLETEDPhase 1: Single-Blind Treatment, Lamotrigine + Aripiprazole352

Adverse events156

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherANXIETYPsychiatric disordersPhase 1: Single-Blind Treatment, Lamotrigine + Aripiprazole73787
otherANXIETYPsychiatric disordersPhase 2 Double-Blind Treatment: Lamotrigine + Placebo6165
otherANXIETYPsychiatric disordersPhase 2 Double-Blind Treatment: Lamotrigine + Aripiprazole13176
otherINSOMNIAPsychiatric disordersPhase 1: Single-Blind Treatment, Lamotrigine + Aripiprazole138787
otherINSOMNIAPsychiatric disordersPhase 2 Double-Blind Treatment: Lamotrigine + Placebo19165
otherINSOMNIAPsychiatric disordersPhase 2 Double-Blind Treatment: Lamotrigine + Aripiprazole13176
otherAGITATIONPsychiatric disordersPhase 1: Single-Blind Treatment, Lamotrigine + Aripiprazole65787
otherAGITATIONPsychiatric disordersPhase 2 Double-Blind Treatment: Lamotrigine + Placebo8165
otherAGITATIONPsychiatric disordersPhase 2 Double-Blind Treatment: Lamotrigine + Aripiprazole11176
otherRESTLESSNESSPsychiatric disordersPhase 1: Single-Blind Treatment, Lamotrigine + Aripiprazole55787

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPhase 1: Single-Blind Treatment, Lamotrigine + Aripiprazole
Total, all-cause mortalityPhase 2 Double-Blind Treatment: Lamotrigine + Placebo
Total, all-cause mortalityPhase 2 Double-Blind Treatment: Lamotrigine + Aripiprazole
Total, other adverse eventsPhase 1: Single-Blind Treatment, Lamotrigine + Aripiprazole545787
Total, other adverse eventsPhase 2 Double-Blind Treatment: Lamotrigine + Placebo61165
Total, other adverse eventsPhase 2 Double-Blind Treatment: Lamotrigine + Aripiprazole74176
Total, serious adverse eventsPhase 1: Single-Blind Treatment, Lamotrigine + Aripiprazole32787
Total, serious adverse eventsPhase 2 Double-Blind Treatment: Lamotrigine + Placebo9165
Total, serious adverse eventsPhase 2 Double-Blind Treatment: Lamotrigine + Aripiprazole5176

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

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.

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