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Trial · NCT00931723

Adult Bipolar Mania

NCT00931723, Phase 4, Completed, AstraZeneca; results first posted 2012-04-19

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Adult Bipolar Mania. Trials, record NCT00931723. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00931723

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Trial

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

Title
Adult Bipolar Mania
NCT number
NCT00931723
Status
Completed
Phases
Phase 4
Enrollment
356 participants, actual
Lead sponsor
AstraZeneca
Conditions
Acute Mania
Interventions
Quetiapine fumarate XR, Lithium, Placebo
First posted
2009-07-02
Last updated
2012-04-19
Results first posted
2012-04-19

Source ClinicalTrials.gov

Registered outcomes21

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

ListOutcomeTime frameDescription
PrimaryChange in the Young Mania Rating Scale (YMRS) Total Score From Baseline to Final Assessment (Day 43)Change in YMRS total score from baseline to Day 43.
The YMRS total score ranges from 0 to 60 where higher scores indicate more severe mania, thus, a negative change (or decrease) from baseline indicates a reduction (or improvement) in manic symptoms. Total score ≤12 indicates remission (13-19=minimal symptoms; 20-25=mild mania, 26-37=moderate mania, 38-60=severe mania).
SecondaryThe Number of Patients With Clinically Significant Response.43 days (from baseline to Day 43)
The number of patients with clinically significant response (defined as ≥50% reduction from baseline to Day 43 in the YMRS total score) was calculated. The YMRS total score ranges from 0 to 60 where higher scores indicate more severe mania, thus, a negative change (or 50% reduction) from baseline indicates a reduction (or improvement) in manic symptoms.
SecondaryRemissionDays 8 to 43
The number of patients with clinically significant remission (defined as YMRS total score ≤12) from Days 8 to 43) was calculated. The Young Mania Rating Scale total score ranges from 0 to 60 where higher scores indicate more severe mania, thus, a negative change (or 50% reduction) from baseline indicates a reduction (or improvement) in manic symptoms. Total score ≤12 indicates remission (13-19=minimal symptoms; 20-25=mild mania, 26-37=moderate mania, 38-60=severe mania).
SecondaryChange From Baseline to Day 43 in CGI-BP-S (Clinical Global Impressions for Bipolar Disorder-Severity of Illness)Change from baseline to Day 43.
The CGI-BP-S scale rates the severity of the patient's illness at the time of assessment and is scored from 1 to 7 (1=normal, not ill to 7=very severely ill). Higher CGI-BP-S scores indicate greater illness severity.
SecondaryChange From Baseline to Day 43 in CGI-BP-C (Clinical Global Impressions for Bipolar Disorder-Change From Preceding Phase)Change from baseline to Day 43
The CGI-BP-C scale rates how much the patient's illness has improved or worsened compared to the phase immediately preceding treatment and is scored on a scale from 1 to 8 (1=very much improved to 7=very much worse; 8=not applicable). A missing score will be used when a scale scored as 8 (not applicable). CGI-BP-C scores \>4 indicate worsening, while scores \<4 indicate improvement.
SecondaryImprovement of Overall Bipolar IllnessDay 43.
The number of patients with a CGI-BP-C of "Much" or "Very much" improved in overall bipolar illness assessment at Day 43 was calculated. The CGI-BP-C scale rates how much the patient's illness has improved or worsened compared to the phase immediately preceding treatment and is scored on a scale from 1 to 8 (1=very much improved to 7=very much worse; 8=not applicable). A missing score will be used when a scale scored as 8 (not applicable). CGI-BP-C scores \>4 indicate worsening, while scores \<4 indicate improvement.
SecondaryChange From Baseline to Day 43 in Montgomery-Åsberg Depression Rating Scale (MADRS) Total ScoreChange from baseline to Day 43.The MADRS is a 10-item scale that evaluates depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. Higher MADRS scores indicate higher levels of depressive symptoms.
SecondaryChange From Baseline to Day 43 in Positive and Negative Syndrome Scale (PANSS) Total ScoreChange from baseline to Day 43
The PANSS is a 30-item scale designed to assess various symptoms of schizophrenia and are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score is the sum of all 30 individual-item scores and ranges from 30 to 210.A negative change (or decrease) from baseline indicates a reduction (or improvement) in symptoms.
SecondaryChange From Baseline to Day 43 in PANSS Activation Subscale ScoreChange from baseline to Day 43
The PANSS is a 30-item scale designed to assess various symptoms of schizophrenia and are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS activation subscale score for effect on agitation and aggression is the sum of 6 PANSS individual items (ie, hostility, poor impulse control, excitement, uncooperativeness, poor rapport and tension) and ranges from 6 to 42. A negative change (or decrease) from baseline indicates a reduction (or improvement) in symptoms.
SecondaryChange From Baseline to Day 43 in PANSS Positive Subscale ScoreChange from baseline to Day 43
The PANSS is a 30-item scale designed to assess various symptoms of schizophrenia and are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS positive subscale score is the sum of the 7 positive item scores (ie, delusions, conceptual disorganization, hallucinatory behavior, excitement, grandiosity, suspiciousness/persecution and hostility) and ranges from 7 to 49. A negative change (or decrease) from baseline indicates a reduction (or improvement) in symptoms.

Outcomes21

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange in the Young Mania Rating Scale (YMRS) Total Score From Baseline to Final Assessment (Day 43)Change in YMRS total score from baseline to Day 43.
173/176 is modified intent to treat analysis set. The reason why is different from 173/183 is that there is 7 patients excluded from the analysis (1 patient who did not take study drug and 6 patients who did not have post treatment YMRS scores).
Scores on a scaleLEAST_SQUARES_MEAN
SECONDARYThe Number of Patients With Clinically Significant Response.43 days (from baseline to Day 43)
173/176 is modified intent to treat analysis set. The reason why is different from 173/183 is that there is 7 patients excluded from the analysis (1 patient who did not take study drug and 6 patients who did not have post treatment YMRS scores).
ParticipantsNUMBER
SECONDARYRemissionDays 8 to 43
173/176 is modified intent to treat analysis set. The reason why is different from 173/183 is that there is 7 patients excluded from the analysis (1 patient who did not take study drug and 6 patients who did not have post treatment YMRS scores).
ParticipantsNUMBER
SECONDARYChange From Baseline to Day 43 in CGI-BP-S (Clinical Global Impressions for Bipolar Disorder-Severity of Illness)Change from baseline to Day 43.
173/176 is modified intent to treat analysis set. The reason why is different from 173/183 is that there is 7 patients excluded from the analysis (1 patient who did not take study drug and 6 patients who did not have post treatment YMRS scores).
Scores on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline to Day 43 in CGI-BP-C (Clinical Global Impressions for Bipolar Disorder-Change From Preceding Phase)Change from baseline to Day 43
173/176 is modified intent to treat analysis set. The reason why is different from 173/183 is that there is 7 patients excluded from the analysis (1 patient who did not take study drug and 6 patients who did not have post treatment YMRS scores).
Scores on a scaleLEAST_SQUARES_MEAN
SECONDARYImprovement of Overall Bipolar IllnessDay 43.
173/176 is modified intent to treat analysis set. The reason why is different from 173/183 is that there is 7 patients excluded from the analysis (1 patient who did not take study drug and 6 patients who did not have post treatment YMRS scores).
ParticipantsNUMBER
SECONDARYChange From Baseline to Day 43 in Montgomery-Åsberg Depression Rating Scale (MADRS) Total ScoreChange from baseline to Day 43.Scores on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline to Day 43 in Positive and Negative Syndrome Scale (PANSS) Total ScoreChange from baseline to Day 43
173/176 is modified intent to treat analysis set. The reason why is different from 173/183 is that there is 7 patients excluded from the analysis (1 patient who did not take study drug and 6 patients who did not have post treatment YMRS scores).
Scores on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline to Day 43 in PANSS Activation Subscale ScoreChange from baseline to Day 43
173/176 is modified intent to treat analysis set. The reason why is different from 173/183 is that there is 7 patients excluded from the analysis (1 patient who did not take study drug and 6 patients who did not have post treatment YMRS scores).
Scores on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline to Day 43 in PANSS Positive Subscale ScoreChange from baseline to Day 43
173/176 is modified intent to treat analysis set. The reason why is different from 173/183 is that there is 7 patients excluded from the analysis (1 patient who did not take study drug and 6 patients who did not have post treatment YMRS scores).
Scores on a scaleLEAST_SQUARES_MEAN

Results by group42

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

OutcomeGroupCategoryValueSpreadUnits
Change in the Young Mania Rating Scale (YMRS) Total Score From Baseline to Final Assessment (Day 43)Lithium+Quetiapine XR-22.8Standard Error 0.706Scores on a scale
Change in the Young Mania Rating Scale (YMRS) Total Score From Baseline to Final Assessment (Day 43)Placebo+Quetiapine XR-20.1Standard Error 0.711Scores on a scale
The Number of Patients With Clinically Significant Response.Lithium+Quetiapine XR137Participants
The Number of Patients With Clinically Significant Response.Placebo+Quetiapine XR120Participants
RemissionLithium+Quetiapine XR125Participants
RemissionPlacebo+Quetiapine XR105Participants
Change From Baseline to Day 43 in CGI-BP-S (Clinical Global Impressions for Bipolar Disorder-Severity of Illness)Lithium+Quetiapine XR-2.5Standard Error 0.079Scores on a scale
Change From Baseline to Day 43 in CGI-BP-S (Clinical Global Impressions for Bipolar Disorder-Severity of Illness)Placebo+Quetiapine XR-2.2Standard Error 0.080Scores on a scale
Change From Baseline to Day 43 in CGI-BP-C (Clinical Global Impressions for Bipolar Disorder-Change From Preceding Phase)Lithium+Quetiapine XR1.7Standard Error 0.085Scores on a scale
Change From Baseline to Day 43 in CGI-BP-C (Clinical Global Impressions for Bipolar Disorder-Change From Preceding Phase)Placebo+Quetiapine XR1.9Standard Error 0.086Scores on a scale

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDLithium+Quetiapine XR173
Overall StudySTARTEDPlacebo+Quetiapine XR183
Overall StudyCOMPLETEDLithium+Quetiapine XR147
Overall StudyCOMPLETEDPlacebo+Quetiapine XR144
Overall StudyNOT COMPLETEDLithium+Quetiapine XR26
Overall StudyNOT COMPLETEDPlacebo+Quetiapine XR39

Adverse events38

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherTremorNervous system disordersLithium+Quetiapine XR27173
otherTremorNervous system disordersPlacebo+Quetiapine XR9183
otherSomnolenceNervous system disordersLithium+Quetiapine XR22173
otherSomnolenceNervous system disordersPlacebo+Quetiapine XR10183
otherDizzinessNervous system disordersLithium+Quetiapine XR11173
otherDizzinessNervous system disordersPlacebo+Quetiapine XR8183
otherHeadacheNervous system disordersLithium+Quetiapine XR9173
otherHeadacheNervous system disordersPlacebo+Quetiapine XR11183
otherSedationNervous system disordersLithium+Quetiapine XR5173
otherSedationNervous system disordersPlacebo+Quetiapine XR3183

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityLithium+Quetiapine XR
Total, all-cause mortalityPlacebo+Quetiapine XR
Total, other adverse eventsLithium+Quetiapine XR106173
Total, other adverse eventsPlacebo+Quetiapine XR83183
Total, serious adverse eventsLithium+Quetiapine XR4173
Total, serious adverse eventsPlacebo+Quetiapine XR8183

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
25505693DERIVED

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 comparisons4

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

ComparisonSource
Lithium+Quetiapine XR vs Placebo+Quetiapine XR: The Number of Patients With Clinically Significant Response.Trial comparisons
Lithium+Quetiapine XR vs Placebo+Quetiapine XR: RemissionTrial comparisons
Lithium+Quetiapine XR vs Placebo+Quetiapine XR: Improvement of Overall Bipolar IllnessTrial comparisons
Lithium+Quetiapine XR vs Placebo+Quetiapine XR: serious adverse eventsTrial comparisons

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/NCT00931723

GET https://conductscience.org/api/trials/v1/NCT00931723/registered?page=2