UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000014204
Receipt number R000016539
Scientific Title A pilot study to assess the tolerability and the effectiveness of combination treatment of olanzapine and escitalpram for bipolar depression in Japan
Date of disclosure of the study information 2014/06/08
Last modified on 2018/08/28 13:43:44

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Basic information

Public title

A pilot study to assess the tolerability and the effectiveness of combination treatment of olanzapine and escitalpram for bipolar depression in Japan

Acronym

OLE-BD study

Scientific Title

A pilot study to assess the tolerability and the effectiveness of combination treatment of olanzapine and escitalpram for bipolar depression in Japan

Scientific Title:Acronym

OLE-BD study

Region

Japan


Condition

Condition

major depressive episode of bipolar disorder

Classification by specialty

Psychiatry

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aims of this open-label study are:
- to assess the tolerability of combination treatment of olanzapine and SSRI, escitalopram in the patients with bipolar depression in Japan
- to assess the effectiveness of combination treatment of olanzapine and SSRI, escitalopram in the patients with bipolar depression in Japan

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

effectiveness, improvements in depressive symptoms as measured by the mean change in MADRS total scores from baseline to weeks 8 and 24.

Key secondary outcomes

The secondary objectives of this study are to assess the combination of olanzapine and escitalopram in terms of;
-changes in scores of the Clinical Global Impressions-Bipolar Version Severity of Illness (CGI-BP-S) from baseline to weeks 8 and 24.
-improvement of subjective depressive symptoms, based on changes from baseline to weeks 8 and 24 in scores of Quick Inventory Depressive Symptomatology-Self Report, Japanese version: QIDS-SRJ).
-remission rate of depression, with remission defined as a score =<9 in the MARDS total score or a score =<5 in the QIDS-SRJ total score.
-emergence of mania, defined as a score >=12 in the YMRS total score and with >= 2 manic symptoms.
-change in body weight, glucose and lipid metabolism, ECG, adverse reaction


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

combination therapy of olanzapine and escitalopram for 8 weeks (the period can be extended up to 24 weeks if there is the efficacy without serious adverse events)

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

65 years-old >

Gender

Male and Female

Key inclusion criteria

-Male or female subjects between the ages of 20 and 65 years
-subjects meeting diagnostic criteria of The Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV-TR for bipolar I disorder or bipolar II disorder, most recent episode depressed.
-subjects who show the poor response to the previous treatment and meet the following criteria
- MADRS total scores: more than 19
- YMRS total scores: less than 5
- subjects who receive the same treatment for the last 4 weeks and have the records of medication history in past 4 weeks
-subjects who sign the informed consent document

Key exclusion criteria

-subjects who have participated in a clinical trial of another investigational drug within 30 days before study entry
-subjects who have a serious, unstable illness or an organic brain disease
-subjects who are actively suicidal (Suicidal ideation score of MADRS is more than 3) or are judged clinically to be at serious suicidal risk by the investigator.
-subjects who have a diagnosis of schizophrenia, schizophreniform disorder, schizoaffective disorder, personality disorders or substance-related disorders according to DSM-IV-TR
-subjects who are contraindicated for use with olanzapine and escitalopram (eg. Having a history or diagnosis of diabetes mellitus)
-subjects who have currently (within 2 months) received electoconvulsive therapy (ECT)
-subjects who have received the combination therapy of olanzapine and escitalopram
-women who are pregnant or provide breast feeding, or may be pregnant
-subjects who are judged by the investigator to should be excluded from the study

Target sample size

60


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yasuya Nakato

Organization

Hokkaido University Hospital

Division name

Department of Psychiatry

Zip code


Address

Kita 15, Nishi 7, Kita-ku, Sapporo

TEL

011-716-1161

Email

nakatou@med.hokudai.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Yasuya Nakato

Organization

Hokkaido University Hospital

Division name

Department of Psychiatry

Zip code


Address

Kita 15, Nishi 7, Kita-ku, Sapporo

TEL

011-716-1161

Homepage URL


Email

nakatou@med.hokudai.ac.jp


Sponsor or person

Institute

Department of Psychiatry, Hokkaido University Hospital

Institute

Department

Personal name



Funding Source

Organization

Eli Lilly Japan
Mitsubishi Tanabe Pharma

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

Kawamura Mental Clinic
Sapporo City Hospital
Ishikane Hosipital
Sapporo Suzuki Hospital
Sapporo Hanazono Hospital
Tomakomai Midorigaoka Hospital
Honda Memorial Hospital
Maki Hosipital

Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

北海道大学病院 精神科神経科 (北海道)
Department of Psychiatry, Hokkaido University Hospital


Other administrative information

Date of disclosure of the study information

2014 Year 06 Month 08 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2014 Year 06 Month 08 Day

Date of IRB


Anticipated trial start date

2014 Year 08 Month 01 Day

Last follow-up date

2017 Year 09 Month 30 Day

Date of closure to data entry

2017 Year 09 Month 30 Day

Date trial data considered complete

2017 Year 09 Month 30 Day

Date analysis concluded

2017 Year 12 Month 28 Day


Other

Other related information



Management information

Registered date

2014 Year 06 Month 08 Day

Last modified on

2018 Year 08 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000016539


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name