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Effects of Pentazocine Versus Lorazepam or Placebo on Manic Symptoms
This study is currently recruiting participants.
Study NCT00431184   Information provided by Mclean Hospital
First Received: February 1, 2007   Last Updated: June 4, 2009   History of Changes

February 1, 2007
June 4, 2009
January 2007
December 2008   (final data collection date for primary outcome measure)
Mania Acute Rating Scale [ Time Frame: hourly-daily ] [ Designated as safety issue: No ]
Mania Acute Rating Scale
Complete list of historical versions of study NCT00431184 on ClinicalTrials.gov Archive Site
Young Mania Rating Scale [ Time Frame: daily ] [ Designated as safety issue: No ]
Young Mania Rating Scale
 
Effects of Pentazocine Versus Lorazepam or Placebo on Manic Symptoms
Effects of Pentazocine Versus Lorazepam or Placebo on Manic Symptoms

Pilot data indicates that pentazocine decreases manic symptoms in hospitalized individuals. To follow up these initial findings, we plan to conduct a larger, more rigorous, double-blind study. We will examine whether pentazocine, an agent with kappa-opiate activity, decreases manic symptoms.

Dysregulation of the opioid system may underlie the pathophysiology of mood disorders, such as bipolar disorder. Drugs that modulate the opioid system might be effective treatments for bipolar disorder. The profile and actions of the kappa-opioid system make drugs that target this system particularly promising as a treatment modality, with relatively low risk of addictive properties. Pentazocine is an approved drug for pain relief with a good side effect profile. It is predominantly a kappa opioid agonist with weaker side effects at mu opioid receptors, at which it is an antagonist. Data from our open-label pilot study of pentazocine had promising results. We will follow up on these findings with a double-blind, placebo, and active-control study of individuals with bipolar disorder or schizoaffective disorder who are currently hospitalized with acute mania. The antimanic effects of pentazocine will be compared with a placebo control at one site, and with an active control (ativan)at the second site.

Phase II
Interventional
Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Active Control, Crossover Assignment, Efficacy Study
  • Bipolar Disorder
  • Schizoaffective Disorder
  • Manic Disorder
  • Mania
  • Manic State
Drug: pentazocine
  • Active Comparator: ativan
  • Placebo Comparator: placebo

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Recruiting
20
July 2010
December 2008   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • bipolar or schizoaffective disorder
  • currently manic
  • no acute medical issues
  • no substance withdrawal

Exclusion Criteria:

  • unable to give informed consent
  • using opiates for pain management
  • history of head injury, dementia, or mental retardation
  • seizure disorder
  • glaucoma
  • unstable cardiac condition or arrhythmia
  • moderate-severe pulmonary disease
  • pregnancy
Both
18 Years to 65 Years
No
Contact: Sue B 617-855-3184
United States
 
NCT00431184
Beth Murphy MD, PhD, McLean Hospital
2006-P-002344
Mclean Hospital
Stanley Medical Research Institute
Principal Investigator: Beth L Murphy, MD/PhD Mclean Hospital
Mclean Hospital
June 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP