One-Year Trial of Oral Ziprasidone in Bipolar Patients With Metabolic Syndrome

This study has been terminated.
(See termination reason in detailed description.)
Sponsor:
Information provided by (Responsible Party):
Pfizer
ClinicalTrials.gov Identifier:
NCT01113541
First received: April 28, 2010
Last updated: June 5, 2012
Last verified: June 2012
Results First Received: October 12, 2011  
Study Type: Interventional
Study Design: Allocation: Non-Randomized;   Endpoint Classification: Safety Study;   Intervention Model: Single Group Assignment;   Masking: Open Label;   Primary Purpose: Treatment
Condition: Bipolar Disorder
Intervention: Drug: Ziprasidone HCL (oral)

  Participant Flow
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
No text entered.

Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
Twenty-seven participants were screened for the study and 13 participants were assigned to study drug and treated.

Reporting Groups
  Description
Ziprasidone Days 1 to 3: 40 milligrams (mg) twice daily (BID); Days 4 to 7: 60 mg BID; Days 8 to15: 80 mg BID; Day 16 to Week 52: 20-80 mg BID flexible dosing.

Participant Flow:   Overall Study
    Ziprasidone  
STARTED     13  
COMPLETED     0  
NOT COMPLETED     13  
Withdrawal by Subject                 1  
Protocol Violation                 1  
Study Terminated by Sponsor                 7  
Adverse Event                 4  



  Baseline Characteristics
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Reporting Groups
  Description
Ziprasidone Days 1 to 3: 40 milligrams (mg) twice daily (BID); Days 4 to 7: 60 mg BID; Days 8 to15: 80 mg BID; Day 16 to Week 52: 20-80 mg BID flexible dosing.

Baseline Measures
    Ziprasidone  
Number of Participants  
[units: participants]
  13  
Age  
[units: years]
Mean ± Standard Deviation
  46.5  ± 10.7  
Gender  
[units: participants]
 
Female     9  
Male     4  



  Outcome Measures
  Show All Outcome Measures

1.  Primary:   Percentage of Participants Who Achieved a Reduction From Baseline of at Least 1 Risk Factor for Metabolic Syndrome (MS) at Week 52 or Premature Discontinuation   [ Time Frame: Week 52 or Early Termination ]

2.  Secondary:   Mean Change From Baseline in the Number of Risk Factors of Metabolic Syndrome (MS)   [ Time Frame: Baseline, Week 52 ]

3.  Secondary:   Metabolic Syndrome (MS) Prevalence   [ Time Frame: Baseline through Week 52 ]

4.  Secondary:   Change From Baseline in the Percentage of Participants With Each Individual Metabolic Syndrome (MS) Risk Factor   [ Time Frame: Baseline through Week 52 ]

5.  Secondary:   Percentage of Participants With Individual Metabolic Syndrome (MS) Risk Factors   [ Time Frame: Baseline through Week 52 ]

6.  Secondary:   Change From Baseline in Individual Risk Factors of Metabolic Syndrome (MS): Elevated Waist Circumference   [ Time Frame: Baseline, Week 4, Week 12, Week 52 ]

7.  Secondary:   Change From Baseline in Individual Risk Factors of Metabolic Syndrome (MS): Elevated Systolic/Diastolic Blood Pressure   [ Time Frame: Baseline, Week 4, Week 12, Week 52 ]

8.  Secondary:   Change From Baseline in Individual Risk Factors of Metabolic Syndrome (MS): Elevated Fasting Glucose   [ Time Frame: Baseline, Week 4, Week 12, Week 52 ]

9.  Secondary:   Change From Baseline in Individual Risk Factors of Metabolic Syndrome (MS): Reduced High-density Lipoprotein Cholesterol (HDL-C)   [ Time Frame: Baseline, Week 4, Week 12, Week 52 ]

10.  Secondary:   Change From Baseline in Individual Risk Factors of Metabolic Syndrome (MS): Elevated Triglycerides   [ Time Frame: Baseline, Week 4, Week 12, Week 52 ]

11.  Secondary:   Change From Baseline in Ten-year Coronary Heart Disease (CHD) Risk According to Framingham Scoring System   [ Time Frame: Baseline, Week 4, Week 52 ]

12.  Secondary:   Change From Baseline in Total Cholesterol and Low-density Lipoprotein (LDL) Cholesterol Levels   [ Time Frame: Baseline, Week 52 or Early Termination ]

13.  Secondary:   Change From Baseline in Weight   [ Time Frame: Baseline, Week 4, Week 12, Week 52 or Early Termination ]

14.  Secondary:   Change From Baseline in Body Mass Index (BMI)   [ Time Frame: Baseline, Week 4, Week 12, Week 52 or Early Termination ]

15.  Secondary:   Change From Baseline in Glycosylated Hemoglobin (HbA1c)   [ Time Frame: Baseline, Week 52 or Early Termination ]

16.  Secondary:   Change From Baseline in Insulin Levels   [ Time Frame: Baseline, Week 52 or Early Termination ]

17.  Secondary:   Change From Baseline in Corrected QT Interval (QTc): Fridericia's Heart Rate Correction Formula (QTcF)   [ Time Frame: Baseline, Week 4, Week 52 or Early Termination ]

18.  Secondary:   Change From Baseline in Apolipoprotein B (ApoB) Levels   [ Time Frame: Baseline, Week 52 or Early Termination ]

19.  Secondary:   Change From Baseline in Leptin   [ Time Frame: Baseline, Week 52 or Early Termination ]

20.  Secondary:   Change From Baseline in Physical Activity Index   [ Time Frame: Baseline, Week 28, Week 52 or Early Termination ]

21.  Secondary:   Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) - Total Score   [ Time Frame: Baseline, Week 4, Week 12, Week 28, Week 52 or Early Termination ]

22.  Secondary:   Change From Baseline in Young Mania Rating Scale (YMRS)   [ Time Frame: Baseline, Week 4, Week 12, Week 28, Week 52 or Early Termination ]

23.  Secondary:   Change From Baseline in Clinical Global Impression - Severity (CGI-S) Subscale   [ Time Frame: Baseline, Week 4, Week 12, Week 28, Week 52 or Early Termination ]

24.  Secondary:   Clinical Global Impression - Improvement (CGI-I) Subscale Score   [ Time Frame: Week 52 or Early Termination ]

25.  Secondary:   Change From Baseline in Drug Attitude Inventory (DAI)   [ Time Frame: Week 28, Week 52 or Early Termination ]

26.  Secondary:   Change From Baseline in Social and Occupational Functioning Assessment Scale (SOFAS)   [ Time Frame: Baseline, Week 28, Week 52 or Early Termination ]

27.  Secondary:   Change From Baseline in EuroQoL Index (EQ-I)   [ Time Frame: Baseline, Week 28, Week 52 or Early Termination ]

28.  Secondary:   Change From Baseline in European Quality of Life (EuroQol) Visual Analogue Scale (EQ-5D VAS): Current Health State Score   [ Time Frame: Baseline, Week 28, Week 52 or Early Termination ]

29.  Secondary:   Change From Baseline in Impact of Weight on Quality of Life-Lite Version (IWQOL-Lite) Scale   [ Time Frame: Baseline, Week 28, Week 52 or Early Termination ]

30.  Secondary:   Number of Participants With Suicidal Tendencies (Columbian-Suicide Severity Rating Scale, [C-SSRS], Mapped to C-CASA [Columbia Classification Algorithm For Suicide Assessment])   [ Time Frame: Baseline, Week 1 through Week 52 or Early Termination ]


  Serious Adverse Events


  Other Adverse Events


  More Information
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Certain Agreements:  
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
The agreement is:
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.


Limitations and Caveats
Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
This study was terminated due to slow enrollment and changes in organizational strategy and resources; most of the planned analyses in the statistical analysis plan were not performed.  


Results Point of Contact:  
Name/Title: Pfizer ClinicalTrials.gov Call Center
Organization: Pfizer, Inc.
phone: 1-800-718-1021
e-mail: ClinicalTrials.gov_Inquiries@pfizer.com


No publications provided


Responsible Party: Pfizer
ClinicalTrials.gov Identifier: NCT01113541     History of Changes
Other Study ID Numbers: A1281190
Study First Received: April 28, 2010
Results First Received: October 12, 2011
Last Updated: June 5, 2012
Health Authority: Canada: Health Canada