This site became the new on June 19th. Learn more.
Show more Menu IMPORTANT: Listing of a study on this site does not reflect endorsement by the National Institutes of Health. Talk with a trusted healthcare professional before volunteering for a study. Read more... Menu IMPORTANT: Talk with a trusted healthcare professional before volunteering for a study. Read more... Menu
Give us feedback

Safety And Efficacy Study Of Depakote ER To Treat Pediatric Bipolar Disorder

This study has been completed.
Information provided by:
Medical College of Wisconsin Identifier:
First received: September 13, 2005
Last updated: March 6, 2008
Last verified: March 2008
The purpose of this research is to compare how safely and how well this medicine works in treating children and teenagers between the ages of 6 and 17 years with a diagnosis of Bipolar Disorder.

Condition Intervention Phase
Bipolar Disorder Drug: Divalproex sodium extended release Phase 4

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Pilot Study Of Safety And Effectiveness For Depakote ER In Pediatric Bipolar Disorder

Resource links provided by NLM:

Further study details as provided by Medical College of Wisconsin:

Primary Outcome Measures:
  • Young Mania Rating Scale (YMRS), rate at baseline, Week 2,4,6,&8

Secondary Outcome Measures:
  • Kiddie version of the Schedule for Affective Disorders and Schizophrenia (KSADS), assessed at baseline only.
  • Child Depression Rating Scale (CDRS), rate at baseline through Week 8.
  • Clinical Global Impression: Improvement and Severity (CGI), for mania, depression and ADHD. Rate from baseline through Week 8.
  • Conner's Parent and Teacher Rating Scales (CRS). Rate from baseline through Week 8.
  • Side Effect For Children & Adolescents (SEFCA). Rate from baseline through Week 8.

Estimated Enrollment: 30
Study Start Date: December 2003
Study Completion Date: November 2005
Detailed Description:

There is no accepted, well-studied treatment for Pediatric Bipolar Disorder and treatment has often followed from adult studies. The primary objectives for this study are to determine if subjects can safely and easily be switched from divalproex sodium to Depakote ER and to determine if Depakote ER is both safe and effective for pediatric patients with Bipolar I or II. Secondary objectives include determining the serum levels of valproic acid 20 hours after administration of Depakote ER at a steady rate and determining if co-administration of stimulants will effect the serum levels of valproic acid. Thirty subjects, ages 6-17 years, with a diagnosis of Bipolar I or II who are currently asymptomatic, according to a score of less than 10 on the Young Mania Rating Scale, or who desire to change to once daily dosing, or desire to change because of the likelihood of decreased side-effects, will be recruited from our clinic and the community. If subjects have completed baseline evaluations (including diagnostic confirmation), labs, and rating scales and are still eligible to participate, subjects will be switched in one night from twice-a-day divalproex sodium (DVP) to divalproex sodium extended release (DVP ER).

The potential benefits of the research are that new information will be added to the field of child and adolescent psychiatry and the possibility that the medication change may result in improved symptoms of mania or side effects of medications related to peak and trough levels. The potential benefits of this study outweigh the possible risks.


Ages Eligible for Study:   6 Years to 17 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Diagnosis of Bipolar I or II confirmed by K-SADS and clinical interview.
  • Ages 6 to 17 years 11 months.
  • YMRS score of <10, this is consistent with minimal symptoms of mania. Or a desire to change medications due to a simplified dosing schedule or to reduce unwanted side effects of divalproex sodium.
  • Ability and willingness of subject and parent(s)/guardian(s) to provide informed written assent/consent.

Exclusion Criteria:

  • Diagnosis of: Pervasive Developmental Disorders, Schizophrenia spectrum disorders, Obsessive Compulsive Disorder.
  • Concurrent medical conditions requiring medication or that are unstable.
  • Current suicidal thoughts.
  • Recent suicidal behavior.
  • Pregnancy or sexually active female not using a reliable form of contraception.
  • Previous inadequate response to DVP ER.
  • Known hypersensitivity to DVP or DVP ER.
  • Recent inpatient hospitalization for suicidality or homicidality, (last 6 months).
  • Subjects who are clinically stable and not suffering significant side effects on their current medical regimen.
  • Use of antidepressants within the last 2 weeks, 4 weeks for fluoxetine.
  • Recent (last 3 months) substance abuse or dependence. Urine drug screen will be obtained if a question arises.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00199966

United States, Wisconsin
Children's Hospital of Wisconsin
Milwaukee, Wisconsin, United States, 53201
Sponsors and Collaborators
Medical College of Wisconsin
Principal Investigator: Russell E Scheffer, MD Medical College of Wisconsin; Children's Hospital of Wisconsin
  More Information Identifier: NCT00199966     History of Changes
Other Study ID Numbers: CHW 03/163, HRRC 539-03
Study First Received: September 13, 2005
Last Updated: March 6, 2008

Keywords provided by Medical College of Wisconsin:
Bipolar Disorder; Pediatric Bipolar Disorder; Depakote ER

Additional relevant MeSH terms:
Bipolar Disorder
Pathologic Processes
Bipolar and Related Disorders
Mental Disorders
Valproic Acid
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
GABA Agents
Neurotransmitter Agents
Physiological Effects of Drugs
Antimanic Agents
Tranquilizing Agents
Central Nervous System Depressants
Psychotropic Drugs processed this record on September 21, 2017