Methylphenidate for the Treatment of Acute Mania

This study is currently recruiting participants. (see Contacts and Locations)
Verified June 2014 by University of Leipzig
Spanish Clinical Research Network - CAIBER
Information provided by (Responsible Party):
Michael Kluge, University of Leipzig Identifier:
First received: February 16, 2012
Last updated: June 24, 2014
Last verified: June 2014
This study aims at evaluating the efficacy and safety of methylphenidate in the initial treatment of acute mania in patients with bipolar affective disorders.

Condition Intervention Phase
Drug: methylphenidate
Drug: Placebo
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Investigator)
Primary Purpose: Treatment
Official Title: International Randomised Double-blind Placebo-controlled Study on the Initial Treatment of Acute Mania With Methylphenidate

Resource links provided by NLM:

Further study details as provided by University of Leipzig:

Primary Outcome Measures:
  • manic symptoms as assessed by the Young Mania Rating Scale (YMRS) [ Time Frame: after 2.5 days of treatment ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • EEG-vigilance as assessed by the Vigilanz Algorhithm Leipzig (VIGALL) [ Time Frame: after 2.5 days of treatment ] [ Designated as safety issue: No ]
  • movements as assessed by actimetry [ Time Frame: after 2.5 days of treatment ] [ Designated as safety issue: No ]
  • cognitive performance as assesd with the Screen for Cognitive Impairment in Psychiatry (SCIP) [ Time Frame: after 2.5 days of treatment ] [ Designated as safety issue: No ]

Estimated Enrollment: 88
Study Start Date: March 2012
Estimated Study Completion Date: October 2015
Estimated Primary Completion Date: June 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: methylphenidate Drug: methylphenidate
tablets for oral use
Placebo Comparator: placebo Drug: Placebo
tablets for oral use

Detailed Description:

Mania can be regarded as an autoregulatory mechanism to enhance unstable vigilance. There is increasing evidence that psychostimulants that increase vigilance may be effective in treating mania. However, controlled studies are lacking.

This is a two-arm, randomised, placebo-controlled, double-blind, parallel, multi-centre phase IIIb exploratory study to evaluate the efficacy and safety of methylphenidate in the initial treatment of acute mania in patients with bipolar affective disorders.


Ages Eligible for Study:   18 Years to 75 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. Inpatients
  2. Written informed consent by patients who are competent to consent to study participation.
  3. Diagnosis: manic episode according to the International Classification of Diseases 10th Revision (ICD-10): F30.0, F30.1, F31.0 or F31.1
  4. Male or female of at least 18 years of age
  5. YMRS total score ≥ 20 and ≤ 45 points
  6. Body mass index (BMI) > 17
  7. Patients must be able to swallow tablets (study drug).

Exclusion Criteria:

  1. Any other current major psychiatric ICD-10 disorder is an exclusion criterion except for the following F90, F17.1, F17.2, F40-F59, F60-F69
  2. Contraindications for treatment with methylphenidate except as noted otherwise
  3. Serious non-psychiatric disease, that may interfere with the objectives of the study or with the safety or compliance of the subject, as judged by the investigator
  4. Oral administration of monoaminooxidase (MAO)-inhibitors within two weeks, fluoxetine within 6 weeks and of any other antidepressant or primarily psychotropic substance except for those specified below within one week before study entry.
  5. Stable treatment with mood stabilisers including lithium, anticonvulsants (e.g. valproate, carbamazepine) or antipsychotics (e.g. risperidone, olanzapine) or benzodiazepines is NOT an exclusion criterion and will be continued; however, patients receiving more than 2 of these substances are NOT eligible for inclusion
  6. Medical history of other disorders of CNS including tics or dyskinesia
  7. Medical history of cardiovascular diseases, severe hypertension, glaucoma, hyperfunction of the thyroid
  8. Patients with congenital or acquired long QT syndrome, or with a familiy history of QT prolongation, sudden cardiac death or other significant inherited cardiac disorders (e.g. family history of hypertrophic cardiomyopathy).
  9. History of Electroconvulsive therapy within the last 3 month
  10. Known alcohol and drug addiction or abuse, except for patients with abstinence > 3 month. Patients with sporadic abuse of cannabis (products) will not be excluded from the study. That is even true with a positive Tetrahydrocannabinol (THC) screen in urine.
  11. Pregnant or nursing woman
  12. Concomitant participation in other clinical trials or participation during the 30 days prior to screening
  13. Prior participation in this study
  14. Suicidality
  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: NCT01541605

Contact: Ulrich Hegerl, Prof. Dr. +49 34197 ext 24531
Contact: Michael Kluge, PD Dr. +49 34197 ext 24673

Katholieke Universiteit Leuven, campus Kortenberg Recruiting
Kortenberg, Belgium, 3070
Contact: Pascal Sinaert, Prof   
Universität Bochum Recruiting
Bochum, Germany, 44791
Contact: Georg A Juckel, Prof.   
Universität Dresden Recruiting
Dresden, Germany, 01307
Contact: Emanuel Severus, PD Dr.   
Universität Halle Recruiting
Halle, Germany
Contact: Dan Rujescu, Prof.   
Universität Leipzig Recruiting
Leipzig, Germany
Contact: Michael Kluge, PD Dr.   
Semmelweis University Not yet recruiting
Budapest, Hungary, 1083
Hospital Sant Pau Recruiting
Barcelona, Spain, 8025
Contact: Enric Álvarez Martínez, Prof         
Hospital Clinic Recruiting
Barcelona, Spain, 8036
Contact: Eduard Vieta Pascual, Prof. Dr.   
Hospital Universitario la Princesa Recruiting
Madrid, Spain, 28006
Contact: Jose-Luis Ayuso Mateos, Prof. Dr.   
Hospital Santiago Apóstol Recruiting
Vitoria, Spain, 01004
Contact: Ana Gonzalez Pinto, Dr.   
Sponsors and Collaborators
Michael Kluge
Spanish Clinical Research Network - CAIBER
Principal Investigator: Ulrich Hegerl, Prof. Dr. University of Leipzig
  More Information

Responsible Party: Michael Kluge, Senior Psychiatrist, University of Leipzig Identifier: NCT01541605     History of Changes
Other Study ID Numbers: MEMAP1 
Study First Received: February 16, 2012
Last Updated: June 24, 2014
Health Authority: Germany: Federal Institute for Drugs and Medical Devices

Additional relevant MeSH terms:
Central Nervous System Stimulants
Dopamine Agents
Dopamine Uptake Inhibitors
Membrane Transport Modulators
Molecular Mechanisms of Pharmacological Action
Neurotransmitter Agents
Neurotransmitter Uptake Inhibitors
Physiological Effects of Drugs processed this record on May 23, 2016