About this trial
This is a multicenter, randomized, double-blind, placebo-controlled, study in the acute treatment of patients with a diagnosis of bipolar I disorder with manic episodes or manic episodes with mixed features (bipolar mania), with or without psychotic symptoms, according to criteria of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM 5).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Able to provide written informed consent before the initiation of any study specific procedures;
Male or female inpatient, between the ages of 18 and 75 years, inclusive;
Meets the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM 5) criteria for bipolar I disorder with a current episode of mania or mania with mixed features with or without psychotic symptoms, as confirmed by a trained and Sponsor-approved rater using the modified Structured Clinical Interview for DSM-5, Clinical Trials Version (SCID-5-CT);
YMRS total score ≥ 20 and a score of at least 4 on two of the following YMRS items: irritability, speech, content, and disruptive/aggressive behavior at Screening and Baseline;
Disqualifiers
Schizophrenia, schizoaffective disorder, or other psychotic disorders;
Dementia or other cognitive disorders;
Intellectual disability;
Moderate or severe substance use disorder (excluding for nicotine);
Trial design
Parallel
Treatments tested in this trial
Lumateperone
DrugLumateperone 42 mg capsules administered orally, once daily
Placebo
DrugMatching capsules administered orally, once daily
Treatment groups
Trial outcomes
Primary outcomes
Young Mania Rating Scale (YMRS)
The YMRS is an 11-item, clinician-administered mania rating scale designed to assess the severity of manic symptoms. Four of the YMRS items are rated on a 0 to 8 scale, with the remaining 7 items rated on a 0 to 4 scale. The total score ranges from 0 to 60 with a higher score indicating increased severity of manic symptoms.
Secondary outcomes
Clinical Global Impression Scale-Severity (CGI-S)
The CGI-S is a clinician-rated scale to assess a patient's overall mental health. The scale ranges from 1 (normal, not at all ill) to 7 (among the most extremely ill patients).
Sponsors and contacts
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