Bipolar Disorder Clinical Trial
Official title:
A Randomized Open Label Study on the Efficacy, Tolerability, and Total Costs of Olanzapine Versus Conventional Antipsychotics in the Treatment of Acute Mania in Sweden
The purpose of this study is to test the efficacy and total costs of olanzapine versus commonly used conventional antipsychotics in Sweden.
The primary objective is to show that the efficacy of olanzapine is non-inferior to the
conventional antipsychotics haloperidol or zuclopentixol in the treatment of an acute manic
or mixed episode of bipolar disorder. Efficacy is defined as time to remission, as measured
by the total scores of the Young Mania Rating Scale (Y-MRS), MADRS-S, and Clinical Global
Impression - Bipolar (CGI-BP). Time from baseline to remission is defined as the primary
efficacy measure. Remission is defined as a Y-MRS score <=12 AND a MADRS-S score <=12 AND
CGI-BP = 1 or 2.
Secondary efficacy assessments will include time from baseline to
- Response, as defined as a reduction of Y-MRS score greater than or equal to 50%
compared to baseline
- Relapse of mania, as defined as a Y-MRS score >= 16 AND CGI-BP >2 after having met the
criteria for remission
- Switch into depression, as defined as a MADRS-S score >=17 AND fulfilled criteria for
Major Depression as self-assessed by DSRS.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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