Bipolar Depression Clinical Trial
Official title:
Open Label Pilot Study of Aripiprazole Treatment of Difficult to Treat Bipolar Depression
This is a study of addition of aripirazole to the treatment of bipolar depressed patients who are not better on the medications that they are currently receiving.
Hypothesis/Objectives:
Aim 1: To investigate whether aripiprazole is effective in the treatment of bipolar
depression.
Hypothesis 1: Aripiprazole will lead to a significant decrease in scores on the Hamilton
Depression Rating Scale (HAM-D) during an 8-week treatment course.
a. Study Population:
A total number of 10 evaluable patients will be enrolled in the study.
c. Study Design and Method
This proposal will use an open label design. Aripiprazole will be added to the treatment of
patients with DSM-IV (American Psychiatric Association, 1994) BDD. Patients will be allowed
to continue their psychotropic medication, at a stable dose, as long as they meet inclusion
criteria as described below. Aripiprazole will be started at a dose of 10 mg for two weeks,
15 mg for an additional two weeks, and 20 mg for the last four weeks. The length of time a
patient stays on the maximum dose (20 mg) depends upon the patient's tolerance and treatment
response. Treatment will continue for 8 weeks with weekly visits and ratings on the 17-item
Hamilton Depression Rating Scale (HAM-D 17) and other ratings scales.
;
Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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