At a glance
ClinicalIndex Comparison Record- ✓Age 6-17 years
- ✓DSM-IV diagnosis of bipolar I, bipolar II disorder, or bipolar spectrum disorder with current manic, hypomanic, or mixed symptoms (with or without psychotic features)
- ✓Y-MRS total score ≥20 at baseline
- ✓Able to swallow pills and participate in mandatory blood draws
- ✕Known severe allergy or multiple adverse drug reactions to lamotrigine
- ✕History of bone marrow depression
- ✕History of serious rashes
- ✕Substance dependence (except nicotine or caffeine) within past 3 months
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
A Pilot Open Study of the Safety and Effectiveness of Lamotrigine for the Treatment of Mania in Youth Ages 6-17 With Bipolar I, Bipolar II, and Bipolar Spectrum Disorders
In Brief
A Phase 4 clinical trial evaluating lamotrigine for Bipolar Disorder and Mania. Completed, enrolled 51 participants across 1 site.
Detailed Summary
The main objective of this study is to assess the effectiveness and safety of lamotrigine in the treatment of youth with bipolar and bipolar spectrum disorder. This is an exploratory, 12-week, open-label treatment period, pilot study, of youth ages 6-17, who meet the DSM-IV diagnostic criteria for bipolar I, bipolar II, or bipolar spectrum disorder. The study results will be used to generate hypotheses for a larger randomized controlled clinical trial. Based on the available literature in adults with bipolar disorder, we hypothesized that lamotrigine will be efficacious and well tolerated in youth with pediatric bipolar and bipolar spectrum disorders.
Study Details
Timeline
Interventions
Open-label, flexible-dose, BID treatment of lamotrigine (Lamictal). For children \<12 years, dosing began at 0.35 mg/kg/day, divided in 2 doses, rounded down to nearest 5mg, to be increased weekly depending on response and tolerability to maintenance dose of 5-15 mg/kg/day (maximum 400 mg/day in 2 divided doses). For children ≥12 years, dose began at 25 mg/day in 1 dose, to be increased weekly depending on response and tolerability to maintenance dose of 300-500 mg/day in 2 divided doses.