At a glance
ClinicalIndex Comparison Record- ✓Acutely hypomanic or manic per DSM-IV criteria
- ✓Current substance abuse and/or dependence disorder within the last 6 months
- ✓≥4 mood episodes in the 12 months prior to study entry
- ✓Age 16-65 years
- ✕Intolerable side effects at target lithium (0.8 mEq/L) or divalproex (50 µg/mL) levels
- ✕Complete prior non-responsiveness to lithium (partial response permitted)
- ✕Prior seizure disorder, cerebrovascular disease, structural brain trauma, focal neurological abnormalities, EEG paroxysmal activity, or gross brain structural abnormalities on imaging
- ✕Requirement for anticoagulant therapy
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
A Randomized, Double Blind Comparison of Lithium Monotherapy Versus Lithium Plus Divalproex for the Outpatient Management of Hypomania/Mania in Patients With Rapid Cycling Bipolar Disorder Comorbid With Substance Abuse/Dependence
In Brief
A Phase 3 clinical trial evaluating Lithium, Divalproex, and 1 other intervention for Bipolar Disorder. Completed, enrolled 31 participants across 1 site.
Detailed Summary
This study will determine the efficacy and safety of combination therapy with divalproex and lithium for treating mania in people with rapid cycling bipolar disorder and a substance abuse disorder.
Study Details
Timeline
Interventions
Lithium monotherapy was initiated at 300 mg twice daily and titrated over 3-6 weeks to minimum blood levels of 0.8 meq/L.
Divalproex was then initiated at 250 mg twice daily and increased over 3-6 weeks to minimum blood levels of 50 ug/ml.
Placebo pills that looked exact to divaloproex were provided to subjects and take twice daily.