At a glance
ClinicalIndex Comparison Record- ✓Diagnosis of bipolar disorder type I or II with current depressive episode
- ✓Currently treated with exactly one mood stabilizer (lithium or valproate) at optimal stable doses for ≥4 weeks
- ✓HDRS-17 total score ≥20 and YMRS total score ≤14 at screening and randomization
- ✓Ambulatory (outpatient) status
- ✕Any psychiatric diagnosis other than bipolar disorder I or II
- ✕Current depressive episode duration <2 weeks or >12 months
- ✕Prior treatment with >1 mood stabilizer, or with any mood stabilizer other than lithium or valproate
- ✕Any antidepressant, antipsychotic, or CYP450-3A inductor/inhibitor within 7 days prior to randomization
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Effectiveness of Quetiapine XR Versus Sertraline in Acute Depression as add-on Therapy to Previous Mood Stabilizer Treatment: a Pilot Study
In Brief
A Phase 3 clinical trial evaluating Extended release quetiapine (quetiapine XR), Sertraline, and 1 other intervention for Bipolar Disorder and Bipolar Depression. Completed, enrolled 27 participants across 4 sites.
Detailed Summary
Prospective, open-label, controlled (active comparator), randomized study of 8 weeks follow-up for the evaluation of the efficacy of extended release quetiapine (quetiapine XR) versus Sertraline in addition to previous mood stabilizer treatment (lithium or valproate at stable and clinically therapeutic blood levels) in the treatment of the adult bipolar depression. This multicentric study will be featured in two sites in Spain.
Study Details
Timeline
Interventions
Flexible dose from 300 to 600 mg/d (combination of tablets of 50mg, 200mg and 300mg) oral, daily, 8 weeks length. Quetiapine XR was initiated at 50 mg/day and titrated to 100 mg on day 2, 200 mg on day 3, 300 mg on day 4, and flexible doses of 300 to 600 mg/d from day 5 to the end of the study.
Flexible dose from 50 to 200 mg/d (combination of tablets of 50mg and 100mg) oral, daily, 8 weeks length. Sertraline titration: 50 mg on day 1-3, 100 mg on day 4, and flexible doses of 50 to 200 mg/d from day 5 to the end of the study.
An adequate mood stabilizer treatment with lithium or valproate(defined as a serum concentration of 0.5-1.2 mEq/L or 50-100 microg/ml, respectively).