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Sponsors and Collaborators: |
Hospital Espirita de Porto Alegre Stanley Medical Research Institute |
Information provided by: | Hospital Espirita de Porto Alegre |
ClinicalTrials.gov Identifier: | NCT00560079 |
This study aims to evaluate the potential antimanic efficacy, safety and tolorability of the purinergic agents allopurinol and dipyridamole as an add-on treatment to lithium in a sample of 180 drug-free manic patients enrolled in a double-blind, placebo-controlled design.
Condition | Intervention | Phase |
Mania |
Drug: Allopurinol Drug: Dipyridamole Drug: Placebo |
Phase IV |
ChemIDplus related topics: | Allopurinol Allopurinol sodium Dipyridamole |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Placebo Control, Parallel Assignment, Safety/Efficacy Study |
Official Title: | A Double-Blind, Randomized, Placebo-Controlled 4-Week Study on the Efficacy and Safety of the Purinergic Agents Allopurinol and Dipyridamole in Acute Bipolar Mania. |
Enrollment: | 180 |
Study Start Date: | November 2003 |
Study Completion Date: | April 2006 |
Arms | Assigned Interventions |
1: Experimental
Lithium 900mg/day plus allopurinol 600mg/day
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Drug: Allopurinol
Allopurinol 600mg/day bid for 28 days
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2: Active Comparator |
Drug: Dipyridamole
Dipyridamole 200mg/day bid for 28 days
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3: Placebo Comparator |
Drug: Placebo
Placebo
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Men and women ages 18 to 65 years, who were inpatients with a diagnosis of manic episode were recruited at the emergency room of Espirita Hospital of Porto Alegre (HEPA), Brazil (n=180) between September 2004 and 2006. The presence of manic episode was confirmed using SCID-I and the severity of episode was evaluated using the Young Mania Rating Scale (YMRS) and the Clinical Global Impression scale (CGI). Patients were required to present a score>22 on the YMRS at screening to be included. Subjects presenting rapid cycling, mixed episodes and comorbidities with axis I psychiatric disorders were not considered for inclusion. All subjects presented good physical health determined by physical exam, medical history, blood screening and electrocardiogram. Patients were randomly assigned to allopurinol 600 mg/day, dipyridamole 200mg or placebo as add-on medication lithium treatment for a 4-week, double-blind trial. The use of adjunctive antipsychotic agents (typical or second-generation drugs) was not allowed during the double-blind period. Adjunctive diazepam was used when necessary (maximum dose=20mg/day). Raters (psychiatrists) were trained together to establish reliability (YMRS =0.90). This study was approved by the Espirita Hospital Ethics Committee-IRB. Written informed consent was obtained from all patients and/or family member. Possible adverse events were monitored weekly during the follow-up period. Regarding primary outcome measures, we compared the percentage of responders according YMRS score decrease of at least 50% among allopurinol, dipyridamole and placebo groups, using fisher exact test. Also, the percentage of improvement from baseline to endpoint was obtained and compared among groups using analysis of variances (one-way ANOVA) with Duncan post-hoc test. Remission rates (YMRS scores < 12) were also analyzed. P values < 0.05 were considered statistically significant. Besides completers analysis, intention to treat and LOCF were employed to include data from drop-out patients who were evaluated at visit 3. Possible correlations were measured using Pearson test. Fischer exact test and X2 evaluated response and remission rates. Data are presented as mean ± standard deviation.
Ages Eligible for Study: | 18 Years to 65 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Brazil, RS | |||||
Hospital Espirita de Porto Alegre | |||||
Porto Alegre, RS, Brazil, 91720-440 |
Hospital Espirita de Porto Alegre |
Stanley Medical Research Institute |
Principal Investigator: | Rodrigo Machado-Vieira, MD, MSc, PhD | Staff Member |
IRB (Ethic Committee) homepage: project approval citation- Projeto nº003/03 
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Study ID Numbers: | 03T-356 |
First Received: | November 15, 2007 |
Last Updated: | September 19, 2008 |
ClinicalTrials.gov Identifier: | NCT00560079 |
Health Authority: | Brazil: Ministry of Health |
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