Status:

COMPLETED

Dexmedetomidine in the Treatment of Agitation Associated With Bipolar Disorder

Lead Sponsor:

BioXcel Therapeutics Inc

Collaborating Sponsors:

Cognitive Research Corporation

Conditions:

Agitation Associated With Bipolar Disorder

Agitation,Psychomotor

Eligibility:

All Genders

18-75 years

Phase:

PHASE3

Brief Summary

This is a definitive study to support the safety and efficacy evaluation of BXCL501 for the acute treatment of agitation in bipolar disorder. The BXCL501-302 study is designed to characterize the effi...

Detailed Description

The study will enroll approximately 375 subjects randomized 1:1:1 to dose regimens of 180µg, 120µg BXCL501, or placebo stratified by age \< 65 and age ≥ 65. Male and female adults with acute agitation...

Eligibility Criteria

Inclusion

  • Male and female patients between the ages of 18 to 75 years, inclusive.
  • Patients who have met DSM-5 criteria for bipolar I or II disorder.
  • Patients who are judged to be clinically agitated at Screening and Baseline with a total score of ≥ 14 on the 5 items (poor impulse control, tension, hostility, uncooperativeness, and excitement) comprising the PANSS Excited Component (PEC).
  • Patients who have a score of ≥ 4 on at least 1 of the 5 items on the PEC at Baseline.
  • Patients who read, understand and provide written informed consent.
  • Patients who are in good general health prior to study participation as determined by a detailed medical history, physical examination, 12-lead ECG with rhythm strip, blood chemistry profile, hematology, urinalysis, and in the opinion of the Principal Investigator.
  • Participants who agree to use a medically acceptable and effective birth control method

Exclusion

  • Patients with agitation caused by acute intoxication, including positive identification of alcohol by breathalyzer or drugs of abuse (with the exception of THC) during urine screening.
  • Use of benzodiazepines or other hypnotics or oral or short-acting intramuscular antipsychotic drugs in the 4 hours before study treatment.
  • Treatment with alpha-1 noradrenergic blockers (terazosin, doxazosin, tamsulosin, alfuzosin, or prazosin) or other prohibited medications.
  • Patients who are judged to be at significant risk of suicide.
  • Female patients who have a positive pregnancy test at screening or are breastfeeding.
  • Patients who have hydrocephalus, seizure disorder, or history of significant head trauma, stroke, transient ischemic attack, subarachnoid bleeding, brain tumor, encephalopathy, meningitis, Parkinson's disease or focal neurological findings.
  • History of syncope or other syncopal attacks, current evidence of hypovolemia, orthostatic hypotension.
  • Patients with laboratory or ECG abnormalities considered clinically significant by the investigator.
  • Patients with serious or unstable medical illnesses.
  • Patients who have received an investigational drug within 30 days prior to the current agitation episode.
  • Patients who are considered by the investigator, for any reason, to be an unsuitable candidate for receiving DEX.

Key Trial Info

Start Date :

February 24 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 21 2020

Estimated Enrollment :

380 Patients enrolled

Trial Details

Trial ID

NCT04276883

Start Date

February 24 2020

End Date

May 21 2020

Last Update

September 11 2023

Active Locations (15)

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Page 1 of 4 (15 locations)

1

BioXcel Clinical Research Site

Little Rock, Arkansas, United States, 72211

2

BioXcel Clinical Research Site

Cerritos, California, United States, 90703

3

BioXcel Clinical Research Site

Culver City, California, United States, 90230

4

BioXcel Clinical Research Site

Long Beach, California, United States, 90806