Page last updated: 2024-10-26

valproic acid and Depression, Involutional

valproic acid has been researched along with Depression, Involutional in 41 studies

Valproic Acid: A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS.
valproic acid : A branched-chain saturated fatty acid that comprises of a propyl substituent on a pentanoic acid stem.

Depression, Involutional: Form of depression in those MIDDLE AGE with feelings of ANXIETY.

Research Excerpts

ExcerptRelevanceReference
" Average glia measures were not reduced in bipolar disorder cases; however, bipolar disorder cases not treated with lithium or valproate had significant glial reduction."3.71Low glial numbers in the amygdala in major depressive disorder. ( Bowley, MP; Drevets, WC; Ongür, D; Price, JL, 2002)
"In the treatment of major depressive disorder (MDD) with mixed features, the comparable efficacy of antidepressants versus other treatments, such as SGAs, remains unknown."2.84Treatment recommendations for DSM-5-defined mixed features. ( McIntyre, RS; Rosenblat, JD, 2017)
"The diagnoses were major depressive disorder (n = 15), bipolar I disorder (n = 6), and bipolar II disorder (n = 16)."2.82Prediction of an Optimal Dose of Lamotrigine for Augmentation Therapy in Treatment-Resistant Depressive Disorder From Plasma Lamotrigine Concentration at Week 2. ( Kagawa, S; Kondo, T; Mihara, K; Nagai, G; Nakamura, A; Nemoto, K; Suzuki, T, 2016)
" There was no statistical significance among treatment arms in remission rates, secondary outcome measures, and adverse events."2.76A pilot study of the efficacy and safety of paroxetine augmented with risperidone, valproate, buspirone, trazodone, or thyroid hormone in adult Chinese patients with treatment-resistant major depression. ( Calabrese, JR; Cao, L; Chen, J; Cui, X; Fang, Y; Gao, K; Hong, W; Jiang, K; Wang, Y; Wu, Z; Xu, Y; Yi, Z; Yuan, C, 2011)
"Armodafinil was not associated with an increased incidence and/or severity of suicidality, depression, or mania or with changes in metabolic profile measurements."2.75Adjunctive armodafinil for major depressive episodes associated with bipolar I disorder: a randomized, multicenter, double-blind, placebo-controlled, proof-of-concept study. ( Calabrese, JR; Frye, MA; Ketter, TA; Tiller, JM; Yang, R; Youakim, JM, 2010)
"Although mania defines bipolar I disorder, depressive episodes and symptoms dominate the longitudinal course of, and disproportionately account for morbidity and mortality in, bipolar disorders."2.66Bipolar disorders. ( Berk, M; Brietzke, E; Goldstein, BI; Kessing, LV; López-Jaramillo, C; Majeed, A; Malhi, GS; Mansur, RB; McIntyre, RS; Nierenberg, AA; Rosenblat, JD; Vieta, E; Vinberg, M; Young, AH, 2020)
"Subjects were diagnosed with either major depressive disorder (MDD) or bipolar depression."2.55Symptomatology and predictors of antidepressant efficacy in extended responders to a single ketamine infusion. ( Luckenbaugh, DA; Niciu, MJ; Pennybaker, SJ; Zarate, CA, 2017)
"The mood disorders-primarily major depressive disorder and bipolar affective disorder-constitute one of the world's greatest public health problems and are associated with significant reductions in productivity, health, and longevity."2.44Pharmacotherapy of mood disorders. ( Denko, T; Thase, ME, 2008)
"At 14 years after smoke inhalation injury, he had persistent cognitive impairment."1.38Progressive neuropsychiatric and brain abnormalities after smoke inhalation. ( Tobe, E, 2012)

Research

Studies (41)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's18 (43.90)29.6817
2010's17 (41.46)24.3611
2020's6 (14.63)2.80

Authors

AuthorsStudies
Ricci, V2
Martinotti, G2
De Berardis, D2
Maina, G2
Dutheil, S1
Watson, LS1
Davis, RE2
Snyder, GL1
Suppes, T1
Durgam, S1
Kozauer, SG1
Chen, R1
Lakkis, HD1
Satlin, A1
Vanover, KE1
Mates, S1
McIntyre, RS3
Tohen, M1
Esposito, M1
Giunta, A1
Del Duca, E1
Manfreda, V1
Troisi, A1
Bianchi, L1
Fargnoli, MC1
Flores-Ramos, M1
Becerra-Palars, C1
Hernández González, C1
Chavira, R1
Bernal-Santamaría, N1
Martínez Mota, L1
Berk, M1
Brietzke, E1
Goldstein, BI1
López-Jaramillo, C1
Kessing, LV1
Malhi, GS1
Nierenberg, AA1
Rosenblat, JD2
Majeed, A1
Vieta, E2
Vinberg, M1
Young, AH2
Mansur, RB1
Marino, P1
Schulberg, HC1
Gildengers, AG1
Mulsant, BH1
Sajatovic, M1
Gyulai, L1
Aljurdi, RK1
Evans, LD1
Banerjee, S1
Gur, RC1
Young, RC1
Chang, HH1
Chen, PS1
Cheng, YW1
Wang, TY1
Yang, YK1
Lu, RB1
Verdolini, N1
Hidalgo-Mazzei, D1
Murru, A1
Pacchiarotti, I1
Samalin, L1
Carvalho, AF1
Hranov, LG1
Marinova, P1
Stoyanova, M1
Pandova, M1
Hranov, G1
Azorin, JM1
Belzeaux, R1
Cermolacce, M1
Kaladjian, A1
Corréard, N1
Dassa, D1
Dubois, M1
Maurel, M1
Micoulaud Franchi, JA1
Pringuey, D1
Fakra, E1
Citrome, L1
Nakamura, A1
Mihara, K1
Nagai, G1
Kagawa, S1
Suzuki, T1
Nemoto, K1
Kondo, T1
Pennybaker, SJ1
Niciu, MJ1
Luckenbaugh, DA1
Zarate, CA2
Kawamura, S1
Sakai, A1
Endo, T1
Maruta, M1
Findling, RL1
Lingler, J1
Rowles, BM1
McNamara, NK1
Calabrese, JR4
Vigo, DV1
Baldessarini, RJ1
Ketter, TA1
Youakim, JM1
Tiller, JM1
Yang, R1
Frye, MA1
Savitz, JB1
Nugent, AC1
Bogers, W1
Roiser, JP1
Bain, EE1
Neumeister, A1
Manji, HK1
Cannon, DM1
Marrett, S1
Henn, F1
Charney, DS1
Drevets, WC2
Sachs, GS1
Ice, KS1
Chappell, PB1
Schwartz, JH1
Gurtovaya, O1
Vanderburg, DG1
Kasuba, B1
Fang, Y1
Yuan, C1
Xu, Y1
Chen, J1
Wu, Z1
Cao, L1
Yi, Z1
Hong, W1
Wang, Y1
Jiang, K1
Cui, X1
Gao, K1
Bagati, D1
Mittal, S1
Praharaj, SK1
Sarcar, M1
Kakra, M1
Kumar, P1
Rovers, JM1
Roks, G1
Smith, AK1
Conneely, KN1
Newport, DJ1
Kilaru, V1
Schroeder, JW1
Pennell, PB1
Knight, BT1
Cubells, JC1
Stowe, ZN1
Brennan, PA1
Tobe, E1
Bowley, MP1
Ongür, D1
Price, JL1
Hantouche, EG1
Akiskal, HS1
Lancrenon, S1
Chatenêt-Duchêne, L1
Vajda, FJ1
Solinas, C1
Debattista, C1
Solomon, A1
Arnow, B1
Kendrick, E1
Tilston, J1
Schatzberg, AF1
Saxena, K1
Howe, M1
Simeonova, D1
Steiner, H1
Chang, K1
Rachid, F1
Golaz, J1
Bondolfi, G1
Bertschy, G1
Muzina, DJ1
Colangelo, E1
Manning, JS1
da Rocha, FF1
Soares, FM1
Correa, H1
Teixeira, AL1
Khan, AY1
Ludvigson, LR1
Stewart, M1
Gorman, JM1
Thase, ME1
Denko, T1
Nikisch, G1
Mathé, AA1
Davis, LL1
Ryan, W1
Adinoff, B1
Petty, F1
Voigtländer, A1
Gmünd, S1
Lemoine, P1
Fondarai, J1
Faivre, T1
Kim, E1
Humaran, TJ1

Clinical Trials (6)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Endophenotype Characterization of a Family Psychiatric Disorder of the Bipolar Spectrum, With an Autosomal Dominant Expression[NCT02843997]29 participants (Anticipated)Interventional2015-02-28Recruiting
Investigation of the Rapid (Next Day) Antidepressant Effects of an NMDA Antagonist[NCT00088699]Phase 1/Phase 267 participants (Actual)Interventional2004-07-26Completed
A Preliminary Study of the Efficacy and Safety of Carbamazepine in Severe Liver Disease Due to Alpha-1 Antitrypsin Deficiency[NCT01379469]Phase 220 participants (Actual)Interventional2012-01-31Terminated
An 8 Week Double Blind, Placebo-Controlled, Parallel Group, Fixed Dosage Study to Evaluate the Efficacy and Safety of Armodafinil Treatment (150mg/Day) as Adjunctive Therapy in Adults With Major Depression Associated With Bipolar I Disorder[NCT00481195]Phase 2257 participants (Actual)Interventional2007-06-30Completed
A Six-Week, Double-Blind, Multicenter, Placebo Controlled Study Evaluating The Efficacy And Safety Of Flexible Doses Of Oral Ziprasidone As Add-On, Adjunctive Therapy With Lithium, Valproate Or Lamotrigine In Bipolar I Depression[NCT00483548]Phase 3298 participants (Actual)Interventional2007-10-31Completed
Bipolar Disorder and Oxidative Stress Injury Mechanism - Clinical Big Data Analysis Based on Machine Learning[NCT03949218]3,702 participants (Actual)Observational2018-11-20Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

MADRS Score - Baseline

Antidepressant effects were assessed using the Montgomery-Åsberg Depression Rating Scale (MADRS). It is a ten-item diagnostic questionnaire which psychiatrists use to measure the severity of depressive episodes. Higher MADRS score indicates more severe depression, and each item yields a score of 0 to 6. The overall score ranges from 0 to 60. (NCT00088699)
Timeframe: Baseline

Interventionunits on a scale (Mean)
Ketamine - Healthy Volunteers1.17
Placebo - Healthy Volunteers1.48
Ketamine - MDD Patients33.83
Placebo - MDD Patients31.82

MADRS Score - Day 1 Following Intervention

Antidepressant effects were assessed using the Montgomery-Åsberg Depression Rating Scale (MADRS). It is a ten-item diagnostic questionnaire which psychiatrists use to measure the severity of depressive episodes. Higher MADRS score indicates more severe depression, and each item yields a score of 0 to 6. The overall score ranges from 0 to 60. (NCT00088699)
Timeframe: Day 1

Interventionunits on a scale (Mean)
Ketamine - Healthy Volunteers2.45
Placebo - Healthy Volunteers0.67
Ketamine - MDD Patients23.73
Placebo - MDD Patients30.68

Change From Baseline to 4 Weeks in the Hamilton Anxiety Scale (HAM A) Total Score

The HAM-A is a clinician-rated 14 item scale that provides an overall measure of global anxiety, including psychic (mental agitation and psychological distress) and somatic (physical complaints related to anxiety) symptoms. Each item is scored on a scale of 0 (not present) to 4 (severe), with a total score range of 0 - 56, where less than 17 indicates mild anxiety, 18 - 24 mild to moderate anxiety and 25-30 moderate to severe. The data presented here summarizes the change in HAM-A score from Baseline to 4 Weeks (NCT00481195)
Timeframe: Baseline and 4 weeks following the start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-3.6
Placebo-3.5

Change From Baseline to 8 Weeks in the Hamilton Anxiety Scale (HAM A) Total Score

The HAM-A is a clinician-rated 14 item scale that provides an overall measure of global anxiety, including psychic (mental agitation and psychological distress) and somatic (physical complaints related to anxiety) symptoms. Each item is scored on a scale of 0 (not present) to 4 (severe), with a total score range of 0 - 56, where less than 17 indicates mild anxiety, 18 - 24 mild to moderate anxiety and 25-30 moderate to severe. The data presented here summarizes the change in HAM-A score from Baseline to 8 Weeks (NCT00481195)
Timeframe: Baseline and 8 weeks following the start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-4.7
Placebo-4.4

Change From Baseline to Endpoint (8 Weeks or Last Observation After Baseline) in Hamilton Anxiety Scale (HAM-A) Total Score

The HAM-A is a clinician-rated 14 item scale that provides an overall measure of global anxiety, including psychic (mental agitation and psychological distress) and somatic (physical complaints related to anxiety) symptoms. Each item is scored on a scale of 0 (not present) to 4 (severe), with a total score range of 0 - 56, where less than 17 indicates mild anxiety, 18 - 24 mild to moderate anxiety, 25-30 moderate to severe, >30 very severe. The data presented here summarizes the change in HAM-A score from Baseline to Endpoint (8 weeks or last observation after baseline). (NCT00481195)
Timeframe: baseline and 8 weeks (or last observation after baseline)

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-4.1
Placebo-3.9

Change From Baseline to Endpoint (Week 8 or Last Observation After Baseline) in the Montgomery-Asberg Depression Rating Scale (MADRS) Total Score

The MADRS is a 10-item scale to evaluate the overall severity of a patient's depressive symptoms, that is completed by the physician. The rating scale makes use of both observational clues as to the subject's level of depression (eg. apparent sadness) and verbal indicators of depression expressed by the patient. Each of the 10 items is graded on a 6-point scale with anchors at 2 point intervals. Total scores range from 0 to 60, with the higher number indicating more severe symptoms of depression. Here we present data summarizing the change in MADRS from Baseline to Endpoint. (NCT00481195)
Timeframe: Baseline and Endpoint (8 weeks following the start of study drug administration or last observation after baseline)

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-12.3
Placebo-10.2

Change From Baseline to Endpoint (Week 8 or Last Observation After Baseline) in the Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form (Q-LES-Q-SF)

The Q-LES-Q-SF is an instrument designed to measure general activities of daily living. It is a patient-rated quality of life questionnaire and consists of 16 items, but only the first 14 are included in the total score. Each item is rated by the patient on a scale from 1 - 5 (1=very poor, 2=poor, 3=fair, 4=good, and 5=very good). The minimum score is 14 and the maximum score is 70, with lower scores indicating poorer quality of life. The data presented here summarizes the change in score from baseline to endpoint (8 weeks or last observation after baseline). (NCT00481195)
Timeframe: Baseline and 8 weeks (or last observation after baseline)

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day8.2
Placebo7.4

Change From Baseline to Endpoint (Week 8 or Last Observation After Baseline) in the Quick Inventory of Depressive Symptomatology - 16 Items (QIDS-SR16)

The QIDS-SR16 is a 16-item rating scale of depressive symptoms completed by the patient at each visit. It is a shorter version of the IDS-C30 that is completed by the patient rather than the examiner. The total score ranges from 0 to 27 (higher score signifies more severe depression) and is obtained by adding the scores for each of the 9 depression symptom domains of the DSM IV. The data presented here summarizes the change in QIDS-SR16 from Baseline to Endpoint (Week 8 or last observation after baseline). (NCT00481195)
Timeframe: Baseline and 8 weeks (or last observation after baseline)

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-7.0
Placebo-6.5

Change From Baseline to Endpoint (Week 8 or Last Observation After Baseline) on 30 Item Inventory of Depressive Symptomatology Clinician Rated (IDS C30) - Item 4

The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. Item 4 assesses hypersomnia on a scale from 0 (sleeps no longer than 7-8 hours a night) to 3 (sleeps longer than 12 hours in 24 hour period). The data presented here summarizes the change from baseline to Endpoint in the score of Item 4 assessing hypersomnia. (NCT00481195)
Timeframe: Baseline and 8 weeks (or last observation after baseline)

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-0.4
Placebo-0.2

Change From Baseline to Endpoint (Week 8 or Last Observation After Baseline) on 30 Item Inventory of Depressive Symptomatology Clinician Rated (IDS C30) Combination of Items 1-3

The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. Items 1 - 3 assess sleep onset insomnia, mid-nocturnal insomnia, and early morning insomnia respectively each on a 0 - 3 scale. The data presented here summarizes the change from baseline to Endpoint in the combined score of these three items assessing insomnia. (NCT00481195)
Timeframe: Baseline and 8 weeks (or last observation after baseline)

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-1.6
Placebo-1.2

Change From Baseline to Week 1 in the Quick Inventory of Depressive Symptomatology - 16 Items (QIDS-SR16)

The QIDS-SR16 is a 16-item rating scale of depressive symptoms completed by the patient at each visit. It is a shorter version of the IDS-C30 that is completed by the patient rather than the examiner. The total score ranges from 0 to 27 (higher score signifies more severe depression) and is obtained by adding the scores for each of the 9 depression symptom domains of the DSM IV. The data presented here summarizes the change in QIDS-SR16 from Baseline to Week 1 (NCT00481195)
Timeframe: Baseline and 1 week following the start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-3.5
Placebo-3.7

Change From Baseline to Week 2 in the Quick Inventory of Depressive Symptomatology - 16 Items (QIDS-SR16)

The QIDS-SR16 is a 16-item rating scale of depressive symptoms completed by the patient at each visit. It is a shorter version of the IDS-C30 that is completed by the patient rather than the examiner. The total score ranges from 0 to 27 (higher score signifies more severe depression) and is obtained by adding the scores for each of the 9 depression symptom domains of the DSM IV. The data presented here summarizes the change in QIDS-SR16 from Baseline to Week 2 (NCT00481195)
Timeframe: Baseline and 2 weeks following the start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-5.0
Placebo-4.1

Change From Baseline to Week 3 in the Quick Inventory of Depressive Symptomatology - 16 Items (QIDS-SR16)

The QIDS-SR16 is a 16-item rating scale of depressive symptoms completed by the patient at each visit. It is a shorter version of the IDS-C30 that is completed by the patient rather than the examiner. The total score ranges from 0 to 27 (higher score signifies more severe depression) and is obtained by adding the scores for each of the 9 depression symptom domains of the DSM IV. The data presented here summarizes the change in QIDS-SR16 from Baseline to Week 3. (NCT00481195)
Timeframe: Baseline and 3 weeks following the start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-5.8
Placebo-5.0

Change From Baseline to Week 4 in the Montgomery-Asberg Depression Rating Scale (MADRS) Total Score

The MADRS is a 10-item scale to evaluate the overall severity of a patient's depressive symptoms, that is completed by the physician. The rating scale makes use of both observational clues as to the subject's level of depression (eg. apparent sadness) and verbal indicators of depression expressed by the patient. Each of the 10 items is graded on a 6-point scale with anchors at 2 point intervals. Total scores range from 0 to 60, with the higher number indicating more severe symptoms of depression. Here we present data summarizing the difference in MADRS score from Baseline to Week 4. (NCT00481195)
Timeframe: Baseline and 4 weeks following the start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-9.6
Placebo-8.9

Change From Baseline to Week 4 in the Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form (Q-LES-Q-SF)

The Q-LES-Q-SF is an instrument designed to measure general activities of daily living. It is a patient-rated quality of life questionnaire and consists of 16 items, but only the first 14 are included in the total score. Each item is rated by the patient on a scale from 1 - 5 (1=very poor, 2=poor, 3=fair, 4=good, and 5=very good). The minimum score is 14 and the maximum score is 70, with lower scores indicating poorer quality of life. The data presented here summarizes the change in score from baseline to 4 weeks. (NCT00481195)
Timeframe: Baseline and 4 weeks following the start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day5.9
Placebo4.6

Change From Baseline to Week 4 in the Quick Inventory of Depressive Symptomatology - 16 Items (QIDS-SR16)

The QIDS-SR16 is a 16-item rating scale of depressive symptoms completed by the patient at each visit. It is a shorter version of the IDS-C30 that is completed by the patient rather than the examiner. The total score ranges from 0 to 27 (higher score signifies more severe depression) and is obtained by adding the scores for each of the 9 depression symptom domains of the DSM IV. The data presented here summarizes the change in QIDS-SR16 from Baseline to Week 4. (NCT00481195)
Timeframe: Baseline and 4 weeks following the start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-6.4
Placebo-5.6

Change From Baseline to Week 4 on 30 Item Inventory of Depressive Symptomatology Clinician Rated (IDS C30) - Item 4

The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. Item 4 assesses hypersomnia on a scale from 0 (sleeps no longer than 7-8 hours a night) to 3 (sleeps longer than 12 hours in 24 hour period). The data presented here summarizes the change from baseline to week 4 in the score of Item 4 assessing hypersomnia. (NCT00481195)
Timeframe: Baseline and 4 weeks following the start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-0.2
Placebo-0.2

Change From Baseline to Week 4 on 30 Item Inventory of Depressive Symptomatology Clinician Rated (IDS C30) Combination of Items 1-3

The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. Items 1 - 3 assess sleep onset insomnia, mid-nocturnal insomnia, and early morning insomnia respectively each on a 0 - 3 scale. The data presented here summarizes the change from baseline to week 4 in the combined score of these three items assessing insomnia. (NCT00481195)
Timeframe: Baseline and 4 weeks following the start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-1.2
Placebo-1.1

Change From Baseline to Week 6 in the Quick Inventory of Depressive Symptomatology - 16 Items (QIDS-SR16)

The QIDS-SR16 is a 16-item rating scale of depressive symptoms completed by the patient at each visit. It is a shorter version of the IDS-C30 that is completed by the patient rather than the examiner. The total score ranges from 0 to 27 (higher score signifies more severe depression) and is obtained by adding the scores for each of the 9 depression symptom domains of the DSM IV. The data presented here summarizes the change in QIDS-SR16 from Baseline to Week 6. (NCT00481195)
Timeframe: Baseline and 6 weeks following the start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-7.8
Placebo-6.7

Change From Baseline to Week 8 in the Montgomery-Asberg Depression Rating Scale (MADRS) Total Score

The MADRS is a 10-item scale to evaluate the overall severity of a patient's depressive symptoms, that is completed by the physician. The rating scale makes use of both observational clues as to the subject's level of depression (eg. apparent sadness) and verbal indicators of depression expressed by the patient. Each of the 10 items is graded on a 6-point scale with anchors at 2 point intervals. Total scores range from 0 to 60, with the higher number indicating more severe symptoms of depression. Here we present data summarizing the difference in MADRS score from Baseline to Week 8. (NCT00481195)
Timeframe: Baseline and 8 weeks following the start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-13.4
Placebo-11.0

Change From Baseline to Week 8 in the Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form (Q-LES-Q-SF)

The Q-LES-Q-SF is an instrument designed to measure general activities of daily living. It is a patient-rated quality of life questionnaire and consists of 16 items, but only the first 14 are included in the total score. Each item is rated by the patient on a scale from 1 - 5 (1=very poor, 2=poor, 3=fair, 4=good, and 5=very good). The minimum score is 14 and the maximum score is 70, with lower scores indicating poorer quality of life. The data presented here summarizes the change in score from baseline to 8 weeks. (NCT00481195)
Timeframe: Baseline and 8 weeks following the start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day10.1
Placebo8.5

Change From Baseline to Week 8 in the Quick Inventory of Depressive Symptomatology - 16 Items (QIDS-SR16)

The QIDS-SR16 is a 16-item rating scale of depressive symptoms completed by the patient at each visit. It is a shorter version of the IDS-C30 that is completed by the patient rather than the examiner. The total score ranges from 0 to 27 (higher score signifies more severe depression) and is obtained by adding the scores for each of the 9 depression symptom domains of the DSM IV. The data presented here summarizes the change in QIDS-SR16 from Baseline to Week 8. (NCT00481195)
Timeframe: Baseline and 8 weeks following the start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-8.2
Placebo-7.6

Change From Baseline to Week 8 on 30 Item Inventory of Depressive Symptomatology Clinician Rated (IDS C30) - Item 4

The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. Item 4 assesses hypersomnia on a scale from 0 (sleeps no longer than 7-8 hours a night) to 3 (sleeps longer than 12 hours in 24 hour period). The data presented here summarizes the change from baseline to week 8 in the score of Item 4 assessing hypersomnia. (NCT00481195)
Timeframe: Baseline and 8 weeks following the start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-0.3
Placebo-0.2

Change From Baseline to Week 8 on 30 Item Inventory of Depressive Symptomatology Clinician Rated (IDS C30) Combination of Items 1-3

The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. Items 1 - 3 assess sleep onset insomnia, mid-nocturnal insomnia, and early morning insomnia respectively each on a 0 - 3 scale. The data presented here summarizes the change from baseline to week 8 in the combined score of these three items assessing insomnia. (NCT00481195)
Timeframe: Baseline and 8 weeks following the start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-2.0
Placebo-1.6

The Mean Change From Baseline to Endpoint (Week 8 or Last Observation After Baseline) in the 30 Item Inventory of Depressive Symptomatology Clinician Rated (IDS C30)

The IDS C30 is a standardized 30 item, clinician rated scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. The data presented here summarizes the change from baseline to Endpoint (either week 8 or the last observation after baseline) in the total score of the IDS-C30. (NCT00481195)
Timeframe: Baseline and 8 weeks from start of study drug administration (or last observation after baseline)

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-15.6
Placebo-12.5

The Mean Change From Baseline to Week 1 in the 30 Item Inventory of Depressive Symptomatology Clinician Rated (IDS C30)

The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. The data presented here summarizes the change from baseline to Week 1 in the total score of the IDS-C30. (NCT00481195)
Timeframe: Baseline and 1 week following the start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-6.5
Placebo-4.8

The Mean Change From Baseline to Week 2 in the 30 Item Inventory of Depressive Symptomatology Clinician Rated (IDS C30)

The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. The data presented here summarizes the change from baseline to Week 2 in the total score of the IDS-C30. (NCT00481195)
Timeframe: Baseline and 2 weeks following the start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-10.0
Placebo-7.3

The Mean Change From Baseline to Week 3 in the 30 Item Inventory of Depressive Symptomatology Clinician Rated (IDS C30)

The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. The data presented here summarizes the change from baseline to Week 3 in the total score of the IDS-C30. (NCT00481195)
Timeframe: Baseline and 3 weeks following the start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-13.1
Placebo-10.7

The Mean Change From Baseline to Week 4 in the 30 Item Inventory of Depressive Symptomatology Clinician Rated (IDS C30)

The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. The data presented here summarizes the change from baseline to Week 4 in the total score of the IDS-C30. (NCT00481195)
Timeframe: Baseline and 4 weeks following the start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-13.7
Placebo-12.1

The Mean Change From Baseline to Week 6 in the 30 Item Inventory of Depressive Symptomatology Clinician Rated (IDS C30)

The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. The data presented here summarizes the change from baseline to Week 6 in the total score of the IDS-C30. (NCT00481195)
Timeframe: Baseline and 6 weeks following the start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-16.7
Placebo-13.7

The Mean Change From Baseline to Week 8 in the 30 Item Inventory of Depressive Symptomatology Clinician Rated (IDS C30)

The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. The data presented here summarizes the change from baseline to Week 8 in the total score of the IDS-C30. (NCT00481195)
Timeframe: Baseline and 8 weeks following the start of study drug administration

InterventionUnits on a scale (Least Squares Mean)
Armodafinil 150 mg/Day-17.8
Placebo-14.8

"Number of Patients Achieving Response at Endpoint According to the 30-item Inventory of Depressive Symptomatology-Clinician-Rated (IDS-C30)"

"The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. The data here summarizes the number of subjects in each treatment group who achieved a response (> 50% decrease from baseline in total score)." (NCT00481195)
Timeframe: Baseline, 4 and 8 weeks following start of study drug administration (or last observation after baseline)

,
InterventionParticipants (Number)
ResponseNo Response
Armodafinil 150 mg/Day4678
Placebo4776

"Number of Patients Achieving Sustained Remission at Endpoint According to the 30-item Inventory of Depressive Symptomatology-Clinician-Rated (IDS-C30)"

"The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. The data here summarizes the number of subjects in each treatment group who achieved a sustained remission (total score <= 11 that persists over the four week period from Week 4 to Week 8)." (NCT00481195)
Timeframe: Baseline, 4 and 8 weeks following start of study drug administration (or last observation after baseline)

,
InterventionParticipants (Number)
Sustained RemissionNo Sustained Remission
Armodafinil 150 mg/Day13111
Placebo8115

"Number of Patients Achieving Sustained Response at Endpoint According to the 30-item Inventory of Depressive Symptomatology-Clinician-Rated (IDS-C30)"

"The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. The data here summarizes the number of subjects in each treatment group who achieved a sustained response (> 50% decrease from baseline in total score that persisted over the four week period between Week 4 and Week 8)." (NCT00481195)
Timeframe: Baseline, 4 and 8 weeks following start of study drug administration (or last observation after baseline)

,
InterventionParticipants (Number)
Sustained ResponseNo Sustained Response
Armodafinil 150 mg/Day23101
Placebo17106

Number of Patients Achieving Remission at Endpoint According to the 30-item Inventory of Depressive Symptomatology-Clinician-Rated (IDS-C30)

The IDS C30 is a standardized 30 item, clinician rated, scale to assess the severity of a patient's depressive symptoms. The scale uses the 9 symptom domains of the DSM-IV criteria to measure symptom severity. The scores range from a minimum of 0 to a maximum score of 84. The higher the score the more severe the symptoms of depression. The data here summarizes the number of subjects in each treatment group who achieved a remission (total score <=11). (NCT00481195)
Timeframe: Baseline, 4 and 8 weeks following start of study drug administration (or last observation after baseline)

,
InterventionParticipants (Number)
RemissionNo Remission
Armodafinil 150 mg/Day3094
Placebo22101

The Number of Responders According to the Clinical Global Impression of Change - Bipolar Version (CGI BP) Measure of Depression at Endpoint (Week 8 or Last Observation After Baseline)

"CGI-BP is a standardized, clinician-rated assessment which allows the clinician to rate the bipolar illness at various time points compared with baseline. At Screening and Baseline visits the physician rated the severity of the illness using 7 categories (1=normal through 7=very severely ill). At subsequent visits the clinician assessed the change in severity of the condition using 7 categories (1=very much improved through 7=very much worse). Subjects were considered responders if they had a rating of much improved or very much improved. The number of responders at Endpoint are presented." (NCT00481195)
Timeframe: Baseline and 8 weeks (or last observation after baseline)

,
InterventionParticipants (Number)
ResponderNon Responder
Armodafinil 150 mg/Day6460
Placebo6062

The Number of Responders According to the Clinical Global Impression of Change - Bipolar Version (CGI BP) Measure of Depression at Week 1

"CGI-BP is a standardized, clinician-rated assessment which allows the clinician to rate the bipolar illness at various time points compared with baseline. At Screening and Baseline visits the physician rated the severity of the illness using 7 categories (1=normal through 7=very severely ill). At subsequent visits the clinician assessed the change in severity of the condition using 7 categories (1=very much improved through 7=very much worse). Subjects were considered responders if they had a rating of much improved or very much improved. The number of responders at Week 1 are presented." (NCT00481195)
Timeframe: Baseline and 1 week following the start of study drug administration

,
InterventionParticipants (Number)
ResponderNon Responder
Armodafinil 150 mg/Day12107
Placebo12105

The Number of Responders According to the Clinical Global Impression of Change - Bipolar Version (CGI BP) Measure of Depression at Week 2

"CGI-BP is a standardized, clinician-rated assessment which allows the clinician to rate the bipolar illness at various time points compared with baseline. At Screening and Baseline visits the physician rated the severity of the illness using 7 categories (1=normal through 7=very severely ill). At subsequent visits the clinician assessed the change in severity of the condition using 7 categories (1=very much improved through 7=very much worse). Subjects were considered responders if they had a rating of much improved or very much improved. The number of responders at Week 2 are presented." (NCT00481195)
Timeframe: Baseline and 2 weeks following the start of study drug administration

,
InterventionParticipants (Number)
ResponderNon Responder
Armodafinil 150 mg/Day2583
Placebo2684

The Number of Responders According to the Clinical Global Impression of Change - Bipolar Version (CGI BP) Measure of Depression at Week 3

"CGI-BP is a standardized, clinician-rated assessment which allows the clinician to rate the bipolar illness at various time points compared with baseline. At Screening and Baseline visits the physician rated the severity of the illness using 7 categories (1=normal through 7=very severely ill). At subsequent visits the clinician assessed the change in severity of the condition using 7 categories (1=very much improved through 7=very much worse). Subjects were considered responders if they had a rating of much improved or very much improved. The number of responders at Week 3 are presented." (NCT00481195)
Timeframe: Baseline and 3 weeks following the start of study drug administration

,
InterventionParticipants (Number)
ResponderNon Responder
Armodafinil 150 mg/Day3864
Placebo3268

The Number of Responders According to the Clinical Global Impression of Change - Bipolar Version (CGI BP) Measure of Depression at Week 4

"CGI-BP is a standardized, clinician-rated assessment which allows the clinician to rate the bipolar illness at various time points compared with baseline. At Screening and Baseline visits the physician rated the severity of the illness using 7 categories (1=normal through 7=very severely ill). At subsequent visits the clinician assessed the change in severity of the condition using 7 categories (1=very much improved through 7=very much worse). Subjects were considered responders if they had a rating of much improved or very much improved. The number of responders at Week 4 are presented." (NCT00481195)
Timeframe: Baseline and 4 weeks following the start of study drug administration

,
InterventionParticipants (Number)
ResponderNon Responder
Armodafinil 150 mg/Day4653
Placebo4255

The Number of Responders According to the Clinical Global Impression of Change - Bipolar Version (CGI BP) Measure of Depression at Week 6

"CGI-BP is a standardized, clinician-rated assessment which allows the clinician to rate the bipolar illness at various time points compared with baseline. At Screening and Baseline visits the physician rated the severity of the illness using 7 categories (1=normal through 7=very severely ill). At subsequent visits the clinician assessed the change in severity of the condition using 7 categories (1=very much improved through 7=very much worse). Subjects were considered responders if they had a rating of much improved or very much improved. The number of responders at Week 6 are presented." (NCT00481195)
Timeframe: Baseline and 6 weeks following the start of study drug administration

,
InterventionParticipants (Number)
ResponderNon Responder
Armodafinil 150 mg/Day4745
Placebo4349

The Number of Responders According to the Clinical Global Impression of Change - Bipolar Version (CGI BP) Measure of Depression at Week 8

"CGI-BP is a standardized, clinician-rated assessment which allows the clinician to rate the bipolar illness at various time points compared with baseline. At Screening and Baseline visits the physician rated the severity of the illness using 7 categories (1=normal through 7=very severely ill). At subsequent visits the clinician assessed the change in severity of the condition using 7 categories (1=very much improved through 7=very much worse). Subjects were considered responders if they had a rating of much improved or very much improved. The number of responders at Week 8 are presented." (NCT00481195)
Timeframe: Baseline and 8 weeks following the start of study drug administration

,
InterventionParticipants (Number)
ResponderNon Responder
Armodafinil 150 mg/Day5237
Placebo4741

Change From Baseline to Week 6 in Clinical Global Impression - Severity Scale (CGI-Severity or CGI-S)

CGI-S is a single-item clinician rated scale used to assess global severity of bipolar illness based on an overall evaluation of symptoms of bipolar mania, associated behavioral symptoms, and condition of the subject. Scored from 1 (normal, not at all ill) to 7 (among the most severely ill subjects). Higher score = more affected. Change calculated as a difference between post-baseline observation and baseline CGI-S score values. (NCT00483548)
Timeframe: Baseline, Week 6

Interventionscores on scale (Mean)
Ziprasidone-1.5
Placebo-1.5

Change From Baseline to Week 6 in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score

MADRS is a 10-item clinician rated scale to measure overall severity of depressive symptoms (apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, suicidal thoughts); rated on a 7-point Likert scale 0 (normal) to 6 (most abnormal); total score 0 to 44 (higher score indicates greater severity of symptoms). Change calculated as a difference between post-baseline observation and baseline MADRS score values. (NCT00483548)
Timeframe: Baseline, Week 6

Interventionscores on scale (Mean)
Ziprasidone-14.7
Placebo-13.2

Clinical Global Impression - Improvement Scale (CGI-Improvement or CGI-I): Number of Subjects With Response (Much Improved or Very Much Improved) at Week 6

Number of subjects with improvement defined as CGI-I response of 1 (very much improved) or 2 (much improved). CGI-I is a single-item clinician rated scale used to assess global improvement in the subject's clinical state (bipolar mania) in response to study treatment and as compared to their status at pre-treatment baseline. Scores range from 1 (very much improved) to 4 (no change) to 7 (very much worse). Higher score = more affected. (NCT00483548)
Timeframe: Baseline, Week 6

Interventionparticipants (Number)
Ziprasidone66
Placebo69

MADRS Remission: Number of Subjects With Total MADRS Score ≤ 12 at Week 6

Number of subjects with MADRS total score ≤ 12 (indicates remission). MADRS is a 10-item clinician rated scale to measure overall severity of depressive symptoms (apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, suicidal thoughts); rated on a 7-point Likert scale 0 (normal) to 6 (most abnormal); total score 0 to 44 (higher score indicates greater severity of symptoms). (NCT00483548)
Timeframe: Week 6

Interventionparticipants (Number)
Ziprasidone48
Placebo54

MADRS Response: Number of Subjects With Total MADRS Score Reduction ≥ 50 Percent From Baseline at Week 6

Number of subjects with reduction of ≥50 percent (%) in MADRS total score (indicates response). MADRS is a 10-item clinician rated scale to measure overall severity of depressive symptoms (apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, suicidal thoughts); rated on a 7-point Likert scale 0 (normal) to 6 (most abnormal); total score 0 to 44 (higher score indicates greater severity of symptoms). Reduction calculated as ([A-B]/B*100): A=value at observation; B=baseline value. (NCT00483548)
Timeframe: Week 6

Interventionparticipants (Number)
Ziprasidone62
Placebo65

CGI-Improvement Score

CGI-I is a single-item clinician rated scale used to assess global improvement in the subject's clinical state (bipolar mania) in response to study treatment and as compared to their status at pre-treatment baseline. Scores range from 1 (very much improved) to 4 (no change) to 7 (very much worse). Higher score = more affected. Week 6 is the primary timepoint. (NCT00483548)
Timeframe: Week 1, Week 2, Week 3, Week 4, Week 5, Week 6

,
Interventionscores on scale (Mean)
Week 1 (n=142, 141)Week 2 (n=120, 138)Week 3 (n=115, 130)Week 4 (n=106, 122)Week 5 (n=103, 112)Week 6 (n=92, 108)
Placebo3.43.12.92.82.62.4
Ziprasidone3.22.92.72.62.52.4

Change From Baseline in Abnormal Involuntary Movement Scale (AIMS) Scores

AIMS is a clinician rated 12-item scale to rate 7 body areas and global judgments on the severity of abnormal movements, incapacitation and subject's awareness of abnormal movements. Items 1 to 10 scored 0 (none) to 4 (severe); items 11 to 14 are No or Yes response to dental status and sleep movements and are assessed separately. AIMS total score is sum of first 7 items. Change calculated as a difference between post-baseline observation and baseline AIMS score values. (NCT00483548)
Timeframe: Baseline, Week 2, Week 4, Week 6

,
Interventionscores on scale (Mean)
Total score: Week 2 (n=136, 142)Total score: Week 4 (n=111, 127)Total score: Week 6 (n=100, 111)Global severity score: Week 2 (n=136, 142)Global severity score: Week 4 (n=111, 127)Global severity score: Week 6 (n=100, 111)Incapacitation score: Week 2 (n=136, 142)Incapacitation score: Week 4 (n=111, 127)Incapacitation score: Week 6 (n=100, 111)
Placebo-0.1-0.0-0.0-0.00.00.0-0.0-0.00.0
Ziprasidone0.1-0.0-0.00.00.00.00.00.00.0

Change From Baseline in Barnes Akathisia Rating Scale (BARS or BAS)

BARS is a clinician rated scale to evaluate akathisia associated with use of antipsychotic medications: objective motor restlessness, range 0 to 3; subjective complaints of restlessness and associated distress, range 0 to 3; global clinical assessment of akathisia, range 0 to 5. Higher scores indicate more affected. Change calculated as a difference between post-baseline observation and baseline BARS score values. (NCT00483548)
Timeframe: Baseline, Week 2, Week 4, Week 6

,
Interventionscores on scale (Mean)
Week 2 (n=135, 139)Week 4 (n=111, 125)Week 6 (n=100, 110)
Placebo-0.00.0-0.0
Ziprasidone0.10.00.0

Change From Baseline in CGI-Severity Score (Post-baseline Excluding Week 6)

CGI-S is a single-item clinician rated scale used to assess global severity of bipolar illness based on an overall evaluation of symptoms of bipolar mania, associated behavioral symptoms, and condition of the subject. Scores range from 1 (normal, not at all ill) to 7 (among the most severely ill subjects). Higher score = more affected. Change calculated as a difference between post-baseline observation and baseline CGI-S score values. (NCT00483548)
Timeframe: Baseline, Week 1, Week 2, Week 3, Week 4, Week 5

,
Interventionscores on scale (Mean)
Week 1 (n=142, 141)Week 2 (n=120, 139)Week 3 (n=115, 130)Week 4 (n=106, 122)Week 5 (n=103, 112)
Placebo-0.4-0.7-0.9-1.1-1.3
Ziprasidone-0.5-0.9-0.9-1.1-1.3

Change From Baseline in Global Assessment of Functioning (GAF) Scale at Week 6

GAF is a clinician rated scale to measure the severity of illness-related impairment in psychological, social, and occupational functioning using a 100-point scale (single score of 1 to 100) with 100 indicating a superior level of function. Change calculated as a difference between post-baseline observation and baseline GAF score values. (NCT00483548)
Timeframe: Baseline, Week 6

,
Interventionscores on scale (Mean)
Week 6 (n=100, 110)ET (n=34, 27)
Placebo11.22.8
Ziprasidone14.70.0

Change From Baseline in Hamilton Anxiety Scale (HAM-A) Total Score

HAM-A is a clinician rated 14-item scale that rates the intensity of psychic anxiety (items 1 to 6 and item 14) and somatic anxiety (items 7 to 13) on a 5-point severity scale; scores range from 0 (not present) to 4 (very severe); lower score indicates less affected. Change calculated as a difference between post-baseline observation and baseline HAM-A score values. Week 6 is the primary timepoint. (NCT00483548)
Timeframe: Baseline, Week 2, Week 4, Week 6

,
Interventionscores on scale (Mean)
Week 2 (n=136, 141)Week 4 (n=111, 127)Week 6 (n=100, 111)
Placebo-5.9-7.4-8.6
Ziprasidone-5.6-7.1-8.5

Change From Baseline in MADRS Total Score (Post-baseline Excluding Week 6)

MADRS is a 10-item clinician rated scale to measure overall severity of depressive symptoms (apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, suicidal thoughts); rated on a 7-point Likert scale 0 (normal) to 6 (most abnormal); total score 0 to 44 (higher score indicates greater severity of symptoms). Change calculated as a difference between post-baseline observation and baseline MADRS score values. (NCT00483548)
Timeframe: Baseline, Week 1, Week 2, Week 3, Week 4, Week 5

,
Interventionscores on scale (Mean)
Week 1 (n=142, 141)Week 2 (n=121, 139)Week 3 (n=115, 130)Week 4 (n=106, 122)Week 5 (n=103, 112)
Placebo-6.1-9.0-11.0-11.8-13.3
Ziprasidone-8.1-11.7-13.0-14.1-14.9

Change From Baseline in Quality of Life, Enjoyment, and Satisfaction Scale (Q-LES-Q) Scores at Week 6

Q-LES-Q is a 16-item subject rated scale to measure satisfaction with areas of daily functioning (physical health, social relationships, medication, and overall life satisfaction); rated on a 5-point Likert scale: higher scores indicate greater enjoyment and satisfaction with general life activities. Scores for items 1 to 14 are summed for a total score and converted to 0 to 100 range. Items 15 and 16 measure satisfaction with medication and overall satisfaction and are analyzed separately. Change calculated as a difference between post-baseline observation and baseline Q-LES-Q score values. (NCT00483548)
Timeframe: Baseline, Week 6

,
Interventionscores on scale (Mean)
Total Q-LES-Q: Week 6 (n=82, 94)Total Q-LES-Q: ET (n=27, 17)Medications: Week 6 (n=91, 93)Medications: ET (n=27, 20)Overall life satisfaction: Week 6 (n=94, 103)Overall life satisfaction: ET (n=31, 23)
Placebo11.61.60.3-0.40.50.0
Ziprasidone15.2-0.10.4-0.30.80.1

Change From Baseline in Sheehan Disability Scale (SDS) at Week 6 (Items 1 Through 3)

SDS is a 5-item subject rated scale to measure the extent to which work and or school, social life and or leisure activities, and home life and or family responsibilities were impaired by psychiatric illness. Items 1 to 3 rated on 11-point scale ranging 0 (not at all) to 10 (extremely affected). Total score 0 to 30; higher score indicates greater impairment; items 4 and 5 report number of days in the last month (0 to 31) subject missed work or school or was unproductive and are rated separately. Change calculated as a difference between post-baseline observation and baseline SDS score values. (NCT00483548)
Timeframe: Baseline, Week 6

,
Interventionscores on scale (Mean)
Total SDS: Week 6 (n=58, 63)Total SDS: ET (n=19, 14)Work/School: Week 6 (n=58, 64)Work/School: ET (n=19, 14)Social life: Week 6 (n=94, 102)Social life: ET (n=31, 23)Family/Home: Week 6 (n=94, 102)Family/Home: ET (n=31, 23)
Placebo-3.7-1.4-1.6-0.1-1.70.1-1.7-0.6
Ziprasidone-8.50.2-2.10.4-2.5-0.5-2.60.2

Change From Baseline in Sheehan Disability Scale (SDS) at Week 6 (Items 4 and 5)

SDS is a 5-item subject rated scale to measure the extent to which work and or school, social life and or leisure activities, and home life and or family responsibilities were impaired by psychiatric illness. Items 1 to 3 rated on 11-point scale ranging 0 (not at all) to 10 (extremely affected). Total score 0 to 30; higher score indicates greater impairment; items 4 and 5 report number of days in the last month (0 to 31) subject missed work or school or was unproductive and are rated separately. Change calculated as a difference between post-baseline observation and baseline SDS score values. (NCT00483548)
Timeframe: Baseline, Week 6

,
Interventiondays (Mean)
Days lost: Week 6 (n=85, 93)Days lost: ET (n=29, 21)Days unproductive: Week 6 (n=87, 89)Days unproductive: ET (n=29, 21)
Placebo-0.70.0-1.3-0.1
Ziprasidone-1.20.5-1.6-0.2

Change From Baseline in Simpson Angus Scale (SAS) Score

SAS is a clinician rated 10-item scale to measure extrapyramidal side effects (Parkinsonism or Parkinsonian side effects induced with antipsychotics); rated on a 5-point scale with range 0 (absence of condition) to 4 (presence of condition in extreme form). Global score is sum of all scores divided by the total number of items. Change calculated as a difference between post-baseline observation and baseline SAS score values. (NCT00483548)
Timeframe: Baseline, Week 2, Week 4, Week 6

,
Interventionscores on scale (Mean)
Week 2 (n=136, 141)Week 4 (n=111, 126)Week 6 (n=100, 110)
Placebo-0.10.0-0.1
Ziprasidone0.10.00.0

Change From Baseline in Young Mania Rating Scale (YMRS) Total Score

YMRS is clinician rated 11-item scale (elevated mood, increased motor activity-energy, sexual interest, sleep, irritability, speech [rate and amount], language-thought disorder, content, disruptive-aggressive behavior, appearance, and insight) used to assess the severity of manic symptoms and effect of treatment on mania severity. Seven items ranked on scale from 0 to 4; 4 items ranked 0 to 8. Higher scores indicate greater severity. Change calculated as a difference between post-baseline observation and baseline YMRS score values. Week 6 is the primary timepoint. (NCT00483548)
Timeframe: Baseline, Week 1, Week 2, Week 3, Week 4, Week 5, Week 6

,
Interventionscores on scale (Mean)
Week 1 (n=142, 141)Week 2 (n=121, 139)Week 3 (n=115, 130)Week 4 (n=106, 122)Week 5 (n=103, 112)Week 6 (n=92, 108)
Placebo-0.2-0.2-0.2-1.1-1.3-0.9
Ziprasidone0.70.5-0.0-0.9-0.9-1.0

Reviews

9 reviews available for valproic acid and Depression, Involutional

ArticleYear
Bipolar disorders.
    Lancet (London, England), 2020, 12-05, Volume: 396, Issue:10265

    Topics: Adolescent; Adult; Anticonvulsants; Antidepressive Agents; Antimanic Agents; Antipsychotic Agents; B

2020
Mixed states in bipolar and major depressive disorders: systematic review and quality appraisal of guidelines.
    Acta psychiatrica Scandinavica, 2018, Volume: 138, Issue:3

    Topics: Antidepressive Agents; Antimanic Agents; Antipsychotic Agents; Aripiprazole; Bipolar Disorder; Depre

2018
[Recommendations for the treatment of mixed episodes in current guidelines].
    L'Encephale, 2013, Volume: 39 Suppl 3

    Topics: Antidepressive Agents; Antimanic Agents; Bipolar Disorder; Comorbidity; Consensus; Depressive Disord

2013
Treatment of bipolar depression: making sensible decisions.
    CNS spectrums, 2014, Volume: 19 Suppl 1

    Topics: Antidepressive Agents; Antimanic Agents; Antipsychotic Agents; Benzodiazepines; Bipolar Disorder; De

2014
Symptomatology and predictors of antidepressant efficacy in extended responders to a single ketamine infusion.
    Journal of affective disorders, 2017, Jan-15, Volume: 208

    Topics: Adult; Alcohol-Related Disorders; Antidepressive Agents; Bipolar Disorder; Depressive Disorder, Majo

2017
Anticonvulsants in the treatment of major depressive disorder: an overview.
    Harvard review of psychiatry, 2009, Volume: 17, Issue:4

    Topics: Anticonvulsants; Antidepressive Agents; Carbamazepine; Clinical Trials as Topic; Depressive Disorder

2009
Differentiating bipolar disorder from depression in primary care.
    Cleveland Clinic journal of medicine, 2007, Volume: 74, Issue:2

    Topics: Bipolar Disorder; Depression; Depressive Disorder, Major; Diagnosis, Differential; Humans; Lamotrigi

2007
Pharmacotherapy of mood disorders.
    Annual review of clinical psychology, 2008, Volume: 4

    Topics: Antidepressive Agents; Antipsychotic Agents; Bipolar Disorder; Depressive Disorder, Major; Diagnosti

2008
Comprehensive review of the psychiatric uses of valproate.
    Journal of clinical psychopharmacology, 2000, Volume: 20, Issue:1 Suppl 1

    Topics: Anticonvulsants; Antimanic Agents; Anxiety Disorders; Bipolar Disorder; Depressive Disorder, Major;

2000

Trials

11 trials available for valproic acid and Depression, Involutional

ArticleYear
Adjunctive lumateperone (ITI-007) in the treatment of bipolar depression: Results from a randomized placebo-controlled clinical trial.
    Bipolar disorders, 2023, Volume: 25, Issue:6

    Topics: Antipsychotic Agents; Bipolar Disorder; Depressive Disorder, Major; Double-Blind Method; Drug Therap

2023
Assessing bipolar disorder in the older adult: the GERI-BD toolbox.
    International journal of geriatric psychiatry, 2018, Volume: 33, Issue:1

    Topics: Aged; Antimanic Agents; Bipolar Disorder; Depressive Disorder, Major; Double-Blind Method; Drug Ther

2018
Prediction of an Optimal Dose of Lamotrigine for Augmentation Therapy in Treatment-Resistant Depressive Disorder From Plasma Lamotrigine Concentration at Week 2.
    Therapeutic drug monitoring, 2016, Volume: 38, Issue:3

    Topics: Adult; Antidepressive Agents; Antimanic Agents; Antipsychotic Agents; Bipolar Disorder; Chromatograp

2016
Treatment recommendations for DSM-5-defined mixed features.
    CNS spectrums, 2017, Volume: 22, Issue:2

    Topics: Antipsychotic Agents; Bipolar Disorder; Comorbidity; Depressive Disorder, Major; Diagnostic and Stat

2017
A pilot pharmacotherapy trial for depressed youths at high genetic risk for bipolarity.
    Journal of child and adolescent psychopharmacology, 2008, Volume: 18, Issue:6

    Topics: Adolescent; Antidepressive Agents, Second-Generation; Antimanic Agents; Bipolar Disorder; Child; Chi

2008
Adjunctive armodafinil for major depressive episodes associated with bipolar I disorder: a randomized, multicenter, double-blind, placebo-controlled, proof-of-concept study.
    The Journal of clinical psychiatry, 2010, Volume: 71, Issue:10

    Topics: Adolescent; Adult; Aged; Antidepressive Agents; Antimanic Agents; Benzhydryl Compounds; Benzodiazepi

2010
Efficacy and safety of adjunctive oral ziprasidone for acute treatment of depression in patients with bipolar I disorder: a randomized, double-blind, placebo-controlled trial.
    The Journal of clinical psychiatry, 2011, Volume: 72, Issue:10

    Topics: Acute Disease; Adolescent; Adult; Aged; Antimanic Agents; Bipolar Disorder; Depressive Disorder, Maj

2011
A pilot study of the efficacy and safety of paroxetine augmented with risperidone, valproate, buspirone, trazodone, or thyroid hormone in adult Chinese patients with treatment-resistant major depression.
    Journal of clinical psychopharmacology, 2011, Volume: 31, Issue:5

    Topics: Buspirone; China; Depressive Disorder, Major; Double-Blind Method; Drug Resistance; Drug Therapy, Co

2011
The efficacy of divalproex sodium in the treatment of agitation associated with major depression.
    Journal of clinical psychopharmacology, 2005, Volume: 25, Issue:5

    Topics: Adult; Aged; Antimanic Agents; Anxiety; Depression; Depressive Disorder, Major; Female; Humans; Male

2005
Divalproex sodium reduces overall aggression in youth at high risk for bipolar disorder.
    Journal of child and adolescent psychopharmacology, 2006, Volume: 16, Issue:3

    Topics: Adolescent; Affect; Aggression; Antimanic Agents; Attention Deficit and Disruptive Behavior Disorder

2006
Valpromide increases amplitude of heart rate circadian rhythm in remitted bipolar and unipolar disorders. A placebo-controlled study.
    European psychiatry : the journal of the Association of European Psychiatrists, 2000, Volume: 15, Issue:7

    Topics: Adult; Anticonvulsants; Bipolar Disorder; Circadian Rhythm; Cross-Over Studies; Depressive Disorder,

2000

Other Studies

21 other studies available for valproic acid and Depression, Involutional

ArticleYear
Lurasidone use in Cannabis-Induced Psychosis: A Novel Therapeutic Strategy and Clinical Considerations in Four Cases Report.
    International journal of environmental research and public health, 2022, Nov-30, Volume: 19, Issue:23

    Topics: Adolescent; Adult; Antipsychotic Agents; Bipolar Disorder; Depressive Disorder, Major; Humans; Luras

2022
Lurasidone use in Cannabis-Induced Psychosis: A Novel Therapeutic Strategy and Clinical Considerations in Four Cases Report.
    International journal of environmental research and public health, 2022, Nov-30, Volume: 19, Issue:23

    Topics: Adolescent; Adult; Antipsychotic Agents; Bipolar Disorder; Depressive Disorder, Major; Humans; Luras

2022
Lurasidone use in Cannabis-Induced Psychosis: A Novel Therapeutic Strategy and Clinical Considerations in Four Cases Report.
    International journal of environmental research and public health, 2022, Nov-30, Volume: 19, Issue:23

    Topics: Adolescent; Adult; Antipsychotic Agents; Bipolar Disorder; Depressive Disorder, Major; Humans; Luras

2022
Lurasidone use in Cannabis-Induced Psychosis: A Novel Therapeutic Strategy and Clinical Considerations in Four Cases Report.
    International journal of environmental research and public health, 2022, Nov-30, Volume: 19, Issue:23

    Topics: Adolescent; Adult; Antipsychotic Agents; Bipolar Disorder; Depressive Disorder, Major; Humans; Luras

2022
Lumateperone Normalizes Pathological Levels of Acute Inflammation through Important Pathways Known to Be Involved in Mood Regulation.
    The Journal of neuroscience : the official journal of the Society for Neuroscience, 2023, 02-01, Volume: 43, Issue:5

    Topics: Animals; Cytokines; Depressive Disorder, Major; Female; Inflammation; Lithium; Male; Mammals; Mice;

2023
Long-term safety and efficacy of secukinumab in patients with psoriasis and major psychiatric disorders: a case series.
    Postgraduate medicine, 2020, Volume: 132, Issue:2

    Topics: Adult; Agoraphobia; Antibodies, Monoclonal, Humanized; Antidepressive Agents; Antimanic Agents; Benz

2020
Serum testosterone levels in bipolar and unipolar depressed female patients and the role of medication status.
    International journal of psychiatry in clinical practice, 2020, Volume: 24, Issue:1

    Topics: Adolescent; Adult; Bipolar Disorder; Depressive Disorder, Major; Female; Humans; Middle Aged; Testos

2020
FGF21 Is Associated with Metabolic Effects and Treatment Response in Depressed Bipolar II Disorder Patients Treated with Valproate.
    The international journal of neuropsychopharmacology, 2018, 04-01, Volume: 21, Issue:4

    Topics: Adult; Antimanic Agents; Bipolar Disorder; Body Weight; Depressive Disorder, Major; Drug Therapy, Co

2018
Bipolar disorder - from endophenotypes to treatment.
    Psychiatria Danubina, 2013, Volume: 25, Issue:3

    Topics: Acute Disease; Adult; Bipolar Disorder; Depressive Disorder, Major; Endophenotypes; Female; Humans;

2013
Atypical depression as a premonitory symptom of migraine managed by an oral contraceptive.
    Psychiatry and clinical neurosciences, 2008, Volume: 62, Issue:3

    Topics: Adult; Alprazolam; Borderline Personality Disorder; Calcium Channel Blockers; Contraceptives, Oral,

2008
Habenula volume in bipolar disorder and major depressive disorder: a high-resolution magnetic resonance imaging study.
    Biological psychiatry, 2011, Feb-15, Volume: 69, Issue:4

    Topics: Adult; Analysis of Variance; Antidepressive Agents; Antimanic Agents; Bipolar Disorder; Brain Mappin

2011
Repetitive transcranial magnetic stimulation safely administered after seizure.
    The journal of ECT, 2012, Volume: 28, Issue:1

    Topics: Adult; Anticonvulsants; Depressive Disorder, Major; Humans; Male; Prefrontal Cortex; Psychiatric Sta

2012
Electroconvulsive therapy-induced migraine successfully treated with valproic acid.
    The journal of ECT, 2012, Volume: 28, Issue:1

    Topics: Aged, 80 and over; Depressive Disorder, Major; Electroconvulsive Therapy; GABA Agents; Humans; Male;

2012
Prenatal antiepileptic exposure associates with neonatal DNA methylation differences.
    Epigenetics, 2012, Volume: 7, Issue:5

    Topics: Anticonvulsants; Carbamazepine; CpG Islands; Depressive Disorder, Major; DNA Methylation; Drug Evalu

2012
Progressive neuropsychiatric and brain abnormalities after smoke inhalation.
    BMJ case reports, 2012, Aug-08, Volume: 2012

    Topics: Activities of Daily Living; Brain; Cognition Disorders; Depressive Disorder, Major; DNA Damage; Fluo

2012
Low glial numbers in the amygdala in major depressive disorder.
    Biological psychiatry, 2002, Sep-01, Volume: 52, Issue:5

    Topics: Amygdala; Anticonvulsants; Bipolar Disorder; Cell Count; Cell Size; Depressive Disorder, Major; Ento

2002
Mood stabilizer augmentation in apparently "unipolar" MDD: predictors of response in the naturalistic French national EPIDEP study.
    Journal of affective disorders, 2005, Volume: 84, Issue:2-3

    Topics: Adult; Anticonvulsants; Antidepressive Agents; Antimanic Agents; Bipolar Disorder; Carbamazepine; De

2005
Potential risks associated with high-dose valproate in pregnancy in psychiatric patients.
    The Australian and New Zealand journal of psychiatry, 2005, Volume: 39, Issue:6

    Topics: Adult; Antimanic Agents; Bipolar Disorder; Depressive Disorder, Major; Dose-Response Relationship, D

2005
Induction of a mixed depressive episode during rTMS treatment in a patient with refractory major depression.
    The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry, 2006, Volume: 7, Issue:4

    Topics: Adult; Amitriptyline; Anti-Anxiety Agents; Antidepressive Agents, Second-Generation; Antidepressive

2006
Addition of lamotrigine to valproic acid: a successful outcome in a case of rapid-cycling bipolar affective disorder.
    Progress in neuro-psychopharmacology & biological psychiatry, 2007, Oct-01, Volume: 31, Issue:7

    Topics: Adult; Antimanic Agents; Bipolar Disorder; Depressive Disorder, Major; Female; Humans; Lamotrigine;

2007
Menopause manifesting as bipolar symptoms.
    Journal of psychiatric practice, 2007, Volume: 13, Issue:5

    Topics: Antipsychotic Agents; Bipolar Disorder; Depressive Disorder, Major; Dibenzothiazepines; Estrogen Rep

2007
CSF monoamine metabolites and neuropeptides in depressed patients before and after electroconvulsive therapy.
    European psychiatry : the journal of the Association of European Psychiatrists, 2008, Volume: 23, Issue:5

    Topics: Adult; Corticotropin-Releasing Hormone; Depressive Disorder, Major; Electroconvulsive Therapy; Femal

2008
[Undiagnosed complex focal epilepsy as the cause of a depressive syndrome].
    Psychiatrische Praxis, 2000, Volume: 27, Issue:2

    Topics: Abdominal Pain; Aged; Anticonvulsants; Depressive Disorder, Major; Diagnosis, Differential; Epilepsy

2000
Divalproex in the management of neuropsychiatric complications of remote acquired brain injury.
    The Journal of neuropsychiatry and clinical neurosciences, 2002,Spring, Volume: 14, Issue:2

    Topics: Adolescent; Adult; Anticonvulsants; Bipolar Disorder; Brain Injuries; Child; Child, Preschool; Depre

2002