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.
Excerpt | Relevance | Reference |
---|---|---|
" Average glia measures were not reduced in bipolar disorder cases; however, bipolar disorder cases not treated with lithium or valproate had significant glial reduction." | 3.71 | Low 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." | 2.84 | Treatment 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)." | 2.82 | Prediction 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." | 2.76 | 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. ( 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." | 2.75 | Adjunctive 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." | 2.66 | Bipolar 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." | 2.55 | Symptomatology 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." | 2.44 | Pharmacotherapy of mood disorders. ( Denko, T; Thase, ME, 2008) |
"At 14 years after smoke inhalation injury, he had persistent cognitive impairment." | 1.38 | Progressive neuropsychiatric and brain abnormalities after smoke inhalation. ( Tobe, E, 2012) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 0 (0.00) | 18.7374 |
1990's | 0 (0.00) | 18.2507 |
2000's | 18 (43.90) | 29.6817 |
2010's | 17 (41.46) | 24.3611 |
2020's | 6 (14.63) | 2.80 |
Authors | Studies |
---|---|
Ricci, V | 2 |
Martinotti, G | 2 |
De Berardis, D | 2 |
Maina, G | 2 |
Dutheil, S | 1 |
Watson, LS | 1 |
Davis, RE | 2 |
Snyder, GL | 1 |
Suppes, T | 1 |
Durgam, S | 1 |
Kozauer, SG | 1 |
Chen, R | 1 |
Lakkis, HD | 1 |
Satlin, A | 1 |
Vanover, KE | 1 |
Mates, S | 1 |
McIntyre, RS | 3 |
Tohen, M | 1 |
Esposito, M | 1 |
Giunta, A | 1 |
Del Duca, E | 1 |
Manfreda, V | 1 |
Troisi, A | 1 |
Bianchi, L | 1 |
Fargnoli, MC | 1 |
Flores-Ramos, M | 1 |
Becerra-Palars, C | 1 |
Hernández González, C | 1 |
Chavira, R | 1 |
Bernal-Santamaría, N | 1 |
Martínez Mota, L | 1 |
Berk, M | 1 |
Brietzke, E | 1 |
Goldstein, BI | 1 |
López-Jaramillo, C | 1 |
Kessing, LV | 1 |
Malhi, GS | 1 |
Nierenberg, AA | 1 |
Rosenblat, JD | 2 |
Majeed, A | 1 |
Vieta, E | 2 |
Vinberg, M | 1 |
Young, AH | 2 |
Mansur, RB | 1 |
Marino, P | 1 |
Schulberg, HC | 1 |
Gildengers, AG | 1 |
Mulsant, BH | 1 |
Sajatovic, M | 1 |
Gyulai, L | 1 |
Aljurdi, RK | 1 |
Evans, LD | 1 |
Banerjee, S | 1 |
Gur, RC | 1 |
Young, RC | 1 |
Chang, HH | 1 |
Chen, PS | 1 |
Cheng, YW | 1 |
Wang, TY | 1 |
Yang, YK | 1 |
Lu, RB | 1 |
Verdolini, N | 1 |
Hidalgo-Mazzei, D | 1 |
Murru, A | 1 |
Pacchiarotti, I | 1 |
Samalin, L | 1 |
Carvalho, AF | 1 |
Hranov, LG | 1 |
Marinova, P | 1 |
Stoyanova, M | 1 |
Pandova, M | 1 |
Hranov, G | 1 |
Azorin, JM | 1 |
Belzeaux, R | 1 |
Cermolacce, M | 1 |
Kaladjian, A | 1 |
Corréard, N | 1 |
Dassa, D | 1 |
Dubois, M | 1 |
Maurel, M | 1 |
Micoulaud Franchi, JA | 1 |
Pringuey, D | 1 |
Fakra, E | 1 |
Citrome, L | 1 |
Nakamura, A | 1 |
Mihara, K | 1 |
Nagai, G | 1 |
Kagawa, S | 1 |
Suzuki, T | 1 |
Nemoto, K | 1 |
Kondo, T | 1 |
Pennybaker, SJ | 1 |
Niciu, MJ | 1 |
Luckenbaugh, DA | 1 |
Zarate, CA | 2 |
Kawamura, S | 1 |
Sakai, A | 1 |
Endo, T | 1 |
Maruta, M | 1 |
Findling, RL | 1 |
Lingler, J | 1 |
Rowles, BM | 1 |
McNamara, NK | 1 |
Calabrese, JR | 4 |
Vigo, DV | 1 |
Baldessarini, RJ | 1 |
Ketter, TA | 1 |
Youakim, JM | 1 |
Tiller, JM | 1 |
Yang, R | 1 |
Frye, MA | 1 |
Savitz, JB | 1 |
Nugent, AC | 1 |
Bogers, W | 1 |
Roiser, JP | 1 |
Bain, EE | 1 |
Neumeister, A | 1 |
Manji, HK | 1 |
Cannon, DM | 1 |
Marrett, S | 1 |
Henn, F | 1 |
Charney, DS | 1 |
Drevets, WC | 2 |
Sachs, GS | 1 |
Ice, KS | 1 |
Chappell, PB | 1 |
Schwartz, JH | 1 |
Gurtovaya, O | 1 |
Vanderburg, DG | 1 |
Kasuba, B | 1 |
Fang, Y | 1 |
Yuan, C | 1 |
Xu, Y | 1 |
Chen, J | 1 |
Wu, Z | 1 |
Cao, L | 1 |
Yi, Z | 1 |
Hong, W | 1 |
Wang, Y | 1 |
Jiang, K | 1 |
Cui, X | 1 |
Gao, K | 1 |
Bagati, D | 1 |
Mittal, S | 1 |
Praharaj, SK | 1 |
Sarcar, M | 1 |
Kakra, M | 1 |
Kumar, P | 1 |
Rovers, JM | 1 |
Roks, G | 1 |
Smith, AK | 1 |
Conneely, KN | 1 |
Newport, DJ | 1 |
Kilaru, V | 1 |
Schroeder, JW | 1 |
Pennell, PB | 1 |
Knight, BT | 1 |
Cubells, JC | 1 |
Stowe, ZN | 1 |
Brennan, PA | 1 |
Tobe, E | 1 |
Bowley, MP | 1 |
Ongür, D | 1 |
Price, JL | 1 |
Hantouche, EG | 1 |
Akiskal, HS | 1 |
Lancrenon, S | 1 |
Chatenêt-Duchêne, L | 1 |
Vajda, FJ | 1 |
Solinas, C | 1 |
Debattista, C | 1 |
Solomon, A | 1 |
Arnow, B | 1 |
Kendrick, E | 1 |
Tilston, J | 1 |
Schatzberg, AF | 1 |
Saxena, K | 1 |
Howe, M | 1 |
Simeonova, D | 1 |
Steiner, H | 1 |
Chang, K | 1 |
Rachid, F | 1 |
Golaz, J | 1 |
Bondolfi, G | 1 |
Bertschy, G | 1 |
Muzina, DJ | 1 |
Colangelo, E | 1 |
Manning, JS | 1 |
da Rocha, FF | 1 |
Soares, FM | 1 |
Correa, H | 1 |
Teixeira, AL | 1 |
Khan, AY | 1 |
Ludvigson, LR | 1 |
Stewart, M | 1 |
Gorman, JM | 1 |
Thase, ME | 1 |
Denko, T | 1 |
Nikisch, G | 1 |
Mathé, AA | 1 |
Davis, LL | 1 |
Ryan, W | 1 |
Adinoff, B | 1 |
Petty, F | 1 |
Voigtländer, A | 1 |
Gmünd, S | 1 |
Lemoine, P | 1 |
Fondarai, J | 1 |
Faivre, T | 1 |
Kim, E | 1 |
Humaran, TJ | 1 |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
Endophenotype Characterization of a Family Psychiatric Disorder of the Bipolar Spectrum, With an Autosomal Dominant Expression[NCT02843997] | 29 participants (Anticipated) | Interventional | 2015-02-28 | Recruiting | |||
Investigation of the Rapid (Next Day) Antidepressant Effects of an NMDA Antagonist[NCT00088699] | Phase 1/Phase 2 | 67 participants (Actual) | Interventional | 2004-07-26 | Completed | ||
A Preliminary Study of the Efficacy and Safety of Carbamazepine in Severe Liver Disease Due to Alpha-1 Antitrypsin Deficiency[NCT01379469] | Phase 2 | 20 participants (Actual) | Interventional | 2012-01-31 | Terminated | ||
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 2 | 257 participants (Actual) | Interventional | 2007-06-30 | Completed | ||
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 3 | 298 participants (Actual) | Interventional | 2007-10-31 | Completed | ||
Bipolar Disorder and Oxidative Stress Injury Mechanism - Clinical Big Data Analysis Based on Machine Learning[NCT03949218] | 3,702 participants (Actual) | Observational | 2018-11-20 | Completed | |||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
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
Intervention | units on a scale (Mean) |
---|---|
Ketamine - Healthy Volunteers | 1.17 |
Placebo - Healthy Volunteers | 1.48 |
Ketamine - MDD Patients | 33.83 |
Placebo - MDD Patients | 31.82 |
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
Intervention | units on a scale (Mean) |
---|---|
Ketamine - Healthy Volunteers | 2.45 |
Placebo - Healthy Volunteers | 0.67 |
Ketamine - MDD Patients | 23.73 |
Placebo - MDD Patients | 30.68 |
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
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -3.6 |
Placebo | -3.5 |
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
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -4.7 |
Placebo | -4.4 |
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)
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -4.1 |
Placebo | -3.9 |
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)
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -12.3 |
Placebo | -10.2 |
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)
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | 8.2 |
Placebo | 7.4 |
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)
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -7.0 |
Placebo | -6.5 |
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)
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -0.4 |
Placebo | -0.2 |
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)
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -1.6 |
Placebo | -1.2 |
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
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -3.5 |
Placebo | -3.7 |
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
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -5.0 |
Placebo | -4.1 |
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
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -5.8 |
Placebo | -5.0 |
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
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -9.6 |
Placebo | -8.9 |
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
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | 5.9 |
Placebo | 4.6 |
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
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -6.4 |
Placebo | -5.6 |
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
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -0.2 |
Placebo | -0.2 |
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
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -1.2 |
Placebo | -1.1 |
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
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -7.8 |
Placebo | -6.7 |
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
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -13.4 |
Placebo | -11.0 |
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
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | 10.1 |
Placebo | 8.5 |
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
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -8.2 |
Placebo | -7.6 |
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
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -0.3 |
Placebo | -0.2 |
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
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -2.0 |
Placebo | -1.6 |
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)
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -15.6 |
Placebo | -12.5 |
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
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -6.5 |
Placebo | -4.8 |
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
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -10.0 |
Placebo | -7.3 |
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. 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
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -13.1 |
Placebo | -10.7 |
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
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -13.7 |
Placebo | -12.1 |
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
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -16.7 |
Placebo | -13.7 |
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
Intervention | Units on a scale (Least Squares Mean) |
---|---|
Armodafinil 150 mg/Day | -17.8 |
Placebo | -14.8 |
"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)
Intervention | Participants (Number) | |
---|---|---|
Response | No Response | |
Armodafinil 150 mg/Day | 46 | 78 |
Placebo | 47 | 76 |
"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)
Intervention | Participants (Number) | |
---|---|---|
Sustained Remission | No Sustained Remission | |
Armodafinil 150 mg/Day | 13 | 111 |
Placebo | 8 | 115 |
"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)
Intervention | Participants (Number) | |
---|---|---|
Sustained Response | No Sustained Response | |
Armodafinil 150 mg/Day | 23 | 101 |
Placebo | 17 | 106 |
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)
Intervention | Participants (Number) | |
---|---|---|
Remission | No Remission | |
Armodafinil 150 mg/Day | 30 | 94 |
Placebo | 22 | 101 |
"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)
Intervention | Participants (Number) | |
---|---|---|
Responder | Non Responder | |
Armodafinil 150 mg/Day | 64 | 60 |
Placebo | 60 | 62 |
"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
Intervention | Participants (Number) | |
---|---|---|
Responder | Non Responder | |
Armodafinil 150 mg/Day | 12 | 107 |
Placebo | 12 | 105 |
"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
Intervention | Participants (Number) | |
---|---|---|
Responder | Non Responder | |
Armodafinil 150 mg/Day | 25 | 83 |
Placebo | 26 | 84 |
"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
Intervention | Participants (Number) | |
---|---|---|
Responder | Non Responder | |
Armodafinil 150 mg/Day | 38 | 64 |
Placebo | 32 | 68 |
"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
Intervention | Participants (Number) | |
---|---|---|
Responder | Non Responder | |
Armodafinil 150 mg/Day | 46 | 53 |
Placebo | 42 | 55 |
"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
Intervention | Participants (Number) | |
---|---|---|
Responder | Non Responder | |
Armodafinil 150 mg/Day | 47 | 45 |
Placebo | 43 | 49 |
"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
Intervention | Participants (Number) | |
---|---|---|
Responder | Non Responder | |
Armodafinil 150 mg/Day | 52 | 37 |
Placebo | 47 | 41 |
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
Intervention | scores on scale (Mean) |
---|---|
Ziprasidone | -1.5 |
Placebo | -1.5 |
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
Intervention | scores on scale (Mean) |
---|---|
Ziprasidone | -14.7 |
Placebo | -13.2 |
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
Intervention | participants (Number) |
---|---|
Ziprasidone | 66 |
Placebo | 69 |
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
Intervention | participants (Number) |
---|---|
Ziprasidone | 48 |
Placebo | 54 |
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
Intervention | participants (Number) |
---|---|
Ziprasidone | 62 |
Placebo | 65 |
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
Intervention | scores 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) | |
Placebo | 3.4 | 3.1 | 2.9 | 2.8 | 2.6 | 2.4 |
Ziprasidone | 3.2 | 2.9 | 2.7 | 2.6 | 2.5 | 2.4 |
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
Intervention | scores 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 | -0.0 | 0.0 | 0.0 | -0.0 | -0.0 | 0.0 |
Ziprasidone | 0.1 | -0.0 | -0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 |
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
Intervention | scores on scale (Mean) | ||
---|---|---|---|
Week 2 (n=135, 139) | Week 4 (n=111, 125) | Week 6 (n=100, 110) | |
Placebo | -0.0 | 0.0 | -0.0 |
Ziprasidone | 0.1 | 0.0 | 0.0 |
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
Intervention | scores 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 |
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
Intervention | scores on scale (Mean) | |
---|---|---|
Week 6 (n=100, 110) | ET (n=34, 27) | |
Placebo | 11.2 | 2.8 |
Ziprasidone | 14.7 | 0.0 |
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
Intervention | scores 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 |
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
Intervention | scores 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 |
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
Intervention | scores 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) | |
Placebo | 11.6 | 1.6 | 0.3 | -0.4 | 0.5 | 0.0 |
Ziprasidone | 15.2 | -0.1 | 0.4 | -0.3 | 0.8 | 0.1 |
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
Intervention | scores 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 | -1.7 | 0.1 | -1.7 | -0.6 |
Ziprasidone | -8.5 | 0.2 | -2.1 | 0.4 | -2.5 | -0.5 | -2.6 | 0.2 |
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
Intervention | days (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 | -0.7 | 0.0 | -1.3 | -0.1 |
Ziprasidone | -1.2 | 0.5 | -1.6 | -0.2 |
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
Intervention | scores on scale (Mean) | ||
---|---|---|---|
Week 2 (n=136, 141) | Week 4 (n=111, 126) | Week 6 (n=100, 110) | |
Placebo | -0.1 | 0.0 | -0.1 |
Ziprasidone | 0.1 | 0.0 | 0.0 |
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
Intervention | scores 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 |
Ziprasidone | 0.7 | 0.5 | -0.0 | -0.9 | -0.9 | -1.0 |
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Symptomatology and predictors of antidepressant efficacy in extended responders to a single ketamine infusion.
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Comprehensive review of the psychiatric uses of valproate.
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11 trials available for valproic acid and Depression, Involutional
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Adjunctive lumateperone (ITI-007) in the treatment of bipolar depression: Results from a randomized placebo-controlled clinical trial.
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.
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.
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Treatment recommendations for DSM-5-defined mixed features.
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.
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Adjunctive armodafinil for major depressive episodes associated with bipolar I disorder: a randomized, multicenter, double-blind, placebo-controlled, proof-of-concept study.
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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.
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.
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.
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.
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.
Topics: Adult; Anticonvulsants; Bipolar Disorder; Circadian Rhythm; Cross-Over Studies; Depressive Disorder, | 2000 |
21 other studies available for valproic acid and Depression, Involutional
Article | Year |
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Lurasidone use in Cannabis-Induced Psychosis: A Novel Therapeutic Strategy and Clinical Considerations in Four Cases Report.
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.
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.
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.
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.
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.
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.
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.
Topics: Adult; Antimanic Agents; Bipolar Disorder; Body Weight; Depressive Disorder, Major; Drug Therapy, Co | 2018 |
Bipolar disorder - from endophenotypes to treatment.
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.
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.
Topics: Adult; Analysis of Variance; Antidepressive Agents; Antimanic Agents; Bipolar Disorder; Brain Mappin | 2011 |
Repetitive transcranial magnetic stimulation safely administered after seizure.
Topics: Adult; Anticonvulsants; Depressive Disorder, Major; Humans; Male; Prefrontal Cortex; Psychiatric Sta | 2012 |
Electroconvulsive therapy-induced migraine successfully treated with valproic acid.
Topics: Aged, 80 and over; Depressive Disorder, Major; Electroconvulsive Therapy; GABA Agents; Humans; Male; | 2012 |
Prenatal antiepileptic exposure associates with neonatal DNA methylation differences.
Topics: Anticonvulsants; Carbamazepine; CpG Islands; Depressive Disorder, Major; DNA Methylation; Drug Evalu | 2012 |
Progressive neuropsychiatric and brain abnormalities after smoke inhalation.
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.
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.
Topics: Adult; Anticonvulsants; Antidepressive Agents; Antimanic Agents; Bipolar Disorder; Carbamazepine; De | 2005 |
Potential risks associated with high-dose valproate in pregnancy in psychiatric patients.
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.
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.
Topics: Adult; Antimanic Agents; Bipolar Disorder; Depressive Disorder, Major; Female; Humans; Lamotrigine; | 2007 |
Menopause manifesting as bipolar symptoms.
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.
Topics: Adult; Corticotropin-Releasing Hormone; Depressive Disorder, Major; Electroconvulsive Therapy; Femal | 2008 |
[Undiagnosed complex focal epilepsy as the cause of a depressive syndrome].
Topics: Abdominal Pain; Aged; Anticonvulsants; Depressive Disorder, Major; Diagnosis, Differential; Epilepsy | 2000 |
Divalproex in the management of neuropsychiatric complications of remote acquired brain injury.
Topics: Adolescent; Adult; Anticonvulsants; Bipolar Disorder; Brain Injuries; Child; Child, Preschool; Depre | 2002 |