Gulf Evaluation of VAlproate (Depakine Chrono) in maNia Study (GEVANS)
To assess the efficacy of Di-valproate in Bipolar I patients suffering from a manic episode according to DSM IV (APA 1994) over a 12 weeks period of treatment.
To evaluate the clinical safety of Di-valproate.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- In or out patients
- Patients with a current diagnosis of Bipolar I Disorder according to DSM IV (296)
- Patients suffering from a current manic episode or mixed episode
Exclusion Criteria:
- Patients who participated in a clinical trial within the three preceding months
- Patients with a history of valproate intolerance defined as valproate discontinuation due to medically significant adverse effects.
- Patients with a CNS neoplasm, demyelinating disease, degenerative neurological disorder, active CNS infection or any progressive disorder
- Patients with a history of seizure disorder, cerebral vascular disease, structural brain damage from trauma, clinically significant focal neurological abnormalities, known EEG with frank paroxysmal activity or a known CT scan of the brain demonstrating gross structural abnormalities
- Patients with uncontrolled gastro-intestinal, renal, hepatic, endocrine, cardiovascular, pulmonary, immunological or hematological disease
- Patients with acute or chronic hepatitis
- Patients with current or past pancreatitis
- Patients with recent history (3 months or less) of substance or alcohol dependence according to DSM IV
- Pregnancy or lactation. Women of child bearing age should be using a reliable contraceptive method
- Patients that require more than 325 mg of aspirin per day
- Patients with a medical condition which requires the continuous use of medication which could interfere with the evaluation of safety or efficacy of valproate : anticonvulsant or anticoagulant therapy, MAO inhibitors, zidovudine
- Patients having received any depot neuroleptic within six weeks prior to baseline
- Patients who received antidepressant drugs within 5 days before baseline and patients who received fluoxetine within 20 days
- Patients judged by the investigator to have serious risk of suicide
- Patients necessitating an Electro Convulsive Therapy
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: 1
If the daily dose does not exceed 1000 mg, Depakine CHRONO can be administered once a day.
If the dose is greater than 1000 mg/day, Depakine CHRONO will be administered in a bid regimen: one tablet in the morning and one tablet in the evening.
|
Depakine Chrono 500 mg
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
The mean change in the Clinical Global Impressions Scale for Bipolar Disorder (CGI-BP)Severity score as well as the change in CGI-BP.
Time Frame: D0, D21 and D-end
|
D0, D21 and D-end
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Percentage of responders defined by a decrease of at least 50% of the CGI-BP.
Time Frame: D0 and D-end
|
D0 and D-end
|
|
Percentage of responders defined by a decrease of at least 50% of the CGI-BP.
Time Frame: D0 and D21
|
D0 and D21
|
|
Time to achieve 50% and 30% improvement in the CGI-BP score.
Time Frame: From randomization to the end of the study
|
From randomization to the end of the study
|
|
Time to a sustained improvement in the CGI-BP.
Time Frame: From randomization to the end of the study
|
From randomization to the end of the study
|
|
Time to antidepressants use.
Time Frame: From randomization to the end of the study
|
From randomization to the end of the study
|
|
Time to drop-out for any reason.
Time Frame: From randomization to the end of the study
|
From randomization to the end of the study
|
|
Safety :Occurrence of any side effect leading to treatment discontinuation.
Time Frame: From inform consent signed until patient's recovery or stabilization
|
From inform consent signed until patient's recovery or stabilization
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Hisham - MAHMOUD, MD, Sanofi-aventis administrative office Gulf
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Mental Disorders
- Bipolar and Related Disorders
- Bipolar Disorder
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Central Nervous System Depressants
- Enzyme Inhibitors
- Tranquilizing Agents
- Psychotropic Drugs
- GABA Agents
- Anticonvulsants
- Antimanic Agents
- Valproic Acid
Other Study ID Numbers
Other Study ID Numbers
- DPKOT_L_01567
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