Title
Safety Study of Depakote Versus Lithium in African Americans With Bipolar Disorder
Depakote Vs. Lithium in African Americans With Bipolar Disorder
Phase
Phase 4Lead Sponsor
Lawson, William B., M.D., PhD, DFAPAStudy Type
InterventionalStatus
WithdrawnIndication/Condition
Bipolar DisorderIntervention/Treatment
valproic acid lithium ...Study Participants
50It is hypothesized that Depakote will be better tolerated then lithium in treating African Americans with bipolar disorder.
This is a 14 week randomized open study of 50 inpatients or outpatients with bipolar I r II. African American subjects will receive lithium or depakote ER. Measures will be made of psychopathology, reported side effects, and study completers. Measures will also be made of RBC/plasma lithium to determine if this level is better predictive of lithium tolerability.
Inclusion Criteria: Male or female Females must be using a contraceptive Understand and sing informed consent Meet criteria for DSM IV bipolar I or II Must have been receiving treatment with depakote or lithium for at least 4 weeks Must not have used illicit substances 48 hours before the study Exclusion Criteria: Not takin g lithium o valproate at time of screening Alcohol intoxicated or using drugs of abuse other then cannibis Presence of psychotic features Participation in clinical trail within 1 month of study Female subjects pregnant or nursing Serious unstable medical or psychiatric illness Uncorrected hypothyroidism or hyperthyroidism Seizures without a clear and resolved etiology Hypersensitivity or intolerance to lithium or valproic acid Treatment with injectable depot neuroleptic less then one dosing interval Treatment with reversible MAOI, guanethidine, or guanadrel within i week of study Treatment with fluoxetine within 8 weekS of study treatment with clozapine or ECT 3 months prior to study current diagnosis of schizophrenia or other psychotic disorder judged to be at serious suicidal risk