Clinical Drug Experience Knowledgebase

Criteria

Inclusion Criteria:

Written, signed and dated informed consent from subject, parents or legal guardians.
Subject must be willing to participate for the duration of the study (8-10 months)
Subject must meet DSM-V criteria for a primary diagnosis of bipolar I disorder.
MINI KID administered and ruled out other psychiatric diagnosis.
ADHD Rating Scale-IV is ruled negative.
YMRS Score 20 or greater
CGI-S score of 4 or greater
CGI-I Global Evaluation score of 4 or less
Must be aged between 10 and 17 years
Male and non-pregnant, non-lactating females who agree to comply with contraceptive requirements
Functioning at an age appropriate level intellectually as deemed by the Investigator
Subject has no co-morbid conditions that would affect efficacy, safety or tolerability or in any way interfere with the subject's participation in the study
Subject, parents and legal guardians are able to and willing to comply with study procedures and restrictions
Must have a satisfactory medical assessment with no clinically significant abnormalities
Able to avoid grapefruit and grapefruit juice for the duration of the study

Exclusion Criteria:

Subject has a current controlled or uncontrolled co-morbid psychiatric that could interfere with clinical assessments or study conduct.
Naive subjects whose symptoms are being controlled on their prescribed medication(s) will not be eligible to participate.
History of lack of therapeutic response to an adequate trial of carbamazepine to treat bipolar I disorder
Believed by the Investigator to be acutely at risk for suicidal or violent behavior towards him/her or others, or a history of a suicide attempt requiring general medical intervention
Subject's bipolar diagnosis is believed secondary to traumatic injury or another general medical condition.
A history or known presence of clinically significant cardiovascular, hepatic, hematological, immunological (including human immunodeficiency virus, gastro-intestinal or renal disease or any other unstable medical illness that could affect the action, absorption or disposition of the investigational product, or clinical or laboratory assessments
A history of aplastic anemia, agranulocytosis or bone marrow depression
A history of seizure disorder, other than a single childhood febrile seizure\
A history of severe, unstable asthma
Currently hospitalized for the treatment of psychiatric symptoms.
Presence of any mental disorder due to a general medical condition
Presence of abnormal thyroid function that is not adequately treated in the opinion of the Investigator
Use of ECT, any investigational drug, CYP450 3A4 inhibitors, antidepressants, anxiolytics, sedative hypnotics, antipsychotics, mood stabilizers, ADHD medications, or clozapine in a specified time period prior to the initiation of the study
Use of any nutraceutical to include, but not limited to any over the counter herbal preparations e.g. Gingko Biloba, St John's Wort, Kava Kava and Ephedra.
Positive urine drug screen
History of alcohol or other substance abuse or dependence as defined by DSM-V (except caffeine or nicotine) within the last 6months
Female subjects with a positive pregnancy test or who are pregnant, lactating, who are less than 6 months post partum, or who cannot be relied upon to use adequate birth control
Subjects who have previously been enrolled in the Phase IV Multi-Center , Open-Label Safety and Effectiveness Study of Extended-Release Carbamazepine in the Treatment of Acute Manic or Mixed Bipolar I Disorder and subsequently withdrawn
Subjects with a body weight of ≤65kg
Family of investigational site staff