Bipolar I disorder (BP-I) is a common, chronic, and disabling mental illness with significant morbidity and mortality defined by episodes of mania and depression (or symptoms of both at once, known as mixed features). This prospective, observational study will examine effectiveness, functioning and quality of life outcomes in adult patients with BP-I experiencing a major depressive episode (with or without mixed features) requiring treatment and initiating treatment with cariprazine. It will examine outcomes of cariprazine treatment in a real-world setting in patients with BP-I commonly seen in clinical practices. Cariprazine (Vraylar) is a medication indicated in the United States and Canada to treat adult patients experiencing manic, mixed or depressive episodes associated with BP-I. This study plans to enroll approximately 170 adult patients with BP-I from the United States and Canada. Cariprazine should be prescribed by the physician under the usual and customary practice of physician prescription. The decision to initiate treatment with cariprazine should be made prior to, and independently from, the patient's decision to participate in the study. Participants will receive cariprazine as prescribed by their physician. Observational data will be collected during visits which should align to routine standard of care for a duration of up to 24 weeks.
Study Type
OBSERVATIONAL
Enrollment
120
University of Alabama at Birmingham - Main /ID# 260000
Birmingham, Alabama, United States
Bowman Medical Group /ID# 259989
Beverly Hills, California, United States
UC Davis /ID# 259723
Sacramento, California, United States
Montano Wellness LLC /ID# 259837
Cromwell, Connecticut, United States
Georgia Psychiatric Consultants & Advanced Discovery Research /ID# 259975
Atlanta, Georgia, United States
Omaha Insomnia and Psychiatric Services /ID# 259961
Omaha, Nebraska, United States
Quest Therapeutics of Avon /ID# 259838
Avon Lake, Ohio, United States
North Star Medical Research LL /ID# 259730
Middleburg Heights, Ohio, United States
Rivus Wellness And Research Institute /ID# 259966
Oklahoma City, Oklahoma, United States
Betts Psychiatric, PC /ID# 259737
Eugene, Oregon, United States
...and 9 more locations
Change From Baseline on Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score
MADRS is a 10-item questionnaire that is rated by investigators to assess changes in depression symptoms over the past week. The individual items (apparent sadness, reported sadness, feelings of tension, reduced appetite, reduced sleep, lassitude, concentration difficulties, pessimistic thoughts, inability to feel emotions, and suicidal thoughts) are scored from 0 (no symptoms) to 6 (maximum severity) and summed for the total score (range 0 to 60). Higher scores indicate more severe depression.
Time frame: Up to Week 12
Change From Baseline on Functioning Assessment Short Test (FAST) Total Score
The FAST is comprised of 24 items and assesses disability or impairment in 6 domains: autonomy, occupational functioning, financial issues, interpersonal relationships, cognitive functioning, and leisure time. FAST is administered by the investigator as an interview. Items are rated using a 4-point scale, from 0 (no difficulty) to 3 (severe difficulty) then summed for a total score. Higher scores indicate more severe impairment.
Time frame: Up to Week 12
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