New quick-dissolve film may tame bipolar agitation in minutes
NCT ID NCT04276883
First seen Jun 27, 2026 · Last updated Aug 12, 2026 · Updated 2 times
Summary
This study tested a fast-dissolving film (BXCL501) placed under the tongue to quickly reduce agitation in people with bipolar disorder. About 380 adults with bipolar I or II who were very agitated took part. The goal was to see if the film safely calms agitation better than a placebo.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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380 people
The number who actually took part.
- Started
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Feb 2020
- Finished
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May 2020
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Male and female patients between the ages of 18 to 75 years, inclusive. 2. Patients who have met DSM-5 criteria for bipolar I or II disorder. 3. Patients who are judged to be clinically agitated at Screening and Baseline with a total score of ≥ 14 on the 5 items (poor impulse control, tension, hostility, uncooperativeness, and excitement) comprising the PANSS Excited Component (PEC). 4. Patients who have a score of ≥ 4 on at least 1 of the 5 items on the PEC at Baseline. 5. Patients who read, understand and provide written informed consent. 6. Patients who are in good general health prior to study participation as determined by a detailed medical history, physical examination, 12-lead ECG with rhythm strip, blood chemistry profile, hematology, urinalysis, and in the opinion of the Principal Investigator. 7. Participants who agree to use a medically acceptable and effective birth control method Exclusion Criteria: 1. Patients with agitation caused by acute intoxication, including positive identification of alcohol by breathalyzer or drugs of abuse (with the exception of THC) during urine screening. 2. Use of benzodiazepines or other hypnotics or oral or short-acting intramuscular antipsychotic drugs in the 4 hours before study treatment. 3. Treatment with alpha-1 noradrenergic blockers (terazosin, doxazosin, tamsulosin, alfuzosin, or prazosin) or other prohibited medications. 4. Patients who are judged to be at significant risk of suicide. 5. Female patients who have a positive pregnancy test at screening or are breastfeeding. 6. Patients who have hydrocephalus, seizure disorder, or history of significant head trauma, stroke, transient ischemic attack, subarachnoid bleeding, brain tumor, encephalopathy, meningitis, Parkinson's disease or focal neurological findings. 7. History of syncope or other syncopal attacks, current evidence of hypovolemia, orthostatic hypotension. 8. Patients with laboratory or ECG abnormalities considered clinically significant by the investigator. 9. Patients with serious or unstable medical illnesses. 10. Patients who have received an investigational drug within 30 days prior to the current agitation episode. 11. Patients who are considered by the investigator, for any reason, to be an unsuitable candidate for receiving DEX.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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BioXcel Clinical Research Site
Little Rock, Arkansas, 72211, United States
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BioXcel Clinical Research Site
Cerritos, California, 90703, United States
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BioXcel Clinical Research Site
Culver City, California, 90230, United States
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BioXcel Clinical Research Site
Long Beach, California, 90806, United States
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BioXcel Clinical Research Site
Orange, California, 92868, United States
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BioXcel Clinical Research Site
Miami Lakes, Florida, 33016, United States
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BioXcel Clinical Research Site
Chicago, Illinois, 60640, United States
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BioXcel Clinical Research Site
Gaithersburg, Maryland, 20877, United States
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BioXcel Clinical Research Site
Las Vegas, Nevada, 89102, United States
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BioXcel Clinical Research Site
Berlin, New Jersey, 08009, United States
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BioXcel Clinical Research Site
Marlton, New Jersey, 08053, United States
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BioXcel Clinical Research Site
Charleston, South Carolina, 29407, United States
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BioXcel Clinical Research Site
Austin, Texas, 78754, United States
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BioXcel Clinical Research Site
DeSoto, Texas, 75115, United States
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BioXcel Clinical Research Site
Richardson, Texas, 75080, United States
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