New pill could ease bipolar depression – trial underway
NCT ID NCT06696755
First seen Jun 27, 2026 · Last updated Aug 14, 2026 · Updated 3 times
Summary
This study tests an experimental drug called icalcaprant for treating depression in people with bipolar I or II disorder. About 195 adults will take either the drug or a placebo daily for 6 weeks. Researchers will measure changes in depression symptoms and watch for side effects.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 195 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2026
- Expected to finish
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Nov 2027
An estimate. End dates often move.
- 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 65 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: * Participants with a diagnosis of bipolar I or II according to the DSM-5-TR without psychotic features, confirmed by the MINI 7.0.2, and currently experiencing an MDE beginning at least 4 weeks prior to consent and not exceeding 12 months prior to Screening. * Body Mass Index (BMI) is \>= 18.0 to ≤\<= 35.0 kg/m\^2. * A condition of general good health, based upon the results of a medical history, physical examination, vital signs, laboratory profile and a 12-lead ECG. * CGI-S-BP score of ≥ 4 for depression and overall bipolar illness at screening (Visit 1) and baseline (Visit 2). * YMRS total score \<= 12 at screening (Visit 1) and baseline (Visit 2). * Participants on treatment with a single mood stabilizer (lithium, valproate, or lamotrigine), maintained at a stable dose for \>= 28 days prior to screening. Current mood stabilizer dose must remain unchanged for the duration of the study. * If taking lithium or valproate, participant must have a therapeutic blood level at screening of lithium (0.4 - 1.2 mg/dL) or valproate (50 - 125 mg/dL). * If taking lamotrigine, participant should be taking a dose within the FDA accepted range (50-400 mg/day, target dose is 200 mg/day) and investigator clinical judgment determines that the dose the participant is taking is likely to prevent onset of mood episodes. Exclusion Criteria: * History of an allergic reaction or significant sensitivity to constituents of the study drug (and its excipients) and/or other products in the same class. * History of or active medical conditions(s) that might interfere with the conduct of the study, confound the interpretation of the study results, or endanger the subject's well-being. This includes any unstable condition, history or evidence of malignancy (other than treated basal or squamous cell carcinoma), or any significant hematologic, endocrine, cardiovascular, respiratory, renal, hepatic, gastrointestinal, or neurological disorder (if there is a history of such disease but the condition has been stable for more than 1 year, does not require treatment with prohibited medications, and is judged by the investigator not to interfere with the participant's participation in the study, the participant may be included in the study).
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
33 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Accel Research Sites Network - St. Pete /ID# 272962
RECRUITINGLargo, Florida, 33777, United States
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Advanced Research Center /ID# 272828
RECRUITINGAnaheim, California, 92805, United States
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Amr Conventions Research /ID# 272867
RECRUITINGWarrenville, Illinois, 60555, United States
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Apg Research /ID# 272925
RECRUITINGOrlando, Florida, 32803, United States
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Catalina Research Institute /ID# 272831
RECRUITINGMontclair, California, 91763, United States
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CenExel Hollywood FL /ID# 273101
RECRUITINGHollywood, Florida, 33024, United States
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Chandler Clinical Research Trials /ID# 274500
RECRUITINGChandler, Arizona, 85224, United States
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Clinical Research Center Of Florida /ID# 278790
RECRUITINGPompano Beach, Florida, 33060, United States
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Collaborative Neuroscience Research - Garden Grove /ID# 271917
RECRUITINGGarden Grove, California, 92845, United States
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Combined Research Orlando /ID# 279458
RECRUITINGOrlando, Florida, 32814, United States
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Community Clinical Research - Cross Park Drive /ID# 272940
RECRUITINGAustin, Texas, 78754, United States
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Core Clinical Research /ID# 272955
RECRUITINGEverett, Washington, 98201, United States
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Del Sol Research Management - East Tanque Verde Road - Tucson /ID# 279767
RECRUITINGTucson, Arizona, 85715, United States
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Elixia - Houston /ID# 279200
RECRUITINGHouston, Texas, 77007, United States
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Excell Research /ID# 272854
RECRUITINGOceanside, California, 92056, United States
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Family Psychiatry Of The Woodlands /ID# 275177
RECRUITINGThe Woodlands, Texas, 77381, United States
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Georgia Psychiatric Consultants and Advanced Discovery Research /ID# 279438
RECRUITINGAtlanta, Georgia, 30318, United States
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Manhattan Behavioral Medicine /ID# 279769
RECRUITINGNew York, New York, 10036, United States
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Mind Matters Psychiatry /ID# 273536
RECRUITINGMissouri City, Texas, 77459-5204, United States
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Neuroscience Institute - West Palm Beach /ID# 272922
RECRUITINGWest Palm Beach, Florida, 33407, United States
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Northwest Clinical Research Center /ID# 272847
RECRUITINGBellevue, Washington, 98007, United States
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Pacific Neuropsychiatric Specialists - Orange /ID# 273118
RECRUITINGOrange, California, 92868, United States
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Pillar Clinical Research - Chicago /ID# 272823
RECRUITINGChicago, Illinois, 60641, United States
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Pillar Clinical Research - Richardson /ID# 272821
RECRUITINGRichardson, Texas, 75080, United States
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Saint Charles Psychiatric Associates /ID# 279239
RECRUITINGSaint Charles, Missouri, 63304, United States
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Sanro Clinical Research Group /ID# 279462
RECRUITINGBryant, Arkansas, 72022, United States
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Sarkis Clinical Trials- Gainesville /ID# 272861
RECRUITINGGainesville, Florida, 32607, United States
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Schuster Medical Research Institute /ID# 272848
RECRUITINGSherman Oaks, California, 91403, United States
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Sooner Clinical Research /ID# 272856
RECRUITINGOklahoma City, Oklahoma, 73116, United States
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St. Johns Center for Clinical Research - Saint Augustine Location /ID# 279465
RECRUITINGSaint Augustine, Florida, 32086, United States
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The Ohio State University /ID# 272954
RECRUITINGColumbus, Ohio, 43210, United States
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University Of Cincinnati Medical Center /ID# 274160
RECRUITINGCincinnati, Ohio, 45219, United States
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University of Alabama - Huntsville Regional Medical Campus /ID# 272951
RECRUITINGHuntsville, Alabama, 35801, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a nasal insulin spray rev up brain energy and sharpen thinking in psychosis?
- Could immune cells hold clues to bipolar disorder?
- Can brain implants read and treat bipolar depression without triggering mania?
- Can a 10-Hour eating window stabilize mood in bipolar disorder?
- Can a psychedelic compound ease suicidal thoughts in bipolar depression?
- Gold nanoparticles may make lithium therapy safer and more effective