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CTRI Number  CTRI/2026/02/103376 [Registered on: 09/02/2026] Trial Registered Prospectively
Last Modified On: 06/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A Study Comparing Two Medicines to Improve Depressive Symptoms in Adults with Bipolar Disorder 
Scientific Title of Study   Comparative Effectiveness of Lumateperone Versus Olanzapine Fluoxetine Combination Therapy in Treating Bipolar Depression with Moderate to Severe Depressive Episode A Randomized Controlled Trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sheetal Negi 
Designation  Junior Resident 
Affiliation  Indira Gandhi Medical College Shimla 
Address  Department of Psychiatry Indira Gandhi Medical College Shimla

Shimla
HIMACHAL PRADESH
171001
India 
Phone  7018576757  
Fax    
Email  sheetalnegi14@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Devesh Sharma 
Designation  Associate Professor and Guide 
Affiliation  Indira Gandhi Medical College Shimla 
Address  Department of Psychiatry Indira Gandhi Medical College Shimla

Shimla
HIMACHAL PRADESH
171001
India 
Phone  8894029445  
Fax    
Email  drjumbo0118@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Devesh Sharma 
Designation  Associate Professor and Guide 
Affiliation  Indira Gandhi Medical College Shimla 
Address  Department of Psychiatry Indira Gandhi Medical College Shimla

Shimla
HIMACHAL PRADESH
171001
India 
Phone  8894029445  
Fax    
Email  drjumbo0118@gmail.com  
 
Source of Monetary or Material Support  
Indira Gandhi Medical College, Lakkar Bazar, Shimla, Himachal Pradesh, 171001, India. 
 
Primary Sponsor  
Name  Dr Sheetal Negi 
Address  Postgraduate Student, Department of Psychiatry, Indira Gandhi Medical College, Lakkar Bazar, Shimla, Himachal Pradesh, 171001, India. 
Type of Sponsor  Other [self] 
 
Details of Secondary Sponsor  
Name  Address 
nil  nil 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sheetal Negi  Indira Gandhi Medical College  Department of Psychiatry Indira Gandhi Medical College Shimla Himachal Pradesh
Shimla
HIMACHAL PRADESH 
7018576757

sheetalnegi14@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee Indira Gandhi Medical College  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F313||Bipolar disorder, current episodedepressed, mild or moderate severity, (2) ICD-10 Condition: F315||Bipolar disorder, current episodedepressed, severe, with psychotic features, (3) ICD-10 Condition: F314||Bipolar disorder, current episodedepressed, severe, without psychotic features,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Lumateperone  Lumateperone is a recently developed atypical antipsychotic that has received approval for treating depressive episodes in adults with bipolar I and II disorders. Participants will receive the medication for a total duration of 8 weeks. 
Comparator Agent  Olanzapine Fluoxetine Combination  The olanzapine fluoxetine combination (OFC) is an FDA approved treatment specifically indicated for the acute depressive episodes of bipolar disorder. Participants will receive the medication for a total duration of 8 weeks. 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  59.00 Year(s)
Gender  Both 
Details  1. Patients diagnosed with BD (type 1 & 2) according to ICD 11 criteria
2. Both male and female patients.
3. Age group- 20 to 59 years.
 
 
ExclusionCriteria 
Details  1. Patients with mild depressive episode.
2. Patients with organic cause of depression such as stroke, Alzheimer’s, Parkinson’s, intracranial tumors, epilepsy etc
3. Pregnant and lactating females.
4. Patients in which these medications are contraindicated.
5. Patient with co-morbid substance use disorder except tobacco. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Mean change in HDRS, BPRS, GASS score.   8 Weeks.  
 
Secondary Outcome  
Outcome  TimePoints 
nil  nil 
 
Target Sample Size   Total Sample Size="56"
Sample Size from India="56" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   26/02/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="9"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

The primary purpose of this study is to compare how well lumateperone works compared to the olanzapine–fluoxetine combination in treating adults with bipolar disorder who are currently experiencing a moderate to severe depressive episode. The study aims to assess improvement in depressive symptoms, overall clinical response, and how well patients tolerate and adhere to each treatment over an 8-week period.

The study hypothesizes that lumateperone will be as effective as, or more effective than, the olanzapine–fluoxetine combination in reducing depressive symptoms in bipolar depression, with better tolerability and fewer treatment-related side effects.

 
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