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CTRI Number  CTRI/2026/03/106554 [Registered on: 19/03/2026] Trial Registered Prospectively
Last Modified On: 19/03/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   A Study of Brenipatide in Adults with Bipolar Disorder 
Scientific Title of Study   A Phase 2, Multicenter, Randomized, Double-Blind, Parallel-Arm Study to Investigate the Efficacy and Safety of Adjunctive Treatment With Brenipatide in Delaying Time to Relapse Compared With Placebo in Adult Participants With Bipolar Disorder (RENEW-Bipolar-1) 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NCT07286175  ClinicalTrials.gov 
Protocol no. J2S-MC-GZMJ amendment no. (a) dated 23-Oct-2025  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Rahul Kapur 
Designation  Medical Director  
Affiliation  Eli Lilly and Company (India) Pvt. Ltd 
Address  Plot No - 92, Sec - 32, Institutional Area, Gurgaon Haryana-122001 India

Gurgaon
HARYANA
122001
India 
Phone  9910932606  
Fax    
Email  rahul.kapur@lilly.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rahul Kapur 
Designation  Medical Director  
Affiliation  Eli Lilly and Company (India) Pvt. Ltd 
Address  Plot No - 92, Sec - 32, Institutional Area, Gurgaon Haryana-122001 India

Gurgaon
HARYANA
122001
India 
Phone  9910932606  
Fax    
Email  rahul.kapur@lilly.com  
 
Details of Contact Person
Public Query
 
Name  Dr Rajeev Sharan Shrivastava 
Designation  Associate Director  
Affiliation  Eli Lilly and Company (India) Pvt. Ltd 
Address  Plot No - 92, Sec - 32, Institutional Area, Gurgaon Haryana-122001 India

Gurgaon
HARYANA
122011
India 
Phone  09810308697  
Fax    
Email  shrivastava_rajeev_sharan@lilly.com  
 
Source of Monetary or Material Support  
Eli Lilly and Company (India) Pvt. Ltd., Plot No - 92, Sec - 32, Institutional Area, Gurgaon HARYANA-122001 India  
 
Primary Sponsor  
Name  Eli Lilly and Company (India) Pvt Ltd 
Address  Plot No - 92, Sec - 32, Institutional Area, Gurgaon Haryana-122001 India 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     Argentina
Brazil
China
India
Japan
Mexico
United States of America  
Sites of Study  
No of Sites = 10  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Tamonud Modak   All India Institute of Medical Sciences (AIIMS) - Bhopal   AIIMS Campus Road, Bhopal, Madhya Pradesh, India, 462024
Bhopal
MADHYA PRADESH 
9971384346

tamonud.psy@aiimsbhopal.edu.in 
Dr Nakul Ashok Vanjari   Assured Care Plus Hospital   Department of Psychiatry, Lam Road, 4th & 5th Floor, Star Plus Complex,, Near Muktidham Temple Nashik, Opp NMC Divisional Office, Nashik, Maharashtra, India, 422101
Nashik
MAHARASHTRA 
2532950011

nakulv1986@gmail.com 
Dr Chandrashekar TR   Belagavi Institute of Medical Science   Belagavi Institute of Medical sciences, Dr B R Ambedkar Road, Belgavi, Karnataka, India, 590019
Belgaum
KARNATAKA 
9611427666

drtrcshekar007@gmail.com 
Dr Abbas Mehdi   Career Institute of Medical Sciences and Hospital – Lucknow  Department of Psychiatry, IIM Road, Lucknow, Uttar Pradesh, India, 226020
Lucknow
UTTAR PRADESH 
9451063244

mehdidrabbas@gmail.com 
Dr Venu Gopal Jhanwar   Deva Institute of Healthcare & Research Pvt Ltd.   Department of Psychiatry, Durgakund Road, B 27/70 MN Durgakund, Bhelupura, Varanasi, Uttar Pradesh, India, 221005
Varanasi
UTTAR PRADESH 
9935571052

vgj.dihr@gmail.com 
Dr Abdul Qadir Jilani   Dr. Ram Manohar Lohia Institute of Medical Sciences   Department of Psychiatry, Vibhuti Khand, Gomti Nagar, 3rd floor Cath Lab, Institution block, Lucknow, Uttar Pradesh, India, 226010
Lucknow
UTTAR PRADESH 
7007590702

drjilani19@gmail.com 
Dr Deshmukh Amol Ashok   Galaxy Superspeciality Hospital & Research Institute   Department of Psychiatry, Agnihotra Chowk, Opposite Punjab National Bank, Aurangabad, Maharashtra, India, 431001
Aurangabad
MAHARASHTRA 
9822314268

dr.amoldeshmukh.galaxy@gmail.com 
Dr Dalay Nitin Veersingh  Lifepoint Multispeciality Hospital   Clinical Research Department, 145/1 Mumbai Bangalore Highway, 3rd floor, Clinical Research Department,, Near Hotel Sayaji, Wakad, Pune,, Pune, Maharashtra, India, 411057
Pune
MAHARASHTRA 
9552503201

drndalaya@gmail.com 
Dr Chinmay Vinay Barhale   Society of Psychiatric Update & Research (SPUR)   Shanti Nursing Home, Kanchan wadi, Paithan Road, 1st building, 1st floor, Room no. 214, Research department, Chhatrapati Sambhajinagar, Maharashtra, India, 431005
Aurangabad
MAHARASHTRA 
9823012123

drchinmay@shantinursinghome.com 
Dr Gopalakrishnan Ganesan   Sowmanasya Hospital and Institute of Psychiatry   Department of Psychiatry, 6, V N Nagar, Tiruchirappalli, Tamil Nadu, India, 620002
Tiruchirappalli
TAMIL NADU 
9443165625

drgopal.sowmanasya@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 10  
Name of Committee  Approval Status 
DMHC Ethics Committee, Dcap 1st Floor, Deva Institute Of Healthcare Research Pvt. Ltd  Submittted/Under Review 
Ethics Committee Harshamitra Superspeciality Cancer Centre  Submittted/Under Review 
Ethics Committee Shanti Nursing Home  Approved 
IEC Medical Care Centre and Hospital Medical Care Centre and Hospital  Submittted/Under Review 
Independent Ethics Committee Aurangabad Health Care & Research LLP  Submittted/Under Review 
Institutional Ethics Committee Dr. Ram Manohar Lohia Institute of Medical Sciences  Submittted/Under Review 
Institutional Ethics Committee, Assured Care Plus Hospital  Submittted/Under Review 
Institutional Ethics Committee, Belagavi Institute of Medical Sciences  Submittted/Under Review 
Institutional Human Ethics Committee, All India Institute of Medical Sciences   Submittted/Under Review 
LPR Ethics Committee, Lifepoint Multispeciality Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F31||Bipolar disorder,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Brenipatide  Administered subcutaneously (SC) for a treatment period that will last a minimum of 6 months 
Comparator Agent  Placebo  Administered subcutaneously (SC) for a treatment period that will last a minimum of 6 months 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  1. Meet the diagnostic criteria for bipolar disorder I or bipolar disorder II
2. Are reliable and willing to make themselves available for the duration of the study and attend required study visits, and are willing and able to follow study procedures as required, such as
- self-inject study intervention
- store and use the provided blinded study intervention, as directed
- maintain electronic and paper study diaries, as applicable, and
- complete the required questionnaires
3. Are on stable standard of care medication for bipolar disorder 
 
ExclusionCriteria 
Details  1. Have a lifetime history or current diagnosis of the following according to DSM-5 criteria:
- schizophrenia or other psychotic disorder
- borderline personality disorder, or
- any eating disorder
2. Have type 1 diabetes mellitus, or a history of
- ketoacidosis, or
- hyperosmolar state or coma
3. Have evidence of moderate or severe substance or alcohol use disorder within the past 180 days prior to screening
4. Are actively suicidal and or deemed to be at significant risk for suicide
5. Have participated in a clinical study and received active treatment, or unknown if they received active treatment, within 90 days or 5 half-lives (whichever is longer) before screening 
 
Method of Generating Random Sequence   Stratified randomization 
Method of Concealment   Centralized 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Time to Relapse Defined as Days from Randomization to the Date on Which the Participant Meets Any Relapse Criterion  Randomization up to at least 6 months 
 
Secondary Outcome  
Outcome  TimePoints 
Change from Baseline in Sheehan Disability Scale (SDS) Global Functional Impairment Score  Baseline, up to at least 6 months 
Change from Baseline in Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score  Baseline, up to at least 6 months 
Change from Baseline in Young Mania Rating Scale (YMRS) Total Score  Baseline, up to at least 6 months 
Change from Baseline in Recovering Quality of Life - 20 Items (ReQoL-20) Total Score  Baseline, up to at least 6 months 
Mean Percent Change in Body Weight in Participants with a Baseline Body Mass Index (BMI) of more than or equal to 25 kg/m2  Baseline, up to at least 6 months 
Mean Percent Change in Body Weight in Participants with a Baseline Body Mass Index (BMI) of more than or equal to 25 kg/m2 and on an Atypical Antipsychotic  Baseline, up to at least 6 months 
Pharmacokinetic (PK): Average Steady State Plasma Concentration (Cavg) of Brenipatide  Baseline, up to at least 6 months 
Number of Participants with Treatment-Emergent Anti-Drug Antibodies  Baseline, up to at least 6 months 
Change from Baseline in Patient rated Outcome as measured by Patient Global Impression of Severity (PGI-S)  Baseline, up to at least 6 months 
 
Target Sample Size   Total Sample Size="400"
Sample Size from India="100" 
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 2 
Date of First Enrollment (India)   01/05/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  24/11/2025 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="29" 
Recruitment Status of Trial (Global)   Open to Recruitment 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - For individual participant data meta-analysis.

  5. By what mechanism will data be made available?
    Response (Others) -  www.vivli.org

  6. For how long will this data be available start date provided 24-11-2025 and end date provided 30-11-2027?
    Response (Others) -  Data are available 6 months after the primary publication or approval of the indication studied in the US and EU, whichever is later. Data will be indefinitely available for requesting.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  

The purpose of this study is to assess the efficacy and safety of brenipatide when administered with standard of care (SoC), compared with placebo plus SoC in delaying the worsening of bipolar disorder symptoms.

The trial is divided into three periods as follows: Screening period that will last approximately 1 month, treatment period that will last a minimum of 6 months, and the follow up period that will last approximately 2 months. The duration of study participation may vary and may be shortened if bipolar symptoms worsen or if withdrawal from the study occurs for any reason.

 
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