PMID- 27025469 OWN - NLM STAT- MEDLINE DCOM- 20170102 LR - 20191210 IS - 1876-2026 (Electronic) IS - 1876-2018 (Linking) VI - 20 DP - 2016 Apr TI - Safety and effectiveness of divalproex sodium extended release containing regimen in Indian patients with bipolar I disorder in continuation phase: Results of EASED registry. PG - 32-8 LID - S1876-2018(15)00281-6 [pii] LID - 10.1016/j.ajp.2015.11.009 [doi] AB - The study was conducted to evaluate the safety and effectiveness of divalproex sodium XR containing regimen in patients with bipolar disorder (BPD) who are in continuation phase. It was an open-label, prospective, observational study conducted from July 2010 to December 2011 at 48 sites across India. Adult patients with bipolar I disorder of manic or mixed type fulfilling the DSM-IV criteria and who were in the continuation phase were included. Safety (primary outcome) was assessed by incidence of treatment emergent adverse events (AEs). Effectiveness (secondary outcome), was evaluated by proportion of patients who did not have a relapse, change in Clinical Global Impression Score-BP version-Severity of Illness (CGI-BP) and Young's Mania Rating Scale (YMRS) score. Data was recorded at three visits: visit-1 (baseline), visit-2 (end of 2 months +/- 7 days) and visit-3 (end of 4 months +/- 14 days), and summarised using descriptive statistics. p<0.05 was considered statistically significant. A total of 489 and 468 patients were included in the safety and effectiveness analyses, respectively. Of the 66 AEs reported, 57 (89.0%) were mild and 7 (10.9%) were moderate (data missing for 2 events). In total, 75.0% (48/64) of the AEs were related to the study drug. No serious AEs reported (N=64). No relapse observed in 93.3% of patients. There was a significant (p<0.0001) reduction in the YMRS and CGI-BP scores from baseline to visit-3. Our study confirms the results of earlier studies in terms of good tolerability and effectiveness of divalproex sodium XR containing regimen in this study population. CI - Copyright (c) 2015 Elsevier B.V. All rights reserved. FAU - Shah, Nilesh AU - Shah N AD - L. T. M. Medical College and General Hospital, Mumbai, India. Electronic address: drnilshah@hotmail.com. FAU - Reddy, M S AU - Reddy MS AD - Asha Bipolar Clinic, Asha Hospital, Hyderabad, India. FAU - Vohra, Sandeep AU - Vohra S AD - Indraprastha Apollo Hospitals, New Delhi, India. FAU - Chaudhuri, Uday AU - Chaudhuri U AD - Gaurinath Shastri Memorial Clinic, Kolkata, India. FAU - Mohanasundaram, Senthilnathan AU - Mohanasundaram S AD - Sanofi, Mumbai, India. LA - eng PT - Journal Article PT - Multicenter Study PT - Observational Study PT - Research Support, Non-U.S. Gov't DEP - 20151213 PL - Netherlands TA - Asian J Psychiatr JT - Asian journal of psychiatry JID - 101517820 RN - 0 (Antimanic Agents) RN - 0 (Delayed-Action Preparations) RN - 614OI1Z5WI (Valproic Acid) SB - IM MH - Adult MH - Antimanic Agents/administration & dosage/adverse effects/*pharmacology MH - Bipolar Disorder/*drug therapy MH - Delayed-Action Preparations MH - Female MH - Humans MH - India MH - Male MH - Middle Aged MH - *Outcome Assessment, Health Care MH - Prospective Studies MH - *Registries MH - Valproic Acid/administration & dosage/adverse effects/*pharmacology OTO - NOTNLM OT - Bipolar disorder OT - Depression OT - Mania OT - Safety OT - Valproic acid EDAT- 2016/03/31 06:00 MHDA- 2017/01/04 06:00 CRDT- 2016/03/31 06:00 PHST- 2015/04/13 00:00 [received] PHST- 2015/11/25 00:00 [revised] PHST- 2015/11/29 00:00 [accepted] PHST- 2016/03/31 06:00 [entrez] PHST- 2016/03/31 06:00 [pubmed] PHST- 2017/01/04 06:00 [medline] AID - S1876-2018(15)00281-6 [pii] AID - 10.1016/j.ajp.2015.11.009 [doi] PST - ppublish SO - Asian J Psychiatr. 2016 Apr;20:32-8. doi: 10.1016/j.ajp.2015.11.009. Epub 2015 Dec 13.