PMID- 36282771 OWN - NLM STAT- MEDLINE DCOM- 20221027 LR - 20221222 IS - 1557-8992 (Electronic) IS - 1044-5463 (Linking) VI - 32 IP - 8 DP - 2022 Oct TI - 26-Week Open-Label Extension Study Evaluating the Safety and Tolerability of Flexible Doses of Oral Ziprasidone in Children and Adolescents with Bipolar I Disorder (Most Recent Episode Manic). PG - 453-458 LID - 10.1089/cap.2022.0030 [doi] AB - Objective: To describe the longer-term effectiveness, safety, and tolerability of open-label ziprasidone in children and adolescents with bipolar I disorder (BD-I). Methods: A subset of 23 participants aged 10-17 years, who were previously treated in a multi-site, 4-week randomized controlled trial received open-label ziprasidone (20-80 mg twice a day) for up to 26 weeks. Results: The most common adverse events (AEs) were fatigue (30%), somnolence (17%), and nausea (13%). Effects on weight, body mass index, and metabolic parameters (glucose, cholesterol, and triglycerides) were minimal. No participant had a Fridericia-corrected QT interval >/= 460 msec or a change from baseline of >/=60 msec, and there were no cardiac-related AEs. Both the participants who continued ziprasidone and those who initiated ziprasidone in the open-label extension showed improvements in their symptoms of mania. Conclusions: The overall findings of the study are consistent with the accumulating knowledge on the safety profile of ziprasidone in the acute and long-term treatment of children and adolescents with BD-I, in the midst of a manic episode. ClinicalTrial.gov ID: NCT03768726. FAU - Atkinson, Sarah AU - Atkinson S AD - Psychiatry, Child and Adolescent Psychiatry, Finger Lakes Clinical Research, Rochester, New York, USA. FAU - Bachinsky, Mary AU - Bachinsky M AD - Clinical Development and Operations, Pfizer, Inc., Groton, Connecticut, USA. FAU - Raiter, Yaron AU - Raiter Y AD - Clinical Development, GE Healthcare, Eindhoven, The Netherlands. FAU - Abreu, Paula AU - Abreu P AD - Global Biometrics and Data Management, Pfizer, Inc., New York, New York, USA. FAU - Ianos, Claudia AU - Ianos C AD - Worldwide Medical and Safety, Pfizer AG, Zurich, Switzerland. FAU - Chappell, Phillip AU - Chappell P AUID- ORCID: 0000-0001-5124-6236 AD - Clinical Development and Operations, Pfizer, Inc., Groton, Connecticut, USA. FAU - Findling, Robert L AU - Findling RL AD - Department of Psychiatry, Virginia Commonwealth University, Richmond, Virginia, USA. LA - eng SI - ClinicalTrials.gov/NCT03768726 PT - Journal Article PT - Randomized Controlled Trial PL - United States TA - J Child Adolesc Psychopharmacol JT - Journal of child and adolescent psychopharmacology JID - 9105358 RN - 6UKA5VEJ6X (ziprasidone) RN - 0 (Antipsychotic Agents) RN - 0 (Triglycerides) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Child MH - Adolescent MH - Humans MH - *Bipolar Disorder/diagnosis MH - Mania MH - *Antipsychotic Agents/adverse effects MH - Triglycerides MH - Glucose MH - Treatment Outcome OTO - NOTNLM OT - bipolar I disorder OT - children and adolescents OT - mania OT - open label OT - safety OT - ziprasidone EDAT- 2022/10/26 06:00 MHDA- 2022/10/28 06:00 CRDT- 2022/10/25 13:13 PHST- 2022/10/25 13:13 [entrez] PHST- 2022/10/26 06:00 [pubmed] PHST- 2022/10/28 06:00 [medline] AID - 10.1089/cap.2022.0030 [doi] PST - ppublish SO - J Child Adolesc Psychopharmacol. 2022 Oct;32(8):453-458. doi: 10.1089/cap.2022.0030.