Clinical trial Recruiting at 84 sites Phase 2 Interventional Ages 18 to 75

Brenipatide for adults with bipolar disorder (RENEW-Bipolar-1)

Official title: 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)

Run by Eli Lilly and Company · NCT07286175 · Data updated 2026-11-12

This trial will test whether adding brenipatide to standard bipolar medications can delay worsening of symptoms in adults with bipolar I or II.

More Bipolar Disorder trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment400 (estimated)
SponsorEli Lilly and Company
Industry-sponsored
Locations87 sites (Orange, California and 86 other locations)
StatusRecruiting
StartedNovember 24, 2025
Main results expectedNovember 2027
Study endsNovember 2027
Registry record updatedNovember 4, 2026
Trial IDNCT07286175 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with bipolar I or II who are on stable standard-of-care medication, can self-inject the study drug, and can attend regular clinic visits and complete study diaries are the ideal candidates.

Probably not a fit

People with current or lifetime schizophrenia or other psychotic disorders, borderline personality or eating disorders, type 1 diabetes, recent substance or alcohol use disorder, or those not on stable bipolar medications are unlikely to benefit from this trial.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

RENEW-Bipolar-1 is a randomized, placebo-controlled Phase 2 trial comparing brenipatide plus standard of care (SoC) versus placebo plus SoC in adults with bipolar I or II. Participants complete a screening period of about one month, a minimum six-month treatment period during which they self-inject the blinded study intervention and complete diaries and questionnaires, and a follow-up period of about two months. Eligible participants must be on stable bipolar medication and willing to attend required study visits, while those with psychotic disorders, certain personality or eating disorders, type 1 diabetes, or recent substance use disorder are excluded. The trial measures whether brenipatide delays clinical worsening of bipolar symptoms and monitors safety throughout treatment.

Why it matters

Potential benefit: If successful, brenipatide could help delay relapses and reduce worsening of symptoms for adults with bipolar disorder when added to standard treatments.

How similar studies have gone: The approach of adding a novel agent like brenipatide to standard care for bipolar disorder is relatively novel and large, definitive clinical successes in this exact approach have not yet been established.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Meet the diagnostic criteria for bipolar disorder I or bipolar disorder II
* 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
* Are on stable standard of care medication for bipolar disorder

Exclusion Criteria:

* 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
* Have type 1 diabetes mellitus, or a history of

  * ketoacidosis, or
  * hyperosmolar state or coma
* Have evidence of moderate or severe substance or alcohol use disorder within the past 180 days prior to screening
* Are actively suicidal and or deemed to be at significant risk for suicide
* 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

Where it's running

  • ATP Clinical Research
    Orange, California, United States
    Recruiting
  • Yale University School of Medicine
    New Haven, Connecticut, United States
    Recruiting
  • AGA Clinical Trials
    Hialeah, Florida, United States
    Recruiting
  • Accel Research Sites - Maitland Clinical Research Unit
    Maitland, Florida, United States
    Recruiting
  • K2 Medical Research - Maitland
    Maitland, Florida, United States
    Recruiting
  • Floridian Clinical Research, LLC
    Miami Lakes, Florida, United States
    Recruiting
Show 44 more locations
  • CLA Research
    Naples, Florida, United States
    Recruiting
  • Charter Research - Orlando
    Orlando, Florida, United States
    Recruiting
  • Encore Medical Research - Weston
    Weston, Florida, United States
    Recruiting
  • Atlanta Center for Medical Research
    Atlanta, Georgia, United States
    Recruiting
  • Covenant Medical Center
    Waterloo, Iowa, United States
    Recruiting
  • CBH Health
    Gaithersburg, Maryland, United States
    Recruiting
  • Elixia MA
    Springfield, Massachusetts, United States
    Recruiting
  • Adams Clinical Watertown
    Watertown, Massachusetts, United States
    Recruiting
  • Penn Medicine: University of Pennsylvania Health System
    Philadelphia, Pennsylvania, United States
    Recruiting
  • Revival Research Institute, LLC
    McKinney, Texas, United States
    Recruiting
  • Pillar Clinical Research - Richardson
    Richardson, Texas, United States
    Recruiting
  • Alpine Research Organization
    Clinton, Utah, United States
    Recruiting
  • Re:Cognition Health
    Fairfax, Virginia, United States
    Recruiting
  • Northwest Clinical Research Center
    Bellevue, Washington, United States
    Recruiting
  • Centro Neurobiológico y de Estrés Traumático (CENydET)
    Buenos Aires, Argentina
    Recruiting
  • Instituto Nacional de Psicopatología (INAPsi)- FunDaMos
    Buenos Aires, Argentina
    Recruiting
  • Stat Research S.A.
    Buenos Aires, Argentina
    Recruiting
  • Mautalen Salud e Investigación
    Buenos Aires, Argentina
    Recruiting
  • Instituto Médico DAMIC
    Córdoba, Argentina
    Recruiting
  • Instituto Kremer
    Córdoba, Argentina
    Recruiting
  • Centro Médico Luquez
    Córdoba, Argentina
    Recruiting
  • Global Psy Asociación Civil
    La Plata, Argentina
    Recruiting
  • Fundacion Scherbovsky
    Mendoza, Argentina
    Recruiting
  • INECO Neurociencias Oroño
    Rosario, Argentina
    Recruiting
  • Clinica El Jardin
    Santiago del Estero, Argentina
    Recruiting
  • Chronos Pesquisa Clínica
    Brasília, Brazil
    Recruiting
  • Instituto de Pesquisa clinica de Campinas
    Campinas, Brazil
    Recruiting
  • Centro de Pesquisa Clínica de Marília - CPCLIM
    Marília, Brazil
    Recruiting
  • Ruschel Medicina e Pesquisa Clínica
    Rio de Janeiro, Brazil
    Recruiting
  • Facili Centro Integrado de Psiquiatria
    São Bernardo do Campo, Brazil
    Recruiting
  • CPQuali Pesquisa Clínica
    São Paulo, Brazil
    Recruiting
  • BR Trials - Ensaios Clinicos e Consultoria
    São Paulo, Brazil
    Recruiting
  • Clinica Viver - Centro de Desospitalizacao Humana
    São Paulo, Brazil
    Recruiting
  • A2Z Clinical Centro Avançado De Pesquisa Clínica - Valinhos
    Valinhos, Brazil
    Recruiting
  • The Second People's Hospital of Hunan Province
    Changsha, China
    Recruiting
  • The Seventh People's Hospital of Hangzhou
    Hangzhou, China
    Recruiting
  • 3rd People's Hospital of Huzhou
    Huzhou, China
    Recruiting
  • Shangdong Mental Health Center
    Jinan, China
    Recruiting
  • Shanghai Mental Health Center
    Shanghai, China
    Recruiting
  • Shanghai Tongji Hospital
    Shanghai, China
    Recruiting
  • The First Hospital of Hebei Medical University
    Shijiazhuang, China
    Recruiting
  • Tianjin Anding Hospital
    Tianjin, China
    Recruiting
  • Xiamen Xianyue Hospital
    Xiamen, China
    Recruiting
  • Zhumadian Psychiatric Hospital
    Zhumadian, China
    Recruiting

+37 more sites. See ClinicalTrials.gov for the full list.

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.