Clinical trial Recruiting at 11 sites Phase 2 Interventional Ages 18 to 65

NBI-1117568 for adults with Bipolar I disorder experiencing current mania

Official title: A Phase 2, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study to Assess the Efficacy, Safety, and Pharmacokinetics of NBI-1117568 in Adults With Bipolar I Disorder Who Are Currently Experiencing a Manic Episode or Manic Episode With Mixed Features, With or Without Psychotic Symptoms, and Warrant Inpatient Hospitalization

Run by Neurocrine Biosciences · NCT07288320 · Data updated 2026-11-12

This trial will test whether NBI-1117568 reduces manic symptoms in adults with Bipolar I disorder who are currently having a manic episode.

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years to 65 Years
SexAll
Enrollment150 (estimated)
SponsorNeurocrine Biosciences
Industry-sponsored
Locations11 sites (Little Rock, Arkansas and 10 other locations)
StatusRecruiting
StartedDecember 24, 2025
Main results expectedFebruary 2028
Study endsFebruary 2028
Registry record updatedSeptember 29, 2026
Trial IDNCT07288320 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with a primary diagnosis of Bipolar I disorder who are currently experiencing an acute manic episode (with or without mixed features) and who have had at least one prior treated manic episode.

Probably not a fit

People whose mood symptoms are due to another primary diagnosis, who have unstable medical or recent serious psychiatric conditions, or who previously required clozapine are unlikely to be eligible or 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

This Phase 2, randomized, placebo-controlled trial compares NBI-1117568 to placebo in adults with Bipolar I disorder experiencing an acute manic episode, with or without mixed features. Participants receive either the experimental medication or a matching placebo and are monitored for changes in manic symptoms, safety, and drug levels over the treatment period. Key inclusion criteria require a primary diagnosis of Bipolar I with at least one prior manic episode; key exclusions include unstable medical conditions, prior clozapine for treatment-resistant psychosis, or extended recent psychiatric hospitalization. The study is conducted at Neurocrine Clinical Sites in California and includes regular clinic visits for symptom ratings and safety assessments.

Why it matters

Potential benefit: If effective, NBI-1117568 could reduce manic symptoms and offer a new treatment option for adults with Bipolar I disorder.

How similar studies have gone: This is a Phase 2 test of a novel compound; while some other novel agents for mania have shown mixed results, NBI-1117568 has not yet been established as effective in this population.

Who can join: the full rules

Show full inclusion / exclusion criteria
Key Inclusion Criteria:

* Participant has a primary diagnosis of bipolar I disorder.
* The participant has had at least 1 prior documented manic episode that required treatment.
* The participant is experiencing an acute manic episode or manic episode with mixed features, with or without psychotic symptoms.

Key Exclusion Criteria:

* Any unstable or poorly controlled medical condition or chronic disease (including history of neurological, hepatic, renal, cardiovascular, gastrointestinal, pulmonary, autoimmune, or endocrine disease that may affect study participation or results), or malignancy within 90 days before the start of screening.
* Primary diagnosis is not bipolar I disorder.
* History of clozapine treatment for treatment-resistant psychosis.
* History of psychiatric hospitalization(s) for ≥30 consecutive days during the 90 days before the start of screening.

Note: Additional inclusion/exclusion criteria may apply, per protocol.

Where it's running

  • Neurocrine Clinical Site
    Little Rock, Arkansas, United States
    Recruiting
  • Neurocrine Clinical Site
    Cerritos, California, United States
    Recruiting
  • Neurocrine Clinical Site
    Garden Grove, California, United States
    Recruiting
  • Neurocrine Clinical Site
    San Diego, California, United States
    Recruiting
  • Neurocrine Clinical Site
    Hollywood, Florida, United States
    Recruiting
  • Neurocrine Clinical Site
    Atlanta, Georgia, United States
    Recruiting
Show 5 more locations
  • Neurocrine Clinical Site
    Gaithersburg, Maryland, United States
    Recruiting
  • Neurocrine Clinical Site
    Marlton, New Jersey, United States
    Recruiting
  • Neurocrine Clinical Site
    Staten Island, New York, United States
    Recruiting
  • Neurocrine Clinical Site
    Austin, Texas, United States
    Recruiting
  • Neurocrine Clinical Site
    Houston, Texas, United States
    Recruiting

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.