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
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 150 (estimated) |
| Sponsor | Neurocrine Biosciences Industry-sponsored |
| Locations | 11 sites (Little Rock, Arkansas and 10 other locations) |
| Status | Recruiting |
| Started | December 24, 2025 |
| Main results expected | February 2028 |
| Study ends | February 2028 |
| Registry record updated | September 29, 2026 |
| Trial ID | NCT07288320 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
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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
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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
- Study coordinator: Neurocrine Medical Information Call Center
- Email: medinfo@neurocrine.com
- Phone: 1-877-641-3461
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.