Bolder II study confirms therapeutic potential of 'Seroquel' in bipolar depression

Newly released top-line results from the Bolder II (BipOLar DEpRession) study have underlined the potential for 'Seroquel' (quetiapine fumarate) in the treatment of patients with major depressive episodes associated with bipolar disorder. In Bolder II, 'Seroquel' 300mg and 600mg doses achieved a statistically significant reduction in levels of bipolar depression compared with placebo (p







Bipolar disorder is a serious mental illness that affects approximately 3-4% of the adult population and is the sixth leading cause of disability in the world (3, 4, 5, 6). Patients with bipolar disorder are symptomatic almost half of their lives, and approximately two-thirds of that time is spent in the depressed phase of the illness (7). Currently 'Seroquel' is only approved for the treatment of mania associated with bipolar disorder.


"Bolder II shows that 'Seroquel' may provide substantial clinical benefits to patients with bipolar disorder", commented Carolyn Fitzsimons, Seroquel Commercial VP. "Based on prior discussions with the FDA and the results of Bolder II, AstraZeneca plans to file for a US licence extension for 'Seroquel' in the treatment of depressive episodes associated with bipolar disorder around the end of this year (2005)."


'Seroquel' has been licensed for the treatment of schizophrenia since 1997 and is available in 85 countries for the treatment of this condition. SEROQUEL is also licensed in 73 countries for the treatment of mania associated with bipolar disorder.


References:

1. BOLDER II study. AstraZeneca Data on File.

2. Calabrese JR et al. Am J Psychiatry 2005;162:1351-60.

3. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Washington DC, American Psychiatric Association, 2000:385;395.

4. Hirschfield et al. Screening for bipolar disorder in the community J Clin Psychiatry. 2003:64;53-59

5. Lish JD, Dime-Meenan S, Whybrow PC et al. The National Depressive and Manic-Depressive Association (DMDA) survey of bipolar members. J Affect Disord. 1994:31;281-294.

6. World Health Organization and the World Bank. The Global Burden of Disease: Summary. Cambridge, Mass: The Harvard School of Public Health Harvard University Press, 1996.

7. Judd, Lll, Akiskal, HS, Schettler, PJ, et al. The long-term natural history of the weekly symptomatic status of bipolar disorder. Arch Gen Psychiatry. 2002;59:530-537


'Seroquel' is a trademark of the AstraZeneca group of companies.


'Seroquel' is currently not licensed for the treatment of bipolar depression.


Bolder II was an eight week, multi-centre, placebo-controlled trial conducted in the US which evaluated the efficacy of 'Seroquel' (quetiapine) treatment at doses of 300 or 600mg in over 500 patients with bipolar disorder experiencing major depressive episodes. In Bolder, the primary endpoint for bipolar depression was change in baseline on the MADRS (Montgomery- Еsberg Depression Rating Scale). Bipolar depression and anxiety symptoms were assessed using the MADRS, HAM-D (Hamilton Rating Scale for Depression) and HAM-A (Hamilton Rating Scale for Anxiety Scale).


AstraZeneca is a major international healthcare business engaged in the research, development, manufacture and marketing of prescription pharmaceuticals and the supply of healthcare services. It is one of the world's leading pharmaceutical companies with healthcare sales of over $21.4 billion and leading positions in sales of gastrointestinal, cardiovascular, respiratory, oncology and neuroscience products. AstraZeneca is listed in the Dow Jones Sustainability Index (Global) as well as the FTSE4Good Index.


In Neuroscience, AstraZeneca is dedicated to providing medicines that have the potential to change patients' lives. The company already markets several products including 'Seroquel'and 'Zomig'. 'Seroquel', which has proven efficacy and a very favourable side effect profile, is the fastest growing of the leading atypical antipsychotics and the number one prescribed atypical in the United States with global sales of $2 billion in 2004; 'Zomig' is a reliable migraine therapy and a leader within the triptan market.


astrazeneca


View drug information on Seroquel.