Based on: Bipolar Disorder — gene targets, candidate compounds and trials, OSMF Research Tracker (DGIdb, Open Targets, ChEMBL, PubMed and ClinicalTrials.gov data). Numbers are a snapshot taken 8 October 2026; the tracker page is the live version.
Short answer: as of October 2026, the OSMF Research Tracker lists 51 candidate interventions for bipolar Disorder that are either approved medicines or have at least one registered clinical trial, built on 7 druggable gene targets, with 14 recent trials on ClinicalTrials.gov. 3 are already approved medicines, for this condition or another one; where the approval is for a different condition, the trial is testing a new use, which is what drug repurposing means. Being in a trial says an intervention is being studied, not that it works; that is what the trial is for.
Which candidates have the most trial activity?
Ranked by the number of registered trials the tracker found. Each trial ID links to the registry entry, where you can read the design, status and sponsor.
- aripiprazole — 4 registered trials · approved medicine · NCT00845988 NCT00665366 NCT04030143
- Lithium — 3 registered trials · investigational · NCT00665366 NCT00045916 NCT05973786
- Lithium carbonate — 2 registered trials · approved medicine · NCT07540338 NCT00240110
- Bupropion — 2 registered trials · investigational · NCT00593099 NCT05973786
- Valproate — 2 registered trials · investigational · NCT00665366 NCT00240110
- Venlafaxine — 2 registered trials · investigational · NCT00045916 NCT05973786
- ziprasidone (Geodon) — 2 registered trials · investigational · NCT00181922 NCT00472641
- Risperidone — 1 registered trial · approved medicine · NCT00076115
- Acamprosate — 1 registered trial · investigational · NCT00330486
- Adasuve — 1 registered trial · investigational · NCT02504450
- Adherence therapy — 1 registered trial · investigational · NCT00167323
- AL001 — 1 registered trial · investigational · NCT07540338
Which gene targets are these built on?
The tracker starts from genes with evidence of being druggable in bipolar Disorder and asks which compounds act on them. Each symbol links to its DGIdb entry, which lists the interacting drugs and the papers behind them: BDNF, DRD2, GRIN2B, GSK3B, HTR2A, IMPA1, SLC6A4.
Which trials are registered?
- Evaluation of the Genetics of Bipolar Disorder NCT00001174 · Completed · started 1994-08-11
- Family Study of Affective and Anxiety Spectrum Disorders NCT00071786 · Completed · started 2004-05-21
- NIMH Rhythms and Blues Study: A Prospective Natural History Study of Motor Activity, Mood States, and Bipolar Disorder NCT05669703 · Recruiting · started 2023-11-03
- Time Restricted Eating (TRE) in Bipolar Disorder NCT07211217 · Recruiting · Phase NA · started 2026-09-01
- Socio-cognitive and Biological Responses to Maltreatment NCT07101107 · Recruiting · started 2026-07-20
- Epigenetic Enhancement of Cognitive Training in Aging Mood and Schizophrenia Spectrum Disorder Populations NCT07404085 · Recruiting · Phase NA · started 2025-11-14
- Medical Comorbidities in Bipolar Disorder NCT06872398 · Recruiting · started 2024-10-11
- A Study of Brenipatide in Adult Participants With Bipolar Disorder (RENEW-Bipolar-1) NCT07286175 · Recruiting · Phase PHASE2 · started 2025-11-24
- Theta-Burst Stimulation for Bipolar Depression NCT06370988 · Recruiting · Phase NA · started 2024-05-15
- Multimodal Intervention to Support Hospital-to-Community Transition in Bipolar Disorder NCT07213492 · Recruiting · Phase NA · started 2026-06-01
How to read this
Evidence is graded on the tracker page in three tiers: clinical (tested in people), mechanistic (a documented action on the target) and correlative (an association in the literature). Most candidates sit in the lower tiers, and many trials are small or early-phase. The purpose of this list is to show where the research is, with sources, so that patients, clinicians and researchers can look further; it is not a ranking of what to take.
Related on this site
Research information, not medical advice. Decisions about any medicine belong with you and your clinician. The underlying data are open (CC BY 4.0) and refreshed daily; this note was generated from the tracker page on 8 October 2026.