Early Pharmacotherapy Aimed at Neuroplasticity in Autism : Safety and Efficacy

This study has been completed.
Sponsor:
Information provided by:
Chugani, Diane C.
ClinicalTrials.gov Identifier:
NCT00166621
First received: September 9, 2005
Last updated: July 19, 2011
Last verified: July 2011
  Purpose

The purpose of this study is to determine the efficacy, safety, and population pharmacokinetics and determinants of drug responses to buspirone in children with autism using a randomized, double blind, cross over study in children ages 2 to 6 years.


Condition Intervention Phase
Autism
Drug: Buspirone
Phase 1
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Crossover Assignment
Masking: Double-Blind
Primary Purpose: Treatment
Official Title: Early Pharmacotherapy Aimed at Neuroplasticity in Autism : Safety and Efficacy

Resource links provided by NLM:


Further study details as provided by Chugani, Diane C.:

Primary Outcome Measures:
  • Safety will be measured by obtaining clinical laboratory tests, vital signs and evaluating probably or definitely related adverse events.
  • Population pharmacokinetics will be conducted to measure plasma concentrations in relation to the drug responses to buspirone.
  • The primary efficacy outcome will be the overall severity score from the Clinical Global Impressions assessment obtained from two raters, (parent and examiner)
  • Comparisons of allele, and genotype frequencies between responders and non-responders will be done for each polymorphism using Fisher's exact test to best predict response to buspirone.

Estimated Enrollment: 20
Study Start Date: March 2004
Study Completion Date: August 2005
Detailed Description:

Autism is a neurodevelopmental disorder defined as qualitative impairment in social interaction and communication and restrictive stereotype patterns of behavior, interests and activities. Pharmacological agents are being increasingly used off label in very young autistic children, and there is virtually no data regarding the pharmacokinetics, safety or efficacy of these agents in young children.

The approach in this study differs from pharmacotherapy studies of autism carried out thus far in several ways:

  • the rationale underlying our approach is based upon an attempt to alter synaptic plasticity during postnatal development, focusing on very young children
  • are integrating our drug trial with a PG study evaluating whether buspirone response is related to expression of genes involved in serotoninergic neurotransmission
  • will assess these variables together with in vivo assessment of serotonin synthesis capacity with PET.

This is a prospective, randomized, double blind, crossover study where children will be stratified by age into two groups. Treatment will last for 12 weeks with dosing twice a day. Parent ratings, cognitive tests and blood sampling will occur throughout the study period.

  Eligibility

Ages Eligible for Study:   2 Years to 6 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Meet study definition for the diagnosis of autistic disorder
  • Age 2 to 6 (male or female)
  • Informed Consent

Exclusion Criteria:

  • Clinical or lab evidence of renal or hepatic disease
  • Treatment with any medication known to alter the activity of the CYP3A4 enzyme including ketoconazole, itraconazole, grapefruit juice, erythromycin, clarithromycin, cimetidine, verapamil, diltiazem, rifampin, phenytoin, phenobarbital, or carbamazepine within the previous 3 months
  • Use of centrally acting drugs during the 6 weeks prior or during the study
  • Presence or history of neurological disorders, including seizure disorders
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00166621

Locations
United States, Michigan
PET Center/Children's Hospital of Michigan
Detroit, Michigan, United States, 48201
Sponsors and Collaborators
Chugani, Diane C.
  More Information

Additional Information:
No publications provided

Responsible Party: Diane C Chugani, Wayne State University
ClinicalTrials.gov Identifier: NCT00166621     History of Changes
Other Study ID Numbers: PPRU 10659s
Study First Received: September 9, 2005
Last Updated: July 19, 2011
Health Authority: United States: Federal Government
United States: Instituional Review Board (Wayne State University)

Keywords provided by Chugani, Diane C.:
Autism
Neuroplasticity

Additional relevant MeSH terms:
Autistic Disorder
Child Development Disorders, Pervasive
Mental Disorders Diagnosed in Childhood
Mental Disorders
Buspirone
Serotonin Receptor Agonists
Serotonin Agents
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions
Physiological Effects of Drugs
Anti-Anxiety Agents
Tranquilizing Agents
Central Nervous System Depressants
Central Nervous System Agents
Therapeutic Uses
Psychotropic Drugs

ClinicalTrials.gov processed this record on April 17, 2014