Study of Aripiprazole in the Treatment of Children and Adolescents With Autistic Disorder (AD)

This study has been completed.
Sponsor:
Collaborator:
Otsuka America Pharmaceutical
Information provided by:
Otsuka Pharmaceutical Development & Commercialization, Inc.
ClinicalTrials.gov Identifier:
NCT00337571
First received: June 13, 2006
Last updated: November 7, 2013
Last verified: November 2009
  Purpose

This study will compare the effectiveness (how well the drug works) of aripiprazole with placebo (fixed dose) in reducing serious behavioral problems in children and adolescents with a diagnosis of autistic disorder (AD).


Condition Intervention Phase
Behavioral Symptoms
Autistic Disorder
Drug: Aripiprazole
Drug: Placebo
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Investigator)
Primary Purpose: Treatment
Official Title: A Multicenter Double-Blind, Randomized, Placebo-Controlled, Parallel-Group Study With Three Fixed Doses of Aripiprazole in the Treatment of Children and Adolescents With Autistic Disorder (AD)

Resource links provided by NLM:


Further study details as provided by Otsuka Pharmaceutical Development & Commercialization, Inc.:

Primary Outcome Measures:
  • Mean Change (Week 8 - Baseline) in the Autistic Behavior Checklist (ABC) Irritability Subscale Score [ Time Frame: Week 8 ] [ Designated as safety issue: No ]
    The ABC is a 58-item informant-based assessment of problem behaviors in children/adolescents with mental retardation. Items are rated on a 4-point scale (0=no problem, 3=severe problem), and resolve into 5 domain subscales. A decrease in score indicates improvement.


Secondary Outcome Measures:
  • Mean Clinical Global Impressions Improvement Scale (CGI-I) Score [ Time Frame: Week 8 ] [ Designated as safety issue: No ]
    The CGI scale is a clinician-rated global assessment of a patient's improvement over time. Baseline assessment rated a patient's condition on a 7-point scale (1=no symptoms, 7=very severe symptoms). Subsequent assessed improvement relative to baseline symptoms on a 7-point CGI-I item scale (1=very much improved, 7=very much worse).

  • Number of Participants With Response at Week 8 [ Time Frame: Week 8 ] [ Designated as safety issue: No ]
    Response defined as a ≥ 25% reduction from baseline to endpoint in the ABC Irritability Subscale score and a CGI-I score of 1 or 2 at endpoint.

  • Mean Change (Week 8 - Baseline) in the Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS; Compulsion Scale Only) [ Time Frame: Week 8 ] [ Designated as safety issue: No ]
    CY-BOCS=10-item assessment of obsessive-compulsive symptoms in patients <18 years. 5 items pertaining to compulsions rate symptoms (time spent, interference with functioning, distress, resistance, control) on a 5-point scale (0=no symptoms/minimum severity, 4=extreme symptoms/maximum severity). A decreased in value indicates improvement.

  • Mean Change (Week 8 - Baseline) in the Other ABC Subscale Scores [ Time Frame: Week 8 ] [ Designated as safety issue: No ]
    Mean change (Week 8 - baseline) in the other ABC subscale scores (lethargy/social withdrawal; stereotypic behavior; hyperactivity/ noncompliance; inappropriate speech). A decrease in value indicates improvement.

  • Mean Change (Week 8 - Baseline) in CGI-Severity (CGI-S) [ Time Frame: Week 8 ] [ Designated as safety issue: No ]
    A CGI-S assessment (a 7-point scale to evaluate the severity of symptoms) was performed at baseline (1=no symptoms; 7=very severe symptoms). The patient's improvement relative to the symptoms at baseline on were assessed on a 7-point CGI-I (1=very much improved; 7=very much worse). A decrease in value indicates improvement.

  • Summary of Safety [ Time Frame: continuously throughout the study ] [ Designated as safety issue: Yes ]
    Deaths, Adverse Events (AEs), Serious AEs (SAEs), Treatment-Emergent AEs and AEs leading to discontinuation

  • Change From Baseline in Body Weight [ Time Frame: Week 8 ] [ Designated as safety issue: Yes ]
    Adjusted mean change (Week 8 - baseline) in body weight


Enrollment: 218
Study Start Date: June 2006
Study Completion Date: June 2008
Primary Completion Date: June 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: A1
5 mg
Drug: Aripiprazole
Tablets, Oral, once daily, 8 weeks
Other Name: Abilify
Experimental: A2
10 mg
Drug: Aripiprazole
Tablets, Oral, once daily, 8 weeks
Other Name: Abilify
Experimental: A3
15 mg
Drug: Aripiprazole
Tablets, Oral, once daily, 8 weeks
Other Name: Abilify
Placebo Comparator: B1 Drug: Placebo
Tablets, Oral, once daily, 8 weeks

  Eligibility

Ages Eligible for Study:   6 Years to 17 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Meets current Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) diagnostic criteria for AD and demonstrates serious behavioral problems; diagnosis confirmed by Autism, Diagnostic Interview-Revised (ADI-R).
  • CGI score > = 4 AND an ABC Irritability/Agitation subscale score > = 18 at screening and baseline (randomization)
  • Mental age of at least 18 months
  • Male or female 6 to 17 years of age inclusive, at the time of randomization

Exclusion Criteria:

  • Patients considered treatment resistant to neuroleptic medication based on lack of therapeutic response to 2 different neuroleptics after treatment of at least 3 weeks each
  • Patients previously treated and not responding to aripiprazole treatment
  • The patient is currently diagnosed with another disorder on the autism spectrum, including PDD-NOS, Asperger's Disorder, Rett's Disorder, Fragile-X Syndrome or Childhood Disintegrative Disorder
  • Current diagnosis of bipolar disorder, psychosis, schizophrenia, or major depression
  • A seizure in the past year
  • History of severe head trauma or stroke
  • Non-pharmacologic therapy (e.g., psychotherapy, behavior modification) should be stable prior to screening and consistent throughout the study
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00337571

  Hide Study Locations
Locations
United States, Alabama
University Of Alabama At Birmingham
Birmingham, Alabama, United States, 35294
Harmonex Neuroscience
Dothan, Alabama, United States, 36303
United States, Arizona
Southwest Autism Research And Resource Center
Phoenix, Arizona, United States, 85006
United States, California
Clinical Innovations, Inc.
Huntington Beach, California, United States, 92647
University Of California-Davis Medical Center
Sacramento, California, United States, 95817
Stanford University School Of Medicine
Stanford, California, United States, 94305
United States, Colorado
The Children'S Hospital
Aurora, Colorado, United States, 80045
United States, Florida
Marsella, Gregory
Boca Raton, Florida, United States, 33432
University Of Florida
Gainesville, Florida, United States, 32611
University Of South Florida
Tampa, Florida, United States, 33613
United States, Georgia
Institute For Behavioral Medicine
Smyrna, Georgia, United States, 30080
United States, Illinois
University Of Illinois At Chicago
Chicago, Illinois, United States, 60606
United States, Massachusetts
Cambridge Health Alliance
Medford, Massachusetts, United States, 02139
Ladders Clinic
Wellsley, Massachusetts, United States, 02481
United States, Michigan
Children'S Hospital Of Michigan
Detroit, Michigan, United States, 48201
United States, Minnesota
Regions Hospital
St. Paul, Minnesota, United States, 55101
United States, Missouri
Children'S Mercy Hospital
Kansas City, Missouri, United States, 64108
United States, Nebraska
Munroe-Meyer Institute
Omaha, Nebraska, United States, 68198
United States, New York
North Shore - Long Island Jewish Health System
Bethpage, New York, United States, 11714
Seaver And New York Autism Center Of Excellence
New York, New York, United States, 10029
Richmond Behavioral Associates
Staten Island, New York, United States, 10312
United States, North Carolina
Mission Hospitals
Asheville, North Carolina, United States, 28801
Duke Child And Family Study Center
Durham, North Carolina, United States, 27710
United States, Ohio
The Nisonger Center
Columbus, Ohio, United States, 43210
United States, Oklahoma
Cutting Edge Research
Oklahoma City, Oklahoma, United States, 73116
United States, Pennsylvania
Western Psychiatric Institute And Clinic
Pittsburgh, Pennsylvania, United States, 15203
United States, Texas
Dallas Pediatric Neurology Associates
Dallas, Texas, United States, 75230
Bayou City Research, Ltd.
Houston, Texas, United States, 77007
United States, Virginia
Children'S National Medical Center
Fairfax, Virginia, United States, 22031
United States, Washington
Pacific Institute Of Medical Sciences
Bothell, Washington, United States, 98011
United States, Wisconsin
Children'S Hospital Of Wisconsin
Milwaukee, Wisconsin, United States, 53201
Sponsors and Collaborators
Otsuka Pharmaceutical Development & Commercialization, Inc.
Otsuka America Pharmaceutical
Investigators
Study Director: Bristol-Myers Squibb Bristol-Myers Squibb
  More Information

Additional Information:
Publications:
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Study Director, Bristol-Myers Squibb
ClinicalTrials.gov Identifier: NCT00337571     History of Changes
Other Study ID Numbers: CN138-179
Study First Received: June 13, 2006
Results First Received: June 3, 2009
Last Updated: November 7, 2013
Health Authority: United States: Food and Drug Administration

Keywords provided by Otsuka Pharmaceutical Development & Commercialization, Inc.:
Serious behavioral problems in children and adolescents with AD

Additional relevant MeSH terms:
Disease
Autistic Disorder
Behavioral Symptoms
Pathologic Processes
Child Development Disorders, Pervasive
Mental Disorders Diagnosed in Childhood
Mental Disorders
Aripiprazole
Antipsychotic Agents
Tranquilizing Agents
Central Nervous System Depressants
Physiological Effects of Drugs
Pharmacologic Actions
Central Nervous System Agents
Therapeutic Uses
Psychotropic Drugs

ClinicalTrials.gov processed this record on October 16, 2014