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Phase 3 N=218 Randomized Double-blind Treatment

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

Behavioral Symptoms · Autistic Disorder

Enrolled (actual)
218
Serious AEs
0.9%
Results posted
Jul 2009
Primary outcome: Primary: Mean Change (Week 8 - Baseline) in the Autistic Behavior Checklist (ABC) Irritability Subscale Score — -8.4; -12.4; -13.2; -14.4 units on a scale

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Aripiprazole (Drug); Placebo (Drug)
Age
Pediatric · 6+ yrs
Sex
All
Sponsor
Otsuka Pharmaceutical Development & Commercialization, Inc.
Primary completion
Jun 2008

Outcome Measures

OutcomeResultp-value
PRIMARY
Mean Change (Week 8 - Baseline) in the Autistic Behavior Checklist (ABC) Irritability Subscale Score
-8.4; -12.4; -13.2; -14.4
SECONDARY
Mean Clinical Global Impressions Improvement Scale (CGI-I) Score
3.3; 2.6; 2.5; 2.5
SECONDARY
Number of Participants With Response at Week 8
17; 29; 29; 28
SECONDARY
Mean Change (Week 8 - Baseline) in the Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS; Compulsion Scale Only)
-1.7; -2.6; -2.4; -3.2
SECONDARY
Mean Change (Week 8 - Baseline) in the Other ABC Subscale Scores
-7.7; -14.0; -13.3; -16.3; -1.8; -4.5
SECONDARY
Mean Change (Week 8 - Baseline) in CGI-Severity (CGI-S)
-0.6; -0.9; -1.0; -1.1
SECONDARY
Summary of Safety
0; 0; 0; 0; 0; 1
SECONDARY
Change From Baseline in Body Weight
0.3; 1.3; 1.3; 1.5

Summary

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).

Eligibility 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
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00337571). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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