Phase 2
N=479
Withdrawal Study of Memantine in Pediatric Patients With Autism, Asperger's Disorder, or Pervasive Developmental Disorder Not Otherwise Specified Previously Treated With Memantine
Autistic Disorder · Autism · Asperger's Disorder · Asperger Syndrome · Autism Spectrum Disorders
Bottom Line
View on ClinicalTrials.gov: NCT01592747 ↗Enrolled (actual)
479
Serious AEs
0.2%
Results posted
Apr 2019
Primary outcome: Primary: Proportion of Patients Meeting the Criterion for Loss of Therapeutic Response (LTR) by the End of the Study (Based on Observed Cases) — 69.0; 67.5; 66.7 Percentage of patients with LTR — p=0.6590
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Memantine Hydrochloride (HCl) (Drug); Placebo capsules (Drug)
- Age
- Pediatric · 6+ yrs
- Sex
- All
- Sponsor
- Forest Laboratories
- Primary completion
- Sep 2013
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Proportion of Patients Meeting the Criterion for Loss of Therapeutic Response (LTR) by the End of the Study (Based on Observed Cases) |
69.0; 67.5; 66.7 | 0.6590 |
| SECONDARY Time to First Loss of Therapeutic (LTR) Response |
29; 33; 30 | — |
| SECONDARY Change From Baseline in Children's Communication Checklist-2 (CCC-2) - Speech Subscale at Week 12 |
0.1; 0.1; 0.2 | 0.8136 |
| SECONDARY Change From Baseline in Children's Communication Checklist-2 (CCC-2) - Syntax Subscale at Week 12 |
0.0; 0.3; 0.1 | 0.7611 |
| SECONDARY Change From Baseline in Children's Communication Checklist-2 (CCC-2) - Semantics Subscale at Week 12 |
0.3; 0.7; 0.3 | 0.9020 |
| SECONDARY Change From Baseline in Children's Communication Checklist-2 (CCC-2) - Coherence Subscale at Week 12 |
0.7; 1.0; 1.0 | 0.4144 |
| SECONDARY Change From Baseline in Children's Communication Checklist-2 (CCC-2) - Initiation Subscale at Week 12 |
1.4; 1.6; 1.2 | 0.6238 |
| SECONDARY Change From Baseline in Children's Communication Checklist-2 (CCC-2) - Scripted Language Subscale at Week 12 |
0.8; 1.1; 0.9 | 0.8640 |
| SECONDARY Change From Baseline in Children's Communication Checklist-2 (CCC-2) - Context Subscale at Week 12 |
0.9; 0.8; 0.8 | 0.7182 |
| SECONDARY Change From Baseline in Children's Communication Checklist-2 (CCC-2) - Nonverbal Communication Subscale at Week 12 |
1.2; 1.5; 1.8 | 0.0813 |
| SECONDARY Change From Baseline in Children's Communication Checklist-2 (CCC-2) - Social Relations Subscale at Week 12 |
1.5; 1.8; 1.8 | 0.4213 |
| SECONDARY Change From Baseline in Children's Communication Checklist-2 (CCC-2) - Interests Subscale at Week 12 |
0.9; 1.3; 1.2 | 0.3713 |
Summary
The purpose of this randomized withdrawal study is to evaluate the safety, tolerability, and efficacy of memantine compared with placebo in pediatric patients with autism, Asperger's Disorder, or Pervasive Developmental Disorder Not Otherwise Specified (PDD-NOS).
Eligibility Criteria
Inclusion Criteria
- Completed at least 12 weeks of exposure to study drug in lead-in study MEM-MD-91 (NCT01592786)
- Met responder criterion at two consecutive visits separated by at least two weeks in lead-in study MEM-MD-91
- Provide written informed assent, when developmentally appropriate, to participate in the study before conduct of any study-specific procedures. The parent/guardian/LAR must provide written informed consent before the patient's participation in the study. A separate written informed consent for the caregiver must also be obtained before the conduct of any study specific procedures
- Have a knowledgeable caregiver who is capable of providing reliable information about the patient's condition, attending all clinic visits with the patient, and overseeing the administration of study drug. Every effort should be made to maintain the same caregiver as used in the lead-in study throughout this study
- Have normal results from the physical examination, laboratory tests, ECG, and vital signs at Visit 1 of this study (last visit of Study MEM-MD-91). Any abnormal findings must be deemed not clinically significant by the Investigator and documented
- Be able to speak and understand English sufficiently (or their native language if this can be accommodated by the site), as well as have a caregiver and parent/guardian/LAR who is able to speak and understand English sufficiently (or their native language if this can be accommodated by the site), to comprehend the nature of the study and to allow for the completion of all study assessments
- Have a family that is sufficiently organized and stable to guarantee adequate safety monitoring and continuous attendance to clinic visits for the duration of the study
- Females who are 9 years and older or who have had onset of menses must have a negative urine pregnancy test at Visit 1
- Age of 6 years to 12 years at the time of entry into lead in study MEM-MD-91
Exclusion Criteria
- Patients with a concurrent medical condition that might interfere with the conduct of the study, confound interpretation of the study results, or endanger the patient's well being
- Significant risk of suicidality based on the Investigator's judgment, the Aberrant Behavior Checklist-Irritability subscale (ABC-I), or if appropriate, as indicated by a response of "yes" to questions 4 or 5 in the suicidal ideation section of the Children's C-SSRS (Columbia-Suicide Severity Rating Scale) or any suicidal behavior.
- Patients with evidence or history of malignancy (other than excised basal cell carcinoma) or any significant hematologic, endocrine, cardiovascular (including any rhythm disorder), neurologic, respiratory, renal, hepatic, or gastrointestinal disease
- Female patients of child-bearing potential who are not using or not willing to use a conventional method of contraception approved by the PI. Abstinence is an acceptable method of contraception
- Patients requiring treatment with prohibited concomitant medications
- Patients who, in the opinion of the Investigator, might not be suitable for the study
- Employee or immediate relative of an employee of Forest Laboratories, Inc., any of its affiliates or partners, or the study center
Data sourced from ClinicalTrials.gov (NCT01592747). 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.