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Phase 3 N=133 Randomized Quadruple-blind Treatment

Study Evaluating the Safety and Efficacy of Fixed-dose Once-daily Oral Aripiprazole in Children and Adolescents With Tourette's Disorder

Tourette's Disorder · Tic Disorder

Enrolled (actual)
133
Serious AEs
0.0%
Results posted
Feb 2015
Primary outcome: Primary: Change From Baseline to Week 8 in Yale Global Tic Severity Scale (YGTSS) Total Tic Score (TTS). — -13.35; -16.94; -7.09 Units on a scale — p=0.0020

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Aripiprazole (Drug); Placebo (Drug)
Age
Pediatric · 7+ yrs
Sex
All
Sponsor
Otsuka Pharmaceutical Development & Commercialization, Inc.
Primary completion
Aug 2013

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline to Week 8 in Yale Global Tic Severity Scale (YGTSS) Total Tic Score (TTS).
-13.35; -16.94; -7.09 0.0020 sig
SECONDARY
Change in Clinical Global Impressions Scale-Tourette's Syndrome (CGI-TS) Score at Week 8.
2.12; 2.13; 3.15 0.0001 sig
SECONDARY
Mean Change From Baseline to Endpoint (Week 8) in Total YGTSS Score
-26.69; -32.80; -13.43 0.0017 sig
SECONDARY
Mean Change From Baseline to Endpoint (Week 8) in CGI-TS Severity Score
-1.35; -1.47; -0.55 0.0010 sig
SECONDARY
Response Rate
73.8; 88.6; 54.8 0.0835
SECONDARY
Treatment Discontinuation Rate
4.5; 22.5; 4.5 0.9187

Summary

The goal of the current trial is to determine efficacy and safety of Once-daily aripiprazole in reducing Total Tic Severity in children and adolescents with Tourette's Disorder.

Eligibility Criteria

Inclusion Criteria

  • male or female, 7 to 17 year old (inclusive) at the time of signing consent
  • meets DSM-IV-TR diagnostic criteria for Tourette's Disorder
  • Presenting tic symptoms cause impairment in the subject's normal routines, which include academic achievement, occupational functioning, social activities, and/or relationships
  • Females of childbearing potential must have a negative pregnancy test, must be practicing acceptable double-barrier methods of contraception and must not be pregnant or lactating
  • Written informed consent obtained from a legally acceptable representative & informed assent at Screening as applicable by trial center's IRB/IEC
  • The subject, designated guardian(s) or caregiver(s) are able to comprehend and satisfactorily comply with the protocol requirements, as evaluated by the investigator

Exclusion Criteria

  • Clinical presentation and/or history, consistent with another neurologic condition that may have accompanying abnormal movements
  • History of schizophrenia, bipolar disorder, or other psychotic disorder
  • Subject receiving psychostimulants for treatment of ADD/ADHD and who have developed and/or had exacerbations of tic disorder after initiation of stimulant treatment
  • Currently meets DSM-IV-TR criteria for a primary mood disorder
  • Severe Obsessive Compulsive Disorder (OCD)
  • Taken aripiprazole within 30 days of the Screening visit
  • Received any investigational agent in a clinical trial within 30 days prior to Screening, enrolled in studies 31-12-272, 31-12-273, 31-12-274; or who were randomized into a clinical trial with Once-daily aripiprazole at any time
  • History of neuroleptic malignant syndrome
  • Sexually active patients not using 2 approved methods of contraception
  • Females breastfeeding or pregnant (positive blood pregnancy test prior to receiving trial drug)
  • Risk of committing suicide
  • Body weight lower than 16 kg
  • Taken neuroleptic or antiparkinson drugs < 14 days prior to randomization
  • Requiring cognitive behavioral therapy (CBT) for Tourette's during trial
  • Subject meets DSM-IV-TR criteria for any significant psychoactive substance use disorder within the past 3 months
  • Positive drug screen
  • Subject requires medications not allowed per protocol
  • Use of CYP2D6 and CYP3A4 inhibitors or CYP3A4 inducers within 14 days prior to dosing and for duration of trial
  • Use of herbal medications of any kind and nutritional or dietary supplements for Tourette's disorder within 7 days prior to dosing and for the duration of the trial
  • Inability to swallow tablets or tolerate oral medication
  • Abnormal laboratory test results, vital signs and ECG results
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01727700). 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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