Phase 2
N=28
Safety, Tolerability, Pharmacokinetic, and Efficacy Study of AZD5213 in Adolescents With Tourette's Disorder
Tourette Syndrome
Bottom Line
View on ClinicalTrials.gov: NCT01904773 ↗Enrolled (actual)
28
Serious AEs
2.5%
Results posted
Jul 2016
Primary outcome: Primary: Total Tic Severity Score (Part 2 Only) Crossover Analysis Over 6 Periods — 24.32; 25.41; 22.99 Total Tic Severity Score — p=0.0087
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- AZD5213 and placebo (Drug)
- Age
- Pediatric · 12+ yrs
- Sex
- All
- Sponsor
- AstraZeneca
- Primary completion
- Feb 2015
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Total Tic Severity Score (Part 2 Only) Crossover Analysis Over 6 Periods |
24.32; 25.41; 22.99 | 0.0087 sig |
| PRIMARY Pharmacokinetics : Maximum Plasma Concentration (ng/ml) - Part 1 Only |
3.690 | — |
| PRIMARY Pharmacokinetics : Time to Maximum Concentration (hr) - Part 1 Only |
2.112 | — |
| PRIMARY Pharmacokinetics : AUC (h*ng/ ml) - Part 1 Only |
26.356 | — |
Summary
This is a two-part, randomized, multi-center, blinded study in adolescents with Tourette's Disorder. There will be an up to 21-day screening period in which subject eligibility will be determined. In Part 1 of the study, the safety, tolerability and pharmacokinetics of AZD5213 will be assessed during a 1- week period.
In Part 2 of the study, the safety, tolerability, and preliminary efficacy of two doses (depending on tolerability in Part 1 of the study) of AZD5213 and placebo will be assessed through six consecutive four-week crossover periods. Each subject will receive both AZD5213 and placebo. A follow-up vist will take place at 14 (±) 7 days following the last dose of study drug.
Eligibility Criteria
Inclusion Criteria
- Male or female, between the ages of ≥ 12 and < 18 years at baseline (Day 1).
- Meets Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) criteria for Tourette's Disorder, as assessed by the Kiddie-SADS (Schedule for Affective Disorders and Schizophrenia)-Present and Lifetime Version (K-SADS-PL) Tic Disorder Supplement and clinical interview.
- Yale Global Tic Severity Scale (YGTSS) Total Tic Severity Score (TTS) ≥ 20 at Screen and baseline (Day 1).
- Symptoms of Tourette's Disorder must impair school, occupational, and/or social function.
- Written informed assent or consent provided by the subject, and written informed consent provided by the parent(s)/guardians(s), as appropriate per the Institutional Review Board/Ethics Committee. 6. Weight ≥ 40 kg at the screening and baseline (Day 1) visits.
- In the opinion of the investigator, the subject and designated guardian(s) and/or parent(s) must be considered likely to comply with the study protocol and to have a high probability of completing the study.
Exclusion Criteria
Subjects should not enter the study if any of the following exclusion criteria are fulfilled:
- Prior participation in any AZD5213 study.
- Acute suicidality as evidenced by answering "yes" for question #4 or question #5 on the Columbia-Suicide Severity Rating Scale (C-SSRS), indicating active suicidal ideation with any intent to act, at Screen or baseline (Day 1).
- Pregnant or breast-feeding females.
- History of seizure disorder other than a single childhood febrile seizure.
- Presence of any psychiatric or neurologic disorder or symptom, if, in the judgment of the investigator, the psychiatric or neurologic disorder or symptom is likely to confound interpretation of drug effect or affect the subject's ability to complete the study. 6. Any clinically important abnormality as determined by the investigator at Screen or baseline (Day 1) in physical or neurologic examination, vital sign, ECG, or clinical laboratory test results that could be detrimental to the subject or could affect the subject's ability to complete the study.
- History or presence of any clinically important medical condition that, in the judgement of the investigator, is likely to deteriorate, could be detrimental to the subject, or could affect the subject's ability to complete the study.
- History or presence of a clinically important sleep disorder.
Data sourced from ClinicalTrials.gov (NCT01904773). 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.