Study to Evaluate the Efficacy and Safety of Aripiprazole
A Multinational, Multicenter, Open-label, Single-arm Study to Evaluate the Efficacy and Safety of Aripiprazole in Asian Pediatric Patients With Autism Spectrum Disorder and Behavior Problems
1 other identifier
interventional
79
3 countries
6
Brief Summary
- To evaluate the efficacy of flexibly dosed aripiprazole in reducing serious behavioral problems in Asian children and adolescents with a diagnosis of autism spectrum disorder, as measured by change from baseline to endpoint on the irritability subscale of the aberrant behavior checklist (ABC-I).
- To evaluate the long-term safety and tolerability of flexibly dosed aripiprazole in the treatment of serious behavioral problems in Asian children and adolescents with a diagnosis of autism spectrum disorder.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4
Started Feb 2014
6 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2014
CompletedFirst Submitted
Initial submission to the registry
February 13, 2014
CompletedFirst Posted
Study publicly available on registry
February 24, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2016
CompletedMarch 11, 2014
March 1, 2014
2 years
February 13, 2014
March 10, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
irritability subscale of the aberrant behavior checklist
Mean change from baseline to endpoint of Part 1 (week 12)in the caregiver-rated ABC Irritability (ABC-I) subscale score. ABC Scale will be completed by subject
Week 12
Secondary Outcomes (5)
Change from baseline in ABC-subscale of lethargy/social withdrawal, stereotypic behavior, hyperactivity, inappropriate speech
Week 1, 2, 4, 8, 12, 24, 36, 52
Change of CGI-S, CGI-I from baseline
Week 1, 2, 4, 8, 12, 24, 36, 52
Change of Behavioral problems from baseline
Week 12, 52
Change of Adaptive Skills from baseline
week 12, 52
Change of Parental stress from baseline
Weekk 12, 52
Other Outcomes (1)
Adverse events (AEs)
Week 1, 2, 4, 8, 12, 24, 36, 52
Study Arms (1)
Aripiprazole
EXPERIMENTAL* Dose level: 2, 5, 10, 15 mg/day * Starting dose: 2 mg/day * Dose increment: The dose should be gradually increased according to the investigator's judgment of subject's response. * Target dose: 5-15 mg/day * Maximum dose: 15 mg/day * Flexibly dosed (2 to 15 mg/day) aripiprazole (oral tablet or solution) is taken once in a day at the same time without regarding to meals
Interventions
Eligibility Criteria
You may qualify if:
- to 17 years of age.
- Meeting the diagnostic criteria for autistic disorder specified by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR), with a diagnosis corroborated by the Autism Diagnostic Interview-Revised (ADI-R) diagnostic instrument and demonstrated behaviors such as tantrums, aggression, self-injurious behavior, or a combination of these.
- Clinical Global Impressions (CGI) Severity subscale score ≥ 4 at screening and baseline.
- Aberrant Behavior Checklist (ABC) Irritability subscale score ≥18 at screening and baseline.
- Mental age ≥ 18 months.
- Women of childbearing potential (WOCBP) have to use an adequate method of contraception
- WOCBP must have had a negative serum or urine pregnancy test.
- The patient and/or the designated guardian(s) or caregiver(s) who are able to comprehend and comply with the protocol requirements, in the opinion of the investigator and have consented to participate by signing an informed consent form.
You may not qualify if:
- Current diagnosis of bipolar disorder, schizophrenia, major depressive disorder, Rett's disorder, or Fragile-X syndrome.
- History of neuroleptic malignant syndrome.
- Significant risk of committing suicide based on history or routine psychiatric status examination.
- History of seizure in the past 1 year.
- History of severe head trauma or stroke
- History or current evidence of any unstable medical conditions
- Patient considered treatment resistant to neuroleptic medication
- Patient considered treatment resistant to aripiprazole
- Woman who is pregnant or breastfeeding
- ECG: QTc \> 475 msec
- Platelets ≤ 75,000/μL
- Hemoglobin ≤ 9 g/dL
- Neutrophils ≤ 1.0x10\^3/μL
- Aspartate or alanine transaminase (AST or ALT) \> 3xULN
- Serum creatinine ≥ 2 mg/dL
- +4 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Yoo-Sook Jounglead
- Korea Otsuka International Asia Arabcollaborator
Study Sites (6)
Medical City
Pasig, Philippines
Philippine Children's Medical Center
Quezon City, Philippines
Inje University Ilsan Paik Hospital
Ilsan, Gyeonggi-do, 411-706, South Korea
Samsung Medical Center
Seoul, 135-710, South Korea
Asan Medical Center
Seoul, 138-736, South Korea
Siriraj Hospital Mahidol University
Bangkok, 10700, Thailand
Related Publications (1)
Kim BU, Kim HW, Park EJ, Kim JH, Boon-Yasidhi V, Tarugsa J, Reyes A, Manalo SG, Joung YS. Long-Term Improvement and Safety of Aripiprazole for Irritability and Adaptive Function in Asian Children and Adolescents with Autistic Disorder: A 52-Week, Multinational, Multicenter, Open-Label Study. J Child Adolesc Psychopharmacol. 2022 Sep;32(7):390-399. doi: 10.1089/cap.2022.0004.
PMID: 36112116DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Yoo-Sook Joung, MD. PhD.
Sumsung Medical Center
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
February 13, 2014
First Posted
February 24, 2014
Study Start
February 1, 2014
Primary Completion
February 1, 2016
Study Completion
February 1, 2016
Last Updated
March 11, 2014
Record last verified: 2014-03