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Double-blind Trial of Buspirone for the Treatment of Anxiety in Youth With Autism Spectrum Disorders

Phase 2
Withdrawn
Conditions
Autism Spectrum Disorder (ASD)
Interventions
Drug: Placebo
Registration Number
NCT01395953
Lead Sponsor
Massachusetts General Hospital
Brief Summary

The main objective of this exploratory 8 week pilot study is to evaluate the safety and efficacy of buspirone for the treatment of anxiety in youth (ages 6-17 years) with autism spectrum disorders. The study results will be used to generate hypotheses for a larger randomized controlled clinical trial with explicit hypotheses and sufficient statistical power.

Detailed Description

Not available

Recruitment & Eligibility

Status
WITHDRAWN
Sex
All
Target Recruitment
Not specified
Inclusion Criteria
  • Male or female participants between 6 and 17 years of age.
  • Fulfills diagnosis of autism spectrum disorders by meeting DSM-IV-TR PDD diagnostic criteria of autistic disorder, Asperger's disorder, or PDD-NOS as established by clinical diagnostic interview.
  • Participants with a score of ≥60 on the Anxiety/Depression subscale of Child Behavior Checklist (CBCL) and CGI-Anxiety severity of ≥4.
  • Subjects can be on psychotropic drugs if they have been on the medication for at least 4 weeks prior to initiating study treatment and if they are on a stable dose.
  • Subjects with disruptive behavior disorders, mood, or psychosis will be allowed to participate in the study provided they do not meet any exclusionary criteria.
Exclusion Criteria
  • Mental retardation (I.Q. <70)
  • DSM-IV-TR PDD diagnosis of Rett's disorder, and childhood disintegrative disorder.
  • History of active seizure disorder (EEG suggestive of seizure activity and/or history of seizure in last 1 month).
  • Subjects with a medical condition or treatment that will either jeopardize subject safety or affect the scientific merit of the study, including: pregnant or nursing females, organic brain disorders, uncorrected hypothyroidism or hyperthyroidism, clinically significant abnormalities on ECG (e.g. QT prolongation, arrhythmia), history of renal or hepatic impairment.
  • Clinically unstable psychiatric conditions or judged to be at serious suicidal risk.
  • History of substance abuse (except nicotine of caffeine) within past 3 months or urine drug screen positive for substances of abuse.
  • Any other concomitant medication with primary central nervous system activity other than stable regimens for >2 weeks.
  • A non-responder or history of intolerance to buspirone, after treatment at an adequate dose and duration as determined by the clinician.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlacebo-
BuspironeBuspirone-
Primary Outcome Measures
NameTimeMethod
Reduction in Pediatric Anxiety Rating Scale (PARS) Scorebaseline to 8 weeks

Primary outcome measure of efficacy will be assessed by reduction in anxiety symptom severity as measured by change from baseline. Responders are defined as ≥30% reduction in the Pediatric Anxiety Rating Scale (PARS).

Clinical Global Impression-Anxiety (CGI-Anxiety) Improvement Scorebaseline to 8 weeks

Primary outcome measure of efficacy will be assessed by reduction in anxiety symptom severity as measured by Clinical Global Impression-Anxiety (CGI-Anxiety). Responders are defined as a score of ≤2 on the improvement subscale (i.e., "much" or "very much improved").

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

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