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Valproate Response in Aggressive Autistic Adolescents

This study is currently recruiting participants.
Verified by National Institute of Child Health and Human Development (NICHD), June 2003

Sponsors and Collaborators: National Institute of Child Health and Human Development (NICHD)
National Institute of Mental Health (NIMH)
Information provided by: National Institute of Child Health and Human Development (NICHD)
ClinicalTrials.gov Identifier: NCT00065884
  Purpose

This study will examine the effect of valproate, a medication used to treat seizures and bipolar disorder, on aggressive behavior in children and adolescents with autism.


Condition Intervention Phase
Autism
Drug: Valproate
Phase III

MedlinePlus related topics:   Autism   

ChemIDplus related topics:   Divalproex sodium    Valproate Sodium    Valproic acid   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Randomized, Double-Blind, Placebo Control, Factorial Assignment, Safety/Efficacy Study
Official Title:   Valproate Response in Aggressive Autistic Adolescents

Further study details as provided by National Institute of Child Health and Human Development (NICHD):

Estimated Enrollment:   30

Detailed Description:

Autism is a complex biological disorder that generally lasts throughout a person’s life. It starts before age three and causes delays or problems with many different ways in which a person develops or grows. Some people with autism become very aggressive and can hurt others or themselves. This study will test the hypothesis that aggressive autistic adolescents will show a significantly greater response to valproate maintained at blood levels of 75-100 mcg/ml than to placebo. The study will also assess the safety of valproate in autistic adolescents. This represents the first double-blind study of valproate in mentally retarded/developmentally delayed populations.

Participants in this study will undergo DSM-IV evaluation, the Autism Diagnostic Interview-Revised and Autism Diagnostic Observation Schedule, and baseline blood tests. After baseline screening, all participants will be given a placebo for 1 week. Participants will then be randomized to receive either valproate or placebo for 8 weeks. Dosage adjustment according to blood levels drawn at the end of weeks 2 and 4 will be arranged with parents by a child psychiatrist without breaking the blind. The Aberrant Behavior Check-list-Community (ABC-C) irritability subscale will be the primary measure; the Overt Aggression Scale (OAS), ABC-C hyperactivity subscale, Clinical Global Impressions (CGI) problem severity, Self-Injurious Behavior Questionnaire (SIB-Q), and a valproate side effects checklist will be secondary measures.

  Eligibility
Ages Eligible for Study:   6 Years to 21 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

Inclusion Criteria

  • Autism
  • Lives in the Kansas City area

Exclusion Criteria

  • Psychoactive maintenance medication
  • Degenerative central nervous system disorder
  • Unstable medical illness
  • Seizures in the 6 months prior to study entry
  • History of valproate sensitivity or previous liver disease
  • History of ovarian cysts
  • Low platelet count or raised liver transaminases
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00065884

Locations
United States, Kansas
Outpatient MR/Autism Clinic, University of Kansas     Recruiting
      Kansas City, Kansas, United States, 66160
      Contact: Marilyn Weckbaugh, RN     913-588-1315     mweckbaugh@kumc.edu    

Sponsors and Collaborators

Investigators
Principal Investigator:     Jessica A. Hellings, M.D.     University of Kansas    
  More Information


Study ID Numbers:   P30HD02528, K08MH01516
First Received:   August 1, 2003
Last Updated:   June 23, 2005
ClinicalTrials.gov Identifier:   NCT00065884
Health Authority:   United States: Federal Government

Keywords provided by National Institute of Child Health and Human Development (NICHD):
Adolescents  

Study placed in the following topic categories:
Autistic Disorder
Aggression
Valproic Acid

Additional relevant MeSH terms:
Neurotransmitter Agents
Tranquilizing Agents
Molecular Mechanisms of Pharmacological Action
Physiological Effects of Drugs
Psychotropic Drugs
Central Nervous System Depressants
Enzyme Inhibitors
Antimanic Agents
Pharmacologic Actions
Therapeutic Uses
GABA Agents
Central Nervous System Agents
Anticonvulsants

ClinicalTrials.gov processed this record on October 17, 2008




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