E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Autism or Asperger's Disorder or Pervasive Developmental Disorder Not
Otherwise Specified (PDD-NOS) Previously Treated with Memantine |
Autismo, Sindrome di Asperger o Disturbo Pervasivo dello Sviluppo non altrimenti specificato (Pervasive Developmental Disorder Not Otherwise Specified, PDD-NOS) |
|
E.1.1.1 | Medical condition in easily understood language |
Autism Previously Treated with Memantine |
Autismo precedentemente trattato con memantina |
|
E.1.1.2 | Therapeutic area | Psychiatry and Psychology [F] - Behavioral Disciplines and Activities [F04] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10008520 |
E.1.2 | Term | Childhood autism |
E.1.2 | System Organ Class | 100000004852 |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10003484 |
E.1.2 | Term | Asperger's disorder |
E.1.2 | System Organ Class | 10037175 - Psychiatric disorders |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10034739 |
E.1.2 | Term | Pervasive developmental disorder NOS |
E.1.2 | System Organ Class | 10037175 - Psychiatric disorders |
|
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To evaluate the long-term safety and tolerability of memantine in the
treatment of pediatric patients with autism, Asperger's Disorder or
Pervasive Developmental Disorder Not Otherwise Specified
(PDD-NOS). |
L’obiettivo di questo studio è la valutazione della sicurezza e tollerabilità a lungo termine nel trattamento di pazienti pediatrici affetti da autismo, sindrome di Asperger o disturbo pervasivo dello sviluppo non altrimenti specificato (PDD-NOS). |
|
E.2.2 | Secondary objectives of the trial |
Not Applicable - no secondary objectives |
non applicabile- non ci sono obiettivi secondari |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. The parents/guardian/LAR must provide written informed consent before the patient's participation in the study.2. Parents who are capable of providing reliable information about the patient's condition, attending all clinic visits with the patient, and overseeing the administration of study drug. 3. Patients who completed Study MEM-MD-68 or MEM-MD-91. Patients who discontinued Study MEM-MD-68 due to meeting the criterion for loss of therapeutic response. Sponsor approval is required before enrolling any other patient who discontinued a preceding memantine study. 4. Females who are 9 years and older or who have had onset of menses must have a negative urine pregnancy test at Visit 1. 6. Have a family that is sufficiently organized and stable to guarantee adequate safety monitoring and continuous attendance to clinic visits for the duration of the study 7. Be able to speak and understand Italian sufficiently, as well as have parents who are able to speak and understand Italian sufficiently to comprehend the nature of the study and to allow for the completion of all study assessments |
1.I genitori devono fornire un consenso informato scritto prima della partecipazione del paziente nello studio.2. Genitori in grado di fornire informazioni affidabili sulle condizioni del paziente, in grado di partecipare a tutte le visite in ospedale con il paziente, e in grado di controllare la somministrazione del prodotto in sperimentazione. 3. I pazienti che hanno completato lo studio MEM-MD-68 o MEM-MD-91. I pazienti che hanno interrotto lo studio MEM-MD-68 avendo soddisfatto il criterio per la perdita della risposta terapeutica. L'approvazione dello Sponsor è richiesta prima dell’arruolamento di qualsiasi altro paziente che ha interrotto un precedente studio con memantina. 4. Le femmine che hanno 9 anni di età o che hanno avuto inizio delle mestruazioni devono avere un test di gravidanza negativo sulle urine alla Visita 1. 5. Avere risultati normali all'esame obiettivo, normali esami di laboratorio, ECG, segni vitali alla Visita 1 del presente studio (ultima visita dello studio MEM-MD-91). Eventuali risultati anomali devono essere considerati non clinicamente significativi dallo sperimentatore e documentati. 6. Avere una famiglia che è sufficientemente organizzata e stabile per garantire un adeguato controllo di sicurezza e assistenza continua per le visite ambulatoriali per tutta la durata dello studio 7. Essere in grado di parlare e capire l'italiano a sufficienza,così come avere dei genitori in grado di parlare e capire l'italiano a sufficienza, per comprendere la natura dello studio e per consentire il completamento di tutte le valutazioni di studio |
|
E.4 | Principal exclusion criteria |
1. Patients who discontinued a preceding memantine study due to an
adverse event possibly related to study drug 2. Patients with a concurrent medical condition that might interfere with the conduct of the study, confound interpretation of the study results, or endanger the patient's well being 3. Significant risk of suicidality based on the Investigator's judgment, ABC-I, or if appropriate, as indicated by a response of ''yes'' to questions 4 or 5 in the suicidal ideation section of the Children's C-SSRS (Columbia-Suicide Severity Rating Scale) or any suicidal behavior 4. Patients with evidence or history of malignancy (other than excised basal cell carcinoma) or any significant hematologic, endocrine, cardiovascular (including any rhythm disorder), neurologic, respiratory, renal, hepatic, or gastrointestinal disease 5. Female patients of child-bearing potential who are not using or not willing to use a conventional method of contraception approved by the PI. Abstinence is an acceptable method of contraception 6. Patients requiring treatment with prohibited concomitant medications 7. Patients who, in the opinion of the Investigator, might not be suitable for the study 8. Employee or immediate relative of an employee of Forest Laboratories, Inc., any of its affiliates or partners, or the study center |
1.I pazienti che hanno interrotto un precedente studio con memantina a causa di un evento avverso possibilmente correlati al farmaco in studio1. 2.I pazienti con una condizione medica concomitante che potrebbe interferire con la conduzione dello studio, confondendo l'interpretazione dei risultati dello studio, o mettendo in pericolo il benessere del paziente 3. Significativo rischio di suicidio in base al giudizio dello sperimentatore, ABC-I, o, se del caso, come indicato dalla risposta ''sì'' alle domande 4 o 5 nella sezione di ideazione suicidaria di C-SSRS dei bambini (Columbia-Suicide Severity Rating Scale), o qualsiasi comportamento suicidario. 4.I pazienti con evidenza o anamnesi di tumore maligno (diverso dal carcinoma a patologia significativa ematologica, endocrina, cardiovascolare (incluso qualsiasi disturbo del ritmo), neurologica, respiratoria, renale, epatica o gastrointestinale 5. Pazienti di sesso femminile in età fertile che non utilizzano o non vogliono utilizzare un metodo convenzionale di contraccezione approvato dal PI. L'astinenza è un metodo accettabile di contraccezione 6. I pazienti che richiedono un trattamento con farmaci concomitanti vietati 7. Pazienti che, a giudizio del ricercatore, potrebbero non essere adatti per lo studio 8. Dipendente o parente stretto di un dipendente di Forest Laboratories, Inc., o di una delle sue affiliate o partner, o del centro |
|
E.5 End points |
E.5.1 | Primary end point(s) |
Standard safety assessments are being conducted to align withthe main
objectives of the study stated above. exploratory efficacy assessment
evaluation. |
Le valutazioni standard di sicurezza sono condotte per allinearsi con l'obiettivo principale dello studio sopra descritto.Valutazione esploratoria dell'efficacia. |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
Safety assessments are evaluated at:
Visit 1 (End of Week 0)
Visit 4 (End of Week 6)
Visit 5 (End of Week 12)
Visit 6 (End of Week 24)
Visit 7 (End of Week 36)
Visit 8/Early Termination (End of Week 48) |
Le valutazioni di sicurezza saranno valutate alla:
Visita 1 (Fine della settimana 0)
Visita 4 (Fine della settimana 6)
Visita 5 (Fine della settimana 12)
Visita 6 (Fine della settimana 24)
Visita 7 (Fine della settimana 36)
Visita 8/Terminazione anticipata (Fine della settimana 48) |
|
E.5.2 | Secondary end point(s) |
Exploratory efficacy assessment evaluation |
Valutazione esploratoria dell'efficacia |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
Exploratory Efficacy assessments are evaluated at:
Visit 1 (End of Week 0)
Visit 4 (End of Week 6)
Visit 5 (End of Week 12)
Visit 6 (End of Week 24)
Visit 7 (End of Week 36)
Visit 8/Early Termination (End of Week 48) |
Valutazione esploratoria dell'efficacia:
Visita 1 (Fine della settimana 0)
Visita 4 (Fine della settimana 6)
Visita 5 (Fine della settimana 12)
Visita 6 (Fine della settimana 24)
Visita 7 (Fine della settimana 36)
Visita 8/Terminazione anticipata (Fine della settimana 48) |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | Information not present in EudraCT |
E.8.1.2 | Open | Information not present in EudraCT |
E.8.1.3 | Single blind | Information not present in EudraCT |
E.8.1.4 | Double blind | Information not present in EudraCT |
E.8.1.5 | Parallel group | Information not present in EudraCT |
E.8.1.6 | Cross over | Information not present in EudraCT |
E.8.1.7 | Other | Information not present in EudraCT |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT |
E.8.2.2 | Placebo | Information not present in EudraCT |
E.8.2.3 | Other | Information not present in EudraCT |
E.8.2.4 | Number of treatment arms in the trial | 1 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 3 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 31 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Australia |
Colombia |
Korea, Republic of |
Mexico |
New Zealand |
Philippines |
Russian Federation |
Singapore |
South Africa |
Taiwan |
Thailand |
Ukraine |
|
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 0 |
E.8.9.1 | In the Member State concerned months | 23 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 0 |
E.8.9.2 | In all countries concerned by the trial months | 23 |
E.8.9.2 | In all countries concerned by the trial days | 0 |