| E.1 Medical condition or disease under investigation |
| E.1.1 | Medical condition(s) being investigated |
| Irritability in Autism Disorder |
|
| E.1.1.1 | Medical condition in easily understood language |
|
| E.1.1.2 | Therapeutic area | Psychiatry and Psychology [F] - Behaviours [F01] |
| MedDRA Classification |
| 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 |
The primary objective was to evaluate the efficacy of aripiprazole
compared
with placebo to prevent relapses in pediatric subjects who maintained
a response for
12 weeks of aripiprazole treatment for their symptoms of irritability
associated with
autistic disorder as measured by the time from randomization to
relapse. |
|
| E.2.2 | Secondary objectives of the trial |
To evaluate the long-term effect of aripiprazole on the mean change
from end of
Phase 1 to endpoint on the Irritability subscale of the Aberrant
Behavior
Checklist-Irritability Subscale Score (ABC-I)
To evaluate the long-term effect of aripiprazole on the mean Clinical
Global
Impressions-Improvement Scale (CGI-I) Score at endpoint. |
|
| E.2.3 | Trial contains a sub-study | No |
| E.3 | Principal inclusion criteria |
Male or female subjects 6 to
17 years of age at the time of the baseline visit meeting Diagnostic and
Statistical Manual
of Mental Disorders-Fourth Edition, Text Revision (DSM-IV-TR)
diagnostic criteria for
autistic disorder and demonstrating behaviors such as tantrums,
aggression, self-injurious
behavior, or a combination of these problems were included in the trial.
The diagnosis of
AD was to be confirmed by the Autism Diagnostic Interview-Revised.
Subjects were to
have Clinical Global Impressions-Severity Scale (CGI-S) scores ≥ 4 AND
an ABC-I
Subscale score ≥ 18 at the screening and baseline visits and to have a mental age of at
least 24 months, as assessed by the investigators. |
|
| E.4 | Principal exclusion criteria |
|
| E.5 End points |
| E.5.1 | Primary end point(s) |
The primary efficacy endpoint was the time from randomization to
relapse.
CGI-I and ABC-I were assessed every 2 weeks. |
|
| E.5.1.1 | Timepoint(s) of evaluation of this end point |
|
| E.5.2 | Secondary end point(s) |
Additional assessments included other
ABC subscales and CGI-S. Outcome assessments included PedsQL and
CGSQ
evaluations. |
|
| E.5.2.1 | Timepoint(s) of evaluation of this end point |
|
| 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 | Yes |
| 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) | No |
| E.7.3 | Therapeutic confirmatory (Phase III) | No |
| E.7.4 | Therapeutic use (Phase IV) | Yes |
| E.8 Design of the trial |
| E.8.1 | Controlled | Yes |
| E.8.1.1 | Randomised | Yes |
| E.8.1.2 | Open | No |
| E.8.1.3 | Single blind | No |
| E.8.1.4 | Double blind | No |
| E.8.1.5 | Parallel group | No |
| E.8.1.6 | Cross over | No |
| E.8.1.7 | Other | No |
| E.8.2 | Comparator of controlled trial |
| E.8.2.1 | Other medicinal product(s) | No |
| E.8.2.2 | Placebo | Yes |
| E.8.2.3 | Other | No |
| E.8.2.4 | Number of treatment arms in the trial | 2 |
| E.8.3 |
Will this trial be conducted at a single site globally?
| No |
| E.8.4 | Will this trial be conducted at multiple sites globally? | Yes |
| E.8.6 Trial involving sites outside the EEA |
| E.8.6.2 | Trial being conducted completely outside of the EEA | Yes |
| E.8.6.3 | Specify the countries outside of the EEA in which trial sites are planned |
|
| 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.8.9.2 | In all countries concerned by the trial years | 1 |
| E.8.9.2 | In all countries concerned by the trial months | 1 |
| E.8.9.2 | In all countries concerned by the trial days | 0 |