Autism Clinical Trial
Official title:
An Open-label (Part One) and a Randomized, Double-blind, Placebo-Controlled (Part Two) Study of the Pharmacokinetics, Safety, Efficacy, and Tolerability of Memantine in Pediatric Patients With Autism
The purpose of this study is to investigate the safety and efficacy of memantine extended release, as well as its extent of absorption in pediatric patients with autism.
This is a multicenter, two-part study in pediatric (ages 6 to 18 years) patients diagnosed
with autism.
Patients participating in Part One will receive a single open-label dose of memantine. Blood
samples for pharmacokinetic analysis will be collected.
Part Two is a randomized, double-blind, placebo-controlled 12-week efficacy and safety study
evaluating change in all core domains (social interactions, communication, and restricted
interests and repetitive behaviors) of autism.
In the Forest autism trials conducted in children ages 6-12, dosing with an extended release
formulation of memantine was weight-based. These weight based dose limits were selected to
ensure exposure in terms of area under the curve (AUC) was less than the predefined limit of
2100 ng∙h/mL that represented a 10-fold lower exposure than observed at the NOAEL (No
observed adverse effect level) of 15 mg/kg/day in juvenile rats.
The weight-based dose limits in these studies were as follows:
- Group A: ≥ 60 kg; max 15 mg/day
- Group B: 40-59 kg; max 9 mg/day
- Group C: 20-39 kg; max 6 mg/day
- Group D: < 20 kg; max 3 mg/day
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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