Aggression Clinical Trial
Official title:
Long-Term Lithium for Aggressive Conduct Disorder
This study will examine the long-term effects of lithium used to treat children and adolescents with aggressive conduct disorder (severe aggression).
Psychotherapeutic agents are often administered without sufficient testing to children and
adolescents, often on a long-term basis, to reduce aggression. Many pressures, including
managed care, will increase the utilization of pharmacotherapy in the outpatient setting to
treat serious problems. Lithium is the most promising agent for the treatment of aggression
in children and adolescents. However, it has not been shown that lithium is an effective
treatment for these patients in the outpatient (non-hospital) setting, or on a long-term
basis. The purpose of this study is to examine the long-term effects of lithium used to
treat children and adolescents with aggressive conduct disorder (severe aggression).
The proposed study is a two-phased clinical trial of lithium for the treatment of aggression
in conduct disorder. Both phases are double-blind and placebo-controlled with randomization
and employ a parallel groups design. Phase 1 contains a short-term 8-week controlled trial,
with twice as many subjects randomized to lithium as placebo, increasing the pool of
potential lithium responders to continue to Phase 2. In Phase 2, lithium responders from
Phase 1 enter a 6-month long-term controlled trial. Every attempt is made to define
responders to lithium.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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