Tourette Syndrome Clinical Trial
OBJECTIVES: I. Determine whether the time period between randomization and endpoint is
longer in the short term pimozide therapy or longer term therapy in patients with Tourette
syndrome.
II. Determine whether tic severity, medication side effects, academic performance and
psychosocial functioning are better in the short term pimozide therapy or longer term
pimozide therapy.
PROTOCOL OUTLINE: This is a combined open label and double blind randomized study.
Patients receive pimozide (open label) orally until a stable level of tic control is
achieved and remains unchanged for at least 1 month.
Then, patients are randomized to one of two possible double blind treatments. In the short
term pimozide group, patients receive pimozide over 2 weeks. Then, pimozide is gradually
replaced by an inactive placebo within the following 10 weeks.
Patients in the long term pimozide group receive pimozide. Patients continue treatment for
12 months or until a worsening of tics or behavioral symptoms are present for which an
increased dosage is required.
Patients who do not experience an exacerbation of tics requiring an increase in dosage are
followed for 1 year from the date of entry.
;
Allocation: Randomized, Primary Purpose: Treatment
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