Cariprazine Pediatric ASD PK Study
Primary Purpose
Autism Spectrum Disorder
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Cariprazine
Sponsored by
About this trial
This is an interventional treatment trial for Autism Spectrum Disorder focused on measuring ASD, Autism
Eligibility Criteria
Inclusion Criteria:
- Participants must meet the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) criteria for ASD (Autism Spectrum Disorder) diagnosis.
- Participants must have normal physical examination findings and clinical laboratory test results for their age group or abnormal results judged not clinically significant by the investigator.
- Negative serum hCG (human chorionic gonadotropin) pregnancy test at screening (all female participants that have reached menarche).
- BMI greater than the 5th percentile for age and gender based on CDC (Centers for Disease Control and Prevention) growth charts.
- Participant (if reached his spermarche or her menarche), must agree to sexual abstinence or to use an approved birth control method for the full duration of participation in the study. The investigator and each participant will determine the appropriate method of contraception for the participant during their participation in the study.
- Participant's parent(s)/legal representative(s) must be capable of giving signed informed consent , which includes compliance with the requirements and restrictions listed in the ICF and in the protocol as explained by the investigator. Written informed consent from the participant's parent(s)/legal representative(s) must be obtained prior to any study-related procedures.
- Assent (unless local regulations require consent) must be obtained for all participants participating in the study.
- Participant must have a parent or legal representative who is willing and able to be responsible for safety monitoring of the participant, provide information about the participant's condition, oversee administration of study intervention, and accompany the participant to all study visits. The caregiver can be the participant's parent(s)/legal representative(s). Written consent from the caregiver must be obtained.
Exclusion Criteria:
- Current diagnosis of bipolar disorder, schizophrenia, schizoaffective disorder, schizophreniform disorder, brief psychotic disorder, or psychotic disorder due to another medical condition.
- Diagnosis of intellectual disability (IQ < 70) documented by school record, neuropsychological testing or medical records.
- Participant has a history of meeting DSM-5 diagnosis for any substance-related disorder (except caffeine- and tobacco-related) within the 3 months before the Screening Visit.
- Participant with an acute or unstable medical condition, including (but not limited to) inadequately controlled diabetes, hepatic insufficiency (specifically any degree of jaundice), uncorrected hyper- or hypo-thyroidism, acute systemic infection, renal, gastrointestinal, respiratory, or cardiovascular disease.
- History of seizures, with the exception of febrile seizures.
- History of tumor of the central nervous system.
- Previously taken cariprazine or previously participated in an investigational study of cariprazine.
- Participant is currently enrolled in an investigational drug or device study or participation in such a study within 3 months of Study Day 1.
- Participation in a blood or plasma donation program within 60 or 30 days, respectively, prior to Study Day 1.
- Positive UDS for substances of abuse at the Screening Visit or on Study Day -1.
- Known allergy or sensitivity to the study intervention or its components.
Sites / Locations
- Neuropsychiatric Research Center of Orange County /ID# 233663
- Atlanta Center for Medical Research /ID# 233576
- iResearch Atlanta, LLC /ID# 233614
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Experimental
Experimental
Experimental
Experimental
Arm Label
Cohort 1 (10-17 years)
Cohort 2 (10-17 years)
Cohort 3 (5-9 years)
Cohort 4 (5-9 years)
Arm Description
10 to 12 years: 0.75 mg/day cariprazine oral solution 13 to 17 years: 1.5 mg/day cariprazine oral solution
10 to 12 years: 1.5 mg/day cariprazine oral solution 13 to 17 years: 3.0 mg/day cariprazine oral solution
0.5 mg/day cariprazine oral solution
1.5 mg/day cariprazine oral solution
Outcomes
Primary Outcome Measures
Incidence of Adverse Events (AEs)
Incidence of Serious Adverse Events (SAEs)
Incidence of AEs leading to discontinuation
Percentage of participants with potentially clinically significant values in clinical laboratory assessments
Percentage of participants with potentially clinically significant values in vital signs assessments
Percentage of participants with potentially clinically significant values in ECG assessments
Percentage of participants who have suicidal ideation or suicidal behaviors in C-SSRS assessments
Percentage of participants with treatment-emergent parkinsonism in SAS assessments
Percentage of participants with treatment-emergent akathisia in BARS assessments
Percentage of participants with potentially clinically significant values in ocular examination parameters
Pharmacokinetics: Maximum plasma concentrations (Cmax) of cariprazine and its metabolites DCAR and DDCAR on Days 1 and 42
Pharmacokinetics: Time of maximum plasma concentrations (Tmax) of cariprazine and its metabolites DCAR and DDCAR on Days 1 and 42
Pharmacokinetics: Area under the plasma concentration-time curve during the dosing interval (AUC0-tau) of cariprazine and its metabolites DCAR and DDCAR on Days 1 and 42
Pharmacokinetics: Terminal elimination half-life (T1/2) of cariprazine and its metabolites DCAR and DDCAR
Pharmacokinetics: Minimum plasma concentrations (Cmin) during the dosing interval of cariprazine and its metabolites DCAR and DDCAR on Day 42
Pharmacokinetics: Average plasma concentrations (Cavg) during the dosing interval of cariprazine and its metabolites DCAR and DDCAR on Day 42
Pharmacokinetics: Apparent total clearance of cariprazine from plasma (CL/F) on Day 42
Pharmacokinetics: Volume of distribution during the terminal elimination phase (Vz/F) of cariprazine
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT04382885
Brief Title
Cariprazine Pediatric ASD PK Study
Official Title
Pharmacokinetics, Safety, and Tolerability of Cariprazine in Pediatric Participants With Autism Spectrum Disorder Aged 5-17 Years
Study Type
Interventional
2. Study Status
Record Verification Date
April 2022
Overall Recruitment Status
Completed
Study Start Date
June 26, 2020 (Actual)
Primary Completion Date
December 10, 2021 (Actual)
Study Completion Date
December 10, 2021 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AbbVie
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This study will be a multi-center, open-label, parallel-group, multiple-dose study in up to 24 male and female participants aged 5 through 17 years, inclusive, with Autism Spectrum Disorder (ASD). The 24 participants will be enrolled into 1 of 4 cohorts (6 participants per cohort).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Autism Spectrum Disorder
Keywords
ASD, Autism
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
24 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Cohort 1 (10-17 years)
Arm Type
Experimental
Arm Description
10 to 12 years: 0.75 mg/day cariprazine oral solution 13 to 17 years: 1.5 mg/day cariprazine oral solution
Arm Title
Cohort 2 (10-17 years)
Arm Type
Experimental
Arm Description
10 to 12 years: 1.5 mg/day cariprazine oral solution 13 to 17 years: 3.0 mg/day cariprazine oral solution
Arm Title
Cohort 3 (5-9 years)
Arm Type
Experimental
Arm Description
0.5 mg/day cariprazine oral solution
Arm Title
Cohort 4 (5-9 years)
Arm Type
Experimental
Arm Description
1.5 mg/day cariprazine oral solution
Intervention Type
Drug
Intervention Name(s)
Cariprazine
Intervention Description
Oral Solution
Primary Outcome Measure Information:
Title
Incidence of Adverse Events (AEs)
Time Frame
Up to 30 days after last visit or last dose for participants who discontinue early
Title
Incidence of Serious Adverse Events (SAEs)
Time Frame
Up to 30 days after last visit or last dose for participants who discontinue early
Title
Incidence of AEs leading to discontinuation
Time Frame
Up to 30 days after last visit or last dose for participants who discontinue early
Title
Percentage of participants with potentially clinically significant values in clinical laboratory assessments
Time Frame
Up to 84 days
Title
Percentage of participants with potentially clinically significant values in vital signs assessments
Time Frame
Up to 84 days
Title
Percentage of participants with potentially clinically significant values in ECG assessments
Time Frame
Up to 84 Days
Title
Percentage of participants who have suicidal ideation or suicidal behaviors in C-SSRS assessments
Time Frame
Up to 84 Days
Title
Percentage of participants with treatment-emergent parkinsonism in SAS assessments
Time Frame
Up to 84 Days
Title
Percentage of participants with treatment-emergent akathisia in BARS assessments
Time Frame
Up to 84 days
Title
Percentage of participants with potentially clinically significant values in ocular examination parameters
Time Frame
Screening to Day 84
Title
Pharmacokinetics: Maximum plasma concentrations (Cmax) of cariprazine and its metabolites DCAR and DDCAR on Days 1 and 42
Time Frame
Day 1 and Day 42
Title
Pharmacokinetics: Time of maximum plasma concentrations (Tmax) of cariprazine and its metabolites DCAR and DDCAR on Days 1 and 42
Time Frame
Day 1 and Day 42
Title
Pharmacokinetics: Area under the plasma concentration-time curve during the dosing interval (AUC0-tau) of cariprazine and its metabolites DCAR and DDCAR on Days 1 and 42
Time Frame
Day 1 and Day 42
Title
Pharmacokinetics: Terminal elimination half-life (T1/2) of cariprazine and its metabolites DCAR and DDCAR
Time Frame
Day 42 to Day 84
Title
Pharmacokinetics: Minimum plasma concentrations (Cmin) during the dosing interval of cariprazine and its metabolites DCAR and DDCAR on Day 42
Time Frame
Day 42
Title
Pharmacokinetics: Average plasma concentrations (Cavg) during the dosing interval of cariprazine and its metabolites DCAR and DDCAR on Day 42
Time Frame
Day 42
Title
Pharmacokinetics: Apparent total clearance of cariprazine from plasma (CL/F) on Day 42
Time Frame
Day 42
Title
Pharmacokinetics: Volume of distribution during the terminal elimination phase (Vz/F) of cariprazine
Time Frame
Day 42 to Day 84
10. Eligibility
Sex
All
Minimum Age & Unit of Time
5 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Participants must meet the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) criteria for ASD (Autism Spectrum Disorder) diagnosis.
Participants must have normal physical examination findings and clinical laboratory test results for their age group or abnormal results judged not clinically significant by the investigator.
Negative serum hCG (human chorionic gonadotropin) pregnancy test at screening (all female participants that have reached menarche).
BMI greater than the 5th percentile for age and gender based on CDC (Centers for Disease Control and Prevention) growth charts.
Participant (if reached his spermarche or her menarche), must agree to sexual abstinence or to use an approved birth control method for the full duration of participation in the study. The investigator and each participant will determine the appropriate method of contraception for the participant during their participation in the study.
Participant's parent(s)/legal representative(s) must be capable of giving signed informed consent , which includes compliance with the requirements and restrictions listed in the ICF and in the protocol as explained by the investigator. Written informed consent from the participant's parent(s)/legal representative(s) must be obtained prior to any study-related procedures.
Assent (unless local regulations require consent) must be obtained for all participants participating in the study.
Participant must have a parent or legal representative who is willing and able to be responsible for safety monitoring of the participant, provide information about the participant's condition, oversee administration of study intervention, and accompany the participant to all study visits. The caregiver can be the participant's parent(s)/legal representative(s). Written consent from the caregiver must be obtained.
Exclusion Criteria:
Current diagnosis of bipolar disorder, schizophrenia, schizoaffective disorder, schizophreniform disorder, brief psychotic disorder, or psychotic disorder due to another medical condition.
Diagnosis of intellectual disability (IQ < 70) documented by school record, neuropsychological testing or medical records.
Participant has a history of meeting DSM-5 diagnosis for any substance-related disorder (except caffeine- and tobacco-related) within the 3 months before the Screening Visit.
Participant with an acute or unstable medical condition, including (but not limited to) inadequately controlled diabetes, hepatic insufficiency (specifically any degree of jaundice), uncorrected hyper- or hypo-thyroidism, acute systemic infection, renal, gastrointestinal, respiratory, or cardiovascular disease.
History of seizures, with the exception of febrile seizures.
History of tumor of the central nervous system.
Previously taken cariprazine or previously participated in an investigational study of cariprazine.
Participant is currently enrolled in an investigational drug or device study or participation in such a study within 3 months of Study Day 1.
Participation in a blood or plasma donation program within 60 or 30 days, respectively, prior to Study Day 1.
Positive UDS for substances of abuse at the Screening Visit or on Study Day -1.
Known allergy or sensitivity to the study intervention or its components.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
ALLERGAN INC.
Organizational Affiliation
Allergan
Official's Role
Study Director
Facility Information:
Facility Name
Neuropsychiatric Research Center of Orange County /ID# 233663
City
Orange
State/Province
California
ZIP/Postal Code
92868
Country
United States
Facility Name
Atlanta Center for Medical Research /ID# 233576
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30331
Country
United States
Facility Name
iResearch Atlanta, LLC /ID# 233614
City
Decatur
State/Province
Georgia
ZIP/Postal Code
30030
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
No
Links:
URL
http://www.AllerganClinicalTrials.com
Description
Additional information on study locations near you may be found at AllerganClinicalTrials.com.
URL
http://www.investigatordatabank.org/
Description
To be considered as a site for current and future Allergan Clinical Trials, please register using the Investigator Databank link.
Learn more about this trial
Cariprazine Pediatric ASD PK Study
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