Trial Outcomes & Findings for Open-label Study of Safety and Tolerability of Memantine in Children With Autism (NCT NCT01999894)

NCT ID: NCT01999894

Last Updated: 2014-03-18

Results Overview

Number of patients who experienced one or more TEAEs during the study

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

102 participants

Primary outcome timeframe

From Visit 1 (Week 1) to 30 days after Visit 8 (Week 48)

Results posted on

2014-03-18

Participant Flow

Patients who completed the lead-in study MEM-MD-57A (NCT00872898) were eligible to enroll in this study. A total of 19 study centers in the United States enrolled patients.

Patients receiving placebo in the lead-in study underwent a double-blind up-titration targeting same weight-based dose assigned at lead-in study. Patients receiving a stable dose of active were not re-titrated but double-blind was maintained. Patients who were not dosed for more than 3 days between the studies underwent an open-label titration.

Participant milestones

Participant milestones
Measure
Memantine
Once daily oral administration of memantine extended release. Memantine - 3mg and 6mg capsules, dose ranging 3 - 18 mg/day; weight based dosing in 4 weight groups.
Overall Study
STARTED
102
Overall Study
COMPLETED
66
Overall Study
NOT COMPLETED
36

Reasons for withdrawal

Reasons for withdrawal
Measure
Memantine
Once daily oral administration of memantine extended release. Memantine - 3mg and 6mg capsules, dose ranging 3 - 18 mg/day; weight based dosing in 4 weight groups.
Overall Study
Adverse Event
9
Overall Study
Lack of Efficacy
5
Overall Study
Protocol Violation
1
Overall Study
Withdrawal by Subject
7
Overall Study
Lost to Follow-up
10
Overall Study
Other Reason
3
Overall Study
Inclusion/exclusion criteria not met
1

Baseline Characteristics

Open-label Study of Safety and Tolerability of Memantine in Children With Autism

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Memantine
n=102 Participants
Once daily oral administration of memantine extended release. Memantine - 3mg and 6mg capsules, dose ranging 3 - 18 mg/day; weight based dosing in 4 weight groups.
Age, Continuous
Years
9.1 years
STANDARD_DEVIATION 2.2 • n=5 Participants
Sex: Female, Male
Female
15 Participants
n=5 Participants
Sex: Female, Male
Male
87 Participants
n=5 Participants
Race/Ethnicity, Customized
White
86 participants
n=5 Participants
Race/Ethnicity, Customized
Black
2 participants
n=5 Participants
Race/Ethnicity, Customized
Asian
9 participants
n=5 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
0 participants
n=5 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
1 participants
n=5 Participants
Race/Ethnicity, Customized
Other
4 participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic or Latino
11 participants
n=5 Participants
Race/Ethnicity, Customized
Non-Hispanic or Latino
91 participants
n=5 Participants
Region of Enrollment
United States
102 participants
n=5 Participants

PRIMARY outcome

Timeframe: From Visit 1 (Week 1) to 30 days after Visit 8 (Week 48)

Population: The Safety Population consists of 102 enrolled patients who received at least one dose of study drug.

Number of patients who experienced one or more TEAEs during the study

Outcome measures

Outcome measures
Measure
Memantine
n=102 Participants
Once daily oral administration of memantine extended release. Memantine - 3mg and 6mg capsules, dose ranging 3 - 18 mg/day; weight based dosing in 4 weight groups.
Number of Patients Who Experienced a Treatment-emergent Adverse Event (TEAE)
85 participants

Adverse Events

Placebo to Memantine

Serious events: 1 serious events
Other events: 37 other events
Deaths: 0 deaths

Memantine to Memantine

Serious events: 0 serious events
Other events: 37 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo to Memantine
n=50 participants at risk
Patients who received placebo during the double-blind lead-in study, were titrated to Memantine during a 6-week lead-in to 42 weeks of Open Label Memantine - Once daily oral administration of memantine extended release. Memantine - 3mg and 6mg capsules, dose ranging 3 - 18 mg/day; weight based dosing in 4 weight groups.
Memantine to Memantine
n=52 participants at risk
Patients who received Memantine during the double-blind lead-in study continued to receive Memantine during a 6-week lead-in, followed by 42 weeks of Open Label Memantine - Once daily oral administration of memantine extended release. Memantine - 3mg and 6mg capsules, dose ranging 3 - 18 mg/day; weight based dosing in 4 weight groups.
Infections and infestations
Lobar pneumonia
2.0%
1/50 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
0.00%
0/52 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.

Other adverse events

Other adverse events
Measure
Placebo to Memantine
n=50 participants at risk
Patients who received placebo during the double-blind lead-in study, were titrated to Memantine during a 6-week lead-in to 42 weeks of Open Label Memantine - Once daily oral administration of memantine extended release. Memantine - 3mg and 6mg capsules, dose ranging 3 - 18 mg/day; weight based dosing in 4 weight groups.
Memantine to Memantine
n=52 participants at risk
Patients who received Memantine during the double-blind lead-in study continued to receive Memantine during a 6-week lead-in, followed by 42 weeks of Open Label Memantine - Once daily oral administration of memantine extended release. Memantine - 3mg and 6mg capsules, dose ranging 3 - 18 mg/day; weight based dosing in 4 weight groups.
Gastrointestinal disorders
Constipation
10.0%
5/50 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
3.8%
2/52 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
Gastrointestinal disorders
Vomiting
12.0%
6/50 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
3.8%
2/52 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
General disorders
Irritability
4.0%
2/50 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
9.6%
5/52 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
General disorders
Pyrexia
2.0%
1/50 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
9.6%
5/52 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
Immune system disorders
Seasonal allergy
14.0%
7/50 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
3.8%
2/52 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
Infections and infestations
Nasopharyngitis
6.0%
3/50 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
7.7%
4/52 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
Infections and infestations
Upper respiratory tract infection
10.0%
5/50 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
19.2%
10/52 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
Investigations
Weight increased
10.0%
5/50 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
7.7%
4/52 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
Nervous system disorders
Headache
8.0%
4/50 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
5.8%
3/52 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
Nervous system disorders
Psychomotor hyperactivity
6.0%
3/50 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
5.8%
3/52 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
Psychiatric disorders
Aggression
10.0%
5/50 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
5.8%
3/52 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
Psychiatric disorders
Agitation
4.0%
2/50 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
7.7%
4/52 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
Psychiatric disorders
Insomnia
10.0%
5/50 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
5.8%
3/52 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
Respiratory, thoracic and mediastinal disorders
Cough
10.0%
5/50 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
9.6%
5/52 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
Respiratory, thoracic and mediastinal disorders
Nasal congestion
10.0%
5/50 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
5.8%
3/52 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
Infections and infestations
Ear Infection
2.0%
1/50 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
7.7%
4/52 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
Infections and infestations
Influenza
6.0%
3/50 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
3.8%
2/52 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
Infections and infestations
Pharyngitis streptococcal
0.00%
0/50 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
7.7%
4/52 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
Infections and infestations
Bronchitis
6.0%
3/50 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
0.00%
0/52 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
Respiratory, thoracic and mediastinal disorders
Rhinitis allergic
4.0%
2/50 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
5.8%
3/52 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
Psychiatric disorders
Stereotypy
2.0%
1/50 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
7.7%
4/52 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
Psychiatric disorders
Anxiety
6.0%
3/50 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
1.9%
1/52 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
Gastrointestinal disorders
Diarrhoea
8.0%
4/50 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.
1.9%
1/52 • Adverse event data was collected over a 40 month period from November 2009 to March 2013 at 19 study sites in the US.

Additional Information

Ephraim Katz, PhD / Associate Director

Forest Research Institute

Phone: 201-427-8000

Results disclosure agreements

  • Principal investigator is a sponsor employee All data generated in this study are the property of Forest Research Institute, Inc. An integrated clinical and statistical report will be prepared at the completion of the study. Publication of the results by the Investigator will be subject to mutual agreement between the Investigator and Forest Research Institute, Inc.
  • Publication restrictions are in place

Restriction type: OTHER