Safety and Pharmacokinetics of Antipsychotics in Children 2: Studying TDM in an RCT

NCT ID: NCT05146245

Last Updated: 2023-12-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE4

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-12-01

Study Completion Date

2024-05-31

Brief Summary

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The aim of this study is to test whether therapeutic drug monitoring of risperidone in children with autism spectrum disorder and comorbid behavioral problems is able to reduce metabolic side effect burden, while retaining clinical effectiveness.

Detailed Description

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Conditions

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Autism Spectrum Disorder

Keywords

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Risperidone Therapeutic Drug Monitoring

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Therapeutic Drug Monitoring

Physicians receive dosing advice based on measured blood levels of risperidone and 9-OH-risperidone.

Group Type EXPERIMENTAL

Therapeutic Drug Monitoring

Intervention Type OTHER

Physician receives dosing advice based on risperidone plasma level.

Risperidone plasma level

Intervention Type OTHER

Plasma levels of risperidone and 9-OH risperidone are measured in a Dried Blood Spot.

Care As Usual

Physician decides on possible dosing changes without receiving advice based on blood levels.

Group Type ACTIVE_COMPARATOR

Risperidone plasma level

Intervention Type OTHER

Plasma levels of risperidone and 9-OH risperidone are measured in a Dried Blood Spot.

Interventions

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Therapeutic Drug Monitoring

Physician receives dosing advice based on risperidone plasma level.

Intervention Type OTHER

Risperidone plasma level

Plasma levels of risperidone and 9-OH risperidone are measured in a Dried Blood Spot.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age 6 to 18 years
* Documented clinical diagnosis of autism spectrum disorder according to DSM IV or DSM V and comorbid behavioural problems
* To start treatment with risperidone

Exclusion Criteria

* Diabetes type I or II
* Congenital or acquired syndrome associated with changes in appetite, body weight or lipid profile (e.g. Prader Willi)
* Treatment with antipsychotic medication within the last 6 months
* Known Long QT syndrome (LQTS)
* Pregnancy
Minimum Eligible Age

6 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Stichting de Merel

UNKNOWN

Sponsor Role collaborator

ZonMw: The Netherlands Organisation for Health Research and Development

OTHER

Sponsor Role collaborator

Erasmus Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Birgit Koch

Prof.Dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Erasmus Medical Center

Rotterdam, , Netherlands

Site Status RECRUITING

Countries

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Netherlands

Central Contacts

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Birgit Koch

Role: CONTACT

Email: [email protected]

Facility Contacts

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Rebecca Hermans

Role: primary

References

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Hermans RA, Ringeling LT, Liang K, Kloosterboer SM, de Winter BCM, Hillegers MHJ, Koch BCP, Dierckx B. The effect of therapeutic drug monitoring of risperidone and aripiprazole on weight gain in children and adolescents: the SPACe 2: STAR (trial) protocol of an international multicentre randomised controlled trial. BMC Psychiatry. 2022 Dec 20;22(1):814. doi: 10.1186/s12888-022-04445-6.

Reference Type DERIVED
PMID: 36539734 (View on PubMed)

Other Identifiers

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2020-005450-18

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

MEC-2021-0278

Identifier Type: -

Identifier Source: org_study_id