The purpose of this study is to examine the safety and efficacy of mecamylamine for the core symptoms of autism.
This is a placebo-controlled pilot clinical trial of a nicotinic agent based on evidence that a disturbance occurs in nicotinic cholinergic transmission in the brain of autistic children. This pharmacotherapeutic trial will be conducted as a direct result of findings of a nicotinic receptor abnormality in autopsied brain tissue from individuals who suffered from autism. A pharmacological agent, mecamylamine, with specificity for the nicotinic receptors implicated in autism, will be tested in children with autism spectrum disorder. Twenty children who meet inclusion/exclusion criteria will be randomized in a 2:3 ratio to 14 weeks of either matched placebo (n=8) or mecamylamine (n=12). Children randomized to placebo who do not respond will be given the opportunity to enroll in a ten week open label extension. The trial has been completed and published in J. of Child \& Adolescent Psychopharmacology.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
20
The dosage is titrated at 6 weeks of .5mg, 2 weeks of 2.5 mg, and 6 weeks of 5.0 mg. One pill is taken once daily.
One pill is taken once daily.
Nisonger Center
Columbus, Ohio, United States
The primary measure will be a global composite derived by calculating the z scores on each measure other than CGI from published norms (or from the baseline descriptives, then averaging the z scores of the various outcome measures for each individual.
Time frame: Baseline, weeks 2, 4, 6, 8, 10,12, and 14.
OSU Autism Rating Scale-DSM-IV
Time frame: Baseline, week 6, 8, and 14.
Repetitive Behavior Questionnaire
Time frame: Baseline, week 2, 4, 6, 8, 10, 12, and 14
Aberrant Behavior Checklist
Time frame: Baseline, week 2, 4, 6, 8, 10, 12, and 14.
Ohio Autism Clinical Impressions Scale
Time frame: Baseline, weeks 1, 2, 4, 6, 7, 8, 9, 10, 12, and 14.
Social Responsiveness Scale
Time frame: Baseline, weeks 2, 4, 6, 8, 10, 12, and 14.
Expressive Vocabulary test-Second Edition
Time frame: Baseline and week 14
Adverse Experience checklist and AE log
Time frame: Baseline, weeks 1, 2, 4, 6, 7, 8, 9, 10, 12, and 14.
Cognitive Battery
Time frame: baseline, weeks 6, 8, and 14
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.