Levetiracetam versus placebo in childhood and adolescent autism: a double-blind placebo-controlled study.

作者: Stacey Wasserman , Rupa Iyengar , William F. Chaplin , Dryden Watner , Shulamit E. Waldoks

DOI: 10.1097/01.YIC.0000224787.13782.0F

关键词:

摘要: The purpose of this study was to determine the safety and efficacy anticonvulsant levetiracetam in treatment children with autism. A previous open-label autistic treated demonstrated effectiveness hyperactivity, impulsivity/aggression, mood lability. Twenty patients autism ranging from 5 17 years age were entered into a 10-week, placebo-controlled, double-blind trial versus placebo. mean maximum dosage for 862.50+/-279.19 mg/day. We evaluated global improvement Clinical Global Impression-Improvement (CGI-I) Scale aggression affective instability Aberrant Behavior Checklist (ABC) parent teacher ratings. measured repetitive behaviors using Children's Yale-Brown Obsessive-Compulsive (CY-BOCS) score impulsivity hyperactivity Conners' Rating Scale-Revised: Long Version teacher. No significant difference found between placebo groups comparing change CGI-I (t=0.350, d.f.=13.621, P=0.765), nor on ABC, CY-BOCS or scales. These findings suggest that does not improve behavioral disturbances autism, but are limited by small sample size lack stratification at baseline.

参考文章(9)
Eric Hollander, Ann Phillips, Bryan H. King, Donald Guthrie, Michael G. Aman, Paul Law, Thomas Owley, Ricki Robinson, Impact of Recent Findings on Study Design of Future Autism Clinical Trials Cns Spectrums. ,vol. 9, pp. 49- 56 ,(2004) , 10.1017/S109285290000835X
Karin M. Belsito, Paul A. Law, Karen S. Kirk, Rebecca J. Landa, Andrew W. Zimmerman, Lamotrigine therapy for autistic disorder: a randomized, double-blind, placebo-controlled trial. Journal of Autism and Developmental Disorders. ,vol. 31, pp. 175- 181 ,(2001) , 10.1023/A:1010799115457
Eric Hollander, Rima Dolgoff-Kaspar, Charles Cartwright, Ronald Rawitt, Sherie Novotny, An open trial of divalproex sodium in autism spectrum disorders. The Journal of Clinical Psychiatry. ,vol. 62, pp. 530- 534 ,(2001) , 10.4088/JCP.V62N07A05
Kenneth R. Kaufman, Monotherapy treatment of bipolar disorder with levetiracetam Epilepsy & Behavior. ,vol. 5, pp. 1017- 1020 ,(2004) , 10.1016/J.YEBEH.2004.08.009
James T. McCracken, James McGough, Bhavik Shah, Pegeen Cronin, Daniel Hong, Michael G. Aman, L. Eugene Arnold, Ronald Lindsay, Patricia Nash, Jill Hollway, Christopher J. McDougle, David Posey, Naomi Swiezy, Arlene Kohn, Lawrence Scahill, Andres Martin, Kathleen Koenig, Fred Volkmar, Deirdre Carroll, Allison Lancor, Elaine Tierney, Jaswinder Ghuman, Nilda M. Gonzalez, Marco Grados, Benedetto Vitiello, Louise Ritz, Mark Davies, James Robinson, Don McMahon, Risperidone in Children with Autism and Serious Behavioral Problems The New England Journal of Medicine. ,vol. 347, pp. 314- 321 ,(2002) , 10.1056/NEJMOA013171
Eric Hollander, Ann Phillips, William Chaplin, Karen Zagursky, Sherie Novotny, Stacey Wasserman, Rupa Iyengar, A placebo controlled crossover trial of liquid fluoxetine on repetitive behaviors in childhood and adolescent autism. Neuropsychopharmacology. ,vol. 30, pp. 582- 589 ,(2005) , 10.1038/SJ.NPP.1300627
Eric Hollander, Katherine A Tracy, Alan C Swann, Emil F Coccaro, Susan L McElroy, Patricia Wozniak, Kenneth W Sommerville, Charles B Nemeroff, Divalproex in the Treatment of Impulsive Aggression: Efficacy in Cluster B Personality Disorders Neuropsychopharmacology. ,vol. 28, pp. 1186- 1197 ,(2003) , 10.1038/SJ.NPP.1300153
THOMAS A. RUGINO, TERESA C. SAMSOCK, Levetiracetam in autistic children: an open-label study. Journal of Developmental and Behavioral Pediatrics. ,vol. 23, pp. 225- 230 ,(2002) , 10.1097/00004703-200208000-00006
B. A. Lynch, N. Lambeng, K. Nocka, P. Kensel-Hammes, S. M. Bajjalieh, A. Matagne, B. Fuks, The synaptic vesicle protein SV2A is the binding site for the antiepileptic drug levetiracetam Proceedings of the National Academy of Sciences of the United States of America. ,vol. 101, pp. 9861- 9866 ,(2004) , 10.1073/PNAS.0308208101