Phase II Study of Stereotypes and Mental Retardation: Neurobiological Basis - Full Text View

Sponsor:	Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Collaborator:	University of Florida
Information provided by:	Office of Rare Diseases (ORD)
ClinicalTrials.gov Identifier:	NCT00004300

Purpose

OBJECTIVES: I. Determine differences between persons with repetitive behavior disorders and matched controls on measures of motor control relevant to basal ganglia pathophysiology.

II. Determine the efficacy of bromocriptine, a dopamine agonist, in the treatment of stereotyped behavior and related behavior disorders.

III. Determine the efficacy of sertraline hydrochloride, a selective serotonin uptake inhibitor, in the treatment of repetitive behavior disorders.

IV. Identify behavioral, environmental, and biological variables with differential drug treatment response.

Condition	Intervention	Phase
Stereotyped Behavior Mental Retardation	Drug: bromocriptine Drug: sertraline hydrochloride	Phase II

Study Type:	Interventional
Study Design:	Treatment, Randomized, Double-Blind, Placebo Control, Crossover Assignment, Efficacy Study

Resource links provided by NLM:

Drug Information available for: Bromocriptine mesylate Bromocriptine Sertraline hydrochloride Sertraline

U.S. FDA Resources

Further study details as provided by Office of Rare Diseases (ORD):

Estimated Enrollment:

40

Detailed Description:

PROTOCOL OUTLINE: Motor slowness (bradykinesia) and motor control are tested in repetitive behavior disorder patients and matched controls. Group differences reflecting alterations in basal ganglia dopamine function are compared.

Behavioral assessments are conducted on each patient by trained observers. Assessments are taken at baseline and during the maintenance phase of drug treatment described below.

The efficacy of bromocriptine in the treatment of stereotypy and self-injury is determined in a randomized, double blind, placebo controlled, crossover study extending over 20 weeks. Cohorts of 6 to 8 patients first enter into a single blind placebo phase, followed by double blind treatment with placebo or bromocriptine. The crossover manipulation entails a titration phase, a maintenance phase, then a final single blind placebo condition.

The same experimental design is used to determine the efficacy of sertraline or placebo in the treatment of stereotypy and concomitant self injury and compulsions. Duration of study is 26 weeks.

Eligibility

Ages Eligible for Study:	18 Years to 55 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	Yes

Criteria

PROTOCOL ENTRY CRITERIA:

--Disease Characteristics--

Diagnosis of mental retardation
High rate of stereotyped behavior, such as concomitant self-injurious and compulsive behaviors
No diagnosis of tardive dyskinesia or akathisia

--Prior/Concurrent Therapy--

No exposure to neuroleptics within 6 months prior to study

--Patient Characteristics--

Age: 18 to 55
Hematopoietic: (for bromocriptine and sertraline treatments) No history of anemia No clinically significant hematologic disease
Hepatic: (for bromocriptine and sertraline treatments) No history of hepatic abnormalities No clinically significant liver disease
Renal: (for bromocriptine and sertraline treatments) No history of renal abnormalities No clinically significant renal disease
Cardiovascular: (for bromocriptine and sertraline treatments) No history of hypertension No clinically significant cardiac disease
Other: No history of seizure within 4 months prior to study (for bromocriptine and sertraline treatments) No history of sensitivity to ergot alkaloids (for bromocriptine treatment) No sensitivity to serotonin uptake inhibitors (for sertraline treatment) No patients with sensory deficits (for motor function assessments)

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00004300

Locations

United States, North Carolina
Western Carolina Center
Morganton, North Carolina, United States, 28655

Sponsors and Collaborators

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

University of Florida

Investigators

Study Chair:

Mark H. Lewis

University of Florida

More Information

No publications provided

Study ID Numbers:	199/11754, UF-63394
Study First Received:	October 18, 1999
Last Updated:	March 21, 2006
ClinicalTrials.gov Identifier:	NCT00004300 History of Changes
Health Authority:	United States: Federal Government

Keywords provided by Office of Rare Diseases (ORD):

mental retardation
neurologic and psychiatric disorders
rare disease
stereotyped behavior

Additional relevant MeSH terms:

Neurotransmitter Agents
Neurotransmitter Uptake Inhibitors
Molecular Mechanisms of Pharmacological Action
Anti-Dyskinesia Agents
Hormone Antagonists
Physiological Effects of Drugs
Hormones, Hormone Substitutes, and Hormone Antagonists
Psychotropic Drugs
Antiparkinson Agents
Dopamine Agonists
Signs and Symptoms
Mental Disorders
Therapeutic Uses

Mental Disorders Diagnosed in Childhood
Sertraline
Neurobehavioral Manifestations
Antidepressive Agents
Bromocriptine
Nervous System Diseases
Serotonin Uptake Inhibitors
Pharmacologic Actions
Mental Retardation
Serotonin Agents
Neurologic Manifestations
Dopamine Agents
Central Nervous System Agents

ClinicalTrials.gov processed this record on November 27, 2009