Status:

COMPLETED

Treatment of Overweight Induced by Antipsychotic Medication in Young People With Autism Spectrum Disorders (ASD)

Lead Sponsor:

Holland Bloorview Kids Rehabilitation Hospital

Collaborating Sponsors:

Massachusetts General Hospital

Vanderbilt University

Conditions:

Overweight

Autism Spectrum Disorder

Eligibility:

All Genders

6-17 years

Phase:

PHASE3

Brief Summary

The purpose of this study is to determine whether metformin is safe and effective in the treatment of weight or weight gain in young people with Autism Spectrum Disorders (ASD) who are currently takin...

Detailed Description

This is a double-blind, placebo-controlled, multi-site randomized trial to evaluate oral fixed dose metformin (Riomet®) in decreasing weight or weight gain in children ages 6-17 years, 4 months with A...

Eligibility Criteria

Inclusion

  • Diagnosis of Autism Spectrum Disorder (autistic disorder, pervasive developmental disorder not otherwise specified), Asperger's disorder) based upon an Autism Diagnostic Observation Scale (ADOS) and Diagnostic and Statistical Manual (DSM-IV) interview.
  • Minimum of 1 month on a stable atypical antipsychotic dose with no plans to change the dose for the next 4 months.
  • A documented greater than/equal to 7% increase in BMI since starting atypical antipsychotic therapy(going back as far as prior 12 months); or, if BMI is greater or equal to 85th percentile corrected for age and sex, then a greater than 5% body weight increase per year (prorated at greater than 5% body weight increase if medicated for longer than a year).
  • Age 6 years to 17 years, 4 months.
  • Subjects and their parents (guardians) must be judged reliable for medication compliance and must agree to keep appointments for study visits and tests as outlined in the protocol.
  • Prior to the conduct of any study-specific procedures, the subject must provide assent to participate in the study (if developmentally appropriate), and their parents (guardians) must provide written informed consent.

Exclusion

  • History of intolerable adverse effects with metformin.
  • Prior history of an exposure to metformin of sufficient dose or duration to determine response status.
  • History of liver disease, renal impairment, congestive heart failure, pernicious anemia, any other condition increasing the risk for lactic acidosis, or any serious medical illness requiring treatment.
  • Use of cationic drugs excreted by the kidneys.
  • Planned surgery or procedure requiring contrast.
  • Pregnant at screening contact.
  • On other psychotropic concomitant medications for less than 2 months.
  • Treatment or planned treatment with concomitant medications with unacceptable interactions with metformin, including topiramate, levetiracetam, beta blockers, angiotensin-converting-enzyme (ACE) inhibitors, diuretics, or histamine H2 receptor antagonists.
  • Unable to tolerate blood work.
  • Current use of medication for target symptoms of appetite or weight loss.
  • Planned change of medication, medication dose, or behavioral treatment targeting weight loss during the study period.

Key Trial Info

Start Date :

April 1 2013

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 1 2015

Estimated Enrollment :

60 Patients enrolled

Trial Details

Trial ID

NCT01825798

Start Date

April 1 2013

End Date

October 1 2015

Last Update

July 16 2025

Active Locations (4)

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Page 1 of 1 (4 locations)

1

Ohio State University/Nationwide Children's Hospital

Columbus, Ohio, United States, 43210

2

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States, 15203

3

Vanderbilt University

Nashville, Tennessee, United States, 37212

4

Holland Bloorview Kids Rehabilitation Hospital

Toronto, Ontario, Canada, M4G 1R8