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CompletedNCT00873509B-ACEUpdated Jul 26, 2016

Buspirone in the Treatment of 2-6 Year Old Children With Autistic Disorder

A Phase 2/3 interventional study of Buspirone and Buspirone in Autistic Disorder, sponsored by Chugani, Diane C.. Completed at 6 sites in United States. Open to participants aged 2 Years to 6 Years. Per ClinicalTrials.gov, last updated 2016-07-26.

Sponsored by Chugani, Diane C. · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
166
Allocation
Randomized
Ages
2 Years to 6 Years
Sex
All
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Study summary

The purpose of this study is to evaluate the effects of twice-daily oral buspirone on core features of autism in autistic children aged 2-6 years as measured by the change from baseline in the Autism Diagnostic Observation Schedule (ADOS) Composite Total scores compared to placebo at 6 months.

Read the detailed description

This is a multi-center, randomized, placebo-controlled, double-masked study of 166 evaluable participants taking buspirone twice daily for 6 months. Children aged 2-6 years with autism will be randomized to receive one of three treatments: 2.5mg, 5.0mg, or matched placebo. The placebo controlled trial will be followed by an optional follow-up trial to assess the long term safety of buspirone. In addition, a PET scan of serotonin synthesis and plasma serotonin will be measured at baseline to determine whether these measures are predictors of drug response. This trial is aimed at the core features of autism. The outcome measures for efficacy will be examiner and parent ratings on psychological tests and questionnaires. The outcome measure for the primary objective will be the Autism Diagnostic Observation Scale (ADOS) Composite Total score. The behavioral outcomes for the secondary aims are delineated in the study design.

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Conditions studied

  • Autistic Disorder

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Keywords

  • Autism
03

In context

Autistic Disorder

1,344 studies on the registry are indexed under Autistic Disorder; 334 are open to participants now.

This study's enrollment of 166 is above the median of 45 across 1,044 interventional studies indexed under Autistic Disorder.

Browse Autistic Disorder studies →

Lead sponsor

Chugani, Diane C. is the lead sponsor of 2 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
2 Years to 6 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Participants: must meet the study definition for diagnosis of autistic disorder as determined by clinical diagnosis based upon DSM-IV criteria, the Autism Diagnostic Interview-Revised (ADI-R) and the Autism Diagnostic Observation Schedule (ADOS) performed at baseline 1. ADI-R will be conducted by trained study staff at Baseline 1 Visit. If the participant has had an ADI-R in the past 12 months, this will be accepted provided the person administering and scoring the test is site personnel validated for the study.
  • Age 2 to less than 6 years, male and female.
  • Parent/Legal Guardian/Caregiver must be able to understand , read and speak English
  • Written Informed Consent.

Exclusion criteria

Exclusion Criteria:

  • Presence or history of neurological disorders, including seizure disorders (abnormal EEG without seizures will not be excluded), PKU, tuberous sclerosis, Rett syndrome, Fragile X syndrome, Down Syndrome and traumatic brain injury.
  • Other medical or behavioral problems requiring medications which are centrally active.
  • Clinical or laboratory evidence of renal or hepatic disease (SGPT, GGT > 2 x normal value, and serum creatinine > 1.5 x normal value).

Treatment with any medication known to alter the activity of the CYP3A4 enzyme including ketoconazole, itraconazole, grapefruit juice, erythromycin, clarithromycin, cimetidine, verapamil, diltiazem, rifampin, phenytoin, phenobarbital, or carbamazepine within the previous 2 months and for the duration of the study is prohibited.

  • Use of centrally acting drugs during the 6 weeks prior or during the study. These drugs include but are not limited to neuroleptics, benzodiazepines, anticonvulsants and antidepressants. Shorter times may be considered depending on the half life of the drug.
  • Prior treatment for periods longer than two weeks with buspirone or selective serotonin reuptake inhibitors. This includes herbal substances such as St John's Wort which have similar pharmacological actions.
  • Known allergies to study medication.
  • Unable to provide the required blood samples.
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Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
166 participants (actual)

Study arms

  • Experimental
    1

    Buspirone 2.5 mg

    Drug: Buspirone

  • Experimental
    2

    Buspirone 5.0 mg

    Drug: Buspirone

  • Placebo comparator
    3

    Placebo match

    Drug: Placebo

Interventions

  • DrugBuspirone

    Buspirone liquid, 2.5 mg in 1 ml, once per day in the evening for the first week of administration and thereafter twice a day 12 hours apart for the entire study

  • DrugBuspirone

    Buspirone liquid, 5.0 mg in 1 ml , once per day in the evening for the first week of administration and thereafter twice a day 12 hours apart for the entire study

  • DrugPlacebo

    Placebo liquid, in 1 ml, once per day in the evening for the first week of administration and thereafter twice a day 12 hours apart for the entire study

06

What researchers measure

Primary outcomes

  1. To evaluate the effects of twice-daily oral buspirone on core features of autism in autistic children 2-6 years measuring the change from baseline in ADOS (Autism Diagnostic Observation Schedule) Composite Total scores compared to placebo at 6 months.

    Time frame: Baseline 1, Week 24

Secondary outcomes

  1. To evaluate the effects of twice-daily oral buspirone on the ADOS Composite calibrated severity score, social behavior, repetitive behavior, language, sensory dysfunction and anxiety.

    Time frame: Baseline 1, Week 24 and Week 48

  2. To determine whether there are age group differences in the effects of buspirone on social interaction, repetitive behavior, language, sensory dysfunction and anxiety.

    Time frame: Baseline 1, Week 1, Week 24, Week 48

  3. To determine whether there is a difference in the incidence of side effects and long term safety between the buspirone and placebo groups, and between the different dose groups.

    Time frame: Duration of the study

  4. To determine whether the whole brain PET measure of serotonin synthesis capacity is a predictor of buspirone effect.

    Time frame: Baseline 2

  5. To determine whether blood serotonin concentration is a predictor of buspirone effect.

    Time frame: Baseline 2

07

Study locations

6 sites
  • University California Davis M.I.N.D. Institute
    Sacramento, California 95817, United States
  • Children's Hospital of Michigan Wayne State University
    Detroit, Michigan 48201, United States
  • New York University Langone Medical Center
    New York, New York 10016, United States
  • Rainbow Babies and Children's Hospital
    Cleveland, Ohio 44106, United States
  • Cleveland Clinic Lerner College of Medicine
    Cleveland, Ohio 44195, United States
  • University of Texas Southwestern
    Dallas, Texas 75390, United States
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References and documents

Publications

  • Chugani DC, Chugani HT, Wiznitzer M, Parikh S, Evans PA, Hansen RL, Nass R, Janisse JJ, Dixon-Thomas P, Behen M, Rothermel R, Parker JS, Kumar A, Muzik O, Edwards DJ, Hirtz D; Autism Center of Excellence Network. Efficacy of Low-Dose Buspirone for Restricted and Repetitive Behavior in Young Children with Autism Spectrum Disorder: A Randomized Trial. J Pediatr. 2016 Mar;170:45-53.e1-4. doi: 10.1016/j.jpeds.2015.11.033. Epub 2015 Dec 30. PubMed 26746121 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 26, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00873509
Lead sponsor
Chugani, Diane C.
Collaborators
National Institute of Neurological Disorders and Stroke (NINDS)
Responsible party
Diane C Chugani (Chief, Division of Clinical Pharmacology and Toxicology, Wayne State University) — Principal investigator
First posted
Apr 1, 2009
Start date
May 2009
Primary completion
Jan 2015
Completion
Jan 2015
Last update
Jul 26, 2016

Study contacts

Diane C Chugani, PhD
principal investigator · Wayne State University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2016. You cannot join it, but the record below documents what was studied.

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