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. 2023 Oct 9;2023(10):CD011769. doi: 10.1002/14651858.CD011769.pub2

Malone 2010.

Methods Parallel trial of olanzapine versus placebo
Participants Inclusion criteria:
  • male and female

  • aged 3‐12 years

  • autistic disorder according to DSM‐IV criteria

  • a score of at least moderately impaired on the CGI‐S

  • clinical judgment that medication treatment for autism is indicated


Exclusion criteria:
  • Rett's disorder, childhood disintegrative disorder, Asperger's disorder, and PDD, NOS.

  • psychotic disorder (DSM‐IV) (including schizophreniform disorder and schizophrenia).

  • major depressive disorder (DSM‐IV).

  • bipolar disorder (DSM‐IV).

  • history of psychoactive drug in the previous 2 weeks prior to phase 1

  • history of treatment with olanzapine for a cumulative period of > 2 weeks prior to entering phase 1.

  • systemic diseases such as cardiac, renal, thyroid diseases, uncontrolled seizure disorder (seizure disorder that is not controlled by anti‐epileptic medication ‐ a child who is seizure free for a period of 6 months on a stable dose of antiepileptic drug would be considered controlled), or diabetes mellitus

  • children with a known medical cause for autistic disorder

  • abnormal fasting blood glucose or history of diabetes

  • baseline body mass index (BMI) > the 90th percentile for age and gender (CDC growth charts) (because of risk of weight gain)

  • baseline QTc > 450 msec


Location/setting: Drexel University, College of Medicine, Philadelphia, PA, USA
Sample size: 33
Number of withdrawals/dropouts: none reported
Gender: 25 male participants, 8 female participants
Mean age: 6.58 years
IQ: not reported
Baseline ABC‐I or other BoC: not reported
Concomitant medications: not reported
History of previous medications: not reported
Interventions Intervention (olanzapine) for 6 weeks: olanzapine tablets given twice daily at a dosage of 2.5‐20 mg/day for up to 12 weeks
Comparator (placebo) for 6 weeks: matching placebo treatment
Outcomes Primary outcomes: AEs
Secondary outcomes: none reported
Timing of outcome assessments: baseline and week 12
Notes Study start date: May 2003
Study end date: September 2005
Source of funding: Food and Drug Administration (FD‐R‐002190), National Institute of Mental Health (MH073524). Placebo and drugs were provided by Eli Lilly
Conflicts of interest: none declared