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

NCT04725383.

Study name Amitriptyline for repetitive behaviors in autism spectrum disorders
Methods 12‐week parallel trial of amitripyline versus placebo
Participants Inclusion criteria
  • male and female

  • aged 6‐17 years

  • diagnosis of ASD

  • IQ > 35


Exclusion criteria:
  • an allergy to amitriptyline

  • absence of a reliable caregiver

  • previous neuroleptic malignant syndrome

  • seizures in the past 3 months

  • bipolar disorder

  • current or past psychosis

  • unstable medical illness

  • previous adequate treatment with amitriptyline

  • using other psychotropic medications apart from melatonin for sleep or lorazepam 1 mg as needed up to once a day


Target sample size: 30 participants
Location/setting: USA
Interventions Intervention: "Subjects will receive active amitriptyline compounded into look‐alike capsules to resemble placebo capsules. Dosing will be as tolerated, up to a maximum of 100mg/day or 1.5mg/kg/day, for 12 weeks."
Comparator: "Subjects in this arm will receive placebo compounded into capsules that resemble the compounded amitriptyline capsules, up to 4 capsules a day, for 12 weeks."
Outcomes Primary outcomes:
  • irritability (measured using the ABC‐I (Aman 1985)

  • self‐injurious behaviour (measured using the Repetitive Behaviour Scale) (Bodfish 2000)


Secondary outcomes: none reported
Timing of outcome assessments: baseline and 12 weeks (endpoint)
Starting date First registered January 2021
Contact information Jessica Hellings
Jessica.Hellings@tmcmed.org
Notes Source of funding: sponsored by the University of Missouri, Kansas City
Conflicts of interest: details not provided