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. 2020 Nov 5;51(8):2959–2972. doi: 10.1007/s10803-020-04709-8

Table 3.

Investigation schedule

Selection
(Screening)
Inclusion (Baseline) Double-blind 26-week treatment period Visits to complete in case of IMP discontinuation during the double-blind period BUT not withdrawal from the study
ASSE W000 W000
 + 48/72 h
W000
 + Day 10
W000
 + Day 17
W004 W008 W012 W016 W020 W026 W012 W026
Informed consents/assents X1
Demography X
IQ test2 X
DSM-5 X
ADOS-23 X
ADI-R4 X
Selection / Non-selection criteria X
Inclusion / Non-inclusion criteria X
Autism diagnostic history X
Medical / surgical history X
Previous treatments5 X
Concomitant treatments5 X X X X X X X X X X X X X
IRS
Patient number X
Randomization X
IMP allocation X X X X X X X
IMP dispensation X X X X X X X
Oral solution volume adaptation to patient weight if needed X X X
Compliance IMP X X X X X X
Selection Inclusion Double-blind 26-week treatment period Visits to complete in case of IMP discontinuation during the double-blind period BUT not withdrawal from the study
ASSE W000 W000
 + 48/72 h
W000
 + Day 10
W000
 + Day 17
(D017)
W004 W008 W012 W016 W020 W026 W012 W026
Efficacy measurements
CARS2-HF/ CARS2-ST/ CARS2-QPC X X X X X X
CGI-S X X X X X X
CGI-I X X X X X
SRS-2 X X X X X X
VABS II X X
Safety measurements
Suicidality (C-SSRS-C) X X X
Adverse events X X X X X X X X X X X X
PAERS scale X X X X X X X X
Laboratory tests (blood and urine) X X X
Blood electrolytes monitoring (K, Na) X X X X X X(6) X X(6) X(6) X
ECG X(7) X(8) X(8) X(8) X(8)
Renal ultrasound X X(8)
Sitting and standing blood pressure/heart rate X X X X X
Body weight and height X X(9) X(9) X(9) X(9) X X(9) X(9) X
Tanner Stage(10) X X
Other measurements for inclusion
Urinary drug screening X
βHCG—Blood Pregnancy test(11) X
Pharmacokinetics (blood samples) X X
Other measurements
PedsQL X X X X
WHOQOL-brief X X X X X
EQ-5D-3L X X X
Acceptability questionnaire X
Open-label 26-week active treatment period FU WD
Withdrawal visit to be undergone in case of IMP definitive discontinuation or in case of total withdrawal from the study, whatever the period
W026
 + 48/72 h
W026
 + Day 10
W026
 + Day 17
(D199)
W030 W034 W038 W042 W046 W052 Wend
Concomitant treatments(5) X X X X X X X X X X X
IRS
IMP allocation X X X X X
IMP definitive discontinuation X
IMP dispensation X X X X X
Oral solution volume adaptation to patient weight X
Compliance IMP X X X X X X X
Efficacy measurements
CARS2-HF/ CARS2-ST/CARS2-QPC X X X X(12)
CGI X(13) X X X
SRS-2 X X X(12)
VABS II X X(12)
Safety measurements
Suicidality (C-SSRS-C) X X X
Adverse events X X X X X X X X X X X
PAERS scale X X X X X X X X
Laboratory tests (blood and urine) X X X
Blood electrolytes monitoring (K, Na) X X X X X(6) X X(6) X(6) X X
ECG X(8) X(8) X(8) X(8) X
Renal ultrasound X(8) X
Sitting and standing blood pressure/heart rate X X X X
Body weight and height X(9) X(9) X(9) X X(9) X(9) X X
Tanner Stage(10) X X
Other measurements
PedsQL X X X X(12)
WHOQOL-brief X X X X X(12)
EQ-5D-3L X X X(12)
Acceptability questionnaire X

ADI-R Autism Diagnostic Interview Revised, ADOS-2 Autism Diagnostic Observation Schedule-Generic, CARS2-HF Childhood Autism Rating Scale, Second Edition-high-functioning version, CARS2-QPC Childhood Autism Rating Scale, Second Edition-Questionnaire for Parents or Caregivers, CARS2-ST Childhood Autism Rating Scale, Second Edition-standard version, CGI Clinical Global Impression, CGI-I Clinical Global Impression-Improvement Scale, CGI-S Clinical Global Impression-Severity Scale, C-SSRS-C Columbia Suicide Severity Rating Scale Children’s version, D day, DSM-5 Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, ECG electrocardiogram, EQ-5D-3L EuroQol five-dimension three-level questionnaire, FU follow-up, IMP investigational medicinal product, IRS Interactive response system, PAERS Pediatric Adverse Event Rating Scale, PedsQL Pediatric Quality of Life Inventory, SRS-2 Social Responsiveness Scale Second Edition, VABS II Vineland Adaptive Behavior Scale Second Edition, W week, WD withdrawal, WHOQOL World Health Organization Quality of Life

1To obtain at the latest at ASSE but before any procedure related to the study

2Only to be performed if retrospective exam is not available in the 12 months prior to ASSE

3Should not be performed if an ADOS-2 evaluation has been done within the 12 months prior to ASSE and is documented in the site

4Only to be performed if retrospective ADI-R is not available after the 4 y.o. of the patient

5Including non-pharmacological therapies (psychotherapy, social skills training, behavioral interventions, etc.)

6Prescribed based on the clinical opinion of nephrologist or investigator

7Triplicate ECG only at ASSE

8Results of the exam should be available at this visit, prescription to be done at the previous visit

9Only body weight

10For patients aged 7 to 17 years only

11Only for post-pubertal females

12Only to be undergone after the last IMP intake by patients discontinuing prematurely from the study after W000 + Day 10

13CGI-I only