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