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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ClinicalTrials.gov
Last refreshed on: 26 August 2024
Main ID:  NCT05657860
Date of registration: 12/12/2022
Prospective Registration: No
Primary sponsor: Maimonides Medical Center
Public title: Guanfacine Extended Release for the Reduction of Aggression and Self-injurious Behavior Associated With Prader-Willi Syndrome PWS-GXR
Scientific title: A Double Blind, Placebo Controlled, Fixed-Flexible Dose Clinical Trial of Guanfacine Extended Release for the Reduction of Aggression and Self-injurious Behavior Associated With Prader-Willi Syndrome
Date of first enrolment: December 17, 2020
Target sample size: 15
Recruitment status: Completed
URL:  https://clinicaltrials.gov/ct2/show/NCT05657860
Study type:  Interventional
Study design:  Allocation: Randomized. Intervention model: Crossover Assignment. Primary purpose: Treatment. Masking: Double (Participant, Investigator).  
Phase:  Phase 4
Countries of recruitment
United States
Contacts
Name:     Deepan Singh, MD
Address: 
Telephone:
Email:
Affiliation:  Maimonides Medical Center
Key inclusion & exclusion criteria
Inclusion Criteria:

- Diagnosis of PWS confirmed by genetic testing documentation

- Rating of moderate or above on the Clinical Global Impression- Severity Scale

Exclusion Criteria:

- Subjects with positive pregnancy test, swallowing difficulty, and/or presenting with
active psychosis or mania will be excluded

- Subjects currently taking guanfacine extended release

- Patients with lactose intolerance

- Individuals with pre-existing, clinically significant bradycardia (< 8 years: <64
bpm; 8 to 12 years: <59 bpm; 12 to 16 years: <53 bpm) or hypotension, defined as 5th
percentile for height and gender,26 will be excluded from the study.

- Subjects receiving antipsychotic medications due to a documented history of
psychosis or bipolar disorder will be allowed to continue taking the medication
without dosage modification.

- Growth hormone, thyroid hormone replacement treatment, and non-psychiatric medicines
will be allowed to continue.

- N-Acetyl Cysteine and anticonvulsant medication (only if prescribed for seizures)
will be allowed to continue, with specific instructions to not make any dosage
changes during the clinical trial.



Age minimum: 6 Years
Age maximum: 35 Years
Gender: All
Health Condition(s) or Problem(s) studied
Prader-Willi Syndrome
Congenital Abnormalities
Neurobehavioral Manifestations
Behavioral Symptoms
Nervous System Diseases
Neurologic Manifestations
Pathologic Processes
Obesity
Overnutrition
Skin-Picking
Genetic Diseases, Inborn
Physiological Effects of Drugs
Abnormalities, Multiple
Neurotransmitter Agents
Chromosome Disorders
Self-Injurious Behavior
Aggression
Antihypertensive Agents
Intellectual Disability
Molecular Mechanisms of Pharmacological Action
Nutrition Disorders
Intervention(s)
Other: Placebo
Drug: Guanfacine Extended Release
Primary Outcome(s)
Clinical Global Impression- Improvement change from baseline to week 16 [Time Frame: 16 Weeks]
Secondary Outcome(s)
A change in Aberrant Behavior Checklist from baseline to week 16 [Time Frame: 16 Weeks]
A change in Modified Overt Aggression Scale from baseline to week 16 [Time Frame: 16 Weeks]
A change in Self-Injury Trauma Scale from baseline to week 16 [Time Frame: 16 Weeks]
Secondary ID(s)
2020-11-03-MMC
Source(s) of Monetary Support
Please refer to primary and secondary sponsors
Secondary Sponsor(s)
Ethics review
Results
Results available:
Date Posted:
Date Completed:
URL:
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