Status:

COMPLETED

Comparison of Keppra and Clonidine in the Treatment of Tics

Lead Sponsor:

Harvey S. Singer

Collaborating Sponsors:

UCB Pharma

Conditions:

Tic Disorders

Tourette Syndrome

Eligibility:

All Genders

7-19 years

Phase:

PHASE4

Brief Summary

The goal of this study is to confirm that levetiracetam has a better tic-suppressing profile than that of the widely used tic-suppressing medication, clonidine. More specifically, the investigators hy...

Detailed Description

This is a randomized, double-blind, 15 week (two treatment phase), 1 week run-in, cross-over study, in which the same patient receives 6 weeks of treatment with levetiracetam and a 6 week treatment co...

Eligibility Criteria

Inclusion

  • Patients will be included in this study if they meet the following criteria:
  • Tourette syndrome criteria based on the TS Classification Study Group \[1993\], which includes onset before 18 years, multiple involuntary motor tics, one or more vocal tics, a waxing and waning course, the gradual replacement of old symptoms with new ones, the presence of tics for more than one year, the absence of other medical explanations for tics, and observation of tics by a reliable examiner;
  • Age 7 to 19 years, either gender;
  • Observable tics, achieving a minimum score of \> 22 on the Total Tic score of Yale Global Tic Severity Scale (YGTSS);
  • Tic symptoms severe enough to warrant therapy;
  • The concurrent use of other tic-suppressing medications will be permitted, if the subject has been on a stable dose for more than three weeks and agrees to maintain a constant dosage throughout the study;
  • Tics are not controlled with current medication or individuals are tic suppressing drug naive.

Exclusion

  • Exclusion criteria include the following:
  • Secondary tics;
  • Significant medical illness
  • Current major depression, generalized anxiety disorder, separation anxiety disorder, psychotic symptoms (based on clinical evaluation), pervasive developmental disorder, autism, mental retardation (I.Q. less than 70), anorexia/bulimia, or substance abuse. Subjects with co-morbid ADHD, obsessive compulsive disorder (OCD), and conduct disorder will not be excluded;
  • pregnancy;
  • Hypersensitivity to levetiracetam or clonidine;
  • baseline weight of less than 25 kilograms.

Key Trial Info

Start Date :

February 1 2007

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 1 2009

Estimated Enrollment :

12 Patients enrolled

Trial Details

Trial ID

NCT00370838

Start Date

February 1 2007

End Date

June 1 2009

Last Update

September 7 2011

Active Locations (1)

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1

Johns Hopkins Hospital

Baltimore, Maryland, United States, 21287