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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03715153
Registration number
NCT03715153
Ethics application status
Date submitted
12/10/2018
Date registered
23/10/2018
Titles & IDs
Public title
Efficacy and Safety of Bumetanide Oral Liquid Formulation in Children Aged From 2 to Less Than 7 Years Old With Autism Spectrum Disorder.
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Scientific title
Efficacy and Safety of Bumetanide Oral Liquid Formulation in Children Aged From 2 to Less Than 7 Years Old With Autism Spectrum Disorder. A 6-month Randomised, Double-blind, Placebo Controlled Multicentre Parallel Group Study to Evaluate Efficacy and Safety of Bumetanide 0.5mg Twice a Day Followed by an Open Label Active 6-month Treatment Period With Bumetanide (0.5mg Twice a Day) and a 6 Weeks Discontinuation Period After Treatment Stop.
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Secondary ID [1]
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2017-004420-30
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Secondary ID [2]
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CL3-95008-002
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Autism Spectrum Disorder (ASD)
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Condition category
Condition code
Mental Health
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Autistic spectrum disorders
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Mental Health
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Other mental health disorders
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Neurological
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - BUMETANIDE (S95008) for week 0 - 26
Treatment: Drugs - PLACEBO for week 0 - 26
Treatment: Drugs - Open-Label BUMETANIDE (S95008) for weeks 26 - 52
Experimental: BUMETANIDE (S95008) followed by Open-Label S95008 - Participants will receive S95008 for 6 months, 26 weeks, and then they will begin an open-label 6 month treatment period with S95008.
Placebo comparator: PLACEBO followed by Open-Label S95008 - Participants will receive placebo for 6 months, 26 weeks, and then they will begin an open-label 6 month treatment period with S95008.
Treatment: Drugs: BUMETANIDE (S95008) for week 0 - 26
Oral solution dosed at 0.5 mg/mL Taken twice daily.
Treatment: Drugs: PLACEBO for week 0 - 26
Oral solution Taken twice daily.
Treatment: Drugs: Open-Label BUMETANIDE (S95008) for weeks 26 - 52
Oral solution dosed at 0.5 mg/mL Taken twice daily.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Childhood Autism Rating Scale, Second Edition (CARS2) Total Raw Score
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Assessment method [1]
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The CARS2 total raw score range from 15 to 60. This scale is a behaviour rating scale intended to diagnose autism. A total score of 15 indicates that an individual behaviour is within normal limits, whereas a value of 60 indicates that the individual's behaviour is severly abnormal.
In term of change from baseline, the greater the mean value decreases, the better it is.
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Timepoint [1]
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Change from baseline to Week 26
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Secondary outcome [1]
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Social Responsiveness Scale, Second Edition (SRS-2) Total Raw Score
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Assessment method [1]
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The SRS-2 total raw score serves as an index of severity of social deficits in the autism spectrum.
The total raw score ranges from 65 to 260. A value of 65 represents no symptoms disorders, a value of 260 represents a severe autism spectrum disorder.
In terms of change from baseline, the greater the mean value decreases, the better it is.
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Timepoint [1]
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Change from baseline to Week 26
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Secondary outcome [2]
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Clinical Global Impression - Global Improvement (CGI-I) Score
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Assessment method [2]
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Scale which assesses the severity of the illness and the global improvement of the patient under study treatment.
It ranges from 1 (normal) through to 7 (amongst the most severely ill patients).
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Timepoint [2]
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At Week 26
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Secondary outcome [3]
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Vineland Adaptative Behaviour Scale II (VABS II)
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Assessment method [3]
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Scale designated to measure adaptative behaviour The scale for behaviour ranges from 1 to 67. The more the score decreases, the better it is.
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Timepoint [3]
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Change from baseline to Week 26
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Secondary outcome [4]
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Number of Patients With Abnormalities in 12-leads Electrocardiogram (ECG) Parameters
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Assessment method [4]
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Number of patients with clinically significant ECG abnormalities
The 12-lead electrocardiogram (ECG) is a medical test that is recorded using leads, or nodes, attached to the body. Electrocardiograms (ECGs), capture the electrical activity of the heart and transfer it to graphed paper where abnormalities are reported and interpretated by the cardiologist.
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Timepoint [4]
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Week 26
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Secondary outcome [5]
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Columbia-Suicide Severity Scale Children's Version (C-SSRS-C)
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Assessment method [5]
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Number of patients with suicidal ideation or suicidal behavior. The scale is 0 to 5 with the highest suicidal behavior being a 5 and the absence of suicidal behavior or very minor behaviors are 0. However, statistical analysis was done by looking at the number of patients with suicidal behavior or suicidal ideation during their lifetime and during the last 6 months of treatment.
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Timepoint [5]
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Week 26
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Secondary outcome [6]
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Acceptability and Palatability Questionnaires - Only Descriptive Analyses
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Assessment method [6]
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Acceptability and palatability criterion Based on your child's reactions (indirect rating), do you think that he/she found the administration method to be
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Timepoint [6]
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Week 26
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Secondary outcome [7]
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Paediatric Quality of Life Inventory (PedsQL) Questionnaire
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Assessment method [7]
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It represents the assessment of parent/legal representative perception of patient health related quality of life The values of the questionnaire range from 0 to 100. Higher scores indicate better HRQOL (Health-Related Quality of Life)
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Timepoint [7]
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Change from baseline to week 26
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Secondary outcome [8]
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Number of Participants Experiencing at Least 1 Treatment Emergent Adverse Event (TEAE)
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Assessment method [8]
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Timepoint [8]
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through week 52
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Eligibility
Key inclusion criteria
* Male and female patients from 2 to less than 7
* Primary diagnosis of ASD as per Diagnostic and Statistical Manual of Mental Disorders - Fifth Edition (DSM-5) criteria
* Criteria met for ASD on Autism Diagnostic Observation Schedule-Generic (ADOS-2) and Autism Diagnosis Interview Revised (ADI-R)
* CGI (Clinical Global Impression) - Severity rating Score = 4
* Childhood Autism Rating Scale second edition (CARS2-ST or HF) total raw score = 34
* Social responsiveness Scale second edition (SRS-2) total score = 66 T-Score
* Absence of diagnosis of Fragile X or Rett Syndrome
* Absence of any clinically significant abnormality likely to interfere with the conduct of the study according to the judgment of the investigator.
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Minimum age
2
Years
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Maximum age
6
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Patients not able to follow the study assessments defined by the protocol, with the exception of self-rating questionnaires which will be assessed by parent/legal representative/caregiver for those patients unable to complete them
* Patients having a high suicidal risk according to the investigator judgement
* Chronic renal dysfunction
* Chronic cardiac dysfunction
* Patient with unstable psychotherapy, behavioural, cognitive or cognitive-behavioural therapy
* Severe electrolyte imbalance that is likely to interfere with the study conduct or evaluation
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
4/10/2018
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
26/10/2021
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Sample size
Target
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Accrual to date
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Final
211
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Liverpool Hospital - Liverpool
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Recruitment hospital [2]
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The Royal Children's Hospital Melbourne - Parkville
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Recruitment postcode(s) [1]
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2170 - Liverpool
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Recruitment postcode(s) [2]
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3052 - Parkville
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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New York
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Brazil
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Curitiba
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Brazil
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Fortaleza
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Brazil
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Joinville
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Brazil
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Passo Fundo
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Brazil
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São Paulo
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Czechia
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Ostrava
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Czechia
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Brno
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Czechia
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Praha
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Country [10]
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France
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Alpes-Maritimes
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France
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Alsace-Champagne-Ardenne-Lorraine
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France
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Auvergne Rhone Alpes
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France
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Auvergne-Rhône-Alpes
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France
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Ile De France
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France
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Normandie
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France
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Nouvelle Aquitaine
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France
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Nouvelle-Aquitaine
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Hungary
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State/province [18]
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Budapest
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Hungary
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Gyula
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Hungary
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Szeged
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Italy
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Lombardia
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Italy
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Sardegna
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Italy
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Sicilia
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Italy
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Toscana
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Poland
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Gdansk
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Poland
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Lodz
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Poland
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Warszawa
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Portugal
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Coimbra
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Slovakia
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Bratislava
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Slovakia
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Košice
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Spain
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Barcelona
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Spain
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Guipuzcoa
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Spain
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Madrid
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Spain
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Alicante
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United Kingdom
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Colchester
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United Kingdom
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London
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United Kingdom
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State/province [37]
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Manchester
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Funding & Sponsors
Primary sponsor type
Other
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Name
Institut de Recherches Internationales Servier
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Address
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Other collaborator category [1]
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Commercial sector/industry
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Name [1]
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ADIR, a Servier Group company
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Address [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study was to evaluate the efficacity and the safety of bumetanide/S95008 in the improvement of Autism Spectrum Disorder core symptoms.
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Trial website
https://clinicaltrials.gov/study/NCT03715153
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Contact person for public queries
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Qualified scientific and medical researchers can request access to anonymized patient-level and study-level clinical trial data.
Access can be requested for all interventional clinical studies:
* used for Marketing Authorization (MA) of medicines and new indications approved after 1 January 2014 in the European Economic Area (EEA) or the United States (US).
* where Servier is the Marketing Authorization Holder (MAH). The date of the first MA of the new medicine (or the new indication) in one of the EEA Member States will be considered for this scope.
In addition, access can be requested for all interventional clinical studies in patients:
* sponsored by Servier
* with a first patient enrolled as of 1 January 2004 onwards
* for New Chemical Entity or New Biological Entity (new pharmaceutical form excluded) for which development has been terminated before any Marketing authorization (MA) approval.
Supporting document/s available: Study protocol, Statistical analysis plan (SAP), Informed consent form (ICF), Clinical study report (CSR)
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When will data be available (start and end dates)?
After Marketing Authorisation in EEA or US if the study is used for the approval.
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Available to whom?
Researchers should register on Servier Data Portal and fill in the research proposal form. This form in four parts should be fully documented. The Research Proposal Form will not be reviewed until all mandatory fields are completed.
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Available for what types of analyses?
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How or where can data be obtained?
IPD available at link: https://clinicaltrials.servier.com/
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What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/53/NCT03715153/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/53/NCT03715153/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT03715153