Acamprosate in Youth With Fragile X Syndrome



Status:Completed
Conditions:Other Indications, Neurology, Psychiatric, Autism
Therapuetic Areas:Neurology, Psychiatry / Psychology, Other
Healthy:No
Age Range:5 - 17
Updated:4/29/2017
Start Date:August 2010
End Date:September 2011

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Pilot Study of Acamprosate in Youth With Fragile X Syndrome

Fragile X syndrome (FXS) is the most common inherited form of developmental disability. FXS
is inherited from the carrier parent, most often the mothers. FXS is associated with severe
interfering behavioral symptoms which include anxiety related symptoms, attention deficit
hyperactivity, and aggressive behaviors. Approximately 25-33% of individuals with FXS also
meet criteria for autistic disorder. The hypothesis of this study is that treatment with
acamprosate will reduce inattention/hyperactivity, language impairment, irritability, social
deficits, and cognitive delay in youth with FXS. The purpose of this study is to investigate
the effectiveness and tolerability of acamprosate in youth with Fragile X Syndrome and to
assess the potential psychophysiological differences between FXS and autism spectrum
disorders.


Inclusion Criteria:

- Male and female outpatients between the ages of 5 and 17 years.

- Confirmed diagnosis of Fragile X Syndrome based upon genetic testing.

- Stable dosing of all psychotropic medications for at least 2 weeks prior to baseline.

- Subjects with a stable seizure disorder or history of only childhood febrile seizures
will be included.

- Clinical Global Impression-Severity Score of 4 (Moderately Ill) or greater.

- Must be in good physical health.

- Subjects of child bearing age of both genders will be required to utilize birth
control as applicable.

Exclusion Criteria:

- Diagnosis of schizophrenia, another psychotic disorder, bipolar disorder or alcohol
or other substance abuse based on Diagnostic and Statistical Manual Fourth
Edition-Text Revised (DSM-IV-TR).

- A significant medical condition such as heart, liver, renal or pulmonary disease or
unstable seizure disorder.

- Females with a positive urine pregnancy test

- Creatinine clearance of less than 30.

- Concomitant use of another glutamatergic agent (memantine,riluzole, d-cycloserine,
amantadine topiramate, gabapentin, among others.

- Evidence of hypersensitivity to acamprosate or potentially serious adverse effect.

- Subjects who, in the opinion of the investigator, are unsuitable in any other way to
participate in this study including being unable to comply with the requirements of
the study for any reason.
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