Journal of child and adolescent psychopharmacology · 2010
A prospective open-label trial of extended-release carbamazepine monotherapy in children with bipolar disorder.
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Joshi Gagan, Wozniak Janet, Mick Eric, Doyle Robert, Hammerness Paul, Georgiopoulos Anna, Kotarski Meghan, Aleardi Megan, Williams Courtney, Walls Sarah, Biederman Joseph
Аннотация
OBJECTIVE: The aim of this study was to evaluate the safety and efficacy of extended release carbamazepine (CBZ-ER) monotherapy in the treatment of pediatric bipolar disorder (BD).
METHOD: This was an 8-week, open-label, prospective trial of CBZ-ER monotherapy (788 +/- 252 mg/day) to assess the effectiveness and tolerability of this compound in treating pediatric bipolar spectrum disorders. Assessments included the Young Mania Rating Scale (YMRS), Clinical Global Impressions-Improvement scale, Children's Depression Rating Scale, and Brief Psychiatric Rating Scale. Adverse events were assessed through spontaneous self-reports, vital signs weight monitoring, and laboratory analysis.
RESULTS: Of the 27 participating children with BD, 16 (59.%) completed the study. CBZ-ER treatment was associated with statistically significant, but modest, levels of improvement in mean YMRS scores (-10.1 +/- 10.2, p < 0.001) with end-point mean YMRS score (21.8 +/- 12.2) suggesting a lack of complete resolution of mania. CBZ-ER treatment also resulted in significant improvement in the severity of depressive, attention-deficit/hyperactivity disorder, and psychotic symptoms. With the exception of 2 participants who discontinued due to skin rash, CBZ-ER was well tolerated with marginal increase in body weight (0.8 +/- 2.5 kg, p = 0.04) and was not associated with any abnormal changes in laboratory parameters.
CONCLUSIONS: Open-label CBZ-ER treatment was beneficial for the treatment of BD in children. Future controlled trials are warranted.
METHOD: This was an 8-week, open-label, prospective trial of CBZ-ER monotherapy (788 +/- 252 mg/day) to assess the effectiveness and tolerability of this compound in treating pediatric bipolar spectrum disorders. Assessments included the Young Mania Rating Scale (YMRS), Clinical Global Impressions-Improvement scale, Children's Depression Rating Scale, and Brief Psychiatric Rating Scale. Adverse events were assessed through spontaneous self-reports, vital signs weight monitoring, and laboratory analysis.
RESULTS: Of the 27 participating children with BD, 16 (59.%) completed the study. CBZ-ER treatment was associated with statistically significant, but modest, levels of improvement in mean YMRS scores (-10.1 +/- 10.2, p < 0.001) with end-point mean YMRS score (21.8 +/- 12.2) suggesting a lack of complete resolution of mania. CBZ-ER treatment also resulted in significant improvement in the severity of depressive, attention-deficit/hyperactivity disorder, and psychotic symptoms. With the exception of 2 participants who discontinued due to skin rash, CBZ-ER was well tolerated with marginal increase in body weight (0.8 +/- 2.5 kg, p = 0.04) and was not associated with any abnormal changes in laboratory parameters.
CONCLUSIONS: Open-label CBZ-ER treatment was beneficial for the treatment of BD in children. Future controlled trials are warranted.
Предметные рубрики MeSH
Antimanic AgentsAttention Deficit Disorder with HyperactivityBipolar DisorderBody WeightCarbamazepineChildComorbidityDelayed-Action PreparationsDepressionDrug Administration ScheduleDrug-Related Side Effects and Adverse ReactionsExanthemaFemaleHumansMaleMassachusettsOutpatientsProspective StudiesPsychiatric Status Rating ScalesTreatment Outcome