Page last updated: 2024-10-31

mirtazapine and Autism Spectrum Disorder

mirtazapine has been researched along with Autism Spectrum Disorder in 2 studies

Mirtazapine: A piperazinoazepine tetracyclic compound that enhances the release of NOREPINEPHRINE and SEROTONIN through blockage of presynaptic ALPHA-2 ADRENERGIC RECEPTORS. It also blocks both 5-HT2 and 5-HT3 serotonin receptors and is a potent HISTAMINE H1 RECEPTOR antagonist. It is used for the treatment of depression, and may also be useful for the treatment of anxiety disorders.

Autism Spectrum Disorder: Wide continuum of associated cognitive and neurobehavioral disorders, including, but not limited to, three core-defining features: impairments in socialization, impairments in verbal and nonverbal communication, and restricted and repetitive patterns of behaviors. (from DSM-V)

Research Excerpts

ExcerptRelevanceReference
"This study was a 10-week double-blind, placebo-controlled pilot trial of mirtazapine for anxiety in youth with autism spectrum disorder (ASD)."9.51A randomized double-blind, placebo-controlled pilot trial of mirtazapine for anxiety in children and adolescents with autism spectrum disorder. ( Erickson, CA; Keary, CJ; Mathieu-Frasier, L; McDougle, CJ; Mullett, JE; Palumbo, ML; Politte, LC; Posey, DJ; Ravichandran, CT; Stigler, KA; Thom, RP, 2022)
"This study was a 10-week double-blind, placebo-controlled pilot trial of mirtazapine for anxiety in youth with autism spectrum disorder (ASD)."5.51A randomized double-blind, placebo-controlled pilot trial of mirtazapine for anxiety in children and adolescents with autism spectrum disorder. ( Erickson, CA; Keary, CJ; Mathieu-Frasier, L; McDougle, CJ; Mullett, JE; Palumbo, ML; Politte, LC; Posey, DJ; Ravichandran, CT; Stigler, KA; Thom, RP, 2022)

Research

Studies (2)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's1 (50.00)24.3611
2020's1 (50.00)2.80

Authors

AuthorsStudies
McDougle, CJ1
Thom, RP1
Ravichandran, CT1
Palumbo, ML1
Politte, LC1
Mullett, JE1
Keary, CJ1
Erickson, CA1
Stigler, KA1
Mathieu-Frasier, L1
Posey, DJ1
Akbas, B1
Akca, OF1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Mirtazapine Treatment of Anxiety in Children and Adolescents With Pervasive Developmental Disorders[NCT01302964]Phase 330 participants (Actual)Interventional2010-08-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Mean 10-Week Change in Pediatric Anxiety Rating Scale 5-Item Total Score, Double-blind Phase

The Pediatric Anxiety Rating Scale (PARS) is a clinician-rated instrument that assesses anxiety symptoms that are commonly associated with social anxiety, separation anxiety, and generalized anxiety disorders. Scaled score ranges form 0-25 with higher scores indicating more severe anxiety symptoms. Means were estimated using a repeated measures linear regression model with treatment group, study week (in categories), and their interaction as covariates, and assuming a common mean between treatment groups at baseline. Confidence intervals reflect a Bonferroni multiple testing correction accounting for the selection of two primary outcomes. (NCT01302964)
Timeframe: Weeks Baseline, 2, 4, 6, and 10

Interventionscore on a scale (Mean)
Mirtazapine-4.9
Placebo-3.2

Proportion of Participants Who Responded to Treatment at 10 Weeks According to the Improvement Item of the Clinical Global Impression-Scale (Response Defined as CGI-I=1 or CGI-I=2)

The Clinical Global Impressions Global Improvement (CGI-I) is designed to take into account all factors to arrive at an assessment of response to treatment. The CGI-I scale ranges from 1 to 7 (1=very much improved; 2= much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse), with lower scores indicating improvement (1=very much improved and 2=much improved). In this study the CGI was focused on the target symptom of anxiety. Participants with a CGI-I score of 1 or 2 were classified as responders. The CGI-I was administered biweekly for 6 weeks and again at 10 weeks during the study. The participant who withdrew from the study before 10 weeks was not included in the calculations. (NCT01302964)
Timeframe: Screen (Visit 1) Baseline (Visit 2) and Endpoint (Week 10)

InterventionProportion of participants (Number)
Mirtazapine0.47
Placebo0.20

Trials

1 trial available for mirtazapine and Autism Spectrum Disorder

ArticleYear
A randomized double-blind, placebo-controlled pilot trial of mirtazapine for anxiety in children and adolescents with autism spectrum disorder.
    Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2022, Volume: 47, Issue:6

    Topics: Adolescent; Anxiety; Anxiety Disorders; Autism Spectrum Disorder; Child; Child, Preschool; Double-Bl

2022

Other Studies

1 other study available for mirtazapine and Autism Spectrum Disorder

ArticleYear
Treatment of a Child with Autism Spectrum Disorder and Food Refusal Due to Restricted and Repetitive Behaviors.
    Journal of child and adolescent psychopharmacology, 2018, Volume: 28, Issue:5

    Topics: Aggression; Aripiprazole; Autism Spectrum Disorder; Child; Feeding and Eating Disorders; Humans; Mal

2018