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Related Experiment Videos

Risperidone in children with autism: randomized, placebo-controlled, double-blind study.

Ravishankar Nagaraj1, Pratibha Singhi, Prahbhjot Malhi

  • 1Department of Pediatrics, Advanced Pediatric Centre, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh, India 160012.

Journal of Child Neurology
|September 5, 2006
PubMed
Summary

Risperidone significantly improved functioning in children with autism, reducing aggression and hyperactivity. This autism treatment was well-tolerated, enhancing social and communication skills.

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Area of Science:

  • Pediatric Psychiatry
  • Neurodevelopmental Disorders
  • Pharmacological Interventions

Background:

  • Open-label studies suggest risperidone's efficacy in treating target symptoms in children with autism.
  • A need exists to rigorously evaluate risperidone's impact on core autism symptoms and overall functioning.

Purpose of the Study:

  • To assess the efficacy of risperidone compared to placebo in improving behavioral, social, emotional, and communication skills in children with autism.
  • To evaluate the impact of risperidone on Childhood Autism Rating Scale (CARS) and Children's Global Assessment Scale (CGAS) scores.

Main Methods:

  • A randomized, double-blind, placebo-controlled trial involving 40 children aged 2-9 years with autism.
  • Participants received either risperidone (1 mg/day) or placebo orally for 6 months.

Related Experiment Videos

  • Autism symptoms were monitored, with CARS and CGAS scores as primary outcome variables.
  • Main Results:

    • 12/19 children on risperidone improved CARS scores versus 0/20 on placebo (P < .001).
    • 17/19 children on risperidone improved CGAS scores versus 2/20 on placebo (P = .035).
    • Risperidone enhanced social responsiveness, nonverbal communication, and reduced hyperactivity and aggression.

    Conclusions:

    • Risperidone significantly improved global functioning and social responsiveness in children with autism.
    • The medication was well-tolerated, with common side effects including increased appetite, mild weight gain, sedation, and transient dyskinesias.
    • Risperidone demonstrates a favorable risk-benefit profile for managing specific symptoms in pediatric autism.