An open-label trial of riluzole, a glutamate antagonist, in children with treatment-resistant obsessive-compulsive disorder
P Grant, L Lougee, M Hirschtritt… - Journal of child and …, 2007 - liebertpub.com
P Grant, L Lougee, M Hirschtritt, SE Swedo
Journal of child and adolescent psychopharmacology, 2007•liebertpub.comBackground: Obsessive-compulsive disorder (OCD) in childhood is often refractory to
treatment. Riluzole, a glutamate antagonist, has theoretical support as an alternative
pharmacological treatment and has demonstrated possible benefit in some open-label trials
in adults with OCD. Methods: Six subjects, ages 8–16 years, were enrolled in a 12-week
open-label trial of riluzole for OCD symptoms that had resisted prior treatments. OCD
symptoms and adverse effects of drug were monitored. Results: Four of 6 subjects had clear …
treatment. Riluzole, a glutamate antagonist, has theoretical support as an alternative
pharmacological treatment and has demonstrated possible benefit in some open-label trials
in adults with OCD. Methods: Six subjects, ages 8–16 years, were enrolled in a 12-week
open-label trial of riluzole for OCD symptoms that had resisted prior treatments. OCD
symptoms and adverse effects of drug were monitored. Results: Four of 6 subjects had clear …
Background: Obsessive-compulsive disorder (OCD) in childhood is often refractory to treatment. Riluzole, a glutamate antagonist, has theoretical support as an alternative pharmacological treatment and has demonstrated possible benefit in some open-label trials in adults with OCD.
Methods: Six subjects, ages 8–16 years, were enrolled in a 12-week open-label trial of riluzole for OCD symptoms that had resisted prior treatments. OCD symptoms and adverse effects of drug were monitored.
Results: Four of 6 subjects had clear benefit, with reduction of more than 46% (39% overall) on Children's Yale-Brown Obsessive-Compulsive Scale, and “Much Improved” or “Very Much Improved” on the Clinical Global Impressions–Improvement scale. Two subjects had no clinically meaningful change in symptom severity by 12 weeks, but 1 subject improved thereafter. There were no adverse effects of drug sufficient to cause discontinuation or reduction of dose. All subjects elected to continue riluzole after the 12-week trial.
Conclusions: Riluzole may be beneficial for treatment-resistant OCD in young subjects and seems well tolerated. A placebo-controlled trial of the drug is planned.
Mary Ann Liebert