PMID- 33455928 OWN - NLM STAT- MEDLINE DCOM- 20210514 LR - 20210514 IS - 2044-6055 (Electronic) IS - 2044-6055 (Linking) VI - 11 IP - 1 DP - 2021 Jan 17 TI - Monitoring of metabolic adverse events of second-generation antipsychotics in a naive paediatric population followed in mental health outpatient and inpatient clinical settings: MEMAS prospective study protocol. PG - e040764 LID - 10.1136/bmjopen-2020-040764 [doi] LID - e040764 AB - INTRODUCTION: Second-generation antipsychotics (SGAs) are widely used in the paediatric population. It is currently established that SGAs may induce metabolic adverse events (AEs) such as weight gain, perturbation of blood lipids or glucose with risk of potential cardiovascular morbidity and mortality. The Canadian Alliance for Monitoring Effectiveness and Safety of Antipsychotics in children (CAMESA) has published recommendations for monitoring the metabolic AEs of SGAs. Factors that may be associated with the onset of SGA's metabolic AEs and long-term consequences are less studied in the literature. The objectives of our research are to evaluate some factors that can influence the development of the SGA's metabolic AEs and to study clinical adherence to CAMESA guidelines. METHODS AND ANALYSIS: The Monitoring des Effets Metaboliques des Antipsychotiques de Seconde Generation study is a multicenter, prospective, longitudinal observational study with repeated measures of metabolic monitoring over 24 months. Two recruiting centres have been selected for patients under 18 years of age, previously naive of antipsychotics, starting an SGA or who have started an SGA for less than 4 weeks regardless of the diagnosis that motivated the prescription. Assessments are performed for anthropometric measures, blood pressure, blood tests at baseline and 1, 2, 3, 6, 9, 12 and 24 months of follow-up. ETHICS AND DISSEMINATION: The study protocol was approved by the CHU Sainte-Justine's Research Ethics Board (MP-21-2016-1201) in 2016 and obtained institutional suitability for the 'Centre Integre Universitaire de Sante et de Services Sociaux du Nord-de-l'Ile-de-Montreal' Research Center in May 2018. For all participants, written consent will be obtained from parents/caregivers as well as the participant's assent in order to enable their participation in this research project. The results of this research will be published. TRIAL REGISTRATION NUMBER: ClinicalTrials.gov (number NCT04395326). CI - (c) Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. FAU - Menard, Marie-Line AU - Menard ML AD - University Department of Child and Adolescent Psychiatry, Children's Hospitals of Nice CHU-Lenval, Nice, France. FAU - Ilies, Drigissa AU - Ilies D AUID- ORCID: 0000-0002-8821-7436 AD - Department of Psychiatry and Addictology, University of Montreal, Montreal, Quebec, Canada. AD - Child and Adolescents Psychiatry Division, Department of Psychiatry, Riviere-des-Prairies Mental Health Hospital, CIUSSS-NIM, Montreal, Quebec, Canada. FAU - Abadie, Pascale AU - Abadie P AD - Department of Psychiatry and Addictology, University of Montreal, Montreal, Quebec, Canada. AD - Child and Adolescents Psychiatry Division, Department of Psychiatry, Riviere-des-Prairies Mental Health Hospital, CIUSSS-NIM, Montreal, Quebec, Canada. FAU - Jean-Baptiste, Thaina AU - Jean-Baptiste T AD - Faculty of Pharmacy, University of Montreal, Montreal, Quebec, Canada. FAU - Choquette, Rachel AU - Choquette R AD - Faculty of Pharmacy, University of Montreal, Montreal, Quebec, Canada. FAU - Huet, Anne-Sophie AU - Huet AS AD - Department of Psychiatry and Addictology, University of Montreal, Montreal, Quebec, Canada. FAU - Ben Amor, Leila AU - Ben Amor L AUID- ORCID: 0000-0001-7638-3923 AD - University Department of Child and Adolescent Psychiatry, CHU Sainte-Justine, Montreal, Quebec, Canada leila.ben.amor.hsj@ssss.gouv.qc.ca. LA - eng SI - ClinicalTrials.gov/NCT04395326 PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210117 PL - England TA - BMJ Open JT - BMJ open JID - 101552874 RN - 0 (Antipsychotic Agents) SB - IM MH - Adolescent MH - *Antipsychotic Agents/adverse effects MH - Canada MH - Child MH - Humans MH - Infant MH - Infant, Newborn MH - Inpatients MH - Mental Health MH - Multicenter Studies as Topic MH - Observational Studies as Topic MH - Outpatients MH - Prospective Studies PMC - PMC7813300 OTO - NOTNLM OT - adverse events OT - child & adolescent psychiatry OT - clinical trials OT - public health COIS- Competing interests: None declared. EDAT- 2021/01/19 06:00 MHDA- 2021/05/15 06:00 PMCR- 2021/01/17 CRDT- 2021/01/18 05:26 PHST- 2021/01/18 05:26 [entrez] PHST- 2021/01/19 06:00 [pubmed] PHST- 2021/05/15 06:00 [medline] PHST- 2021/01/17 00:00 [pmc-release] AID - bmjopen-2020-040764 [pii] AID - 10.1136/bmjopen-2020-040764 [doi] PST - epublish SO - BMJ Open. 2021 Jan 17;11(1):e040764. doi: 10.1136/bmjopen-2020-040764.