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Safety and Efficacy Study in the Treatment of Intestinal Problems Associated With Autism

Primary Purpose

Autism, Autistic Disorder, Child Development Disorders, Pervasive

Status
Unknown status
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Oralgam (human immunoglobulin)
Sponsored by
PediaMed Pharmaceuticals
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Autism focused on measuring autism, gastrointestinal dysfunction, autistic disorder, diarrhea, constipation, abdominal pain, gastrointestinal problems associated with autism, immune globulin, immunoglobulin, Immunoglobulins, Intravenous, Intestinal Mucosa/immunology/pathology, Administration, Oral, Autistic Disorder/*drug therapy, Child Behavior/*drug effects, Constipation/drug therapy, Diarrhea/drug therapy, Gastrointestinal Agents/*therapeutic use

Eligibility Criteria

2 Years - 18 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Male or female from 2 years to 18 years of age (up to, but not inclusive of the 18th birthday) Diagnosis of autistic disorder corroborated by an Autism Diagnostic Interview - Revised (ADI-R) assessment performed by a certified investigator Physician Clinical Global Impression of Severity (of Autistic Disorder) History of chronic, persistent gastrointestinal disturbance No elective changes in medication, diet intervention, or behavioral therapy during the study (18 weeks total) Exclusion Criteria: Evidence of a gastrointestinal infection or GI abnormality A known diagnosis of other gastrointestinal pathology Antibiotic and/or antifungal (e.g. nystatin) medication Chelation therapy Medication affecting gastrointestinal transit Planned use of prohibited drugs or agents that could affect GI transit Changes in diet intervention within 30 days prior to the screening visit Changes in alternative medical therapies or dietary supplements within 30 days prior to the screening visit Adding and/or changing behavior modification or psychotherapy during participation in the study Adding or changing psychotropic medication during participation in the study DSM-IV diagnosis of a pervasive developmental disorder other than autistic disorder Evidence of a seizure disorder, diagnosis of fragile X syndrome, tuberous sclerosis complex, liver disease, pancreatic disease, cystic fibrosis, or chronic infection Previous gastrointestinal surgery Pregnancy Participation in another investigational study Significant deviation from normal laboratory test values at baseline IgA deficiency (serum IgA < 5 mg/dL) A history of severe hypersensitivity to human immunoglobulin Treatment with any human immunoglobulin and/or immunoglobulin products Any concurrent medication that would compromise subject's tolerance of drug or compliance with the protocol

Sites / Locations

  • Southwest Autism Research and Resource Center
  • Center for Autism Research and Education
  • University of California Davis, MIND Institute
  • Sarkis Clinical Trials
  • University of Florida HSC
  • International Child Development Resource Center
  • Medical Research Group of Central Florida
  • Riley Hospital for Children
  • University of Kansas Medical Center, Developmental Disabilities Center
  • Bluegrass Clinical Research
  • Gulf Coast Research, LLC
  • Hardy Health Associates
  • Pivotal Research Centers - Detroit
  • Mercy Health Research
  • Robert Wood Johnson Medical School
  • Strong Center for Developmental Disabilities, University of Rochester Medical Center
  • Children's Hospital Medical Center of Akron
  • Cincinnati Children's Hospital
  • Nisonger Center Ohio State University
  • Merck Child Outpatient Clinic
  • North San Antonio Healthcare Associates
  • Autism Spectrum Treatment and Research Center

Outcomes

Primary Outcome Measures

Global improvement in gastrointestinal function

Secondary Outcome Measures

Assessment of behavior (improvement and severity); additional assessments of gastrointestinal conditions

Full Information

First Posted
May 12, 2005
Last Updated
February 20, 2006
Sponsor
PediaMed Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT00110708
Brief Title
Safety and Efficacy Study in the Treatment of Intestinal Problems Associated With Autism
Official Title
A Randomized, Placebo-Controlled Phase II Trial Evaluating Safety and Efficacy of Oral Human Immunoglobulin in the Treatment of Gastrointestinal Dysfunction Associated With Autistic Disorder in Pediatric Patients From 2 to 18 Years of Age
Study Type
Interventional

2. Study Status

Record Verification Date
February 2006
Overall Recruitment Status
Unknown status
Study Start Date
April 2005 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
June 2006 (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
PediaMed Pharmaceuticals

4. Oversight

5. Study Description

Brief Summary
The purpose of this study is to determine if human immunoglobulin given by mouth twice a day is effective in treating the persistent gastrointestinal (GI) problems such as diarrhea, constipation, abdominal pain, and bloating, in children with autism.
Detailed Description
Autistic GI Dysfunction (AGID) is a term that describes a constellation of GI signs and symptoms often found in children with autistic disorder, including abdominal pain, constipation, chronic diarrhea, alternating constipation and diarrhea, gaseousness, bloating, and reflux. The objective of this study is to assess the potential efficacy of oral immunoglobulin in reducing a wide range of GI symptoms in children and adolescents diagnosed with autistic disorder.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Autism, Autistic Disorder, Child Development Disorders, Pervasive, Gastrointestinal Diseases, Signs and Symptoms, Digestive
Keywords
autism, gastrointestinal dysfunction, autistic disorder, diarrhea, constipation, abdominal pain, gastrointestinal problems associated with autism, immune globulin, immunoglobulin, Immunoglobulins, Intravenous, Intestinal Mucosa/immunology/pathology, Administration, Oral, Autistic Disorder/*drug therapy, Child Behavior/*drug effects, Constipation/drug therapy, Diarrhea/drug therapy, Gastrointestinal Agents/*therapeutic use

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
120 (false)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Oralgam (human immunoglobulin)
Primary Outcome Measure Information:
Title
Global improvement in gastrointestinal function
Secondary Outcome Measure Information:
Title
Assessment of behavior (improvement and severity); additional assessments of gastrointestinal conditions

10. Eligibility

Sex
All
Minimum Age & Unit of Time
2 Years
Maximum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female from 2 years to 18 years of age (up to, but not inclusive of the 18th birthday) Diagnosis of autistic disorder corroborated by an Autism Diagnostic Interview - Revised (ADI-R) assessment performed by a certified investigator Physician Clinical Global Impression of Severity (of Autistic Disorder) History of chronic, persistent gastrointestinal disturbance No elective changes in medication, diet intervention, or behavioral therapy during the study (18 weeks total) Exclusion Criteria: Evidence of a gastrointestinal infection or GI abnormality A known diagnosis of other gastrointestinal pathology Antibiotic and/or antifungal (e.g. nystatin) medication Chelation therapy Medication affecting gastrointestinal transit Planned use of prohibited drugs or agents that could affect GI transit Changes in diet intervention within 30 days prior to the screening visit Changes in alternative medical therapies or dietary supplements within 30 days prior to the screening visit Adding and/or changing behavior modification or psychotherapy during participation in the study Adding or changing psychotropic medication during participation in the study DSM-IV diagnosis of a pervasive developmental disorder other than autistic disorder Evidence of a seizure disorder, diagnosis of fragile X syndrome, tuberous sclerosis complex, liver disease, pancreatic disease, cystic fibrosis, or chronic infection Previous gastrointestinal surgery Pregnancy Participation in another investigational study Significant deviation from normal laboratory test values at baseline IgA deficiency (serum IgA < 5 mg/dL) A history of severe hypersensitivity to human immunoglobulin Treatment with any human immunoglobulin and/or immunoglobulin products Any concurrent medication that would compromise subject's tolerance of drug or compliance with the protocol
Facility Information:
Facility Name
Southwest Autism Research and Resource Center
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85006
Country
United States
Facility Name
Center for Autism Research and Education
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85012
Country
United States
Facility Name
University of California Davis, MIND Institute
City
Sacramento
State/Province
California
ZIP/Postal Code
95817
Country
United States
Facility Name
Sarkis Clinical Trials
City
Gainesville
State/Province
Florida
ZIP/Postal Code
32607
Country
United States
Facility Name
University of Florida HSC
City
Gainesville
State/Province
Florida
ZIP/Postal Code
32608
Country
United States
Facility Name
International Child Development Resource Center
City
Melbourne
State/Province
Florida
ZIP/Postal Code
32901
Country
United States
Facility Name
Medical Research Group of Central Florida
City
Orange City
State/Province
Florida
ZIP/Postal Code
32763
Country
United States
Facility Name
Riley Hospital for Children
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202
Country
United States
Facility Name
University of Kansas Medical Center, Developmental Disabilities Center
City
Kansas City
State/Province
Kansas
ZIP/Postal Code
66160
Country
United States
Facility Name
Bluegrass Clinical Research
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40291
Country
United States
Facility Name
Gulf Coast Research, LLC
City
Baton Rouge
State/Province
Louisiana
ZIP/Postal Code
70808
Country
United States
Facility Name
Hardy Health Associates
City
Hingham
State/Province
Massachusetts
ZIP/Postal Code
02043
Country
United States
Facility Name
Pivotal Research Centers - Detroit
City
Royal Oak
State/Province
Michigan
ZIP/Postal Code
48073
Country
United States
Facility Name
Mercy Health Research
City
St. Louis
State/Province
Missouri
ZIP/Postal Code
63141
Country
United States
Facility Name
Robert Wood Johnson Medical School
City
Piscataway
State/Province
New Jersey
ZIP/Postal Code
08854
Country
United States
Facility Name
Strong Center for Developmental Disabilities, University of Rochester Medical Center
City
Rochester
State/Province
New York
ZIP/Postal Code
14642
Country
United States
Facility Name
Children's Hospital Medical Center of Akron
City
Akron
State/Province
Ohio
ZIP/Postal Code
44308
Country
United States
Facility Name
Cincinnati Children's Hospital
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45229-3039
Country
United States
Facility Name
Nisonger Center Ohio State University
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43210
Country
United States
Facility Name
Merck Child Outpatient Clinic
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15203
Country
United States
Facility Name
North San Antonio Healthcare Associates
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78217
Country
United States
Facility Name
Autism Spectrum Treatment and Research Center
City
Seattle
State/Province
Washington
ZIP/Postal Code
98109
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
19148734
Citation
Handen BL, Melmed RD, Hansen RL, Aman MG, Burnham DL, Bruss JB, McDougle CJ. A double-blind, placebo-controlled trial of oral human immunoglobulin for gastrointestinal dysfunction in children with autistic disorder. J Autism Dev Disord. 2009 May;39(5):796-805. doi: 10.1007/s10803-008-0687-y. Epub 2009 Jan 16.
Results Reference
derived

Learn more about this trial

Safety and Efficacy Study in the Treatment of Intestinal Problems Associated With Autism

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