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INtranasal OXyTocin for the Treatment of Autism Spectrum Disorders (INOXT)

Primary Purpose

Autism Spectrum Disorder

Status
Completed
Phase
Phase 2
Locations
Canada
Study Type
Interventional
Intervention
Intranasal Oxytocin
Placebo
Sponsored by
Evdokia Anagnostou
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Autism Spectrum Disorder focused on measuring Autism Spectrum Disorders, Oxytocin, Adults

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria

  1. Male or female outpatients 18-45 years of age, inclusive
  2. Meet Diagnostic and Statistical Manual of Mental Disorders. Diagnostic and Statistical Manual (DSM-V) criteria will be established by a clinician with expertise with individuals with ASD. Best estimate Diagnosis will be reached using DSM-V criteria, the Autism Diagnostic Observation Schedule (ADOS) and the Autism Diagnostic Interview (ADI-R).
  3. Have a Clinical Global Impression-Severity (CGI-S) score ≥ 4 (moderately ill) at Screening.
  4. Verbal scale Intelligence Quotient (IQ) ≥ 70
  5. If already receiving stable concomitant medications affecting behavior, have stable regimens with no changes during the preceding 1 month prior to Screening (with the exception of fluoxetine, where a period of 6 weeks is needed), and will not electively initiate new or modify ongoing medications for the duration of the study
  6. If already receiving stable non-pharmacological educational, behavioral, and/or dietary interventions, have continuous participation during the preceding 3 months prior to Screening, and not electively initiate new or modify ongoing interventions for the duration of the study
  7. Have normal physical examination and laboratory test results at screening. If abnormal, the finding(s) must be deemed clinically insignificant by the Treating Clinician.
  8. Ability to speak and understand English sufficiently to allow for the completion of all study assessments
  9. Ability to obtain written informed consent from the subject (if developmentally appropriate), or ability to obtain written informed consent from their surrogate decision maker (SDM), if the subject is unable to provide consent.

Exclusion Criteria

  1. Patients born prior to 28 weeks gestational age
  2. Patients with a primary psychiatric diagnosis other than ASD
  3. Patients with a medical history of neurological disease, including, but not limited to, epilepsy/seizure disorder, movement disorder, tuberous sclerosis, fragile X, and any other known genetic syndromes, or known abnormal brain MRI/structural lesion. Exceptions: 1) simple febrile seizures, 2) epilepsy/ seizure free for at least 2 years prior to Screening
  4. Pregnant female patients, sexually active female patients on hormonal birth control and sexually active females who do not use at least two types of non-hormonal birth control
  5. Patients with evidence or history of malignancy or any significant hematological, endocrine, cardiovascular (including any rhythm disorder), respiratory, renal, hepatic, or gastrointestinal disease
  6. Patients with one or more of the following: HIV, Hepatitis B virus, Hepatitis C virus, hemophilia (bleeding problems, recent nose and brain injuries), abnormal blood pressure (hypotension or hypertension), drug abuse, immunity disorder or severe depression.
  7. Patients unable to tolerate venipuncture procedures for blood sampling
  8. Patients who are currently taking oxytocin or have taken intranasal oxytocin in the past with no response
  9. Patients with a sensitivity to oxytocin or any components of its formulation

Sites / Locations

  • St. Joseph's Healthcare Hamilton
  • Holland Bloorview Kids Rehabilitation Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Intranasal Oxytocin

Placebo

Arm Description

Outcomes

Primary Outcome Measures

Efficacy of intranasal oxytocin vs. placebo on social function in adults with ASD
This will be measured by the Clinical Global Impressions - Improvement Scale - Social (CGI-I-Social).

Secondary Outcome Measures

Efficacy of intranasal oxytocin vs. placebo on a continuous measure of social cognition in adults with ASD
This will be measured by the Revised Eyes Test
Efficacy of intranasal oxytocin vs. placebo on a continuous measure of social function in adults with ASD
This will be measured by the Vineland Adaptive Behavior Scale (VABS-II)
Efficacy of intranasal oxytocin vs. placebo on a continuous measure of social responsiveness in adults with ASD
This will be measured by the Social Responsiveness Scale (SRS-2)
Efficacy of intranasal oxytocin vs. placebo on a continuous measure of social responsiveness in adults with ASD
This will be measured by the Aberrant Behavior Checklist (ABC)
Safety and tolerability of intranasal oxytocin in adults with ASD
This will be measured by the Safety Monitoring Uniform Report Form (SMURF)
Safety and tolerability of intranasal oxytocin in adults with ASD
This will be measured by the Clinical Global Impressions - Improvement Scale - Global (CGI-I-Global)
Efficacy of intranasal oxytocin vs. placebo on quality of life
This will be measured by the World Health Organization Quality of Life Survey (WHOQOL-BREF)
Efficacy of intranasal oxytocin vs. placebo on anxiety
This will be measured by the Symptom Checklist 90-Revised (SCL-90-R)

Full Information

First Posted
February 7, 2013
Last Updated
January 23, 2018
Sponsor
Evdokia Anagnostou
Collaborators
Holland Bloorview Kids Rehabilitation Hospital, McMaster University, Unity Health Toronto
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1. Study Identification

Unique Protocol Identification Number
NCT01788072
Brief Title
INtranasal OXyTocin for the Treatment of Autism Spectrum Disorders
Acronym
INOXT
Official Title
INtranasal OXyTocin for the Treatment of Autism Spectrum Disorders (ASD)
Study Type
Interventional

2. Study Status

Record Verification Date
January 2018
Overall Recruitment Status
Completed
Study Start Date
June 2014 (undefined)
Primary Completion Date
August 2017 (Actual)
Study Completion Date
October 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Evdokia Anagnostou
Collaborators
Holland Bloorview Kids Rehabilitation Hospital, McMaster University, Unity Health Toronto

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
There is substantial evidence from animal model and healthy control data, that oxytocin is involved in the modulation of social cognition. In addition, recent genetics and plasma level studies suggest a possible role for oxytocin in the pathophysiology of Autism Spectrum Disorders (ASD). As a large number of children with ASD are transitioning into adulthood and will likely require treatment, the lack of data to make meaningful treatment recommendations to facilitate adult living is an urgent issue. This study will examine the effect of intranasal oxytocin (IN-OXT) on social function in adults with ASD. It is hypothesized that IN-OXT will be superior to placebo in improving social function by the end of study treatment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Autism Spectrum Disorder
Keywords
Autism Spectrum Disorders, Oxytocin, Adults

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
70 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Intranasal Oxytocin
Arm Type
Active Comparator
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
Intranasal Oxytocin
Other Intervention Name(s)
Syntocinon
Intervention Description
24 IU taken twice daily (BID), in the morning and at noon/early afternoon
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
24 IU taken twice daily (BID), in the morning and at noon/early afternoon
Primary Outcome Measure Information:
Title
Efficacy of intranasal oxytocin vs. placebo on social function in adults with ASD
Description
This will be measured by the Clinical Global Impressions - Improvement Scale - Social (CGI-I-Social).
Time Frame
12 weeks
Secondary Outcome Measure Information:
Title
Efficacy of intranasal oxytocin vs. placebo on a continuous measure of social cognition in adults with ASD
Description
This will be measured by the Revised Eyes Test
Time Frame
12 weeks
Title
Efficacy of intranasal oxytocin vs. placebo on a continuous measure of social function in adults with ASD
Description
This will be measured by the Vineland Adaptive Behavior Scale (VABS-II)
Time Frame
12 weeks
Title
Efficacy of intranasal oxytocin vs. placebo on a continuous measure of social responsiveness in adults with ASD
Description
This will be measured by the Social Responsiveness Scale (SRS-2)
Time Frame
12 weeks
Title
Efficacy of intranasal oxytocin vs. placebo on a continuous measure of social responsiveness in adults with ASD
Description
This will be measured by the Aberrant Behavior Checklist (ABC)
Time Frame
12 weeks
Title
Safety and tolerability of intranasal oxytocin in adults with ASD
Description
This will be measured by the Safety Monitoring Uniform Report Form (SMURF)
Time Frame
12 weeks
Title
Safety and tolerability of intranasal oxytocin in adults with ASD
Description
This will be measured by the Clinical Global Impressions - Improvement Scale - Global (CGI-I-Global)
Time Frame
12 weeks
Title
Efficacy of intranasal oxytocin vs. placebo on quality of life
Description
This will be measured by the World Health Organization Quality of Life Survey (WHOQOL-BREF)
Time Frame
12 weeks
Title
Efficacy of intranasal oxytocin vs. placebo on anxiety
Description
This will be measured by the Symptom Checklist 90-Revised (SCL-90-R)
Time Frame
12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria Male or female outpatients 18-45 years of age, inclusive Meet Diagnostic and Statistical Manual of Mental Disorders. Diagnostic and Statistical Manual (DSM-V) criteria will be established by a clinician with expertise with individuals with ASD. Best estimate Diagnosis will be reached using DSM-V criteria, the Autism Diagnostic Observation Schedule (ADOS) and the Autism Diagnostic Interview (ADI-R). Have a Clinical Global Impression-Severity (CGI-S) score ≥ 4 (moderately ill) at Screening. Verbal scale Intelligence Quotient (IQ) ≥ 70 If already receiving stable concomitant medications affecting behavior, have stable regimens with no changes during the preceding 1 month prior to Screening (with the exception of fluoxetine, where a period of 6 weeks is needed), and will not electively initiate new or modify ongoing medications for the duration of the study If already receiving stable non-pharmacological educational, behavioral, and/or dietary interventions, have continuous participation during the preceding 3 months prior to Screening, and not electively initiate new or modify ongoing interventions for the duration of the study Have normal physical examination and laboratory test results at screening. If abnormal, the finding(s) must be deemed clinically insignificant by the Treating Clinician. Ability to speak and understand English sufficiently to allow for the completion of all study assessments Ability to obtain written informed consent from the subject (if developmentally appropriate), or ability to obtain written informed consent from their surrogate decision maker (SDM), if the subject is unable to provide consent. Exclusion Criteria Patients born prior to 28 weeks gestational age Patients with a primary psychiatric diagnosis other than ASD Patients with a medical history of neurological disease, including, but not limited to, epilepsy/seizure disorder, movement disorder, tuberous sclerosis, fragile X, and any other known genetic syndromes, or known abnormal brain MRI/structural lesion. Exceptions: 1) simple febrile seizures, 2) epilepsy/ seizure free for at least 2 years prior to Screening Pregnant female patients, sexually active female patients on hormonal birth control and sexually active females who do not use at least two types of non-hormonal birth control Patients with evidence or history of malignancy or any significant hematological, endocrine, cardiovascular (including any rhythm disorder), respiratory, renal, hepatic, or gastrointestinal disease Patients with one or more of the following: HIV, Hepatitis B virus, Hepatitis C virus, hemophilia (bleeding problems, recent nose and brain injuries), abnormal blood pressure (hypotension or hypertension), drug abuse, immunity disorder or severe depression. Patients unable to tolerate venipuncture procedures for blood sampling Patients who are currently taking oxytocin or have taken intranasal oxytocin in the past with no response Patients with a sensitivity to oxytocin or any components of its formulation
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Evdokia Anagnostou, M.D.
Organizational Affiliation
Holland Bloorview Kids Rehabilitation Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Marc Woodbury-Smith, M.D.
Organizational Affiliation
McMaster University
Official's Role
Principal Investigator
Facility Information:
Facility Name
St. Joseph's Healthcare Hamilton
City
Hamilton
State/Province
Ontario
ZIP/Postal Code
L8S 4K1
Country
Canada
Facility Name
Holland Bloorview Kids Rehabilitation Hospital
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M4G 1R8
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

INtranasal OXyTocin for the Treatment of Autism Spectrum Disorders

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