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Tideglusib vs. Placebo in the Treatment of Adolescents With Autism Spectrum Disorders (TIDE)

Primary Purpose

Autism Spectrum Disorders

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

About this trial

This is an interventional treatment trial for Autism Spectrum Disorders focused on measuring ASD, Autism

Eligibility Criteria

12 Years - 17 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Outpatients 12-17 years of age inclusive with a mental age equivalent ≥ 18 months at Screening.
  2. Weigh a minimum of 30 kg (the 3rd percentile for 12 years of age)
  3. Meet Diagnostic and Statistical Manual of Mental Disorders. Diagnostic and Statistical Manual (DSM-5) criteria will be established by a clinician with expertise with individuals with ASD.
  4. Have a Clinician's Global Impression-Severity (CGI-S) score ≥ 4 (moderately ill) at Screening.
  5. If already receiving stable concomitant medications affecting behaviour, 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 and behavioural 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 Investigator.
  8. Ability to obtain written informed consent from the participant, if developmentally appropriate. If a participant does not have the capacity to consent, ability to obtain assent (if developmentally appropriate), as well as written informed consent from their parent(s)/legal guardian.

Exclusion Criteria:

  1. Patients with a primary psychiatric diagnosis other than ASD
  2. Pregnant female patients; sexually active female patients on inadequate birth control.
  3. Patients with known phosphatase and tensin homolog (PTEN) mutations as they are unlikely to respond to this medication
  4. Patients with a serious medical condition that, based on Investigator judgment, might interfere with the conduct of the study, confound interpretation of the study results, or endanger their own well-being. Patients with evidence of any significant hematological, endocrine, cardiovascular (including uncorrected symptomatic congenital heart disease), respiratory, renal, hepatic, or gastrointestinal disease, not including mild common pediatric diseases in these areas that are stable (e.g. mild asthma, constipation, etc.).
  5. Patients with unstable epilepsy (i.e. seizures occurring within the last 6 months), or patients with epilepsy who are not on stable doses of antiepileptic medications (i.e. dose changes within the last 3 months).
  6. Patients with hypersensitivity to tideglusib or any components of its formulation.
  7. Patients unable to tolerate venipuncture procedures for blood sampling.
  8. Patients actively enrolled in another intervention study.
  9. Patients who have elevated liver enzymes ≥ 3 times the normal amount before the study begins.
  10. Patients who have serum creatinine of >150 μmol/L and creatinine clearance ≤60ml/m (according to Cockcroft-Gault formula) at Screening.
  11. Patients taking strong CYP3A4 inhibitors (e.g. clarithromycin, telithromycin, ketoconazole, itraconazole, posaconazole, nefazodone, indinavir, ritonavir)
  12. Inability to speak and understand English sufficiently enough to allow for the completion of all study assessments (parent; patient, if verbal).

Sites / Locations

  • McMaster University, Offord Centre for Child Studies
  • University of Western Ontario, Lawson Health Research Institute
  • Holland Bloorview Kids Rehabilitation Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Tideglusib

Placebo

Arm Description

Outcomes

Primary Outcome Measures

Effect of tideglusib vs. placebo on measures of social engagement/withdrawal
This will be measured by the Aberrant Behavior Checklist (ABC) - Lethargy / Social Withdrawal Subscale

Secondary Outcome Measures

Efficacy of tideglusib vs. placebo on measures of repetitive behaviours
This will be measured by the Child Yale-Brown Obsessive Compulsive Scale (CY-BOCS)
Efficacy of tideglusib vs. placebo on measures of repetitive behaviours
This will be measured by the Repetitive Behavior Scale (RBS-R)
Efficacy of tideglusib vs. placebo on measures of social function
This will be measured by the Vineland Adaptive Behavior Scales, Second Edition (VABS-II) - Socialization Domain
Safety and tolerability of tideglusib in adolescents with ASD
This will be measured by the Clinical Global Impressions - Improvement Scale - Global (CGI-I-Global)
Safety and tolerability of tideglusib in adolescents with ASD
This will be measured by the Safety Monitoring Uniform Report Form (SMURF)
Pharmacokinetic (PK) parameters in this age group
This will be completed by measuring / calculating Cmax (Peak Plasma Concentration)
Pharmacokinetic (PK) parameters in this age group
This will be completed by measuring / calculating C0-6 (Steady State Plasma Concentration)
Pharmacokinetic (PK) parameters in this age group
This will be completed by measuring / calculating Area Under the Curve (AUC)

Full Information

First Posted
October 16, 2015
Last Updated
May 29, 2018
Sponsor
Evdokia Anagnostou
Collaborators
Holland Bloorview Kids Rehabilitation Hospital, McMaster University, University of Western Ontario, Canada, Unity Health Toronto, University of Toronto
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1. Study Identification

Unique Protocol Identification Number
NCT02586935
Brief Title
Tideglusib vs. Placebo in the Treatment of Adolescents With Autism Spectrum Disorders
Acronym
TIDE
Official Title
A Randomized Placebo-controlled Trial of Tideglusib vs. Placebo in the Treatment of Adolescents With Autism Spectrum Disorders (ASD)
Study Type
Interventional

2. Study Status

Record Verification Date
May 2018
Overall Recruitment Status
Completed
Study Start Date
February 10, 2016 (Actual)
Primary Completion Date
February 25, 2018 (Actual)
Study Completion Date
February 25, 2018 (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, University of Western Ontario, Canada, Unity Health Toronto, University of Toronto

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study will examine the safety and efficacy of tideglusib vs. placebo for the treatment of core symptom domains in adolescents with Autism Spectrum Disorders
Detailed Description
There are no pharmacologic treatments available for social function deficits in individuals with Autism Spectrum Disorders (ASD). The data for pharmacologic treatment of repetitive behaviours in this disorder has also become difficult to interpret given that the last two large multisite trials of selective serotonin re-uptake inhibitors (SSRIs) in autism are reported to be negative for the treatment of repetitive behaviours. Only the associated symptom of irritability has 2 drugs with Food and Drug Administration (FDA) indications, whereas no systematic data exists on the pharmacologic treatment of anxiety in ASD, and response rates to stimulants for hyperactivity are lower than what is seen in Attention Deficit Hyperactivity Disorder (ADHD). In addition, there are no biological markers of treatment response identified in this population at this point. This study will examine the potential efficacy and safety of tideglusib for core and associated symptom domains of autism, and will explore biological markers of safety and treatment response. As there is no juvenile toxicity published in the animal model, we will limit the age range to 12 years of age and older.

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Tideglusib
Arm Type
Active Comparator
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
Tideglusib
Intervention Description
Administered orally after dispersion in approximately 100 ml of water at dose levels of 400 to 1000 mg
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Administered orally after dispersion in approximately 100 ml of water
Primary Outcome Measure Information:
Title
Effect of tideglusib vs. placebo on measures of social engagement/withdrawal
Description
This will be measured by the Aberrant Behavior Checklist (ABC) - Lethargy / Social Withdrawal Subscale
Time Frame
12 weeks
Secondary Outcome Measure Information:
Title
Efficacy of tideglusib vs. placebo on measures of repetitive behaviours
Description
This will be measured by the Child Yale-Brown Obsessive Compulsive Scale (CY-BOCS)
Time Frame
12 weeks
Title
Efficacy of tideglusib vs. placebo on measures of repetitive behaviours
Description
This will be measured by the Repetitive Behavior Scale (RBS-R)
Time Frame
12 weeks
Title
Efficacy of tideglusib vs. placebo on measures of social function
Description
This will be measured by the Vineland Adaptive Behavior Scales, Second Edition (VABS-II) - Socialization Domain
Time Frame
12 weeks
Title
Safety and tolerability of tideglusib in adolescents with ASD
Description
This will be measured by the Clinical Global Impressions - Improvement Scale - Global (CGI-I-Global)
Time Frame
12 weeks
Title
Safety and tolerability of tideglusib in adolescents with ASD
Description
This will be measured by the Safety Monitoring Uniform Report Form (SMURF)
Time Frame
12 weeks
Title
Pharmacokinetic (PK) parameters in this age group
Description
This will be completed by measuring / calculating Cmax (Peak Plasma Concentration)
Time Frame
12 weeks
Title
Pharmacokinetic (PK) parameters in this age group
Description
This will be completed by measuring / calculating C0-6 (Steady State Plasma Concentration)
Time Frame
12 weeks
Title
Pharmacokinetic (PK) parameters in this age group
Description
This will be completed by measuring / calculating Area Under the Curve (AUC)
Time Frame
12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Outpatients 12-17 years of age inclusive with a mental age equivalent ≥ 18 months at Screening. Weigh a minimum of 30 kg (the 3rd percentile for 12 years of age) Meet Diagnostic and Statistical Manual of Mental Disorders. Diagnostic and Statistical Manual (DSM-5) criteria will be established by a clinician with expertise with individuals with ASD. Have a Clinician's Global Impression-Severity (CGI-S) score ≥ 4 (moderately ill) at Screening. If already receiving stable concomitant medications affecting behaviour, 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 and behavioural 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 Investigator. Ability to obtain written informed consent from the participant, if developmentally appropriate. If a participant does not have the capacity to consent, ability to obtain assent (if developmentally appropriate), as well as written informed consent from their parent(s)/legal guardian. Exclusion Criteria: Patients with a primary psychiatric diagnosis other than ASD Pregnant female patients; sexually active female patients on inadequate birth control. Patients with known phosphatase and tensin homolog (PTEN) mutations as they are unlikely to respond to this medication Patients with a serious medical condition that, based on Investigator judgment, might interfere with the conduct of the study, confound interpretation of the study results, or endanger their own well-being. Patients with evidence of any significant hematological, endocrine, cardiovascular (including uncorrected symptomatic congenital heart disease), respiratory, renal, hepatic, or gastrointestinal disease, not including mild common pediatric diseases in these areas that are stable (e.g. mild asthma, constipation, etc.). Patients with unstable epilepsy (i.e. seizures occurring within the last 6 months), or patients with epilepsy who are not on stable doses of antiepileptic medications (i.e. dose changes within the last 3 months). Patients with hypersensitivity to tideglusib or any components of its formulation. Patients unable to tolerate venipuncture procedures for blood sampling. Patients actively enrolled in another intervention study. Patients who have elevated liver enzymes ≥ 3 times the normal amount before the study begins. Patients who have serum creatinine of >150 μmol/L and creatinine clearance ≤60ml/m (according to Cockcroft-Gault formula) at Screening. Patients taking strong CYP3A4 inhibitors (e.g. clarithromycin, telithromycin, ketoconazole, itraconazole, posaconazole, nefazodone, indinavir, ritonavir) Inability to speak and understand English sufficiently enough to allow for the completion of all study assessments (parent; patient, if verbal).
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
Terry Bennett, M.D.
Organizational Affiliation
MacMaster University, Offord Centre for Child Studies
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Robert Nicolson, M.D.
Organizational Affiliation
University of Western Ontario, Lawson Health Research Institute
Official's Role
Principal Investigator
Facility Information:
Facility Name
McMaster University, Offord Centre for Child Studies
City
Hamilton
State/Province
Ontario
ZIP/Postal Code
L8S 4K1
Country
Canada
Facility Name
University of Western Ontario, Lawson Health Research Institute
City
London
State/Province
Ontario
ZIP/Postal Code
N6A 5W9
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

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Tideglusib vs. Placebo in the Treatment of Adolescents With Autism Spectrum Disorders

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