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A 12-weeks Study to Evaluate Sulforaphane in Treatment of Autism Spectrum Disorder

Primary Purpose

Autism Spectrum Disorder

Status
Completed
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
Sulforaphane
Placebo
Sponsored by
Central South University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Autism Spectrum Disorder focused on measuring Sulforaphane, clinic trial, Autism Spectrum Disorder, Efficacy, Safety, Mechanism

Eligibility Criteria

3 Years - 15 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Aged 3 to 15 years.
  2. Meet DSM-V diagnostic criteria for autism spectrum disorder, and been checked with Autism Diagnostic Interview-Revised (ADI-R) and Autism Diagnostic Observation Schedule (ADOS).

Exclusion Criteria:

  1. With severe physical disease (i.e. congenital heart disease, thyroid disease, diseases with severe abnormality of liver or kidney function, diseases with abnormality vision or hearing et al.)
  2. With severe central nervous system disease (i.e. epilepsy et al).
  3. With other specific genetic syndromes (i.e. Fragile-X syndrome, Down's syndrome et al.)

Sites / Locations

  • Guangzhou Huiai Hospital
  • The second Xiangya hospital of central south university

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Sulforaphane group

Placebo group

Arm Description

The patients will take sulforaphane for 12 weeks.

The patients will take placebo for 12 weeks.

Outcomes

Primary Outcome Measures

The change of social impairments of children with autism spectrum disorder
Social impairments are measured by Social Responsiveness Scale

Secondary Outcome Measures

The change of rigid interests and behaviors of children with autism spectrum disorder
Rigid interests and behaviors are measured by Repetitive Behavior Scale - Revised
The change of clinical symptoms of children with autism spectrum
Clinical symptoms are measured by Aberrant Behavior Checklist
The change of other behavioral problems of children with autism spectrum
Other behavioral problems are measured by Achenbach's Child Behavior Checklist
The change of adaptive behaviors of children with autism spectrum
Adaptive behaviors are measured by Adaptive Behavior Assessment System, Second Edition
The change of clinical general impression of children with autism spectrum
Clinical general impression is measured by Ohio State University Autism Clinical Global Impression
The change of heart rate as measured by stopwatch
The change of weight as measured by weighing-machine
The change of height as measured by Height measurement tools
The change of blood routine test as tested by clinical laboratory
The change of fasting blood-glucose as tested by clinical laboratory
The change of blood lipid as tested by clinical laboratory
The change of liver function as tested by clinical laboratory
The change of kidney function as tested by clinical laboratory
The change of thyroid function as tested by clinical laboratory
The change of HBV test as tested by clinical laboratory
The change of helicobacter pylori test as tested by clinical laboratory
The change of urine routine test as tested by clinical laboratory
Number of participants with treatment-related adverse events as assessed by Systematic Assessment for Treatment Emergent Effects

Full Information

First Posted
August 15, 2016
Last Updated
July 28, 2019
Sponsor
Central South University
Collaborators
Davis family funding, University of California, University of Illinois at Chicago
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1. Study Identification

Unique Protocol Identification Number
NCT02879110
Brief Title
A 12-weeks Study to Evaluate Sulforaphane in Treatment of Autism Spectrum Disorder
Official Title
A 12-weeks, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy, Safety and Related Mechanism of Sulforaphane in Treatment of Autism Spectrum Disorder
Study Type
Interventional

2. Study Status

Record Verification Date
July 2019
Overall Recruitment Status
Completed
Study Start Date
August 2016 (undefined)
Primary Completion Date
July 2019 (Actual)
Study Completion Date
July 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Central South University
Collaborators
Davis family funding, University of California, University of Illinois at Chicago

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
In this proposed study, the investigators will evaluate the the efficacy, safety and related mechanism of sulforaphane in treatment of autism spectrum disorder (ASD). The study will recruit 120 ASD patients, then these patients will be randomized to sulforaphane group or placebo group (60 patients per arm) for 12 weeks clinic trial. Clinical efficacy and safety assessment will be done at screen/baseline, 4 week, 8 week and 12 week. The specific aims are to compare sulforaphane versus placebo on: 1) clinical core symptoms; 2) other behavioral problems and adaptive behaviors. Biological samples also will be collected, and stored to research related mechanisms.
Detailed Description
In this proposed study, the investigators will evaluate the the efficacy, safety and related mechanism of sulforaphane in treatment of autism spectrum disorder (ASD). The study will recruit 120 ASD patients, then these patients will be randomized to sulforaphane group or placebo group (60 patients per arm) for 12 weeks clinic trial. Clinical efficacy and safety assessment will be done at screen/baseline, 4 week, 8 week and 12 week. The specific aims are to compare sulforaphane versus placebo on: 1) clinical core symptoms; 2) other behavioral problems and adaptive behaviors. The investigators hypothesize that (1) sulforaphane is superior to placebo in the treatment of clinical symptoms in patients with ASD, measured by the Social Responsiveness Scale, Aberrant Behavior Checklist, Repetitive Behavior Scale - Revised and Ohio State University Autism Clinical Global Impression; (2) sulforaphane is superior to placebo in the treatment of other behavioral problems and adaptive behaviors patients with ASD, measured by Achenbach's Child Behavior Checklist and Adaptive Behavior Assessment System, Second Edition; and (3) Biological samples will be collected, and stored so that the hypothesis sulforaphane may alter oxidative stress indexes or inflammatory biomarkers, and influence histone deacetylase inhibitor mechanism or inflammatory mechanism et al that may be significantly correlated with clinical improvement.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Autism Spectrum Disorder
Keywords
Sulforaphane, clinic trial, Autism Spectrum Disorder, Efficacy, Safety, Mechanism

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
110 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Sulforaphane group
Arm Type
Experimental
Arm Description
The patients will take sulforaphane for 12 weeks.
Arm Title
Placebo group
Arm Type
Placebo Comparator
Arm Description
The patients will take placebo for 12 weeks.
Intervention Type
Dietary Supplement
Intervention Name(s)
Sulforaphane
Other Intervention Name(s)
85313323
Intervention Description
Sulforaphane (SFN) is a compound within the isothiocyanate group of organosulfur compounds. It is obtained from cruciferous vegetables such as broccoli, Brussels sprouts or cabbages.
Intervention Type
Other
Intervention Name(s)
Placebo
Other Intervention Name(s)
Starch tablet
Intervention Description
Placebo tablet is composed of starch.
Primary Outcome Measure Information:
Title
The change of social impairments of children with autism spectrum disorder
Description
Social impairments are measured by Social Responsiveness Scale
Time Frame
At baseline, 4 week, 8 week and 12 week/endpoint
Secondary Outcome Measure Information:
Title
The change of rigid interests and behaviors of children with autism spectrum disorder
Description
Rigid interests and behaviors are measured by Repetitive Behavior Scale - Revised
Time Frame
At baseline, 4 week, 8 week and 12 week/endpoint
Title
The change of clinical symptoms of children with autism spectrum
Description
Clinical symptoms are measured by Aberrant Behavior Checklist
Time Frame
At baseline, 4 week, 8 week and 12 week/endpoint
Title
The change of other behavioral problems of children with autism spectrum
Description
Other behavioral problems are measured by Achenbach's Child Behavior Checklist
Time Frame
At baseline, 4 week, 8 week and 12 week/endpoint
Title
The change of adaptive behaviors of children with autism spectrum
Description
Adaptive behaviors are measured by Adaptive Behavior Assessment System, Second Edition
Time Frame
At baseline, 4 week, 8 week and 12 week/endpoint
Title
The change of clinical general impression of children with autism spectrum
Description
Clinical general impression is measured by Ohio State University Autism Clinical Global Impression
Time Frame
At baseline, 4 week, 8 week and 12 week/endpoint
Title
The change of heart rate as measured by stopwatch
Time Frame
At baseline and 12 week/endpoint
Title
The change of weight as measured by weighing-machine
Time Frame
At baseline and 12 week/endpoint
Title
The change of height as measured by Height measurement tools
Time Frame
At baseline and 12 week/endpoint
Title
The change of blood routine test as tested by clinical laboratory
Time Frame
At baseline and 12 week/endpoint
Title
The change of fasting blood-glucose as tested by clinical laboratory
Time Frame
At baseline and 12 week/endpoint
Title
The change of blood lipid as tested by clinical laboratory
Time Frame
At baseline and 12 week/endpoint
Title
The change of liver function as tested by clinical laboratory
Time Frame
At baseline and 12 week/endpoint
Title
The change of kidney function as tested by clinical laboratory
Time Frame
At baseline and 12 week/endpoint
Title
The change of thyroid function as tested by clinical laboratory
Time Frame
At baseline and 12 week/endpoint
Title
The change of HBV test as tested by clinical laboratory
Time Frame
At baseline and 12 week/endpoint
Title
The change of helicobacter pylori test as tested by clinical laboratory
Time Frame
At baseline and 12 week/endpoint
Title
The change of urine routine test as tested by clinical laboratory
Time Frame
At baseline and 12 week/endpoint
Title
Number of participants with treatment-related adverse events as assessed by Systematic Assessment for Treatment Emergent Effects
Time Frame
At 4 week, 8 week and 12 week/endpoint
Other Pre-specified Outcome Measures:
Title
The change of Oxidative stress indexes as tested by Oxidative stress indexes detection kit
Time Frame
At baseline and 12 week/endpoint
Title
The change of Epigenetics indicators as tested by Epigenetics indicators
Time Frame
At baseline and 12 week/endpoint
Title
The change of Cytokines & Chemokines as tested by Cytokines & Chemokines detection kit
Time Frame
At baseline and 12 week/endpoint
Title
The change of Metabolites as tested by Metabolites detection kit
Time Frame
At baseline and 12 week/endpoint
Title
The change of RNA expression as tested by RNA expression detection kit
Time Frame
At baseline and 12 week/endpoint
Title
The change of intestinal microflora as tested by Metagenomic technique
Time Frame
At baseline and 12 week/endpoint

10. Eligibility

Sex
All
Minimum Age & Unit of Time
3 Years
Maximum Age & Unit of Time
15 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Aged 3 to 15 years. Meet DSM-V diagnostic criteria for autism spectrum disorder, and been checked with Autism Diagnostic Interview-Revised (ADI-R) and Autism Diagnostic Observation Schedule (ADOS). Exclusion Criteria: With severe physical disease (i.e. congenital heart disease, thyroid disease, diseases with severe abnormality of liver or kidney function, diseases with abnormality vision or hearing et al.) With severe central nervous system disease (i.e. epilepsy et al). With other specific genetic syndromes (i.e. Fragile-X syndrome, Down's syndrome et al.)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jingping Zhao, M.D., Ph. D.
Organizational Affiliation
Central South University
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Jianjun Ou, M.D., Ph. D.
Organizational Affiliation
Central South University
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Hua Jin, M.D., Ph. D.
Organizational Affiliation
Department of Psychiatry, University of California
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Fengyu Zhang, Ph.D.
Organizational Affiliation
Global Clinical and Translational Research Institute
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Daomeng Cheng, M.D.
Organizational Affiliation
Guangzhou Huiai Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Renrong Wu, M.D.,Ph.D
Organizational Affiliation
Central South University
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
John M Davis, M.D.,Ph.D
Organizational Affiliation
Department of Psychiatry, University of Illinoisat at Chicago
Official's Role
Study Director
Facility Information:
Facility Name
Guangzhou Huiai Hospital
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510000
Country
China
Facility Name
The second Xiangya hospital of central south university
City
Changsha
State/Province
Hunan
ZIP/Postal Code
410001
Country
China

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Citations:
PubMed Identifier
24486700
Citation
Foley AG, Cassidy AW, Regan CM. Pentyl-4-yn-VPA, a histone deacetylase inhibitor, ameliorates deficits in social behavior and cognition in a rodent model of autism spectrum disorders. Eur J Pharmacol. 2014 Mar 15;727:80-6. doi: 10.1016/j.ejphar.2014.01.050. Epub 2014 Jan 31.
Results Reference
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PubMed Identifier
24147970
Citation
Houghton CA, Fassett RG, Coombes JS. Sulforaphane: translational research from laboratory bench to clinic. Nutr Rev. 2013 Nov;71(11):709-26. doi: 10.1111/nure.12060. Epub 2013 Oct 22.
Results Reference
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PubMed Identifier
24103642
Citation
Moldrich RX, Leanage G, She D, Dolan-Evans E, Nelson M, Reza N, Reutens DC. Inhibition of histone deacetylase in utero causes sociability deficits in postnatal mice. Behav Brain Res. 2013 Nov 15;257:253-64. doi: 10.1016/j.bbr.2013.09.049. Epub 2013 Oct 5.
Results Reference
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PubMed Identifier
22683514
Citation
Foley AG, Gannon S, Rombach-Mullan N, Prendergast A, Barry C, Cassidy AW, Regan CM. Class I histone deacetylase inhibition ameliorates social cognition and cell adhesion molecule plasticity deficits in a rodent model of autism spectrum disorder. Neuropharmacology. 2012 Sep;63(4):750-60. doi: 10.1016/j.neuropharm.2012.05.042. Epub 2012 Jun 6.
Results Reference
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PubMed Identifier
18381511
Citation
Montes G, Halterman JS. Association of childhood autism spectrum disorders and loss of family income. Pediatrics. 2008 Apr;121(4):e821-6. doi: 10.1542/peds.2007-1594.
Results Reference
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PubMed Identifier
18595965
Citation
Montes G, Halterman JS. Child care problems and employment among families with preschool-aged children with autism in the United States. Pediatrics. 2008 Jul;122(1):e202-8. doi: 10.1542/peds.2007-3037.
Results Reference
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PubMed Identifier
17466072
Citation
Mugno D, Ruta L, D'Arrigo VG, Mazzone L. Impairment of quality of life in parents of children and adolescents with pervasive developmental disorder. Health Qual Life Outcomes. 2007 Apr 27;5:22. doi: 10.1186/1477-7525-5-22.
Results Reference
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PubMed Identifier
17259330
Citation
Myzak MC, Tong P, Dashwood WM, Dashwood RH, Ho E. Sulforaphane retards the growth of human PC-3 xenografts and inhibits HDAC activity in human subjects. Exp Biol Med (Maywood). 2007 Feb;232(2):227-34.
Results Reference
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PubMed Identifier
25608486
Citation
Ou JJ, Shi LJ, Xun GL, Chen C, Wu RR, Luo XR, Zhang FY, Zhao JP. Employment and financial burden of families with preschool children diagnosed with autism spectrum disorders in urban China: results from a descriptive study. BMC Psychiatry. 2015 Jan 22;15:3. doi: 10.1186/s12888-015-0382-4.
Results Reference
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PubMed Identifier
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Citation
Rossignol DA, Frye RE. A review of research trends in physiological abnormalities in autism spectrum disorders: immune dysregulation, inflammation, oxidative stress, mitochondrial dysfunction and environmental toxicant exposures. Mol Psychiatry. 2012 Apr;17(4):389-401. doi: 10.1038/mp.2011.165. Epub 2011 Dec 6.
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PubMed Identifier
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Citation
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Citation
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Results Reference
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A 12-weeks Study to Evaluate Sulforaphane in Treatment of Autism Spectrum Disorder

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