Arbaclofen vs. Placebo in the Treatment of Children and Adolescents With ASD (ARBA) (ARBA)
Primary Purpose
Autism Spectrum Disorder
Status
Active
Phase
Phase 2
Locations
Canada
Study Type
Interventional
Intervention
Arbaclofen
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Autism Spectrum Disorder focused on measuring ASD, Autism
Eligibility Criteria
Inclusion Criteria:
- Outpatients 5-17 years of age inclusive.
- Meet Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). DSM-5 criteria will be established by a clinician with expertise with individuals with ASD. Diagnosis will be supported by the Autism Diagnostic Observation Schedule, Second Edition (ADOS-2).
- Complex language to qualify for ADOS-2 modules 3 or 4.
- If already receiving stable concomitant medications affecting behaviour, have stable regimens with no changes during the preceding 6 weeks prior to Screening, 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 will 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(s).
Exclusion Criteria:
- Pregnant females; sexually active females on inadequate birth control.
- Have 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. Have 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.).
- Have unstable epilepsy (i.e. seizures occurring within the last 6 months), or have epilepsy and not on stable doses of antiepileptic medications (i.e. dose changes within the last 3 months).
- Have a history of drug abuse.
- Have hypersensitivity to arbaclofen or any components of its formulation.
- Unable to tolerate venipuncture procedures for blood sampling.
- Actively enrolled in another intervention study.
- Taking racemic bacblofen, vigabatrin, tiagapine, riluzole, clobazam or regular benzodiazepine use (prn and hs use is allowed).
- Unable to take oral medications.
- Known hypersensitivity to racemic baclofen.
- Inability to speak and understand English sufficiently enough to allow for the completion of all study assessments (parent/legal guardian; participant).
Sites / Locations
- McMaster University, Offord Centre for Child Studies
- Queen's Universtiy
- 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
Arbaclofen
Placebo
Arm Description
Outcomes
Primary Outcome Measures
Vineland Adaptive Behavior Scales, Third Edition (Vineland-3) - Social Domain
To examine the effect of arbaclofen vs. placebo social function
Secondary Outcome Measures
Clinical Global Impressions - Impression Scale - Improvement (CGI-I)
To examine the effect of arbaclofen vs. placebo on measures of global function
Aberrant Behavior Checklist (ABC) - Social Withdrawal Subscale
To examine the effect of arbaclofen vs. placebo on social withdrawal
Vineland Adaptive Behavior Scales, Third Edition (Vineland-3) - Communication Domain
To examine the effect of arbaclofen vs. placebo on communication
Safety Monitoring Uniform Report Form (SMURF)
To examine the safety and tolerability of arbaclofen in children and adolescents with ASD
Clinical Global Impressions - Impression Scale - Global (CGI-I-Global)
To examine the safety and tolerability of arbaclofen in children and adolescents with ASD
Epworth Sleepiness Scale for Children and Adolescents (ESS-CHAD)
To examine the safety and tolerability of arbaclofen in children and adolescents with ASD
Suicidality assessment using the Columbia-Suicide Severity Rating Scale (C-SSRS)
To examine the safety and tolerability of arbaclofen in children and adolescents with ASD
Full Information
NCT ID
NCT03887676
First Posted
March 21, 2019
Last Updated
June 20, 2022
Sponsor
Evdokia Anagnostou
Collaborators
Holland Bloorview Kids Rehabilitation Hospital, McMaster University, University of Western Ontario, Canada, Queen's University, Unity Health Toronto, University of Toronto
1. Study Identification
Unique Protocol Identification Number
NCT03887676
Brief Title
Arbaclofen vs. Placebo in the Treatment of Children and Adolescents With ASD (ARBA)
Acronym
ARBA
Official Title
A Randomized Placebo-controlled Trial of ARBaclofen vs. Placebo in the Treatment of Children and Adolescents With ASD
Study Type
Interventional
2. Study Status
Record Verification Date
June 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
March 18, 2019 (Actual)
Primary Completion Date
August 31, 2022 (Anticipated)
Study Completion Date
August 31, 2022 (Anticipated)
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, Queen's University, Unity Health Toronto, University of Toronto
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This study will examine the safety and efficacy of arbaclofen vs. placebo on social function in children and adolescents with Autism Spectrum Disorder (ASD).
Detailed Description
There are no pharmacologic treatments available for social function deficits in individuals with 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 reuptake 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 to 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 arbaclofen for social function, and will explore biological markers of safety and treatment response.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Autism Spectrum Disorder
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
90 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Arbaclofen
Arm Type
Active Comparator
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
Arbaclofen
Intervention Description
Administered orally as disintegrating tabs, round, white and beveled edges, at the following strengths: 5mg, 10mg, 15mg and 20mg
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Administered orally as disintegrating tabs, round, white and beveled edges
Primary Outcome Measure Information:
Title
Vineland Adaptive Behavior Scales, Third Edition (Vineland-3) - Social Domain
Description
To examine the effect of arbaclofen vs. placebo social function
Time Frame
16 weeks
Secondary Outcome Measure Information:
Title
Clinical Global Impressions - Impression Scale - Improvement (CGI-I)
Description
To examine the effect of arbaclofen vs. placebo on measures of global function
Time Frame
16 weeks
Title
Aberrant Behavior Checklist (ABC) - Social Withdrawal Subscale
Description
To examine the effect of arbaclofen vs. placebo on social withdrawal
Time Frame
16 weeks
Title
Vineland Adaptive Behavior Scales, Third Edition (Vineland-3) - Communication Domain
Description
To examine the effect of arbaclofen vs. placebo on communication
Time Frame
16 weeks
Title
Safety Monitoring Uniform Report Form (SMURF)
Description
To examine the safety and tolerability of arbaclofen in children and adolescents with ASD
Time Frame
16 weeks
Title
Clinical Global Impressions - Impression Scale - Global (CGI-I-Global)
Description
To examine the safety and tolerability of arbaclofen in children and adolescents with ASD
Time Frame
16 weeks
Title
Epworth Sleepiness Scale for Children and Adolescents (ESS-CHAD)
Description
To examine the safety and tolerability of arbaclofen in children and adolescents with ASD
Time Frame
16 weeks
Title
Suicidality assessment using the Columbia-Suicide Severity Rating Scale (C-SSRS)
Description
To examine the safety and tolerability of arbaclofen in children and adolescents with ASD
Time Frame
16 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
5 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Outpatients 5-17 years of age inclusive.
Meet Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). DSM-5 criteria will be established by a clinician with expertise with individuals with ASD. Diagnosis will be supported by the Autism Diagnostic Observation Schedule, Second Edition (ADOS-2).
Complex language to qualify for ADOS-2 modules 3 or 4.
If already receiving stable concomitant medications affecting behaviour, have stable regimens with no changes during the preceding 6 weeks prior to Screening, 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 will 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(s).
Exclusion Criteria:
Pregnant females; sexually active females on inadequate birth control.
Have 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. Have 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.).
Have unstable epilepsy (i.e. seizures occurring within the last 6 months), or have epilepsy and not on stable doses of antiepileptic medications (i.e. dose changes within the last 3 months).
Have a history of drug abuse.
Have hypersensitivity to arbaclofen or any components of its formulation.
Unable to tolerate venipuncture procedures for blood sampling.
Actively enrolled in another intervention study.
Taking racemic bacblofen, vigabatrin, tiagapine, riluzole, clobazam or regular benzodiazepine use (prn and hs use is allowed).
Unable to take oral medications.
Known hypersensitivity to racemic baclofen.
Inability to speak and understand English sufficiently enough to allow for the completion of all study assessments (parent/legal guardian; participant).
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
Robert Nicolson, M.D
Organizational Affiliation
University of Western Ontario, Lawson Health Research Institute
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Julia Frei, M.D
Organizational Affiliation
McMaster University, Offord Centre for Child Studies
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Muhammad Ayub, M.D
Organizational Affiliation
Queen's University
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
Queen's Universtiy
City
Kingston
State/Province
Ontario
ZIP/Postal Code
K7M 8A6
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
Learn more about this trial
Arbaclofen vs. Placebo in the Treatment of Children and Adolescents With ASD (ARBA)
We'll reach out to this number within 24 hrs