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A Proof-of-Concept Study of Minocycline in Autism

Primary Purpose

Autism Spectrum Disorder, Autism

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Minocycline
Placebos
Sponsored by
Children's Hospital Medical Center, Cincinnati
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Autism Spectrum Disorder focused on measuring Autism, Autism Spectrum Disorder, Minocycline

Eligibility Criteria

12 Years - 22 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. 22 ≥ Age ≥12 years. Males and females included in study.
  2. Diagnostic confirmation of Autism Spectrum Disorder as confirmed by gold standard clinical interview using DSM 5 criteria and administration of the Autism Diagnostic Observation Schedule-2, Module 3 or 4.
  3. General good health as determined by physical exam, medical and psychiatric history and safety labs as defined by the PI or designee.
  4. Male study participants who are sexually active with a female partner of childbearing potential must be surgically sterilized, practicing abstinence, or agree to use highly effective methods of birth control (defined below), and not rely on barrier methods and spermicide alone, from the time of screening until 1 week after final dose of study drug.
  5. Female participants of childbearing potential may be included in the study provided they are practicing abstinence or are using a double barrier method from the time of screening until 1 week after the final dose of study drug. Participants using hormonal methods of birth control (oral, intravaginal, transdermal, injectable, or implantable) must be on a stable dose for at least three months prior to screening.
  6. Whole brain absolute cumulative gamma power (30 to 80 Hz) with median cut off at 2.5 (upward adjusted)

Exclusion Criteria:

  1. Allergy or hypersensitivity to any of the tetracyclines antibiotics.
  2. Inability to swallow study drug.
  3. Concomitant use of scheduled anti-inflammatory drugs with the exception of as needed ibuprofen or acetaminophen use.
  4. Unstable dosing of any mood, anxiety or behavior medications in the 5 half-lives prior to Phase 1 baseline visit.
  5. Concomitant use of scheduled benzodiazepines, baclofen, gabapentin, pregabalin, or supplements with impact on the GABA system.
  6. Concomitant daily use of antacids
  7. Concomitant use of oral acne medications (isotretinoin), not including lotions or creams applied to the skin
  8. Concomitant use of any cannabinoid or related product.
  9. Unstable seizure disorder as defined by any seizure in the 6 months prior to baseline visit and/or a change in any anti-convulsant drug dosing in the 60 days prior to study screen.
  10. Abnormal baseline safety lab assessments including, but not limited to ALT or AST greater than 1.5x the upper limit of normal, elevated ANA, total bilirubin or creatinine greater than 1x the upper limit of normal, other clinically relevant lab abnormality, or abnormality in ECG, HR or BP at screening as determined by the investigator or designee.
  11. History of autoimmune disorder
  12. History of or current abuse of drugs or alcohol including prescription medication.
  13. Women who are pregnant (i.e. have a positive pregnancy test), intending to become pregnant, breast feeding, or women of child-bearing potential who are unwilling to use contraception as required in the study inclusion criteria or maintain abstinence during the course of the study
  14. Inability to attend scheduled study visits, plans for family relocation during the study, or any other criteria that the investigator may determine to be associated with inability to complete the study

Sites / Locations

  • Thompson Center for Autism & Neurodevelopmental Disorders - University of Missouri
  • Cincinnati Children's Hospital Medical Center
  • Center for Autism and Developmental Disorders - University of Pittsburgh Medical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Minocycline versus Placebo

Placebo versus Minocycline

Arm Description

Phase 1: 4 weeks of daily minocycline 100mg BID dosing 2-week washout period Phase 2: 4 weeks of daily placebo dosing

Phase 1: 4 weeks of daily placebo dosing 2-week washout period Phase 2: 4 weeks of daily minocycline 100mg BID dosing

Outcomes

Primary Outcome Measures

Subject weight will be compared pre- and post-treatment in the drug versus placebo conditions
Subject weight will be measured in kilograms
Aberrant Behavior will be evaluated pre- and post-treatment in the drug versus placebo conditions
Aberrant behavior will be measured by the Aberrant Behavior Checklist total score
Incidence of liver toxicity will be evaluated in the pre- and post-treatment setting in the drug versus placebo conditions
Liver toxicity will be defined as the development of an ALT or AST value greater than twice the upper limit of normal during a treatment period

Secondary Outcome Measures

Full Information

First Posted
May 10, 2019
Last Updated
December 7, 2020
Sponsor
Children's Hospital Medical Center, Cincinnati
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1. Study Identification

Unique Protocol Identification Number
NCT04031755
Brief Title
A Proof-of-Concept Study of Minocycline in Autism
Official Title
Comparison of the Pharmacodynamic and Tolerability Profiles of Minocycline Versus Placebo in Autism Spectrum Disorder: a Double-blind, Placebo-controlled, Crossover, Proof-of-concept Study
Study Type
Interventional

2. Study Status

Record Verification Date
December 2020
Overall Recruitment Status
Completed
Study Start Date
April 19, 2019 (Actual)
Primary Completion Date
October 30, 2020 (Actual)
Study Completion Date
October 30, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Children's Hospital Medical Center, Cincinnati

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of the study is to determine if Minocycline shows initial evidence of efficacy, safety, and tolerability in youth with Autism Spectrum Disorder ages 12 to 22 years.
Detailed Description
This is a double-blind, placebo-controlled, crossover, proof-of-concept study that compares the pharmacodynamic and tolerability profiles of minocycline versus placebo in autism spectrum disorder.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
53 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Minocycline versus Placebo
Arm Type
Experimental
Arm Description
Phase 1: 4 weeks of daily minocycline 100mg BID dosing 2-week washout period Phase 2: 4 weeks of daily placebo dosing
Arm Title
Placebo versus Minocycline
Arm Type
Experimental
Arm Description
Phase 1: 4 weeks of daily placebo dosing 2-week washout period Phase 2: 4 weeks of daily minocycline 100mg BID dosing
Intervention Type
Drug
Intervention Name(s)
Minocycline
Other Intervention Name(s)
Minocin
Intervention Description
Minocycline 100 mg capsules or matching placebo will be prepared by the central investigational pharmacy at Cincinnati Children's Hospital Medical Center. Drug identity will be masked by over encapsulation of the study drug.
Intervention Type
Drug
Intervention Name(s)
Placebos
Intervention Description
Minocycline 100 mg capsules or matching placebo will be prepared by the central investigational pharmacy at Cincinnati Children's Hospital Medical Center. Drug identity will be masked by over encapsulation of the study drug.
Primary Outcome Measure Information:
Title
Subject weight will be compared pre- and post-treatment in the drug versus placebo conditions
Description
Subject weight will be measured in kilograms
Time Frame
Through study completion, an average of 2 years
Title
Aberrant Behavior will be evaluated pre- and post-treatment in the drug versus placebo conditions
Description
Aberrant behavior will be measured by the Aberrant Behavior Checklist total score
Time Frame
Through study completion, an average of 2 years
Title
Incidence of liver toxicity will be evaluated in the pre- and post-treatment setting in the drug versus placebo conditions
Description
Liver toxicity will be defined as the development of an ALT or AST value greater than twice the upper limit of normal during a treatment period
Time Frame
Through study completion, an average of 2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Years
Maximum Age & Unit of Time
22 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 22 ≥ Age ≥12 years. Males and females included in study. Diagnostic confirmation of Autism Spectrum Disorder as confirmed by gold standard clinical interview using DSM 5 criteria and administration of the Autism Diagnostic Observation Schedule-2, Module 3 or 4. General good health as determined by physical exam, medical and psychiatric history and safety labs as defined by the PI or designee. Male study participants who are sexually active with a female partner of childbearing potential must be surgically sterilized, practicing abstinence, or agree to use highly effective methods of birth control (defined below), and not rely on barrier methods and spermicide alone, from the time of screening until 1 week after final dose of study drug. Female participants of childbearing potential may be included in the study provided they are practicing abstinence or are using a double barrier method from the time of screening until 1 week after the final dose of study drug. Participants using hormonal methods of birth control (oral, intravaginal, transdermal, injectable, or implantable) must be on a stable dose for at least three months prior to screening. Whole brain absolute cumulative gamma power (30 to 80 Hz) with median cut off at 2.5 (upward adjusted) Exclusion Criteria: Allergy or hypersensitivity to any of the tetracyclines antibiotics. Inability to swallow study drug. Concomitant use of scheduled anti-inflammatory drugs with the exception of as needed ibuprofen or acetaminophen use. Unstable dosing of any mood, anxiety or behavior medications in the 5 half-lives prior to Phase 1 baseline visit. Concomitant use of scheduled benzodiazepines, baclofen, gabapentin, pregabalin, or supplements with impact on the GABA system. Concomitant daily use of antacids Concomitant use of oral acne medications (isotretinoin), not including lotions or creams applied to the skin Concomitant use of any cannabinoid or related product. Unstable seizure disorder as defined by any seizure in the 6 months prior to baseline visit and/or a change in any anti-convulsant drug dosing in the 60 days prior to study screen. Abnormal baseline safety lab assessments including, but not limited to ALT or AST greater than 1.5x the upper limit of normal, elevated ANA, total bilirubin or creatinine greater than 1x the upper limit of normal, other clinically relevant lab abnormality, or abnormality in ECG, HR or BP at screening as determined by the investigator or designee. History of autoimmune disorder History of or current abuse of drugs or alcohol including prescription medication. Women who are pregnant (i.e. have a positive pregnancy test), intending to become pregnant, breast feeding, or women of child-bearing potential who are unwilling to use contraception as required in the study inclusion criteria or maintain abstinence during the course of the study Inability to attend scheduled study visits, plans for family relocation during the study, or any other criteria that the investigator may determine to be associated with inability to complete the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Craig Erickson
Organizational Affiliation
Children's Hospital Medical Center, Cincinnati
Official's Role
Principal Investigator
Facility Information:
Facility Name
Thompson Center for Autism & Neurodevelopmental Disorders - University of Missouri
City
Columbia
State/Province
Missouri
ZIP/Postal Code
65211
Country
United States
Facility Name
Cincinnati Children's Hospital Medical Center
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45229
Country
United States
Facility Name
Center for Autism and Developmental Disorders - University of Pittsburgh Medical Center
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15203
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Proof-of-Concept Study of Minocycline in Autism

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