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A 12-Week Crossover Study to Assess the Efficacy, Safety and Tolerability of L1-79 in Subjects Aged 12-21 Years With Autism Spectrum Disorder

Primary Purpose

Autism Spectrum Disorder, Autism

Status
Recruiting
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
L1-79
Sponsored by
Yamo Pharmaceuticals LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Autism Spectrum Disorder

Eligibility Criteria

12 Years - 21 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male or female adolescents or young adults between 12 and 21 years of age.
  • WASI-II standard score ≥70 at screening or within the last 12 months prior to screening.
  • Fulfill language criteria required to complete ADOS-2 Modules 2, 3 or 4.
  • Diagnosis of ASD based on tool that utilizes the DSM-5 criteria, confirmed with ADOS-2.
  • CGI-S (weighted for socialization) of 4 or greater.
  • A female is eligible to enter and participate in the study if she is of non-childbearing potential or childbearing potential, has negative pregnancy test at screening and, if sexually active, agrees to use acceptable contraception methods (defined in protocol), for the duration of the study and for at least 30 days after the last dose of study drug.
  • Male subjects if sexually active and female partners of childbearing potential must agree to use acceptable contraceptive methods (defined in protocol), for the duration of the study and for at least 30 days after the last dose of study drug.
  • Subjects and caregiver must be willing and able to participate in the testing procedures sufficient to obtain valid scores on the tests used herein.
  • Must live with a parent/primary caregiver, or if not, during each week he/she must either spend at least 3 hours a day for at least 4 days or, spend the weekend with a parent/primary caregiver.
  • In the opinion of the Investigator, be sufficiently tolerant and capable of complying with the requirements of this trial.
  • Able to swallow study medication whole and self-administer medication if living independently or have a parent/caregiver be able to administer medication.
  • Subjects or their legal guardians must be willing to sign informed consent and/or assent and caregivers participating in the study must be willing to sign informed consent.

Exclusion Criteria:

  • Pregnancy or breastfeeding, or intention to become pregnant during the study.
  • Uncontrolled inter-current illness including, but not limited to, ongoing or active infection, symptomatic cardio-vascular disease, hepatic disease, renal disease, musculo skeletal or rheumatologic disease, human immunodeficiency virus (HIV), hemorrhagic cerebrovascular accident (HCVA), hepatitis B virus (HBV), or psychiatric illness/social situations that would limit compliance with study requirements.
  • Any disease that requires treatment with immunosuppressive drugs.
  • A diagnosis of Fragile-X syndrome or Rett syndrome.
  • A DSM-5 diagnosis of schizophrenia, schizoaffective disorder, alcohol use disorder, current or lifetime diagnosis of severe psychiatric disorder (e.g., bipolar disorder, etc.).
  • Subjects at risk of suicidal behavior or with a history alcohol or substance abuse/dependence.
  • Presence of any active chronic medical problem including, but not limited to uncontrolled: seizure disorder, heart disease, cancer, asthma, genetic disease.
  • Requiring more than 3 medications for the treatment of autism, ADHD, seizures, depression, anxiety, aggression, agitation, obsessive compulsive disorder, tic disorder, or other disorder commonly co-occurring with ASD.
  • Initiation of new or major change in psychosocial intervention within 12 weeks prior to screening and throughout the duration of the study.
  • School or academic setting are expected to change during the course the study.
  • Clinically significant ECG abnormalities including subjects with baseline QTc prolongation (QTcF >450 msec for males and >470 msec in females).
  • On concomitant medications known to prolong the QTc interval.
  • Presence of out of range hepatic or renal function tests or other unexplained abnormal laboratory value that is deemed clinically significant by the Investigator.
  • On any of the following medications: alpha-2 agonists (including, but not limited to clonidine and guanfacine), beta-blockers, anti-hypertensives, and antipsychotics not approved for use in ASD.
  • Taking disallowed concomitant medications within 2 months (antipsychotics) and 1 month (all other medications) prior to Baseline.
  • Any subject or caregiver who is unwilling or unable to give informed consent.
  • Participated in an investigational drug study within 90 days prior to Baseline.

Sites / Locations

  • Southwest Autism Research and Resource CenterRecruiting
  • Thompson Autism Center CHOCRecruiting
  • CorticaRecruiting
  • Rush UniversityRecruiting
  • Thompson Center for Autism and Neurodevelopmental DisordersRecruiting
  • Center for Autism and The Developing BrainRecruiting
  • Ohio State UniversityRecruiting
  • Red Oak Psychiatry AssociatesRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Placebo Comparator

Experimental

Arm Label

Placebo Capsules

L1-79 200 mg or 300 mg Capsules

Arm Description

1 capsule twice daily

1 capsule twice daily

Outcomes

Primary Outcome Measures

Vineland Adaptive Behavior Scale, Third Edition (Vineland-3), Average of the Growth Scale Value (GSV) score of the three Socialization Subdomains (combined)

Secondary Outcome Measures

Brief Observation of Social Communication Change (BOSCC)
Clinical Global Impression of Severity of Illness (CGI-S) weighted for socialization
Clinical Global Impression of Change (CGI-C) weighted for socialization
Percent of subjects showing a statistically significant improvement in GSV on 2 of the Socialization Subdomains
Caregiver Global Impression of Change of 3 Most Bothersome Symptoms of ASD (CGI-3P)
Social Responsiveness Scale, Second Edition (SRS-2) Social-Communication and Interaction - DSM-5 Composite T-score
Social Responsiveness Scale, Second Edition (SRS-2) Total T-score
Social Responsiveness Scale, Second Edition (SRS-2) Social Motivation T-score
Vineland-3 Socialization Domain, Standard Score
Parent-rated Anxiety Scale for ASD (PRAS-ASD)
Child's Sleep Habits Questionnaire (CSHQ)

Full Information

First Posted
September 22, 2021
Last Updated
January 25, 2023
Sponsor
Yamo Pharmaceuticals LLC
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1. Study Identification

Unique Protocol Identification Number
NCT05067582
Brief Title
A 12-Week Crossover Study to Assess the Efficacy, Safety and Tolerability of L1-79 in Subjects Aged 12-21 Years With Autism Spectrum Disorder
Official Title
A Randomized, Double-Blind, Chronic Dosing (12-weeks), Two-Period, Placebo-Controlled, Crossover, Multi-Center Study to Assess the Efficacy, Safety, and Tolerability of Two Doses of L1-79 for the Treatment of the Core Deficits in Social-Communication Interaction in Adolescents and Young Adults With Autism Spectrum Disorder
Study Type
Interventional

2. Study Status

Record Verification Date
January 2023
Overall Recruitment Status
Recruiting
Study Start Date
January 25, 2022 (Actual)
Primary Completion Date
January 2024 (Anticipated)
Study Completion Date
February 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Yamo Pharmaceuticals LLC

4. Oversight

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

5. Study Description

Brief Summary
This study will investigate the efficacy, safety and tolerability of L1-79 in participants aged 12-21 years who have been diagnosed with ASD with a score of >/= 70 on the Wechsler Abbreviated Scale of Intelligence (WASI-II), and a score of >/= 4 on the Clinical Global Impression of Severity of Illness (CGI-S) weighted for socialization.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Crossover Assignment
Model Description
Two Period Crossover
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
50 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Placebo Capsules
Arm Type
Placebo Comparator
Arm Description
1 capsule twice daily
Arm Title
L1-79 200 mg or 300 mg Capsules
Arm Type
Experimental
Arm Description
1 capsule twice daily
Intervention Type
Drug
Intervention Name(s)
L1-79
Other Intervention Name(s)
DL-alpha-Methyltyrosine
Intervention Description
tyrosine hydroxylase inhibitor
Primary Outcome Measure Information:
Title
Vineland Adaptive Behavior Scale, Third Edition (Vineland-3), Average of the Growth Scale Value (GSV) score of the three Socialization Subdomains (combined)
Time Frame
Week 12
Secondary Outcome Measure Information:
Title
Brief Observation of Social Communication Change (BOSCC)
Time Frame
Week 12
Title
Clinical Global Impression of Severity of Illness (CGI-S) weighted for socialization
Time Frame
Week 12
Title
Clinical Global Impression of Change (CGI-C) weighted for socialization
Time Frame
Week 12
Title
Percent of subjects showing a statistically significant improvement in GSV on 2 of the Socialization Subdomains
Time Frame
Week 12
Title
Caregiver Global Impression of Change of 3 Most Bothersome Symptoms of ASD (CGI-3P)
Time Frame
Week 12
Title
Social Responsiveness Scale, Second Edition (SRS-2) Social-Communication and Interaction - DSM-5 Composite T-score
Time Frame
Week 12
Title
Social Responsiveness Scale, Second Edition (SRS-2) Total T-score
Time Frame
Week 12
Title
Social Responsiveness Scale, Second Edition (SRS-2) Social Motivation T-score
Time Frame
Week 12
Title
Vineland-3 Socialization Domain, Standard Score
Time Frame
Week 12
Title
Parent-rated Anxiety Scale for ASD (PRAS-ASD)
Time Frame
Week 12
Title
Child's Sleep Habits Questionnaire (CSHQ)
Time Frame
Week 12

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Years
Maximum Age & Unit of Time
21 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female adolescents or young adults between 12 and 21 years of age. WASI-II standard score ≥70 at screening or within the last 12 months prior to screening. Fulfill language criteria required to complete ADOS-2 Modules 2, 3 or 4. Diagnosis of ASD based on tool that utilizes the DSM-5 criteria, confirmed with ADOS-2. CGI-S (weighted for socialization) of 4 or greater. A female is eligible to enter and participate in the study if she is of non-childbearing potential or childbearing potential, has negative pregnancy test at screening and, if sexually active, agrees to use acceptable contraception methods (defined in protocol), for the duration of the study and for at least 30 days after the last dose of study drug. Male subjects if sexually active and female partners of childbearing potential must agree to use acceptable contraceptive methods (defined in protocol), for the duration of the study and for at least 30 days after the last dose of study drug. Subjects and caregiver must be willing and able to participate in the testing procedures sufficient to obtain valid scores on the tests used herein. Must live with a parent/primary caregiver, or if not, during each week he/she must either spend at least 3 hours a day for at least 4 days or, spend the weekend with a parent/primary caregiver. In the opinion of the Investigator, be sufficiently tolerant and capable of complying with the requirements of this trial. Able to swallow study medication whole and self-administer medication if living independently or have a parent/caregiver be able to administer medication. Subjects or their legal guardians must be willing to sign informed consent and/or assent and caregivers participating in the study must be willing to sign informed consent. Exclusion Criteria: Pregnancy or breastfeeding, or intention to become pregnant during the study. Uncontrolled inter-current illness including, but not limited to, ongoing or active infection, symptomatic cardio-vascular disease, hepatic disease, renal disease, musculo skeletal or rheumatologic disease, human immunodeficiency virus (HIV), hemorrhagic cerebrovascular accident (HCVA), hepatitis B virus (HBV), or psychiatric illness/social situations that would limit compliance with study requirements. Any disease that requires treatment with immunosuppressive drugs. A diagnosis of Fragile-X syndrome or Rett syndrome. A DSM-5 diagnosis of schizophrenia, schizoaffective disorder, alcohol use disorder, current or lifetime diagnosis of severe psychiatric disorder (e.g., bipolar disorder, etc.). Subjects at risk of suicidal behavior or with a history alcohol or substance abuse/dependence. Presence of any active chronic medical problem including, but not limited to uncontrolled: seizure disorder, heart disease, cancer, asthma, genetic disease. Requiring more than 3 medications for the treatment of autism, ADHD, seizures, depression, anxiety, aggression, agitation, obsessive compulsive disorder, tic disorder, or other disorder commonly co-occurring with ASD. Initiation of new or major change in psychosocial intervention within 12 weeks prior to screening and throughout the duration of the study. School or academic setting are expected to change during the course the study. Clinically significant ECG abnormalities including subjects with baseline QTc prolongation (QTcF >450 msec for males and >470 msec in females). On concomitant medications known to prolong the QTc interval. Presence of out of range hepatic or renal function tests or other unexplained abnormal laboratory value that is deemed clinically significant by the Investigator. On any of the following medications: alpha-2 agonists (including, but not limited to clonidine and guanfacine), beta-blockers, anti-hypertensives, and antipsychotics not approved for use in ASD. Taking disallowed concomitant medications within 2 months (antipsychotics) and 1 month (all other medications) prior to Baseline. Any subject or caregiver who is unwilling or unable to give informed consent. Participated in an investigational drug study within 90 days prior to Baseline.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Uyen Nguyen
Phone
949-769-0046
Email
unguyen@yamopharma.com
First Name & Middle Initial & Last Name or Official Title & Degree
Tracy Fischer, PharmD
Phone
859-685-5862
Email
tfischer@yamopharma.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Tom Megerian, MD, PhD
Organizational Affiliation
CMO and Senior VP of Clinical Development
Official's Role
Study Director
Facility Information:
Facility Name
Southwest Autism Research and Resource Center
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85006
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zakiyyah Merritt
Phone
480-701-3681
Email
zmerritt@autismcenter.org
First Name & Middle Initial & Last Name & Degree
Raun Melmed, MD
Facility Name
Thompson Autism Center CHOC
City
Orange
State/Province
California
ZIP/Postal Code
92868
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Julie Hernandez
Phone
714-288-7683
Email
jhernandez11@choc.org
First Name & Middle Initial & Last Name & Degree
Sailaja Golla, MD
Facility Name
Cortica
City
San Rafael
State/Province
California
ZIP/Postal Code
94093
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Maia Lazerwitz
Phone
707-582-5406
Email
mlazerwitz@corticacare.com
First Name & Middle Initial & Last Name & Degree
Elysa Marco, MD
Facility Name
Rush University
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Aneta Kwak
Email
Aneta_Z_Kwak@rush.edu
First Name & Middle Initial & Last Name & Degree
Cesar Ochoa-Lubinoff, MD
Facility Name
Thompson Center for Autism and Neurodevelopmental Disorders
City
Columbia
State/Province
Missouri
ZIP/Postal Code
65211
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Rebecca Bond
Phone
573-882-9457
Email
rabkg7@health.missouri.edu
First Name & Middle Initial & Last Name & Degree
David Beversdorf, MD
Facility Name
Center for Autism and The Developing Brain
City
White Plains
State/Province
New York
ZIP/Postal Code
10032
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Suvekcha Bhattachan
Phone
914-997-5587
Email
suvekcha.bhattachan@nyspi.columbia.edu
First Name & Middle Initial & Last Name & Degree
Jeremy Veenstra-VanderWeele, MD
Facility Name
Ohio State University
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43210
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ashauna Stevens
Phone
614-366-9033
Email
ashauna.stevens@osumc.edu
First Name & Middle Initial & Last Name & Degree
Eugene Arnold, MD
Facility Name
Red Oak Psychiatry Associates
City
Houston
State/Province
Texas
ZIP/Postal Code
77090
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Talia Mergi
Phone
281-893-4111
Ext
155
Email
talia.mergi@redoakpsychiatry.com
First Name & Middle Initial & Last Name & Degree
Lawrence Ginsberg, MD

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A 12-Week Crossover Study to Assess the Efficacy, Safety and Tolerability of L1-79 in Subjects Aged 12-21 Years With Autism Spectrum Disorder

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