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Targeting the Neurobiology of RRB in Autism Using N-acetylcysteine: Open Label

Primary Purpose

Autism Spectrum Disorder

Status
Enrolling by invitation
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
N-acetylcysteine
Sponsored by
Stanford University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Autism Spectrum Disorder focused on measuring Magnetic Resonance Imaging, N-acetylcysteine, Restricted and Repetitive Behaviors, Electroencephalography

Eligibility Criteria

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

Inclusion Criteria:

• Inclusion criteria: successful completion of IRB protocols 54931 or 65821.

Inclusion for 54931 include:

  • children between 3 years and 12 years 11 months
  • diagnosis of autism spectrum disorder confirmed with the Autism Diagnostic Interview-Revised and the Autism Diagnostic Observation Schedule-2, Brief Observation of Symptoms of Autism, or Childhood Autism Rating Scale
  • at least moderate severity of restricted and repetitive behaviors defined by a Children's Yale-Brown Obsessive Compulsive Scale in ASD score ≥ 11
  • physical development indicative of prepubescence as defined by criteria for Tanner Stage 1
  • medically stable
  • passes MR safety screening (e.g., no metal in the body).

Inclusion for 65821:

  • same criteria as above for 54931
  • have stable medication regimens (≥ 30 days) and psychosocial treatments (≥ 60 days) prior to randomization with no anticipated changes during the trial
  • successfully completes baseline neuroimaging (MRI or EEG).

Exclusion Criteria:

• significant adverse affects that led to withdrawal or early termination from IRB 54931 or 65821.

Exclusion criteria for 54931 and 65821 include:

  • presence of known genetic abnormalities associated with ASD (e.g. Fragile X)
  • current or life-time diagnosis of severe psychiatric disorder (e.g., schizophrenia)
  • presence of significant medical problems
  • the inability of at least one caregiver to speak and read English to a sufficient level, • • participants taking glutathione agents/prodrugs, or (6) the inability to drink a dissolved agent.

Sites / Locations

  • Stanford University School of Medicine

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

N-Acetylcysteine

Arm Description

Outcomes

Primary Outcome Measures

Change in glutamatergic neurometabolites (Glx) measured by proton spectroscopy Magnetic Resonance Imaging (MRI)
Change in restricted and repetitive behaviors as measured by Children's Yale Brown Obsessive Compulsive Scale - Autism Spectrum Disorder (CYBOCS-ASD)
Higher scores on the Children's Yale Brown Obsessive Compulsive Scale - Autism Spectrum Disorder mean higher levels of restricted and repetitive behaviors (Raw Score Total Range: 0-20)

Secondary Outcome Measures

Change in Gamma band amplitude and synchronization measured by electroencephalography (EEG)
Change in restricted repetitive behavior subtypes as measured by the Restricted Behavior Scale - Revised (RBS-R)
Higher scores on the Repetitive Behavior Scale- Revised mean higher levels of repetitive and restricted behaviors. (Raw Score Total Range: 0 - 129)

Full Information

First Posted
August 8, 2022
Last Updated
May 15, 2023
Sponsor
Stanford University
Collaborators
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
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1. Study Identification

Unique Protocol Identification Number
NCT05494398
Brief Title
Targeting the Neurobiology of RRB in Autism Using N-acetylcysteine: Open Label
Official Title
Targeting the Neurobiology of Restricted and Repetitive Behaviors in Children With Autism Using N-acetylcysteine: an Open Label Extension
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Enrolling by invitation
Study Start Date
November 15, 2022 (Actual)
Primary Completion Date
September 2027 (Anticipated)
Study Completion Date
September 2028 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Stanford University
Collaborators
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

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 goal of this study is to target the neurobiology of restricted and repetitive behaviors in children with autism spectrum disorder using N-acetylcysteine (NAC), a well-tolerated nutritional supplement that has shown promise for reducing symptom severity in recent small-scale trials. The findings from this research will shed light on the mechanisms of action underlying the clinical benefits of NAC and the effects of NAC on altering restricted and repetitive behavior symptom severity in children with 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
Keywords
Magnetic Resonance Imaging, N-acetylcysteine, Restricted and Repetitive Behaviors, Electroencephalography

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
48 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
N-Acetylcysteine
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
N-acetylcysteine
Intervention Description
12 week administration of N-Acetylcysteine to target restricted repetitive behavior severity.
Primary Outcome Measure Information:
Title
Change in glutamatergic neurometabolites (Glx) measured by proton spectroscopy Magnetic Resonance Imaging (MRI)
Time Frame
Baseline and Week 12 of treatment
Title
Change in restricted and repetitive behaviors as measured by Children's Yale Brown Obsessive Compulsive Scale - Autism Spectrum Disorder (CYBOCS-ASD)
Description
Higher scores on the Children's Yale Brown Obsessive Compulsive Scale - Autism Spectrum Disorder mean higher levels of restricted and repetitive behaviors (Raw Score Total Range: 0-20)
Time Frame
Screening, Week 8, week 12
Secondary Outcome Measure Information:
Title
Change in Gamma band amplitude and synchronization measured by electroencephalography (EEG)
Time Frame
Baseline, Week 12
Title
Change in restricted repetitive behavior subtypes as measured by the Restricted Behavior Scale - Revised (RBS-R)
Description
Higher scores on the Repetitive Behavior Scale- Revised mean higher levels of repetitive and restricted behaviors. (Raw Score Total Range: 0 - 129)
Time Frame
Baseline, week 8, week 12

10. Eligibility

Sex
All
Minimum Age & Unit of Time
3 Years
Maximum Age & Unit of Time
12 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: • Inclusion criteria: successful completion of IRB protocols 54931 or 68353. Inclusion for 54931 include: children between 3 years and 12 years 11 months diagnosis of autism spectrum disorder confirmed with the Autism Diagnostic Interview-Revised and the Autism Diagnostic Observation Schedule-2, Brief Observation of Symptoms of Autism, or Childhood Autism Rating Scale at least moderate severity of restricted and repetitive behaviors defined by a Children's Yale-Brown Obsessive Compulsive Scale in ASD score ≥ 11 physical development indicative of prepubescence as defined by criteria for Tanner Stage 1 medically stable passes MR safety screening (e.g., no metal in the body). Inclusion for 65821: same criteria as above for 54931 have stable medication regimens (≥ 30 days) and psychosocial treatments (≥ 60 days) prior to randomization with no anticipated changes during the trial successfully completes baseline neuroimaging (MRI or EEG). Exclusion Criteria: • significant adverse affects that led to withdrawal or early termination from IRB 54931 or 65821. Exclusion criteria for 54931 and 65821 include: presence of known genetic abnormalities associated with ASD (e.g. Fragile X) current or life-time diagnosis of severe psychiatric disorder (e.g., schizophrenia) presence of significant medical problems the inability of at least one caregiver to speak and read English to a sufficient level, • • participants taking glutathione agents/prodrugs, or (6) the inability to drink a dissolved agent.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
John Hegarty, PhD
Organizational Affiliation
Stanford University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Stanford University School of Medicine
City
Stanford
State/Province
California
ZIP/Postal Code
94305
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
De-Identified data will be shared with the National Database for Autism Research (NDAR)
IPD Sharing Time Frame
The data will be submitted on January 15th and July 15th each year.
IPD Sharing Access Criteria
Researchers with access to the National Database for Autism Research (NDAR) will be able to obtain the submitted data
IPD Sharing URL
http://nda.nih.gov

Learn more about this trial

Targeting the Neurobiology of RRB in Autism Using N-acetylcysteine: Open Label

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