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A Study of Oxytocin for the Treatment of Social Impairment in Individuals With High Functioning Autism Spectrum Disorder

Primary Purpose

Autism Spectrum Disorder, Pervasive Developmental Disorder, ASD

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Intranasal Oxytocin
Sponsored by
Massachusetts General Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Autism Spectrum Disorder focused on measuring Autism Spectrum Disorders, Pervasive Developmental Disorder, ASD, PDD, Oxytocin, Syntocinon, Social Impairment, Treatment

Eligibility Criteria

12 Years - 55 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Males and females between 12 and 55 years of age.
  • Meets the DSM-5 diagnostic criteria for Autism Spectrum Disorder (ASD) as established by clinical diagnostic interview
  • At least moderate severity of ASD impairment as measured by a raw score of ≥85 on the SRS
  • Participants and their parent/guardian must be able to speak and understand English sufficiently to comprehend the nature of the study and to allow for the completion of all study procedures required per protocol.
  • Subjects and their parent/guardian must be considered reliable reporters. They must understand the nature of the study and must sign an IRB-approved informed consent form before initiation of any study procedures. Subjects and their parent/guardian must have a level of understanding sufficient to communicate with the investigator and study coordinator, and to cooperate with all tests and examinations required by the protocol.
  • Each subject and their parent/guardian must understand the nature of the study and provide written informed assent/consent.
  • Subjects with mood, anxiety, or disruptive behavior disorders will be allowed to participate in the study provided they do not meet any exclusionary criteria.
  • If the subject is sexually active, he/she must agree to use an acceptable form of birth control during the study. These include:
  • Abstinence (no sexual contact)
  • A barrier method (diaphragm plus spermicide or a condom plus spermicide) in addition to one of the following methods:
  • Consistent use of an approved birth control pill
  • Birth control patch
  • Injected contraceptives
  • Intrauterine device (IUD)

Exclusion Criteria:

  • Impaired intellectual functioning and/or impaired spoken language.
  • Clinically unstable psychiatric conditions or any serious medical illness, which will be assessed by study clinicians during the psychiatric interview and medical history review. If the clinical assessment suggests a psychiatric or medical condition demanding acute clinical attention, then the subject will be excluded from participating in the trial.
  • Clinically unstable psychiatric conditions.
  • Any serious medical illness
  • Pregnant or nursing females.
  • Known hypersensitivity to oxytocin.
  • Severe allergies or multiple adverse drug reactions.
  • A non-responder or history of intolerance to oxytocin, after treatment at adequate doses as determined by the clinician.
  • Subjects with significant nasal pathology (including atrophic rhinitis, recurrent nose bleeds, and history of hypophysectomy).
  • Clinically abnormal baseline laboratory values falling significantly outside of the standard reference ranges for a basic metabolic screen.
  • Investigator and his/her immediate family defined as the investigator's spouse, parent, child, grandparent, or grandchild.
  • Currently enrolled or recently participated (within the past 6 months) in a clinical trial of intranasal oxytocin.

Sites / Locations

  • Massachusetts General Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Oxytocin- Participants ages 12-17

Oxytocin- Participants ages 18-55

Arm Description

Intranasal Oxytocin (brand name Syntocinon) will be administered daily (for a total daily dose of 48 IU) for 8 weeks.

Intranasal Oxytocin (brand name Syntocinon) will be administered daily (for a total daily dose of 48 IU) for 8 weeks.

Outcomes

Primary Outcome Measures

Change in ASD Symptoms Social Responsiveness Scale 2 (SRS-2) Scale From Baseline to Week 8
Change in ASD symptoms as measured by change from baseline on the Social Responsiveness Scale 2 (SRS-2) scale. The SRS-2 is a 65-item rating scale completed that is used to measure the severity of autism spectrum symptoms as they occur in natural settings. The SRS-2 School Age form is completed by a parent or guardian for patients ages 9-17 and the SRS-2 Adult Self-report is completed by patients ages 18-59. Total raw scores range from 0 to 195, with higher scores indicating increased symptom severity.

Secondary Outcome Measures

Full Information

First Posted
November 17, 2016
Last Updated
July 25, 2023
Sponsor
Massachusetts General Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT02985749
Brief Title
A Study of Oxytocin for the Treatment of Social Impairment in Individuals With High Functioning Autism Spectrum Disorder
Official Title
A Pilot Study of Oxytocin for the Treatment of Social Impairment in Individuals With High Functioning Autism Spectrum Disorder
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Completed
Study Start Date
October 9, 2017 (Actual)
Primary Completion Date
January 9, 2019 (Actual)
Study Completion Date
January 9, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Massachusetts General Hospital

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 is an 8-week pilot trial with oxytocin nasal spray (Syntocinon) as a treatment for social impairment in children and adults with high functioning autism spectrum disorders (ASD). The investigators hypothesize that oxytocin will be safe, tolerable, and effective in improving social deficits in individuals with ASD.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Autism Spectrum Disorder, Pervasive Developmental Disorder, ASD, PDD
Keywords
Autism Spectrum Disorders, Pervasive Developmental Disorder, ASD, PDD, Oxytocin, Syntocinon, Social Impairment, Treatment

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
7 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Oxytocin- Participants ages 12-17
Arm Type
Experimental
Arm Description
Intranasal Oxytocin (brand name Syntocinon) will be administered daily (for a total daily dose of 48 IU) for 8 weeks.
Arm Title
Oxytocin- Participants ages 18-55
Arm Type
Experimental
Arm Description
Intranasal Oxytocin (brand name Syntocinon) will be administered daily (for a total daily dose of 48 IU) for 8 weeks.
Intervention Type
Drug
Intervention Name(s)
Intranasal Oxytocin
Other Intervention Name(s)
Syntocinon
Intervention Description
This study is examining the short-term efficacy and tolerability of intranasal oxytocin for the treatment of social impairment in youths and adults with high-functioning ASD (HF-ASD).
Primary Outcome Measure Information:
Title
Change in ASD Symptoms Social Responsiveness Scale 2 (SRS-2) Scale From Baseline to Week 8
Description
Change in ASD symptoms as measured by change from baseline on the Social Responsiveness Scale 2 (SRS-2) scale. The SRS-2 is a 65-item rating scale completed that is used to measure the severity of autism spectrum symptoms as they occur in natural settings. The SRS-2 School Age form is completed by a parent or guardian for patients ages 9-17 and the SRS-2 Adult Self-report is completed by patients ages 18-59. Total raw scores range from 0 to 195, with higher scores indicating increased symptom severity.
Time Frame
8 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Males and females between 12 and 55 years of age. Meets the DSM-5 diagnostic criteria for Autism Spectrum Disorder (ASD) as established by clinical diagnostic interview At least moderate severity of ASD impairment as measured by a raw score of ≥85 on the SRS Participants and their parent/guardian must be able to speak and understand English sufficiently to comprehend the nature of the study and to allow for the completion of all study procedures required per protocol. Subjects and their parent/guardian must be considered reliable reporters. They must understand the nature of the study and must sign an IRB-approved informed consent form before initiation of any study procedures. Subjects and their parent/guardian must have a level of understanding sufficient to communicate with the investigator and study coordinator, and to cooperate with all tests and examinations required by the protocol. Each subject and their parent/guardian must understand the nature of the study and provide written informed assent/consent. Subjects with mood, anxiety, or disruptive behavior disorders will be allowed to participate in the study provided they do not meet any exclusionary criteria. If the subject is sexually active, he/she must agree to use an acceptable form of birth control during the study. These include: Abstinence (no sexual contact) A barrier method (diaphragm plus spermicide or a condom plus spermicide) in addition to one of the following methods: Consistent use of an approved birth control pill Birth control patch Injected contraceptives Intrauterine device (IUD) Exclusion Criteria: Impaired intellectual functioning and/or impaired spoken language. Clinically unstable psychiatric conditions or any serious medical illness, which will be assessed by study clinicians during the psychiatric interview and medical history review. If the clinical assessment suggests a psychiatric or medical condition demanding acute clinical attention, then the subject will be excluded from participating in the trial. Clinically unstable psychiatric conditions. Any serious medical illness Pregnant or nursing females. Known hypersensitivity to oxytocin. Severe allergies or multiple adverse drug reactions. A non-responder or history of intolerance to oxytocin, after treatment at adequate doses as determined by the clinician. Subjects with significant nasal pathology (including atrophic rhinitis, recurrent nose bleeds, and history of hypophysectomy). Clinically abnormal baseline laboratory values falling significantly outside of the standard reference ranges for a basic metabolic screen. Investigator and his/her immediate family defined as the investigator's spouse, parent, child, grandparent, or grandchild. Currently enrolled or recently participated (within the past 6 months) in a clinical trial of intranasal oxytocin.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gagan Joshi, MD
Organizational Affiliation
Massachusetts General Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Massachusetts General Hospital
City
Cambridge
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States

12. IPD Sharing Statement

Learn more about this trial

A Study of Oxytocin for the Treatment of Social Impairment in Individuals With High Functioning Autism Spectrum Disorder

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