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Effects of Intranasal Administration of a Single Dose of Oxytocin Using a Novel Device in Adults With Autism Spectrum Disorder

Primary Purpose

Autism Spectrum Disorder

Status
Completed
Phase
Phase 1
Locations
Norway
Study Type
Interventional
Intervention
8IU intranasal oxytocin
24IU intranasal oxytocin
Placebo
OptiNose Breath Powered Bi
Sponsored by
OptiNose AS
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Autism Spectrum Disorder focused on measuring oxytocin, social cognition

Eligibility Criteria

18 Years - 35 Years (Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Male subjects between the ages of 18 and 35, both inclusive, with a confirmed diagnosis of autism spectrum disorder (ASD) diagnosis.
  • Subjects must be in good general health, as determined by the investigator.
  • Subject's pre-study physical examination, vital signs and electrocardiogram (ECG) must not show any clinically significant abnormalities as determined by the investigator.
  • Subjects must be able to communicate well with the Investigator, to understand and comply with the requirements of the study, and to understand the oral and written patient information
  • Provision of a signed, written informed consent.

Exclusion Criteria:

  • Subjects showing major septal deviation or a significantly altered nasal epithelium.
  • Subjects with evidence of previous nasal disease, surgery, and dependence on inhaled drugs.
  • Subjects with current significant nasal congestion due to common colds.
  • Subjects with a clinically relevant history of significant hepatic, renal, endocrine, cardiac, nervous, pulmonary, haematological or metabolic disorder.
  • Psychiatric co-morbidity that requires intervention (e.g., psychosis spectrum disorders, suicide intent)
  • Systemic illness requiring treatment within 2 weeks prior to Study Day 1.
  • History of significant drug or alcohol abuse (as per WHO Alcohol use disorder identification test and drug use disorder identification test criteria) Subjects with a positive screen for alcohol or drugs of abuse at screening/admission will be excluded from participation in the study.
  • Abnormal laboratory values which is deemed clinically significant by investigator.
  • Full scale IQ < 75 (due to the prerequisite ability to complete self report measures).
  • Known allergic reactions or hypersensitivity to any component of the study medication in the nasal spray, such as propyl parahydroxybenzoate (E216), methyl parahydroxybenzoate (E218) and chlorobutanol hemihydrate.
  • Participation in any (other) clinical trial with an investigational medicinal product or medical device within 3 months prior to randomisation.
  • Other unspecified reasons that, in the opinion of the investigator or the sponsor make the subject unsuitable for enrollment.

Sites / Locations

  • NORMENT, KG Jebsen Centre for Psychosis Research - TOP Study

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Active Comparator

Placebo Comparator

Arm Label

8IU intranasal oxytocin

24IU intranasal oxytocin

Placebo

Arm Description

8IU intranasal oxytocin delivered with the OptiNose Breath Powered Bi directional liquid device

24IU intranasal oxytocin delivered with the OptiNose Breath Powered Bi directional liquid device

Placebo delivered with the OptiNose Breath Powered Bi directional liquid device

Outcomes

Primary Outcome Measures

Performance on an emotion sensitivity test
Participants will complete a task evaluating emotional expressions. These stimuli are identical to those published previously by Leknes et al., (2012).
Performance on a facial emotion morphing task
Participants will complete a task evaluating faces that morph into different emotional expressions.

Secondary Outcome Measures

Performance on the reading the mind in the eyes test
Participants will complete the reading the mind in the eyes test
Performance on an emotional dot probe task
Participants will complete an emotional dot probe task
Heart rate variability
Electrocardiogram data will be collected to assess heart rate variability, a measure of cardiac autonomic function.
Eyetracking
An eyetracking device will measure eyegaze and pupillometry.

Full Information

First Posted
March 31, 2015
Last Updated
September 26, 2016
Sponsor
OptiNose AS
Collaborators
Oslo University Hospital, University of Oslo
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1. Study Identification

Unique Protocol Identification Number
NCT02414503
Brief Title
Effects of Intranasal Administration of a Single Dose of Oxytocin Using a Novel Device in Adults With Autism Spectrum Disorder
Official Title
A Randomized, Placebo Controlled, Double-blind, 3-period Cross-over Study in Adult Patients With Autism Spectrum Disorders Evaluating Cognitive Response After Single- Dose Oxytocin 8 or 24 IU Intranasal Administration Using the OptiNose Bi-directional Nose-to-brain Device
Study Type
Interventional

2. Study Status

Record Verification Date
September 2016
Overall Recruitment Status
Completed
Study Start Date
April 2015 (undefined)
Primary Completion Date
February 2016 (Actual)
Study Completion Date
February 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
OptiNose AS
Collaborators
Oslo University Hospital, University of Oslo

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Oxytocin (OT) is a small, naturally occurring peptide currently in clinical use to stimulate lactation in breastfeeding women. The intranasal administration of OT has recently attracted attention as a potential novel treatment in several psychiatric disorders in autism. However, given the anatomy of the nasal cavity, the current design of nasal sprays would be expected to provide an inadequate delivery of medication to the areas of the nasal cavity where direct transport into the brain via the olfactory nerve could potentially occur. OptiNose has developed an intranasal delivery device that provides improved reproducibility of nasal delivery, improved deposition to the upper posterior regions of the nasal cavity where the olfactory nerve innervates the nasal cavity. The primary objective of this study is to identify any differences between a single dose of 8 international units (IU) oxytocin, 24 IU oxytocin, and placebo delivered intranasally with the optimised OptiNose device in volunteers with Autism Spectrum Disorder. This will be measured in terms of performance on cognitive tests and physiological markers.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 1, Phase 2
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
17 (Actual)

8. Arms, Groups, and Interventions

Arm Title
8IU intranasal oxytocin
Arm Type
Active Comparator
Arm Description
8IU intranasal oxytocin delivered with the OptiNose Breath Powered Bi directional liquid device
Arm Title
24IU intranasal oxytocin
Arm Type
Active Comparator
Arm Description
24IU intranasal oxytocin delivered with the OptiNose Breath Powered Bi directional liquid device
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo delivered with the OptiNose Breath Powered Bi directional liquid device
Intervention Type
Drug
Intervention Name(s)
8IU intranasal oxytocin
Intervention Type
Drug
Intervention Name(s)
24IU intranasal oxytocin
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Type
Device
Intervention Name(s)
OptiNose Breath Powered Bi
Primary Outcome Measure Information:
Title
Performance on an emotion sensitivity test
Description
Participants will complete a task evaluating emotional expressions. These stimuli are identical to those published previously by Leknes et al., (2012).
Time Frame
45 mins after oxytocin/placebo administration
Title
Performance on a facial emotion morphing task
Description
Participants will complete a task evaluating faces that morph into different emotional expressions.
Time Frame
45 mins after oxytocin/placebo administration
Secondary Outcome Measure Information:
Title
Performance on the reading the mind in the eyes test
Description
Participants will complete the reading the mind in the eyes test
Time Frame
45 mins after oxytocin/placebo administration
Title
Performance on an emotional dot probe task
Description
Participants will complete an emotional dot probe task
Time Frame
45 mins after oxytocin/placebo administration
Title
Heart rate variability
Description
Electrocardiogram data will be collected to assess heart rate variability, a measure of cardiac autonomic function.
Time Frame
40 minutes after oxytocin/placebo administration
Title
Eyetracking
Description
An eyetracking device will measure eyegaze and pupillometry.
Time Frame
45 mins after oxytocin/placebo administration

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
35 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male subjects between the ages of 18 and 35, both inclusive, with a confirmed diagnosis of autism spectrum disorder (ASD) diagnosis. Subjects must be in good general health, as determined by the investigator. Subject's pre-study physical examination, vital signs and electrocardiogram (ECG) must not show any clinically significant abnormalities as determined by the investigator. Subjects must be able to communicate well with the Investigator, to understand and comply with the requirements of the study, and to understand the oral and written patient information Provision of a signed, written informed consent. Exclusion Criteria: Subjects showing major septal deviation or a significantly altered nasal epithelium. Subjects with evidence of previous nasal disease, surgery, and dependence on inhaled drugs. Subjects with current significant nasal congestion due to common colds. Subjects with a clinically relevant history of significant hepatic, renal, endocrine, cardiac, nervous, pulmonary, haematological or metabolic disorder. Psychiatric co-morbidity that requires intervention (e.g., psychosis spectrum disorders, suicide intent) Systemic illness requiring treatment within 2 weeks prior to Study Day 1. History of significant drug or alcohol abuse (as per WHO Alcohol use disorder identification test and drug use disorder identification test criteria) Subjects with a positive screen for alcohol or drugs of abuse at screening/admission will be excluded from participation in the study. Abnormal laboratory values which is deemed clinically significant by investigator. Full scale IQ < 75 (due to the prerequisite ability to complete self report measures). Known allergic reactions or hypersensitivity to any component of the study medication in the nasal spray, such as propyl parahydroxybenzoate (E216), methyl parahydroxybenzoate (E218) and chlorobutanol hemihydrate. Participation in any (other) clinical trial with an investigational medicinal product or medical device within 3 months prior to randomisation. Other unspecified reasons that, in the opinion of the investigator or the sponsor make the subject unsuitable for enrollment.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ole A Andreassen, MD, PhD
Organizational Affiliation
University of Oslo
Official's Role
Principal Investigator
Facility Information:
Facility Name
NORMENT, KG Jebsen Centre for Psychosis Research - TOP Study
City
Oslo
ZIP/Postal Code
0424
Country
Norway

12. IPD Sharing Statement

Citations:
PubMed Identifier
22648957
Citation
Leknes S, Wessberg J, Ellingsen DM, Chelnokova O, Olausson H, Laeng B. Oxytocin enhances pupil dilation and sensitivity to 'hidden' emotional expressions. Soc Cogn Affect Neurosci. 2013 Oct;8(7):741-9. doi: 10.1093/scan/nss062. Epub 2012 May 29.
Results Reference
background
Links:
URL
http://www.med.uio.no/norment/english/
Description
Norwegian Centre for Mental Disorders Research

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Effects of Intranasal Administration of a Single Dose of Oxytocin Using a Novel Device in Adults With Autism Spectrum Disorder

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