Efficacy, Safety, and Tolerability Study of Oral Full-Spectrum MicrobiotaTM (CP101) in Subjects With Autism Spectrum Disorder and Associated GI Symptoms (SPROUT) (SPROUT)
Primary Purpose
Autism Spectrum Disorder, Autism, ASD
Status
Withdrawn
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
CP101
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Autism Spectrum Disorder
Eligibility Criteria
Inclusion Criteria:
- Male or Female ages 5 to 17
- Diagnosis of ASD by health care provider
- CARS-2 score ≥35 by the study evaluator
- 1 year history of chronic abnormal bowel function with/without GI symptoms
- GSRS/Constipation sub-score ≥3.0, or/and GSRS/diarrhea sub-score ≥3.0, during Screening
Exclusion Criteria:
- Inability to ingest intact capsules.
- Change or anticipated change of prescription medications and/or nutrition supplement and/or therapy to treat ASD symptoms
- Prior history, evidence, or diagnosis of inflammatory bowel disease or chronic autoimmune GI disease
- Below 5th percentile for weight on Centers for Disease Control and Prevention (CDC) growth chart based on age
- History of fecal microbiota transplantation (FMT) for any condition, regardless of route of administration within 12 months of Screening, or plan to undergo during the study
- History of epilepsy or any other seizure (except febrile seizure) disorder.
- Enrollment in any other investigational drug or device study within 8 weeks prior to investigational study medication (CP101/placebo) administration or within 5 half-lives of the last dose of the previous investigational compound, whichever is longer.
- Major intra-abdominal surgery within the past 60 days prior to Screening (excluding appendectomy or cholecystectomy) and/or planned invasive surgery/hospitalization during the study.
- Use of systemic antibiotics, systemic antiviral, or systemic antifungal (non-topical) for any condition during 8 weeks prior to Screening, or any anticipated use of above for any condition (e.g., frequent otitis media requiring antibiotics) before EOT (Week 24).
- Recent change or anticipated change of non-dietary probiotics.
- Any clinically significant condition that would jeopardize the safety or rights of the subject, or would confound the results of the study, in the opinion of the Principal Investigator.
- Clinically significant laboratory abnormalities at Screening at the discretion of the Principal Investigator.
- Pregnant, breast-feeding, or positive pregnancy test at Screening (for females of child-bearing potential) or for sexually active subjects (as determined by the Principal Investigator), who refuses to practice an acceptable form of birth control for the duration of the study.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
CP101
Placebo
Arm Description
CP101 (Full Spectrum Microbiota) Capsule
Placebo for CP101
Outcomes
Primary Outcome Measures
Childhoood Autism Rating Scales-2 (CARS-2)
Two 15-item rating scales completed by the clinician (each designed for a different population); and an unscored Parent/Caregiver Questionnaire
Secondary Outcome Measures
Aberrant Behavior Checklist-2 (ABC-2)
Scoring scale range from 1-3 for a 58 question, 5 behavior category assessments. All categories summed for individual total scores (7-48). Individual total scores determine severity (the higher, the more severe).
Social Responsiveness Scale-2 (SRS-2)
Total Score; Scores for 5 Treatment Subscales; Scores for 2 DSM-5 Compatible Subscales
Parent Global Impressions-III (PGI-III)
19 question assessment evaluating parent observations from "much worse" to "much better".
Gastrointestinal Symptom Rating Scale (GSRS)
Contains 15 items, uses a seven-graded Likert scale, where 1 represents the most positive option and 7 the most negative one.
Gastrointestinal Stool & Symptom Questionnaire for Autism (GSSQA)
17 item assessment evaluating GI symptoms on a scale from "Not at all" to "Almost always".
Reynolds Intellectual Assessment Scales-2-Nonverbal (RIAS-2-NV)
IQ test with 8 sub-categories. Scores from each category summed, then indexed
Autism Diagnostic Interview-Revised (ADI-R)
The ADI-R provides a diagnostic algorithm for autism as described in both the ICD-10 and DSM-IV. The instrument focuses on behavior in three main areas: qualities of reciprocal social interaction; communication and language; and restricted and repetitive, stereotyped interests and behaviors.
Full Information
NCT ID
NCT03829878
First Posted
January 28, 2019
Last Updated
April 5, 2021
Sponsor
Finch Research and Development LLC.
1. Study Identification
Unique Protocol Identification Number
NCT03829878
Brief Title
Efficacy, Safety, and Tolerability Study of Oral Full-Spectrum MicrobiotaTM (CP101) in Subjects With Autism Spectrum Disorder and Associated GI Symptoms (SPROUT)
Acronym
SPROUT
Official Title
A Randomized Double-Blind Placebo Controlled Cross-Over Study of CP101 (Full-Spectrum Microbiota®) in Children With Autism Spectrum Disorder and Associated Gastrointestinal Symptoms
Study Type
Interventional
2. Study Status
Record Verification Date
April 2021
Overall Recruitment Status
Withdrawn
Why Stopped
Study not started
Study Start Date
May 2020 (Anticipated)
Primary Completion Date
May 2020 (Anticipated)
Study Completion Date
December 2021 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Finch Research and Development LLC.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
Adolescent autism spectrum disorder subjects with associated GI symptoms will be randomized to receive oral dosing of CP101 capsules in Treatment Group I or matching placebo capsules in Treatment Group II. The purpose of this study is to demonstrate the safety and effectiveness of CP101 in subjects with ASD and associated GI symptoms.
Detailed Description
This is a Randomized Double-Blind Placebo Controlled Study of CP101 (Full-Spectrum Microbiota®) in Children with Autism Spectrum Disorder and Associated Gastrointestinal Symptoms
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Autism Spectrum Disorder, Autism, ASD, Autistic Thinking, Autistic Behavior, Finch, FMT, Fecal Microbiota Transplant, CP101, SPROUT, Fecal Transplant
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
0 (Actual)
8. Arms, Groups, and Interventions
Arm Title
CP101
Arm Type
Experimental
Arm Description
CP101 (Full Spectrum Microbiota) Capsule
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo for CP101
Intervention Type
Drug
Intervention Name(s)
CP101
Other Intervention Name(s)
FSM
Intervention Description
Orally administered donor derived full spectrum microbiota
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo for CP101
Primary Outcome Measure Information:
Title
Childhoood Autism Rating Scales-2 (CARS-2)
Description
Two 15-item rating scales completed by the clinician (each designed for a different population); and an unscored Parent/Caregiver Questionnaire
Time Frame
24 weeks
Secondary Outcome Measure Information:
Title
Aberrant Behavior Checklist-2 (ABC-2)
Description
Scoring scale range from 1-3 for a 58 question, 5 behavior category assessments. All categories summed for individual total scores (7-48). Individual total scores determine severity (the higher, the more severe).
Time Frame
55 weeks
Title
Social Responsiveness Scale-2 (SRS-2)
Description
Total Score; Scores for 5 Treatment Subscales; Scores for 2 DSM-5 Compatible Subscales
Time Frame
55 weeks
Title
Parent Global Impressions-III (PGI-III)
Description
19 question assessment evaluating parent observations from "much worse" to "much better".
Time Frame
55 weeks
Title
Gastrointestinal Symptom Rating Scale (GSRS)
Description
Contains 15 items, uses a seven-graded Likert scale, where 1 represents the most positive option and 7 the most negative one.
Time Frame
55 weeks
Title
Gastrointestinal Stool & Symptom Questionnaire for Autism (GSSQA)
Description
17 item assessment evaluating GI symptoms on a scale from "Not at all" to "Almost always".
Time Frame
55 weeks
Title
Reynolds Intellectual Assessment Scales-2-Nonverbal (RIAS-2-NV)
Description
IQ test with 8 sub-categories. Scores from each category summed, then indexed
Time Frame
55 weeks
Title
Autism Diagnostic Interview-Revised (ADI-R)
Description
The ADI-R provides a diagnostic algorithm for autism as described in both the ICD-10 and DSM-IV. The instrument focuses on behavior in three main areas: qualities of reciprocal social interaction; communication and language; and restricted and repetitive, stereotyped interests and behaviors.
Time Frame
55 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
5 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Male or Female ages 5 to 17
Diagnosis of ASD by health care provider
CARS-2 score ≥35 by the study evaluator
1 year history of chronic abnormal bowel function with/without GI symptoms
GSRS/Constipation sub-score ≥3.0, or/and GSRS/diarrhea sub-score ≥3.0, during Screening
Exclusion Criteria:
Inability to ingest intact capsules.
Change or anticipated change of prescription medications and/or nutrition supplement and/or therapy to treat ASD symptoms
Prior history, evidence, or diagnosis of inflammatory bowel disease or chronic autoimmune GI disease
Below 5th percentile for weight on Centers for Disease Control and Prevention (CDC) growth chart based on age
History of fecal microbiota transplantation (FMT) for any condition, regardless of route of administration within 12 months of Screening, or plan to undergo during the study
History of epilepsy or any other seizure (except febrile seizure) disorder.
Enrollment in any other investigational drug or device study within 8 weeks prior to investigational study medication (CP101/placebo) administration or within 5 half-lives of the last dose of the previous investigational compound, whichever is longer.
Major intra-abdominal surgery within the past 60 days prior to Screening (excluding appendectomy or cholecystectomy) and/or planned invasive surgery/hospitalization during the study.
Use of systemic antibiotics, systemic antiviral, or systemic antifungal (non-topical) for any condition during 8 weeks prior to Screening, or any anticipated use of above for any condition (e.g., frequent otitis media requiring antibiotics) before EOT (Week 24).
Recent change or anticipated change of non-dietary probiotics.
Any clinically significant condition that would jeopardize the safety or rights of the subject, or would confound the results of the study, in the opinion of the Principal Investigator.
Clinically significant laboratory abnormalities at Screening at the discretion of the Principal Investigator.
Pregnant, breast-feeding, or positive pregnancy test at Screening (for females of child-bearing potential) or for sexually active subjects (as determined by the Principal Investigator), who refuses to practice an acceptable form of birth control for the duration of the study.
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Efficacy, Safety, and Tolerability Study of Oral Full-Spectrum MicrobiotaTM (CP101) in Subjects With Autism Spectrum Disorder and Associated GI Symptoms (SPROUT)
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