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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Withdrawn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
Finch Research and Development LLC.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Autism Spectrum Disorder

Eligibility Criteria

5 Years - 17 Years (Child)All SexesDoes not accept healthy volunteers

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

    First Posted
    January 28, 2019
    Last Updated
    April 5, 2021
    Sponsor
    Finch Research and Development LLC.
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    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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