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Omega-3 Fatty Acids Monotherapy in Children and Adolescents With Autism Spectrum Disorders

Primary Purpose

Autism Spectrum Disorder (ASD)

Status
Terminated
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Omega-3 Fatty Acid
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 (ASD) focused on measuring Omega-3 Fatty Acid, Autism Spectrum Disorders, Pervasive Developmental Disorders, Children, Cognitive Functioning

Eligibility Criteria

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

Inclusion

  1. Male or female participants between 6 and 17 years of age, inclusive.
  2. Fulfills diagnosis of autism spectrum disorders by meeting DSM-IV-TR PDD diagnostic criteria of autistic disorder, Asperger's disorder, or PDD-NOS as established by clinical interview assisted by MGH PDD Symptom Checklist.
  3. Participants with at least moderate symptom severity of ASD as reflected by SRS score ≥ 85 and CGI-PDD severity score of ≥ 4 (moderately ill).
  4. Subjects must be psychotropic drug-free for a minimum of four weeks prior to the baseline visit.
  5. Subjects with mood, anxiety, or disruptive behavior disorders will be allowed to participate in the study provided they do not meet any exclusionary criteria.

Exclusion

  1. I.Q. < 85.
  2. DSM-IV-TR PDD diagnoses of Rett's disorder, and childhood disintegrative disorder.
  3. Current diagnosis of a psychotic disorder or unstable mood or anxiety disorders as determined by the clinician.
  4. Subject with marked severity of symptoms as suggested by the score of ≥ 5 (markedly ill) on CGI severity subscale for respective comorbid psychiatric disorders.
  5. Clinically unstable psychiatric condition judged to be at a serious risk to self or others as determined by the clinician.
  6. History of substance use (except nicotine or caffeine) within past 3 months, determined to be clinically significant by clinician.
  7. Urine drug screen positive for substances of abuse.
  8. Non-febrile seizures without a clear and resolved etiology in last month.
  9. Subjects with a medical condition or treatment that will either jeopardize subject safety or affect the scientific merit of the study, including:

    1. Pregnant or nursing females;
    2. Organic brain disorders;
    3. Uncorrected hypothyroidism or hyperthyroidism, as determined by study clinician;
    4. Untreated and/or unstable diabetes;
    5. Subjects with a clinically significant abnormality according to cardiology consultation (ECGs with clinically concerning intervals including PR, QTC, QRS, will be reviewed by cardiology).
    6. History of renal or hepatic impairment determined to be clinically significant by clinician.
  10. Serious, unstable systemic illness including hepatic, renal, gastroenterological, respiratory, cardiovascular (including ischemic heart disease), endocrinologic, neurologic, immunologic, or hematologic disease, as determined by clinician.
  11. Any other concomitant medication with primary central nervous system activity other than specified in the Concomitant Medication section of the protocol.
  12. Subjects who have difficulty swallowing pills.
  13. History of known allergy to Omega-3 fatty acids, multiple drug allergies, or severe allergies.
  14. A non-responder of, or history of intolerance to Omega-3 fatty acids, after treatment at an adequate dose and duration as determined by the clinician.

Sites / Locations

  • Massachusetts General Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Omega-3 Fatty Acid Treatment

Placebo (Sugar Pill)

Arm Description

Outcomes

Primary Outcome Measures

Change in Social Responsiveness Scale (SRS) Total Raw Score
Change in SRS Total Raw Score
Change in NIMH Clinical Global Impression Scale for Pervasive Developmental Disorders (CGI-PDD) Improvement Scores
The CGI-PDD is a well-established, 3-item, clinician-rated measure of global symptom severity and treatment response, specifically for PDD. This scale allows the clinician to rate the severity of the participant's PDD relative to baseline.

Secondary Outcome Measures

Full Information

First Posted
November 19, 2010
Last Updated
October 5, 2017
Sponsor
Massachusetts General Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT01248130
Brief Title
Omega-3 Fatty Acids Monotherapy in Children and Adolescents With Autism Spectrum Disorders
Official Title
Omega-3 Fatty Acids Monotherapy in Children and Adolescents With Autism Spectrum Disorders
Study Type
Interventional

2. Study Status

Record Verification Date
October 2017
Overall Recruitment Status
Terminated
Why Stopped
Due to a change in the research priorities of the principal investigator in combination with low subject interest.
Study Start Date
November 2009 (undefined)
Primary Completion Date
April 2013 (Actual)
Study Completion Date
April 2013 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary aim of this study is to examine the efficacy and tolerability of short-term omega-3 fatty acids monotherapy in youth with Autism Spectrum Disorders (ASD). The investigators hypothesize that Omega-3 fatty acids will be efficacious in improving the core and associated features of ASD in youth, and that Omega-3 fatty acids monotherapy will be safe and well tolerated by youth with ASD. The secondary aim of this study is to examine the neuropsychological effect of Omega-3 fatty acids monotherapy in youth with ASD. The investigators hypothesize that omega-3 fatty acids will be efficacious in improving cognitive functions in youth with ASD.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Autism Spectrum Disorder (ASD)
Keywords
Omega-3 Fatty Acid, Autism Spectrum Disorders, Pervasive Developmental Disorders, Children, Cognitive Functioning

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
7 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Omega-3 Fatty Acid Treatment
Arm Type
Active Comparator
Arm Title
Placebo (Sugar Pill)
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
Omega-3 Fatty Acid
Other Intervention Name(s)
Fish Oil
Intervention Description
Children with Autism Spectrum Disorders will be randomized to receive either 1500mg (3 capsules) omega-3 fatty acids or placebo. Each 500mg capsule contains 350mg EPA and 50mg DHA. Omega-3 fatty acids dosing will be on a forced titration schedule to 3 capsules per day. All subjects will start with 1 capsule per day with an increase to 3 capsules per day by week 2. Subjects will be maintained at 3 capsules per day thereafter until the end of the trial (completion/discontinuation). During the 12 weeks of the study period, participants will be evaluated at weekly intervals during the first three weeks of the trial (baseline, weeks 1-3) and tri-weekly thereafter till the end of the trial (weeks 6, 9 and 12). At each visit, measures of safety and effectiveness will be administered and subjects will be evaluated for response and side effects to the treatment. Study medications will be prescribed under double blind conditions.
Primary Outcome Measure Information:
Title
Change in Social Responsiveness Scale (SRS) Total Raw Score
Description
Change in SRS Total Raw Score
Time Frame
pre-treatment, 6 weeks, post-treatment (12 weeks)
Title
Change in NIMH Clinical Global Impression Scale for Pervasive Developmental Disorders (CGI-PDD) Improvement Scores
Description
The CGI-PDD is a well-established, 3-item, clinician-rated measure of global symptom severity and treatment response, specifically for PDD. This scale allows the clinician to rate the severity of the participant's PDD relative to baseline.
Time Frame
weekly

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Male or female participants between 6 and 17 years of age, inclusive. Fulfills diagnosis of autism spectrum disorders by meeting DSM-IV-TR PDD diagnostic criteria of autistic disorder, Asperger's disorder, or PDD-NOS as established by clinical interview assisted by MGH PDD Symptom Checklist. Participants with at least moderate symptom severity of ASD as reflected by SRS score ≥ 85 and CGI-PDD severity score of ≥ 4 (moderately ill). Subjects must be psychotropic drug-free for a minimum of four weeks prior to the baseline visit. Subjects with mood, anxiety, or disruptive behavior disorders will be allowed to participate in the study provided they do not meet any exclusionary criteria. Exclusion I.Q. < 85. DSM-IV-TR PDD diagnoses of Rett's disorder, and childhood disintegrative disorder. Current diagnosis of a psychotic disorder or unstable mood or anxiety disorders as determined by the clinician. Subject with marked severity of symptoms as suggested by the score of ≥ 5 (markedly ill) on CGI severity subscale for respective comorbid psychiatric disorders. Clinically unstable psychiatric condition judged to be at a serious risk to self or others as determined by the clinician. History of substance use (except nicotine or caffeine) within past 3 months, determined to be clinically significant by clinician. Urine drug screen positive for substances of abuse. Non-febrile seizures without a clear and resolved etiology in last month. Subjects with a medical condition or treatment that will either jeopardize subject safety or affect the scientific merit of the study, including: Pregnant or nursing females; Organic brain disorders; Uncorrected hypothyroidism or hyperthyroidism, as determined by study clinician; Untreated and/or unstable diabetes; Subjects with a clinically significant abnormality according to cardiology consultation (ECGs with clinically concerning intervals including PR, QTC, QRS, will be reviewed by cardiology). History of renal or hepatic impairment determined to be clinically significant by clinician. Serious, unstable systemic illness including hepatic, renal, gastroenterological, respiratory, cardiovascular (including ischemic heart disease), endocrinologic, neurologic, immunologic, or hematologic disease, as determined by clinician. Any other concomitant medication with primary central nervous system activity other than specified in the Concomitant Medication section of the protocol. Subjects who have difficulty swallowing pills. History of known allergy to Omega-3 fatty acids, multiple drug allergies, or severe allergies. A non-responder of, or history of intolerance to Omega-3 fatty acids, after treatment at an adequate dose and duration as determined by the clinician.
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
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States

12. IPD Sharing Statement

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Omega-3 Fatty Acids Monotherapy in Children and Adolescents With Autism Spectrum Disorders

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