Clinical trial • Psychiatry

Oxytocin for Autism spectrum disorder | Intellectual disability

Clinical trial of Oxytocin for Autism spectrum disorder | Intellectual disability. CTIS 2022-000254-28.

Overview

Trial Therapeutic Area
Psychiatry
Trial Disease
Autism spectrum disorder | Intellectual disability
Drug Modality
Peptide/protein/enzyme | Small molecule
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
30-07-2024
First CTIS Authorization Date
10-09-2024

Trial design

OXYTOCIN intranasal spray (active investigational product): starting dose 4 IU then 8 IU, administered intranasally (daily administration reported); Placebo: SODIUM CHLORIDE intranasal spray, 0.4 ml (placebo).-controlled trial across 3 sites in France.

Comparator
OXYTOCIN intranasal spray (active investigational product): starting dose 4 IU then 8 IU, administered intranasally (daily administration reported); Placebo: SODIUM CHLORIDE intranasal spray, 0.4 ml (placebo).
Single Multiple Or Escalation Dose Combined
Yes
Target Sample Size
30

Eligibility

Recruits 30 paediatric patients.

Pregnancy Exclusion
Pregnant girls, determined by a positive baseline blood pregnancy test
Vulnerable Population
Participants are minors (children aged 6–12) and are identified as a vulnerable population; informed consent must be signed by the holders of parental authority; parents are required to understand French (both parents if applicable) for administration instructions and questionnaires. Assent handling for the child is not explicitly described in the available text.

Inclusion criteria

  • {"criterion_text":"- Minor benefiting from a social security scheme"}
  • {"criterion_text":"- Diagnosis:autism spectrum disorder according to the Diagnostic and Statistical Manual DSM -5 of severe intensity;"}
  • {"criterion_text":"- Age: 6 – 12 years (> 5 years and < 13 years)"}
  • {"criterion_text":"- Female or male child"}
  • {"criterion_text":"- Comorbidities: Moderate to severe intellectual disability // Presence of challenging behavior objectified by means of clinical examination and the ABC and ABC-I scales"}
  • {"criterion_text":"- Psycho-educational and re-educative care within one of the 4 investigative centers"}
  • {"criterion_text":"- if prescribed psychotropic treatments (antipsychotics, anxiolytics, hypnotics/sedatives, antidepressants, psychostimulants and antiepileptics), the dosages must be stable for 3 months and must be within the recommended dose limits."}
  • {"criterion_text":"- Understanding of French by both parents (if applicable) and ability for both parents to understand, in particular, the instructions for administering the product and to answer questionnaires"}
  • {"criterion_text":"- informed consent signed by the holders of parental authority"}

Exclusion criteria

  • {"criterion_text":"- The refusal of the holders of parental authority"}
  • {"criterion_text":"- History of epilepsy or seizures"}
  • {"criterion_text":"- Sexually active women of childbearing age without effective contraception (Combined hormonal contraception (containing estrogens and progestins) combined with inhibition of ovulation or progestin-only hormonal contraception combined with inhibition of ovulation)"}
  • {"criterion_text":"- Breastfeeding women"}
  • {"criterion_text":"- Severe cardiovascular disease (tachycardia, bradycardia, arrhythmias, hypertension, hypotension, myocardial ischemia)"}
  • {"criterion_text":"- Latex allergy"}
  • {"criterion_text":"- Pregnant girls, determined by a positive baseline blood pregnancy test"}
  • {"criterion_text":"- Criteria respecting the Syntocinon SPC: Hypersensitivity to Syntocinon /// Hyponatremia < 135 mmol/L /// Hypokalaemia < 3.5 mmol/L /// Hypertension or hypotension"}
  • {"criterion_text":"- Behavioral intolerance to the intranasal route"}
  • {"criterion_text":"- Hepatic impairment (ALT and/or AST > 3N)"}
  • {"criterion_text":"- Kidney failure (creatinine > 3 N)"}
  • {"criterion_text":"- History of an ECG considered to be clinically significant abnormal (validated by a cardiologist)"}
  • {"criterion_text":"- Type 1 or 2 diabetes"}
  • {"criterion_text":"- Prolongation of the QT interval and/or family history of QT prolongation linked to an identified genetic etiology (QTc prolongation threshold > 460 ms). Corrected QTc calculated with Bazett's formula: QTc = QTm/ V RR."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The results will be considered positive if this percentage is greater than or equal to 80%, with a lower limit of the confidence interval of this estimate beyond 61.4%.","definition_or_measurement_approach":"Primary result defined as a percentage; success criteria: percentage >= 80% with lower bound of confidence interval > 61.4%."}

Secondary endpoints

  • {"endpoint_text":"- Precise statement of the reasons for a possible interruption of the protocol","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Qualitative assessment by caregivers and parents of the heaviness of implementing the protocol through semi-directive qualitative and quantitative interviews","definition_or_measurement_approach":"Measured via semi-structured qualitative and quantitative interviews of caregivers and parents."}
  • {"endpoint_text":"- Results of the questionnaires","definition_or_measurement_approach":"Assessment based on questionnaire results (details not provided)."}

Recruitment

Planned Sample Size
30
Recruitment Window Months
40
Consent Approach
Informed consent must be signed by the holders of parental authority; parents are required to understand French (both parents if applicable) to follow administration instructions and complete questionnaires. Subject information and informed consent forms are listed (L1 documents). Child assent process is not explicitly described in the available material.

Geography

Total Number Of Sites
3
Total Number Of Participants
30

France

Earliest CTIS Part Ii Submission Date
09-09-2024
Latest Decision Or Authorization Date
19-08-2025
Processing Time Days
344
Number Of Sites
3
Number Of Participants
30

Sites

Site Name
Centre Hospitalier Universitaire De Montpellier
Department Name
Psychiatrie de l’Enfant et de l’Adolescent
Contact Person Name
Amaria BAGHDADLI
Contact Person Email
a-baghdadli@chu-montpellier.fr
Site Name
Centre Hospitalier Universitaire De Toulouse
Department Name
Service Universitaire de Psychiatrie de l’Enfant et de l’Adolescent,
Contact Person Name
Julie ANDANSON
Contact Person Email
andanson.j@chu-toulouse.fr
Site Name
APHP - Hôpital Universitaire Pitié-Salpêtrière
Department Name
Psychiatrie de l’Enfant et de l’Adolescent
Contact Person Name
DAVID COHEN
Contact Person Email
david.cohen@aphp.fr

Sponsor

Primary sponsor

Full Name
Centre Hospitalier Universitaire De Toulouse
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
France

Investigational products

Investigational Product Name
OXYTOCIN
Active Substance
Oxytocin
Modality
Peptide/protein/enzyme
Routes Of Administration
Nasal spray (intranasal)
Route
Intranasal (nasal spray)
Authorisation Status
Import authorisation (miaNumber: 2022-000254-28)
Starting Dose
4 IU
Dose Levels
4 IU then 8 IU
Frequency
Daily
Maximum Dose
8 IU
Dose Escalation Increase
Initial: 4 IU; Following: 8 IU
Investigational Product Name
SODIUM CHLORIDE
Active Substance
Sodium chloride
Modality
Small molecule
Routes Of Administration
Nasal spray (intranasal)
Route
Intranasal (nasal spray)
Authorisation Status
Placebo (no marketing authorisation indicated)
Starting Dose
0.4 ml
Dose Levels
0.4 ml
Maximum Dose
0.4 ml
Combination Treatment
Yes

Related trials

Other published trials that may interest you.