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
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