Clinical trial • Phase II • Psychiatry
OXYTOCIN SYNTHETIC for Autism spectrum disorder
Phase II trial of OXYTOCIN SYNTHETIC for Autism spectrum disorder.
Overview
- Trial Therapeutic Area
- Psychiatry
- Trial Disease
- Autism spectrum disorder
- Trial Stage
- Phase II
- Drug Modality
- Peptide/protein/enzyme|Small molecule
- Paediatric Trial
- Yes
Key dates
- Initial CTIS Submission Date
- 25-09-2024
- First CTIS Authorization Date
- 09-10-2024
Trial design
Randomised, placebo: natriumklorid fresenius kabi (sodium chloride) intranasal placebo matched to active treatment; comparator administered intranasally and matched to the active treatment schedule (twice-daily for four weeks).-controlled, crossover Phase II trial across 1 site in Norway.
- Randomised
- Yes
- Comparator
- Placebo: Natriumklorid Fresenius Kabi (sodium chloride) intranasal placebo matched to active treatment; comparator administered intranasally and matched to the active treatment schedule (twice-daily for four weeks).
- Crossover
- Yes
- Target Sample Size
- 128
- Trial Duration For Participant
- 56
Eligibility
Recruits 128 paediatric patients.
- Pregnancy Exclusion
- Pregnancy (self-reported or assessed by pregnancy test prior to the first administration at Experimental session 1 and 3 for all menstruating females).
- Vulnerable Population
- Vulnerable population selected: youth aged 12-20 with autism. Consent and assent handling: participants 16 years and older must provide signed written informed consent. Participants aged 12-15 provide assent, and caregivers provide consent; caregivers will also provide consent for research participation. Age-specific subject information and informed consent forms are provided (documents for age 12-16, 16-18, 18+ and caregiver versions are listed).
Inclusion criteria
- {"criterion_text":"- Male and female participant between the ages of 12 and 20, both inclusive, with a confirmed diagnosis of autism spectrum disorder (ASD) using the Autism Diagnostic Observation Schedule (ADOS)."}
- {"criterion_text":"- Participants must be in good general physical health, as determined by the investigator."}
- {"criterion_text":"- Participants must be able to communicate well with the Investigator, to understand and comply with the requirements of the study, and to understand the oral and written patient information."}
- {"criterion_text":"- Provision of a signed, written informed consent, if 16 years and older. Participants between the ages of 12 and 15 (inclusive) will provide assent, with caregivers providing consent. Caregivers will also provide consent for research participation."}
Exclusion criteria
- {"criterion_text":"- Previous nasal disease, surgery, and dependence on inhaled drugs."}
- {"criterion_text":"- Current significant nasal congestion due to common colds."}
- {"criterion_text":"- Clinically relevant history of significant hepatic, renal, endocrine, cardiac, nervous, pulmonary, haematological or metabolic disorder."}
- {"criterion_text":"- Systemic illness requiring treatment within 2 weeks prior to Study Day 1."}
- {"criterion_text":"- Full scale IQ < 70 (due to the prerequisite ability to complete self-report measures)."}
- {"criterion_text":"- Known allergic reactions or hypersensitivity to any component of the study medication in the nasal spray, such as propyl parahydroxybenzoate (E216), methyl parahydroxybenzoate (E218) and chlorobutanol hemihydrate."}
- {"criterion_text":"- Known allergic reactions or hypersensitivity/intolerance to latex."}
- {"criterion_text":"- Currently breastfeeding."}
- {"criterion_text":"- Pregnancy (self-reported or assessed by pregnancy test prior to the first administration at Experimental session 1 and 3 for all menstruating females)."}
- {"criterion_text":"- Participation in any (other) clinical trial with an investigational medicinal product or medical device within 3 months prior to randomisation."}
- {"criterion_text":"- New concomitant medications or formal cognitive/behavioral therapies. If a participant has been taking any medications or receiving formal cognitive/behavioral therapies for at least 4 weeks, then this is not considered a new therapy."}
- {"criterion_text":"- Other unspecified reasons that, in the opinion of the investigator or the sponsor make the participants unsuitable for enrollment."}
Endpoints
Primary endpoints
- {"endpoint_text":"- The effect of 24 IU oxytocin delivered intranasally, twice-daily, for four weeks, on social behavior. This will be operationalized as change from baseline on performance on the Social Responsiveness Scale-Second Edition (SRS-2), completed by caregivers of the participants.","definition_or_measurement_approach":"Change from baseline on Social Responsiveness Scale-Second Edition (SRS-2) completed by caregivers."}
- {"endpoint_text":"- The effect of 24 IU oxytocin delivered intranasally, twice-daily, for four weeks, on repetitive behavior. This will be operationalized as change from baseline on performance on the Repetitive Behavior Scale-Revised (RBS-R) scale, completed by caregivers of the participants.","definition_or_measurement_approach":"Change from baseline on Repetitive Behavior Scale-Revised (RBS-R) completed by caregivers."}
Secondary endpoints
- {"endpoint_text":"- The effect of 24 IU oxytocin delivered intranasally, twice-daily, for four weeks, on behavioral inflexibility. This will be operationalized as change from baseline on performance on the Behavioral Inflexibility scale (BIS), completed by caregivers of the research participants","definition_or_measurement_approach":"Change from baseline on Behavioral Inflexibility scale (BIS) completed by caregivers."}
Recruitment
- Planned Sample Size
- 128
- Recruitment Window Months
- 21
- Consent Approach
- Informed consent and assent: participants aged 16 years and older provide signed written informed consent. Participants aged 12-15 provide assent and their caregivers provide consent; caregivers also provide consent for research participation. Age-specific subject information and informed consent forms are available for age groups 12-16, 16-18, 18 and caregiver versions. Languages available are not specified in the provided data.
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 128
Norway
- Earliest CTIS Part Ii Submission Date
- 29-05-2024
- Latest Decision Or Authorization Date
- 09-10-2024
- Processing Time Days
- 133
- Number Of Sites
- 1
- Number Of Participants
- 128
Sites
- Site Name
- Oslo University Hospital HF
- Department Name
- Institute of Clinical Medicine and KG Jebsen Centre for Neurodevelopmental Disorders
- Principal Investigator Name
- Ole A. Andreassen
- Principal Investigator Email
- ole.andreassen@medisin.uio.no
- Contact Person Name
- Ole A. Andreassen
- Contact Person Email
- ole.andreassen@medisin.uio.no
- Number Of Participants
- 128
Sponsor
Primary sponsor
- Full Name
- Oslo University Hospital HF
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- Norway
Investigational products
- Investigational Product Name
- SYNTOCINON® 6,7 mikrog/dose nesespray, oppløsning
- Active Substance
- OXYTOCIN SYNTHETIC
- Modality
- Peptide/protein/enzyme
- Routes Of Administration
- INTRANASAL USE
- Route
- Intranasal
- Authorisation Status
- Authorised (marketing authorisation number 4115 in Norway)
- Starting Dose
- 24 IU
- Dose Levels
- 24 IU
- Frequency
- Twice-daily
- Maximum Dose
- 48 IU per day
- Investigational Product Name
- Natriumklorid Fresenius Kabi 9 mg/ml infusjonsvæske, oppløsning
- Active Substance
- SODIUM CHLORIDE
- Modality
- Small molecule
- Routes Of Administration
- INTRANASAL USE
- Route
- Intranasal
- Authorisation Status
- Authorised (marketing authorisation number 5846 in Norway)
- Frequency
- Matched to active treatment (twice-daily for four weeks)
- Maximum Dose
- 48 IU per day
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