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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