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
15-02-2024
First CTIS Authorization Date
23-05-2024

Trial design

Randomised, placebo: natriumklorid fresenius kabi 9 mg/ml (sodium chloride) used as matched placebo (administered intranasally as matched placebo); schedule: single administration in each crossover period. active arms: oxytocin intranasal single administration at 8 iu and 24 iu (three-period crossover).-controlled, crossover Phase II trial in Norway.

Randomised
Yes
Comparator
Placebo: Natriumklorid Fresenius Kabi 9 mg/ml (sodium chloride) used as matched placebo (administered intranasally as matched placebo); schedule: single administration in each crossover period. Active arms: Oxytocin intranasal single administration at 8 IU and 24 IU (three-period crossover).
Crossover
Yes
Target Sample Size
98

Eligibility

Recruits 98 paediatric patients.

Pregnancy Exclusion
Pregnancy (self-reported or assessed by pregnancy test prior to the first administration at the experimental sessions for all menstruating individuals)
Vulnerable Population
The trial includes a vulnerable population: youth with autism spectrum disorder aged 12-21. The protocol requires participants and their caregivers (if applicable) to be able to communicate with the Investigator and to understand oral and written patient information. Age-specific subject information sheets and informed consent forms are provided (documents: L1_ SIS and ICF_age12-16; L1_ SIS and ICF_age16-18; L1_ SIS and ICF_age18; and caregiver/guardian versions L1_ SIS and ICF_age12-18_foresatt and L1_ SIS and ICF_age18-21_foresatt), indicating parental/guardian consent and age-appropriate consent/assent handling for minors.

Inclusion criteria

  • {"criterion_text":"- 1.\tMale and female participant between the ages of 12 and 21, both inclusive\n- 1.\tParticipants and their caregivers (if applicable) must be able to communicate with the Investigator, to understand and comply with the requirements of the study, and to understand the oral and written patient information.\n- 2.\tParticipants must have a confirmed diagnosis of autism spectrum disorder (ASD)"}

Exclusion criteria

  • {"criterion_text":"- Previous nasal disease, surgery, and dependence on inhaled drugs\n- Full scale IQ below 70 (due to the prerequisite ability to complete self-report measures)\n- Pregnancy (self-reported or assessed by pregnancy test prior to the first administration at the experimental sessions for all menstruating individuals)\n- Currently breastfeeding\n- Other unspecified reasons that, in the opinion of the investigator or the sponsor make the participants unsuitable for enrolment\n- Current significant nasal congestion due to common colds\n- Clinically relevant history of significant hepatic, renal, endocrine, cardiac, nervous, pulmonary, haematological or metabolic disorder\n- Epilepsy and previous history of photosensitive seizures\n- Systemic illness requiring treatment within 2 weeks prior to Study Day 1\n- 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\n- Known allergic reactions or hypersensitivity/intolerance to latex\n- New concomitant medications or formal cognitive/behavioural therapies. If a participant has been taking any medications or receiving formal cognitive/behavioural therapies for at least 4 weeks, then this is not considered a new therapy\n- Participation in any (other) clinical trial with an investigational medicinal product or medical device within 1 month prior to randomization"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Neural plasticity will be evaluated using EEG 40 minutes after intervention administration. The visual evoked potential (VEP) paradigm will be used to probe neural plasticity. An increase in neural plasticity will be measured by a statistically significant amplitude modulation when compared to placebo in the following components: C1, P1, N1, N1b and P2. H1: There is a difference between placebo and active treatments. H0: There is no significant difference between placebo and active treatments.","definition_or_measurement_approach":"Evaluated using EEG 40 minutes after administration using the visual evoked potential (VEP) paradigm; increase measured by statistically significant amplitude modulation in components C1, P1, N1, N1b and P2 compared to placebo."}
  • {"endpoint_text":"- Cognitive flexibility will be evaluated behaviourally using the computerized probabilistic reversal learning task. An increase in task performance is measured as a statistically significant decrease in number of incorrect trials and total number of trials needed to reach the learning criterion. H1: There is a difference between placebo and active treatments. H0: There is no significant difference between placebo and active treatments).","definition_or_measurement_approach":"Measured using the computerized probabilistic reversal learning task; improvement defined as a statistically significant decrease in number of incorrect trials and total number of trials needed to reach the learning criterion compared to placebo."}

Secondary endpoints

  • {"endpoint_text":"- Heart rate variability (HRV), measured using electrocardiogram (ECG) 60 minutes after intervention administration. H1: There is a difference in HRV between placebo and active treatments. H0: There is no significant difference in HRV between placebo and active treatments)","definition_or_measurement_approach":"HRV measured using ECG 60 minutes after intervention administration; comparison between active and placebo."}
  • {"endpoint_text":"- The potential moderating effect on intervention response of symptom severity, as indexed by the Social Responsiveness ScaleSecond Edition, Repetitive Behaviour ScaleRevised, Behavioral Inflexibility scale and The Autism Behaviour Inventory. H1: Higher disorder severity will be associated with increased oxytocin treatment response. H0: H0: There is no significant positive association between disorder severity with oxytocin treatment response.","definition_or_measurement_approach":"Moderator analysis using symptom severity indices: Social Responsiveness Scale Second Edition, Repetitive Behaviour Scale-Revised, Behavioral Inflexibility scale, and The Autism Behaviour Inventory to assess association with treatment response."}

Recruitment

Planned Sample Size
98
Recruitment Window Months
14
Consent Approach
Informed consent and assent handled with age-specific subject information sheets and informed consent forms. Documents available include L1_ SIS and ICF_age12-16, L1_ SIS and ICF_age16-18, L1_ SIS and ICF_age18, and caregiver/guardian versions L1_ SIS and ICF_age12-18_foresatt and L1_ SIS and ICF_age18-21_foresatt, indicating parental/guardian consent required for minors and age-appropriate consent/assent processes. Participants and caregivers must be able to understand oral and written patient information. Languages available are not specified in the provided data.

Methods

  • Document titled 'AD poster for clinics' (recruitment via clinic posters / advertising in clinical settings) — document present but content not extracted
  • Document titled 'K1_ Recruitment Arrangements' (recruitment arrangements document present for the Norway part; details not extracted)

Geography

Total Number Of Sites
1
Total Number Of Participants
98

Norway

Earliest CTIS Part Ii Submission Date
29-04-2024
Latest Decision Or Authorization Date
03-12-2025
Processing Time Days
583
Number Of Sites
1
Number Of Participants
98

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
98

Sponsor

Primary sponsor

Full Name
Oslo University Hospital HF
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Norway

Third parties

  • {"country":"","full_name":"Helse Sør-Øst RHF","duties_or_roles":"Source of monetary support","organisation_type":""}

Investigational products

Investigational Product Name
SYNTOCINON® 6,7 mikrog/dose nesespray, oppløsning
Active Substance
OXYTOCIN SYNTHETIC
Modality
Peptide/protein/enzyme
Routes Of Administration
NASAL SPRAY
Route
NASAL SPRAY
Authorisation Status
Authorised
Starting Dose
24 IU (maxDailyDoseAmount 24 IU indicated)
Dose Levels
24 IU
Frequency
Single administration
Maximum Dose
24 IU
Investigational Product Name
OXYTOCIN
Active Substance
OXYTOCIN
Modality
Peptide/protein/enzyme
Routes Of Administration
NASAL SPRAY
Route
NASAL SPRAY
Authorisation Status
Authorised
Starting Dose
8 IU and 24 IU (both doses used in study)
Dose Levels
8 IU | 24 IU
Frequency
Single administration
Maximum Dose
32 IU (maxTotalDoseAmount indicated as 32 IU for this product entry)
Investigational Product Name
Natriumklorid Fresenius Kabi 9 mg/ml infusjonsvæske, oppløsning
Active Substance
SODIUM CHLORIDE
Modality
Small molecule
Routes Of Administration
NASAL SPRAY
Route
NASAL SPRAY
Authorisation Status
Authorised
Frequency
Single administration (used as matched placebo)

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