Enhancing social attunement in autism via interpersonal sensorimotor synchronization therapy combined with single-dose intranasal oxytocin administration

2023-505253-41-00 Protocol S67699 Therapeutic confirmatory (Phase III) Not authorised

Status Not authorised · 1 EU/EEA countries · 1 sites · Protocol S67699

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Not authorised
Participants planned 140
Countries 1
Sites 1

Autism Spectrum Disorder (ASD)

The primary objective of this project is to determine the change from baseline treatment effects on dyadic attunement between children with autism spectrum disorder and the experimenter

Key facts

Sponsor
UZ Leuven
Participant type
Pediatric, Healthy volunteers, Patients
Age range
0-17 years
Gender
Male and Female
Therapeutic area
Psychiatry and Psychology [F] - Behavior and Behavior Mechanisms [F01], Psychiatry and Psychology [F] - Psychological Phenomena [F02], Psychiatry and Psychology [F] - Behavioral Disciplines and Activities [F04]
Decision date (initial)
2023-09-25
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Fonds voor Wetenschappelijk Onderzoek - Vlaanderen · Apotheek A15 B.V.

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

The primary objective of this project is to determine the change from baseline treatment effects on dyadic attunement between children with autism spectrum disorder and the experimenter

Conditions and MedDRA coding

Autism Spectrum Disorder (ASD)

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. Voluntary written informed asent of the participant if possible and voluntary informed consent of their legally authorized representative has been obtained prior to any screening procedures
  2. Participants participating in the ASD group must have a formal ASD diagnosis, established by a multidisciplinary team of experienced clinicians as defined by the DSM-IV-TR or DSM-5- criteria (Diagnostic and Statistical Manual of Mental Disorders)
  3. Male participants within an age-range of 8 to 12 years old; only female participants at pre-puberty within this age-range on the day of the study visit
  4. Intelligence Quotient above 70
  5. Stable background treatment during four weeks prior to screening and in the period from intake to study visit
  6. No planned changes in psychosocial interventions in the period from intake to study visit

Exclusion criteria 11

  1. Participant has a (history of) neurological (stroke, concussion, epilepsy, etc.), psychiatric or developmental disorder (other than ASD or comorbid ADHD in participants with ASD) or a first-degree relative has this disorder
  2. Any disorder, which in the Investigator’s opinion might jeopardise the participant’s safety or compliance with the protocol
  3. Any prior or concomitant treatment(s) that might jeopardise the participant’s safety or that would compromise the integrity of the Trial
  4. Participation in an interventional Trial with an investigational medicinal product (IMP) or device
  5. Significant hearing or vision impairments
  6. Non-Dutch native speaker
  7. Regular nasal obstruction or nosebleeds
  8. Active medical problems: unstable seizures, significant physical illness (e.g., serious liver, renal, or cardiac pathology)
  9. Subjects who recently have had previous chronic treatment with oxytocin
  10. Known hypersensitivity to active substance or excipients in nasal sprays
  11. Participants participating in the NT group must not have a total SRS T-score of ≥ 60

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The primary endpoint of this project is the change from baseline treatment effects on dyadic attunement in children with ASD and the experimenter, determined by multimodal measures of neurophysiological and behavioral responses as defined in the study protocol, during screen-based and real-life social interaction paradigms

Secondary endpoints 1

  1. The secondary endpoint of this project is the change from baseline treatment effects on post-intervention endogenous oxytocin and cortisol levels measured in saliva samples

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Syntocinon 40 IE/ml neusspray, oplossing

PRD5383601 · Product

Active substance
Oxytocin
Substance synonyms
GR121619
Pharmaceutical form
NASAL SPRAY, SOLUTION
Route of administration
INTRANASAL USE
Max daily dose
24 IU international unit(s)
Max total dose
24 IU international unit(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
H01BB02 — OXYTOCIN
Marketing authorisation
RVG 03716
MA holder
ALFASIGMA S.P.A.
MA country
Netherlands
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
The pharmacy Apotheek A15 will repackage the Syntocinon into brown glass nasal spray bottles, which are identical to the ones used for the Placebo.

Placebo 1

Sodium Chloride Nasal Drops 0.9% (Fagron)

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
Route of administration
INTRANASAL USE
Max daily dose
24 IU international unit(s)
Max total dose
24 IU international unit(s)
Max treatment duration
1 Day(s)
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No
Modified vs. Marketing Authorisation
Yes
Modification description
The pharmacy Apotheek A15 will repackage the Sodium Chloride nasal drops 0.9% into brown glass nasal spray bottles, which are identical to the ones used for the IMP (Syntocinon).

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

UZ Leuven

Sponsor organisation
UZ Leuven
Address
Herestraat 49
City
Leuven
Postcode
3000
Country
Belgium

Scientific contact point

Organisation
UZ Leuven
Contact name
Professor of the Study team

Public contact point

Organisation
UZ Leuven
Contact name
Professor of the Study team

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Not authorised 140 1
Rest of world 0

Investigational sites

Belgium

1 site · Not authorised
UZ Leuven
Child- and adolescent psychiatry, Herestraat 49, 3000, Leuven

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-07-05 Belgium Not acceptable
2023-09-18
2023-09-25