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

2023-505253-41-01 Protocol S67699 Therapeutic confirmatory (Phase III) Ongoing, recruiting

Start 18 Jun 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites · Protocol S67699

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruiting
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, Patients, Healthy volunteers
Age range
0-17 years
Gender
Male and Female
Therapeutic area
Psychiatry and Psychology [F] - Behavioral Disciplines and Activities [F04], Psychiatry and Psychology [F] - Behavior and Behavior Mechanisms [F01], Psychiatry and Psychology [F] - Psychological Phenomena [F02]
Trial duration
18 Jun 2024 → ongoing
Decision date (initial)
2024-03-05
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Apotheek A15 B.V. · Fonds voor Wetenschappelijk Onderzoek - Vlaanderen

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)

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2023-505253-41-00 Enhancing social attunement in autism via interpersonal sensorimotor synchronization therapy combined with single-dose intranasal oxytocin administration UZ Leuven

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  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. Estimated Verbal Comprehension Index and Visiual Spatial Index determined by the WISC-V-NL above 70
  5. Psychopharmacological medication and psychosocial therapy must remain stable during four weeks prior to the intake visit and during four weeks prior to the study visit

Exclusion criteria 10

  1. Known hypersensitivity to active substance or excipients in nasal sprays
  2. Participants participating in the NT group must not have a total SRS T-score of ≥ 60
  3. Any active medical condition (neurological, psychiatric, developmental, gastrointestinal, motoric disorders, etc., other than ASD or comorbid ADHD in participants with ASD) that may affect the safety of the participant, the integrity of the trial, or the effect of the IMP.
  4. Any anti-epileptic medication and/or any prior or concomitant treatment(s) that might jeopardise the participant’s safety or that would compromise the integrity of the Trial
  5. Participation in an interventional Trial with an investigational medicinal product (IMP) or device
  6. Significant hearing or vision impairments
  7. Non-Dutch native speaker
  8. Regular nasal obstruction or nosebleeds
  9. Subjects who recently have had previous chronic treatment with oxytocin
  10. Participants participating in the NT group or their first-degree relatives has a diagnosis of autism, and/or any psychiatric or neurological disorder that may affect the safety of the participant or the integrity of the trial.

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 Ongoing, recruiting 140 1
Rest of world 0

Investigational sites

Belgium

1 site · Ongoing, recruiting
UZ Leuven
Child- and adolescent psychiatry, Herestraat 49, 3000, Leuven

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Belgium 2024-06-18 2024-08-01

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 26 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 2023-505253-41 6
Protocol (for publication) D4_Patient facing documents - Gehechtheid 3x3 1
Protocol (for publication) D4_Patient facing documents - Quality assessment of the conversation 1.0
Protocol (for publication) D4_Patient facing documents - SCARED questionnaire 1
Protocol (for publication) D4_Patient facing documents - Self-Assessment Manikin 1.0
Protocol (for publication) D4_Patient facing documents - Social Responsiveness Scale A 1.0
Protocol (for publication) D4_Patient facing documents - SRS_parent 1.0
Protocol (for publication) D4_Patient facing documents - The Attachment Style Questionnaire ASQ 1.0
Protocol (for publication) D4_Patient facing documents - The dyadic mirror game 1.0
Protocol (for publication) D4_Patient facing documents - Wechsler Intelligence Scale for Children 1.0
Recruitment arrangements (for publication) K1_Recruitment and Informed consent procedure 3
Recruitment arrangements (for publication) K2_Recruitment material Digital Poster 3
Recruitment arrangements (for publication) K2_Recruitment material Digital Poster Vertical 1
Recruitment arrangements (for publication) K2_Recruitment material Flyer 3
Recruitment arrangements (for publication) K2_Recruitment material Paper Poster 2
Subject information and informed consent form (for publication) K1_Recruitment and Informed consent procedure 3
Subject information and informed consent form (for publication) L1_Informationletter_ICF_Experimenter 4.0
Subject information and informed consent form (for publication) L1_Informationletter_ICF_Minor_ASD 3.0
Subject information and informed consent form (for publication) L1_Informationletter_ICF_Minor_NT 3.0
Subject information and informed consent form (for publication) L1_Informationletter_ICF_Minor_Pilot 2
Subject information and informed consent form (for publication) L1_Informationletter_ICF_Parent_ASD 3.0
Subject information and informed consent form (for publication) L1_Informationletter_ICF_Parent_NT 3.0
Subject information and informed consent form (for publication) L1_Informationletter_ICF_Parent_Pilot 2
Subject information and informed consent form (for publication) L1_Informationletter_school-organisations 3.0
Summary of Product Characteristics (SmPC) (for publication) G2_Smpc_oxytocin 2.0
Synopsis of the protocol (for publication) D1_Protocol synopsis ENG-NL-FR-DU 2023-505253-41-00 4

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-12-05 Belgium Acceptable
2024-03-05
2024-03-05
2 SUBSTANTIAL MODIFICATION SM-1 2025-03-27 Belgium Acceptable
2025-05-26
2025-05-26
3 NON SUBSTANTIAL MODIFICATION NSM-1 2025-12-03 Belgium Acceptable
2025-05-26
2025-12-03
4 SUBSTANTIAL MODIFICATION SM-2 2026-02-13 Belgium Acceptable
2026-03-19
2026-03-19