Evaluation of oxytocin treatment in children with autism and intellectual disability’, Multiple-dose Oxytocine - ASD and Intellectual Disability

2024-513436-14-00 Phase III and Phase IV (Integrated) Ongoing, recruiting

Start 30 May 2023 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Phase III and Phase IV (Integrated)
Status Ongoing, recruiting
Participants planned 80
Countries 1
Sites 1

Autism spectrum disorder (ASD)

To evaluate the efficacy of multiple-dose oxytocin treatment on core autism symptoms using standardized assessments in children with ASD and comorbid ID. Change from baseline after oxytocin administration on: -Behavioral measurements of core autism (social) symptoms -Cardio electrophysiological measurements of stress

Key facts

Sponsor
UZ Leuven
Participant type
Pediatric, Patients
Age range
0-17 years
Gender
Male and Female
Therapeutic area
Psychiatry and Psychology [F] - Behavior and Behavior Mechanisms [F01]
Trial duration
30 May 2023 → ongoing
Decision date (initial)
2024-09-20
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

External identifiers

EU CT number
2024-513436-14-00
EudraCT number
2022-002423-36

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy

To evaluate the efficacy of multiple-dose oxytocin treatment on core autism symptoms using standardized assessments in children with ASD and comorbid ID.
Change from baseline after oxytocin administration on:
-Behavioral measurements of core autism (social) symptoms
-Cardio electrophysiological measurements of stress

Secondary objectives 2

  1. Change from baseline after oxytocin administration on other behavioral outcomes (e.g. sleep quality, parental stome assessments)
  2. The clinical trial also includes exploratory outcome measures examining treatment-mechanistic aspects of the oxytocin treatment: 1. Oxytocin and cortisol hormonal levels 2. Other neurophysiological measurements of stress 3. Microbiome assessments

Conditions and MedDRA coding

Autism spectrum disorder (ASD)

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 2

  1. Children within an age-range of 4 to 13 years old with a clinical multidisciplinary diagnosis of ASD; only premenstrual girls will be included (girls with onset of menstruation during the course of the trial are allowed to continue the treatment).
  2. Children must be enrolled in a special need school, more specific a class comprising children with an intellectual disability or meet intellectual disability criteria; a total IQ below 75 and an ABAS score below 70

Exclusion criteria 6

  1. Patient activelytakes anti-epileptic medication or has an active medical problem like cardiac pathology or serious liver, renal problems which influence the metabolism of oxytocin (IMP)
  2. Patient has a known syndrome that interacts with the reproductive hormonal system (e.g. Prader-Willi or Angelman syndrome)
  3. Significant hearing or vision impairments
  4. Subjects who have had previous chronic treatment with oxytocin
  5. Participation in another clinical trial with IMP
  6. Known hypersensitivity to active substance or ingredients of the nasal spray

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 3

  1. The Brief Observation of Social Communication Change (BOSCC) (clinician-rated)
  2. The Autism Treatment Evaluation Checklist (ATEC) (parent (caregiver) and teacher-rated)
  3. Recordings of electrocardiography (ECG) for the assessment of heart rate variability (HRV) during rest

Secondary endpoints 5

  1. The Repetitive Behavior Scale - Revised (RBS-R) (parent (caregiver) and teacher-rated)
  2. The Adaptive Behavior Assessment System (ABAS-3) (parent (caregiver)-rated)
  3. The Developmental Behaviour Checklist (DBC) (parent (caregiver)-rated)
  4. The Perceived Stress Scale (PSS) (parent (caregiver)-rated)
  5. The Child’s Sleep Habits Questionnaire Abbreviated (CSHQ-A) (parent (caregiver)-rated)

Investigational products

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

Test 2

Syntocinon 40 IE/ml neusspray, oplossing

PRD5383601 · Product

Active substance
Oxytocin
Pharmaceutical form
NASAL SPRAY, SOLUTION
Route of administration
NASAL SPRAY
Max daily dose
24 IU international unit(s)
Max total dose
288 IU international unit(s)
Max treatment duration
12 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
No

Oxytocine CD Pharma 40 IE/ml neusspray, oplossing

PRD11616267 · 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
288 IU international unit(s)
Max treatment duration
12 Day(s)
Authorisation status
Authorised
ATC code
H01BB02 — OXYTOCIN
Marketing authorisation
RVG 03716
MA holder
CD PHARMACEUTICALS AB
MA country
Netherlands
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

sodium chloride nose drops 0.9%

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

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
Kaat Alaerts

Public contact point

Organisation
UZ Leuven
Contact name
Kaat Alaerts

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ongoing, recruiting 80 1
Rest of world 0

Investigational sites

Belgium

1 site · Ongoing, recruiting
UZ Leuven
Neurosciences, 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 2023-05-30 2023-05-30

Results and documents

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

Documents 27 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol 2024-513436-14 For publication 8
Recruitment arrangements (for publication) K1_Recruitment arrangements - For publication 1
Recruitment arrangements (for publication) K2_Recruitment material - Brochure_qualitative_EN For publication 1
Recruitment arrangements (for publication) K2_Recruitment material - Brochure_qualitative_NL For publication 1
Recruitment arrangements (for publication) K2_Recruitment material - Brochure_quantitative_EN For publication 1
Recruitment arrangements (for publication) K2_Recruitment material - Brochure_quantitative_FR For publication 1
Recruitment arrangements (for publication) K2_Recruitment material - Brochure_quantitative_NL For publication 1
Recruitment arrangements (for publication) K2_Recruitment material - Flyer_qualitative_EN For publication 1
Recruitment arrangements (for publication) K2_Recruitment material - Flyer_qualitative_NL For publication 1
Recruitment arrangements (for publication) K2_Recruitment material - Flyer_quantitative_EN For publication 1
Recruitment arrangements (for publication) K2_Recruitment material - Flyer_quantitative_FR For publication 1
Recruitment arrangements (for publication) K2_Recruitment material - Flyer_quantitative_NL For publication 1
Recruitment arrangements (for publication) K2_Recruitment material - Tekst website For publication 1
Recruitment arrangements (for publication) L2_Other subject information material description_informatiebrief_EN For publication 1
Recruitment arrangements (for publication) L2_Other subject information material description_informatiebrief_kwalitatief_NL For publication 1
Recruitment arrangements (for publication) L2_Other subject information material description_informatiebrief_kwantitatief_EN For publication 1
Recruitment arrangements (for publication) L2_Other subject information material description_informatiebrief_kwantitatief_FR For publication 1
Recruitment arrangements (for publication) L2_Other subject information material description_informatiebrief_kwantitatief_NL For publication 1
Subject information and informed consent form (for publication) L1_ICF_qualitative_EN For publication 6
Subject information and informed consent form (for publication) L1_ICF_qualitative_NL For publication 8
Subject information and informed consent form (for publication) L1_ICF_quantitative_EN For publication 6
Subject information and informed consent form (for publication) L1_ICF_quantitative_FR For publication 6
Subject information and informed consent form (for publication) L1_ICF_quantitative_NL For publication 8
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Oxytocin CD Pharma For publication 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Oxytocin CD Pharma For publication 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Syntocinon_Alfasigma For publication 1
Synopsis of the protocol (for publication) D1_Protocol synopsis MS 2024-513436-14 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-09-12 Belgium Acceptable with conditions
2024-09-20
2024-09-20
2 SUBSTANTIAL MODIFICATION SM-1 2025-01-24 Belgium Acceptable
2025-04-04
2025-04-04