Safety and Efficacy Study in the Treatment of Intestinal Problems Associated With Autism

NCT ID: NCT00110708

Last Updated: 2006-02-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-04-30

Study Completion Date

2006-06-30

Brief Summary

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The purpose of this study is to determine if human immunoglobulin given by mouth twice a day is effective in treating the persistent gastrointestinal (GI) problems such as diarrhea, constipation, abdominal pain, and bloating, in children with autism.

Detailed Description

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Autistic GI Dysfunction (AGID) is a term that describes a constellation of GI signs and symptoms often found in children with autistic disorder, including abdominal pain, constipation, chronic diarrhea, alternating constipation and diarrhea, gaseousness, bloating, and reflux.

The objective of this study is to assess the potential efficacy of oral immunoglobulin in reducing a wide range of GI symptoms in children and adolescents diagnosed with autistic disorder.

Conditions

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Autism Autistic Disorder Child Development Disorders, Pervasive Gastrointestinal Diseases Signs and Symptoms, Digestive

Keywords

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autism gastrointestinal dysfunction autistic disorder diarrhea constipation abdominal pain gastrointestinal problems associated with autism immune globulin immunoglobulin Immunoglobulins, Intravenous Intestinal Mucosa/immunology/pathology Administration, Oral Autistic Disorder/*drug therapy Child Behavior/*drug effects Constipation/drug therapy Diarrhea/drug therapy Gastrointestinal Agents/*therapeutic use

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

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Oralgam (human immunoglobulin)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female from 2 years to 18 years of age (up to, but not inclusive of the 18th birthday)
* Diagnosis of autistic disorder corroborated by an Autism Diagnostic Interview - Revised (ADI-R) assessment performed by a certified investigator
* Physician Clinical Global Impression of Severity (of Autistic Disorder)
* History of chronic, persistent gastrointestinal disturbance
* No elective changes in medication, diet intervention, or behavioral therapy during the study (18 weeks total)

Exclusion Criteria

* Evidence of a gastrointestinal infection or GI abnormality
* A known diagnosis of other gastrointestinal pathology
* Antibiotic and/or antifungal (e.g. nystatin) medication
* Chelation therapy
* Medication affecting gastrointestinal transit
* Planned use of prohibited drugs or agents that could affect GI transit
* Changes in diet intervention within 30 days prior to the screening visit
* Changes in alternative medical therapies or dietary supplements within 30 days prior to the screening visit
* Adding and/or changing behavior modification or psychotherapy during participation in the study
* Adding or changing psychotropic medication during participation in the study
* DSM-IV diagnosis of a pervasive developmental disorder other than autistic disorder
* Evidence of a seizure disorder, diagnosis of fragile X syndrome, tuberous sclerosis complex, liver disease, pancreatic disease, cystic fibrosis, or chronic infection
* Previous gastrointestinal surgery
* Pregnancy
* Participation in another investigational study
* Significant deviation from normal laboratory test values at baseline
* IgA deficiency (serum IgA \< 5 mg/dL)
* A history of severe hypersensitivity to human immunoglobulin
* Treatment with any human immunoglobulin and/or immunoglobulin products
* Any concurrent medication that would compromise subject's tolerance of drug or compliance with the protocol
Minimum Eligible Age

2 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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PediaMed Pharmaceuticals

INDUSTRY

Sponsor Role lead

Locations

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Southwest Autism Research and Resource Center

Phoenix, Arizona, United States

Site Status

Center for Autism Research and Education

Phoenix, Arizona, United States

Site Status

University of California Davis, MIND Institute

Sacramento, California, United States

Site Status

Sarkis Clinical Trials

Gainesville, Florida, United States

Site Status

University of Florida HSC

Gainesville, Florida, United States

Site Status

International Child Development Resource Center

Melbourne, Florida, United States

Site Status

Medical Research Group of Central Florida

Orange City, Florida, United States

Site Status

Riley Hospital for Children

Indianapolis, Indiana, United States

Site Status

University of Kansas Medical Center, Developmental Disabilities Center

Kansas City, Kansas, United States

Site Status

Bluegrass Clinical Research

Louisville, Kentucky, United States

Site Status

Gulf Coast Research, LLC

Baton Rouge, Louisiana, United States

Site Status

Hardy Health Associates

Hingham, Massachusetts, United States

Site Status

Pivotal Research Centers - Detroit

Royal Oak, Michigan, United States

Site Status

Mercy Health Research

St Louis, Missouri, United States

Site Status

Robert Wood Johnson Medical School

Piscataway, New Jersey, United States

Site Status

Strong Center for Developmental Disabilities, University of Rochester Medical Center

Rochester, New York, United States

Site Status

Children's Hospital Medical Center of Akron

Akron, Ohio, United States

Site Status

Cincinnati Children's Hospital

Cincinnati, Ohio, United States

Site Status

Nisonger Center Ohio State University

Columbus, Ohio, United States

Site Status

Merck Child Outpatient Clinic

Pittsburgh, Pennsylvania, United States

Site Status

North San Antonio Healthcare Associates

San Antonio, Texas, United States

Site Status

Autism Spectrum Treatment and Research Center

Seattle, Washington, United States

Site Status

Countries

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United States

References

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Handen BL, Melmed RD, Hansen RL, Aman MG, Burnham DL, Bruss JB, McDougle CJ. A double-blind, placebo-controlled trial of oral human immunoglobulin for gastrointestinal dysfunction in children with autistic disorder. J Autism Dev Disord. 2009 May;39(5):796-805. doi: 10.1007/s10803-008-0687-y. Epub 2009 Jan 16.

Reference Type DERIVED
PMID: 19148734 (View on PubMed)

Other Identifiers

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Protocol 004

Identifier Type: -

Identifier Source: org_study_id