Trial Outcomes & Findings for Intranasal Oxytocin and Learning in Autism (NCT NCT01417026)

NCT ID: NCT01417026

Last Updated: 2017-03-30

Results Overview

This test measures the extent to which the participant employed a featural or holistic face recognition strategy. A sample face is presented, followed by a test face composed of either two whole faces or two face parts.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

36 participants

Primary outcome timeframe

Baseline and Post-testing (after max. 12 days)

Results posted on

2017-03-30

Participant Flow

The number of enrolled participants in the study was 36, but only 29 of those subjects were randomized. The 7 subjects who were not randomized did not meet study diagnostic or cognitive inclusion criteria.

Participant milestones

Participant milestones
Measure
Intranasal Oxytocin
* Intranasal oxytocin (Trade name: Syntocinon) * Pharmacological class: The pharmacologic and clinical properties of Syntocinon are identical with the naturally occurring hormone oxytocin, which is released from the posterior pituitary. * Route of administration: Intranasal * Planned exposure: Each participant will receive one dose of intranasal oxytocin (24 IU) per day for 5 days. * One dose of 24 IU equals 6 spray puffs (3 puffs in each nostril). * Oxytocin will be imported from Victoria Pharmacy Zurich- Switzerland. Intranasal Oxytocin (Trade name: Syntocinon): This is a double-blind placebo-controlled trial of intranasal oxytocin in children and adolescents with ASD. Subjects will be randomized to 24 IU intranasal oxytocin or placebo for a 5 day period with concomitant game play of computer games, which are designed to enhance face perception skills. Measures of social function and cognition will be administered before and after the intervention period.
Intranasal Placebo
* Intranasal placebo * The placebo is identical to the oxytocin formulation with the exception of the active compound. * Route of administration: Intranasal * Planned exposure: Each participant will receive one dose of intranasal placebo per day for 5 days. * One dose equals 6 spray puffs (3 puffs in each nostril). * Placebo will be imported from Victoria Pharmacy Zurich- Switzerland. Intranasal Oxytocin (Trade name: Syntocinon): This is a double-blind placebo-controlled trial of intranasal oxytocin in children and adolescents with ASD. Subjects will be randomized to 24 IU intranasal oxytocin or placebo for a 5 day period with concomitant game play of computer games, which are designed to enhance face perception skills. Measures of social function and cognition will be administered before and after the intervention period.
Overall Study
STARTED
16
13
Overall Study
COMPLETED
14
13
Overall Study
NOT COMPLETED
2
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Intranasal Oxytocin and Learning in Autism

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intranasal Oxytocin
n=14 Participants
* Intranasal oxytocin (Trade name: Syntocinon) * Pharmacological class: The pharmacologic and clinical properties of Syntocinon are identical with the naturally occurring hormone oxytocin, which is released from the posterior pituitary. * Route of administration: Intranasal * Planned exposure: Each participant will receive one dose of intranasal oxytocin (24 IU) per day for 5 days. * One dose of 24 IU equals 6 spray puffs (3 puffs in each nostril). * Oxytocin will be imported from Victoria Pharmacy Zurich- Switzerland. Intranasal Oxytocin (Trade name: Syntocinon): This is a double-blind placebo-controlled trial of intranasal oxytocin in children and adolescents with ASD. Subjects will be randomized to 24 IU intranasal oxytocin or placebo for a 5 day period with concomitant game play of computer games, which are designed to enhance face perception skills. Measures of social function and cognition will be administered before and after the intervention period.
Intranasal Placebo
n=13 Participants
* Intranasal placebo * The placebo is identical to the oxytocin formulation with the exception of the active compound. * Route of administration: Intranasal * Planned exposure: Each participant will receive one dose of intranasal placebo per day for 5 days. * One dose equals 6 spray puffs (3 puffs in each nostril). * Placebo will be imported from Victoria Pharmacy Zurich- Switzerland. Intranasal Oxytocin (Trade name: Syntocinon): This is a double-blind placebo-controlled trial of intranasal oxytocin in children and adolescents with ASD. Subjects will be randomized to 24 IU intranasal oxytocin or placebo for a 5 day period with concomitant game play of computer games, which are designed to enhance face perception skills. Measures of social function and cognition will be administered before and after the intervention period.
Total
n=27 Participants
Total of all reporting groups
Age, Categorical
<=18 years
14 Participants
n=5 Participants
13 Participants
n=7 Participants
27 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Male
14 Participants
n=5 Participants
13 Participants
n=7 Participants
27 Participants
n=5 Participants
Region of Enrollment
United States
14 participants
n=5 Participants
13 participants
n=7 Participants
27 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline and Post-testing (after max. 12 days)

This test measures the extent to which the participant employed a featural or holistic face recognition strategy. A sample face is presented, followed by a test face composed of either two whole faces or two face parts.

Outcome measures

Outcome measures
Measure
Intranasal Oxytocin
n=14 Participants
* Intranasal oxytocin (Trade name: Syntocinon) * Pharmacological class: The pharmacologic and clinical properties of Syntocinon are identical with the naturally occurring hormone oxytocin, which is released from the posterior pituitary. * Route of administration: Intranasal * Planned exposure: Each participant will receive one dose of intranasal oxytocin (24 IU) per day for 5 days. * One dose of 24 IU equals 6 spray puffs (3 puffs in each nostril). * Oxytocin will be imported from Victoria Pharmacy Zurich- Switzerland. Intranasal Oxytocin (Trade name: Syntocinon): This is a double-blind placebo-controlled trial of intranasal oxytocin in children and adolescents with ASD. Subjects will be randomized to 24 IU intranasal oxytocin or placebo for a 5 day period with concomitant game play of computer games, which are designed to enhance face perception skills. Measures of social function and cognition will be administered before and after the intervention period.
Intranasal Placebo
n=13 Participants
* Intranasal placebo * The placebo is identical to the oxytocin formulation with the exception of the active compound. * Route of administration: Intranasal * Planned exposure: Each participant will receive one dose of intranasal placebo per day for 5 days. * One dose equals 6 spray puffs (3 puffs in each nostril). * Placebo will be imported from Victoria Pharmacy Zurich- Switzerland. Intranasal Oxytocin (Trade name: Syntocinon): This is a double-blind placebo-controlled trial of intranasal oxytocin in children and adolescents with ASD. Subjects will be randomized to 24 IU intranasal oxytocin or placebo for a 5 day period with concomitant game play of computer games, which are designed to enhance face perception skills. Measures of social function and cognition will be administered before and after the intervention period.
Change From Baseline to Post-testing (After Max. 12 Days) on the Part/Whole Identity Test (LFI Skills Battery)
3.30 change in percent correct
Standard Deviation 10.78
3.17 change in percent correct
Standard Deviation 8.17

PRIMARY outcome

Timeframe: Baseline and Post-testing (after max. 12 days)

This is a test of emotion recognition. This test asks children to pick the best word out of four options to describe the mental state of a set of eyes. The test includes 28 photographs of eyes with both affective (e.g., upset) and cognitive (e.g., thoughtful) mental state words as choices.

Outcome measures

Outcome measures
Measure
Intranasal Oxytocin
n=12 Participants
* Intranasal oxytocin (Trade name: Syntocinon) * Pharmacological class: The pharmacologic and clinical properties of Syntocinon are identical with the naturally occurring hormone oxytocin, which is released from the posterior pituitary. * Route of administration: Intranasal * Planned exposure: Each participant will receive one dose of intranasal oxytocin (24 IU) per day for 5 days. * One dose of 24 IU equals 6 spray puffs (3 puffs in each nostril). * Oxytocin will be imported from Victoria Pharmacy Zurich- Switzerland. Intranasal Oxytocin (Trade name: Syntocinon): This is a double-blind placebo-controlled trial of intranasal oxytocin in children and adolescents with ASD. Subjects will be randomized to 24 IU intranasal oxytocin or placebo for a 5 day period with concomitant game play of computer games, which are designed to enhance face perception skills. Measures of social function and cognition will be administered before and after the intervention period.
Intranasal Placebo
n=11 Participants
* Intranasal placebo * The placebo is identical to the oxytocin formulation with the exception of the active compound. * Route of administration: Intranasal * Planned exposure: Each participant will receive one dose of intranasal placebo per day for 5 days. * One dose equals 6 spray puffs (3 puffs in each nostril). * Placebo will be imported from Victoria Pharmacy Zurich- Switzerland. Intranasal Oxytocin (Trade name: Syntocinon): This is a double-blind placebo-controlled trial of intranasal oxytocin in children and adolescents with ASD. Subjects will be randomized to 24 IU intranasal oxytocin or placebo for a 5 day period with concomitant game play of computer games, which are designed to enhance face perception skills. Measures of social function and cognition will be administered before and after the intervention period.
Change From Baseline to Post-testing (After Max. 12 Days) on the Reading the Mind in the Eyes Test (Child Version)
0.33 change in items correct
Standard Deviation 3.92
1.82 change in items correct
Standard Deviation 3.34

SECONDARY outcome

Timeframe: Baseline and Post-testing (after max. 12 days)

The "Happy Faces" task requires that participants look at a series of faces of men and women. Faces are presented on the screen one by one and children are asked just to look at the faces. Eye movements are measured with a Tobii x120 tabletop eye-tracker to evaluate participants' looking patterns towards the eyes versus the mouth region.

Outcome measures

Outcome measures
Measure
Intranasal Oxytocin
n=8 Participants
* Intranasal oxytocin (Trade name: Syntocinon) * Pharmacological class: The pharmacologic and clinical properties of Syntocinon are identical with the naturally occurring hormone oxytocin, which is released from the posterior pituitary. * Route of administration: Intranasal * Planned exposure: Each participant will receive one dose of intranasal oxytocin (24 IU) per day for 5 days. * One dose of 24 IU equals 6 spray puffs (3 puffs in each nostril). * Oxytocin will be imported from Victoria Pharmacy Zurich- Switzerland. Intranasal Oxytocin (Trade name: Syntocinon): This is a double-blind placebo-controlled trial of intranasal oxytocin in children and adolescents with ASD. Subjects will be randomized to 24 IU intranasal oxytocin or placebo for a 5 day period with concomitant game play of computer games, which are designed to enhance face perception skills. Measures of social function and cognition will be administered before and after the intervention period.
Intranasal Placebo
n=9 Participants
* Intranasal placebo * The placebo is identical to the oxytocin formulation with the exception of the active compound. * Route of administration: Intranasal * Planned exposure: Each participant will receive one dose of intranasal placebo per day for 5 days. * One dose equals 6 spray puffs (3 puffs in each nostril). * Placebo will be imported from Victoria Pharmacy Zurich- Switzerland. Intranasal Oxytocin (Trade name: Syntocinon): This is a double-blind placebo-controlled trial of intranasal oxytocin in children and adolescents with ASD. Subjects will be randomized to 24 IU intranasal oxytocin or placebo for a 5 day period with concomitant game play of computer games, which are designed to enhance face perception skills. Measures of social function and cognition will be administered before and after the intervention period.
Changes From Baseline to Post-testing (After Max. 12 Days) on the "Happy Faces" Measure of Social Attention
looking to faces relative to full screen
.02 change in proportion of looking
Standard Deviation .18
-0.05 change in proportion of looking
Standard Deviation .25
Changes From Baseline to Post-testing (After Max. 12 Days) on the "Happy Faces" Measure of Social Attention
looking to objects relative to full screen
-.03 change in proportion of looking
Standard Deviation .14
.08 change in proportion of looking
Standard Deviation .18

Adverse Events

Intranasal Oxytocin

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

Intranasal Placebo

Serious events: 0 serious events
Other events: 12 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Intranasal Oxytocin
n=16 participants at risk
* Intranasal oxytocin (Trade name: Syntocinon) * Pharmacological class: The pharmacologic and clinical properties of Syntocinon are identical with the naturally occurring hormone oxytocin, which is released from the posterior pituitary. * Route of administration: Intranasal * Planned exposure: Each participant will receive one dose of intranasal oxytocin (24 IU) per day for 5 days. * One dose of 24 IU equals 6 spray puffs (3 puffs in each nostril). * Oxytocin will be imported from Victoria Pharmacy Zurich- Switzerland. Intranasal Oxytocin (Trade name: Syntocinon): This is a double-blind placebo-controlled trial of intranasal oxytocin in children and adolescents with ASD. Subjects will be randomized to 24 IU intranasal oxytocin or placebo for a 5 day period with concomitant game play of computer games, which are designed to enhance face perception skills. Measures of social function and cognition will be administered before and after the intervention period.
Intranasal Placebo
n=13 participants at risk
* Intranasal placebo * The placebo is identical to the oxytocin formulation with the exception of the active compound. * Route of administration: Intranasal * Planned exposure: Each participant will receive one dose of intranasal placebo per day for 5 days. * One dose equals 6 spray puffs (3 puffs in each nostril). * Placebo will be imported from Victoria Pharmacy Zurich- Switzerland. Intranasal Oxytocin (Trade name: Syntocinon): This is a double-blind placebo-controlled trial of intranasal oxytocin in children and adolescents with ASD. Subjects will be randomized to 24 IU intranasal oxytocin or placebo for a 5 day period with concomitant game play of computer games, which are designed to enhance face perception skills. Measures of social function and cognition will be administered before and after the intervention period.
Gastrointestinal disorders
Diarrhea, soft bowels, sore stomach
6.2%
1/16 • 12 Days
7.7%
1/13 • 12 Days
General disorders
Cold-like symptoms (i.e. runny nose, stuffy nose, sneezing)
37.5%
6/16 • 12 Days
23.1%
3/13 • 12 Days
Respiratory, thoracic and mediastinal disorders
Burning and irritation of sinuses
6.2%
1/16 • 12 Days
7.7%
1/13 • 12 Days
Respiratory, thoracic and mediastinal disorders
Bloody nose
6.2%
1/16 • 12 Days
0.00%
0/13 • 12 Days
Respiratory, thoracic and mediastinal disorders
Increased sense of smell
0.00%
0/16 • 12 Days
15.4%
2/13 • 12 Days
Respiratory, thoracic and mediastinal disorders
Sore throat
12.5%
2/16 • 12 Days
0.00%
0/13 • 12 Days
Ear and labyrinth disorders
Ear aches/hot ears
0.00%
0/16 • 12 Days
15.4%
2/13 • 12 Days
Respiratory, thoracic and mediastinal disorders
Breathing problems
0.00%
0/16 • 12 Days
7.7%
1/13 • 12 Days
Eye disorders
Eyes (burning, watery, teary, aching, etc.)
18.8%
3/16 • 12 Days
15.4%
2/13 • 12 Days
Nervous system disorders
Headaches
0.00%
0/16 • 12 Days
30.8%
4/13 • 12 Days
Cardiac disorders
Rapid pounding heart
6.2%
1/16 • 12 Days
0.00%
0/13 • 12 Days
Musculoskeletal and connective tissue disorders
Back pain
6.2%
1/16 • 12 Days
0.00%
0/13 • 12 Days
Gastrointestinal disorders
Tongue ulcer and gum pain
0.00%
0/16 • 12 Days
7.7%
1/13 • 12 Days
Skin and subcutaneous tissue disorders
Flaking scalp
6.2%
1/16 • 12 Days
0.00%
0/13 • 12 Days
Psychiatric disorders
Frustration, cranky, agitation
25.0%
4/16 • 12 Days
23.1%
3/13 • 12 Days
Psychiatric disorders
Tired, Exhausted, Fatigued, decreased energy level, felt sedated
25.0%
4/16 • 12 Days
7.7%
1/13 • 12 Days
Psychiatric disorders
Increased energy level, hyperactivity
6.2%
1/16 • 12 Days
7.7%
1/13 • 12 Days
Psychiatric disorders
Nervous feeling
6.2%
1/16 • 12 Days
7.7%
1/13 • 12 Days
Psychiatric disorders
Increased awareness and social interaction
6.2%
1/16 • 12 Days
7.7%
1/13 • 12 Days
Psychiatric disorders
Increased appetite
6.2%
1/16 • 12 Days
0.00%
0/13 • 12 Days
Psychiatric disorders
Hand wringing
0.00%
0/16 • 12 Days
7.7%
1/13 • 12 Days
Psychiatric disorders
Sleep problems
0.00%
0/16 • 12 Days
7.7%
1/13 • 12 Days
Psychiatric disorders
Strange physical feelings
6.2%
1/16 • 12 Days
0.00%
0/13 • 12 Days

Additional Information

Robert Schultz, PhD

Children's Hospital of Philadelphia

Phone: 267-426-7540

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place