Multicenter Validation Study on Autism Screening Using a Machine-assisted System

NCT ID: NCT07006948

Last Updated: 2025-09-16

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

NOT_YET_RECRUITING

Total Enrollment

1000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-09-15

Study Completion Date

2029-06-15

Brief Summary

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The goal of this observational study is to assess the effectiveness of a machine-assisted system for early screening of autism. The main questions it aims to answer are:

* Does the machine-assisted system including 5 main behavioral paradigms identify toddlers with autism from those with other neurodevelopmental disorders and typical development?
* Are there any differences in the early symptoms of autism among toddlers over the whole mainland China? Participants will receive some developmental and social communicational evaluations for clinical diagnoses. They will also receive the behavior evaluations of the machine-assisted system. The above evaluations will be performed just once.

Detailed Description

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The current study is a diagnostic accuracy study. In total, 1000 Toddlers with autism spectrum disorder, global developmental delay, language disorder, and typical development (n=250 for each group) will be recruited in this study. The gold standard of the diagnosis of autism spectrum disorder will be the clinical diagnosis from developmental and behavioral pediatricians, and the diagnoses will be confirmed by Autism Diagnostic Observation Schedule-2nd edition and Griffiths Development Scales-Chinese edition(GDS-C). The diagnostic accuracy of the machine-assisted system for early screening of autism will be evaluated.

Conditions

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Autism Spectrum Disorder Early Developmental Impairment Language Development Disorders

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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ASD group

This group includes toddlers diagnosed with autism spectrum disorder aged between 1.5 to 2.5 years old.

Autism Diagnostic Observation Schedule, the 2nd edition(ADOS-2)

Intervention Type DIAGNOSTIC_TEST

The toddlers diagnosed with ASD will receive the ADOS-2 evaluation to confirm the diagnosis.

Griffiths Developmental Scales, Chinese edition(GDS-C)

Intervention Type DIAGNOSTIC_TEST

The toddlers diagnosed with ASD, GDD, LD, and typically developing will receive the GDS-C evaluation to confirm the diagnosis.

GDD group

This group includes toddlers diagnosed with global development disorder aged between 1.5 to 2.5 years old.

Griffiths Developmental Scales, Chinese edition(GDS-C)

Intervention Type DIAGNOSTIC_TEST

The toddlers diagnosed with ASD, GDD, LD, and typically developing will receive the GDS-C evaluation to confirm the diagnosis.

LD group

This group includes toddlers diagnosed with language disorder aged between 1.5 to 2.5 years old.

Griffiths Developmental Scales, Chinese edition(GDS-C)

Intervention Type DIAGNOSTIC_TEST

The toddlers diagnosed with ASD, GDD, LD, and typically developing will receive the GDS-C evaluation to confirm the diagnosis.

TD group

This group includes typically developing toddlers aged between 1.5 to 2.5 years old.

Griffiths Developmental Scales, Chinese edition(GDS-C)

Intervention Type DIAGNOSTIC_TEST

The toddlers diagnosed with ASD, GDD, LD, and typically developing will receive the GDS-C evaluation to confirm the diagnosis.

Interventions

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Autism Diagnostic Observation Schedule, the 2nd edition(ADOS-2)

The toddlers diagnosed with ASD will receive the ADOS-2 evaluation to confirm the diagnosis.

Intervention Type DIAGNOSTIC_TEST

Griffiths Developmental Scales, Chinese edition(GDS-C)

The toddlers diagnosed with ASD, GDD, LD, and typically developing will receive the GDS-C evaluation to confirm the diagnosis.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

1. Children diagnosed with ASD according to a clinical judgement based on the criteria of ASD in DSM-5 and further confirmed with ADOS-2;
2. Ages 1.5-2.5 years;
3. Parents/caregivers understand the content of the study and agree to participate in.

GDD group:


1. Age 1.5-2.5 years, gestational age 37-42 weeks, birth weight 2500-4000g;
2. Clinically diagnosed with GDD (Global Developmental Delay) according to the DSM-V diagnostic criteria, with a Griffiths Development Scales-Chinese edition(GDS-C) assessment showing a Developmental Quotient (DQ) ≤75 in two or more domains;
3. Those who did not meet the initial screening positivity criteria for ASD (Autism Spectrum Disorder) using M-CHAT-R/F.

LD group:


1. Age 1.5-2.5 years, gestational age 37-42 weeks, birth weight 2500-4000 g;
2. Clinically diagnosed with LD (Language Disorder) according to the DSM-V diagnostic criteria, with a Developmental Quotient (DQ) ≤75 in the language domain of the Griffiths Development Scales-Chinese edition(GDS-C) and DQ \>75 in all other domains;
3. Those who did not meet the initial screening positivity criteria for ASD (Autism Spectrum Disorder) assessed by M-CHAT-R/F


1. Healthy, typically developing toddlers aged 1.5-2.5 years ;
2. gestational age of 37-42 weeks, birth weight of 2500-4000 g;
3. Developmental Quotients(DQs) are greater than 75 in all domains of theGriffiths Development Scales-Chinese edition(GDS-C);
4. Screened negative by M-CHAT-R/F screening for autism spectrum disorder (ASD).

Exclusion Criteria

1. Rett Syndrome, Fragile X Syndrome, Angelman Syndrome, Prader-Willi Syndrome, tuberous sclerosis, and other syndromes caused by known genetic defects or inherited metabolic diseases;
2. Children with brain injuries, specific chronic or congenital diseases.
3. The gestational age is less than 37 weeks, or the birth weight is lower than 2500g.

TD group:


Children with neurodevelopmental disorders (e.g., developmental delay, language impairment), neurological conditions (e.g., epilepsy, tuberous sclerosis), or other severe chronic diseases were excluded.
Minimum Eligible Age

18 Months

Maximum Eligible Age

30 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Harbin Institute of Technology, Shenzhen

UNKNOWN

Sponsor Role collaborator

Kunshan City Maternal and Child Health

OTHER

Sponsor Role collaborator

Hefei First People's Hospital

UNKNOWN

Sponsor Role collaborator

Ningbo Women & Children's Hospital

OTHER

Sponsor Role collaborator

Xiamen Children's Hospital

OTHER

Sponsor Role collaborator

Chengdu Women's and Children's Central Hospital

OTHER

Sponsor Role collaborator

Liuzhou Maternity and Child Healthcare Hospital

OTHER

Sponsor Role collaborator

Xian Children's Hospital

OTHER_GOV

Sponsor Role collaborator

Dehong People's Hospital

UNKNOWN

Sponsor Role collaborator

The Sixth Affiliated Hospital of Harbin Medical University

UNKNOWN

Sponsor Role collaborator

Children's Hospital of Fudan University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Xiu Xu

Role: PRINCIPAL_INVESTIGATOR

Children's Hospital of Fudan University

Locations

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Hefei First People's Hospital

Hefei, Anhui, China

Site Status

Xiamen Children's Hospital

Xiamen, Fujian, China

Site Status

Liuzhou Maternity and child Healthcare Hospital

Liuzhou, Guangxi, China

Site Status

The Sixth Affiliated Hospital of Harbin Medical University

Harbin, Helongjiang, China

Site Status

Kunshan Maternal and Child Health Care Hospital

Kunshan, Jiangsu, China

Site Status

Xi'an Children's Hospital

Xi'an, Shaanxi, China

Site Status

Children's Hospital of Fudan University

Shanghai, Shanghai Municipality, China

Site Status

Chengdu Women's and Children's Central Hospital

Chengdu, Sichuan, China

Site Status

Dehong People's Hospital

Dehong, Yunnan, China

Site Status

Ningbo Women and Children's Hospital

Ningbo, Zhejiang, China

Site Status

Countries

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China

Central Contacts

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Bingrui Zhou

Role: CONTACT

13701989113

Facility Contacts

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Peiting Shen

Role: primary

Huiping Li

Role: primary

Aiwen Li

Role: primary

Lijie Wu

Role: primary

Qinyi Zhang

Role: primary

15950187911

Chunyang Li

Role: primary

Lan Zhang

Role: primary

Xueyan Li

Role: primary

Lanqiu Lv

Role: primary

Other Identifiers

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AI multicenter

Identifier Type: -

Identifier Source: org_study_id

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