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Targeting the Neurobiology of RRB in Autism Using N-acetylcysteine: Single-dose

Phase 2
Recruiting
Conditions
Autism Spectrum Disorder
Interventions
Registration Number
NCT04278898
Lead Sponsor
Stanford University
Brief Summary

The goal of this study is to target the neurobiology of restricted and repetitive behaviors in children with autism spectrum disorder using N-acetylcysteine (NAC), a well-tolerated nutritional supplement that has shown promise for reducing symptom severity in recent small-scale trials. The findings from this research will shed light on the mechanisms of action underlying the clinical benefits of NAC.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
24
Inclusion Criteria
  • children between 3 years and 12 years 11 months at the time of consent
  • diagnosis of Autism Spectrum Disorder confirmed with the Autism Diagnostic Interview-Revised (ADI-R) and the Autism Diagnostic Observation Schedule-2 (ADOS-2), or Brief Observation of Symptoms of Autism (BOSA), or Childhood Autism Rating Scale- Second Edition (CARS-2).
  • at least moderate Restricted and Repetitive Behaviors severity defined by a Children's Yale-Brown Obsessive Compulsive Scale for children with autism spectrum disorder score ≥ 11,
  • physical development indicative of prepubescence as defined by the criteria for Tanner Stage 1,
  • medically stable,
  • passes MR safety screening (e.g., no metal in the body).
Exclusion Criteria
  • presence of known genetic abnormalities associated with Autism Spectrum Disorder (e.g. Fragile X),
  • current or life-time diagnosis of severe psychiatric disorder (e.g., schizophrenia),
  • presence of significant medical problems that would interfere with participation,
  • the inability of at least one caregiver to speak/read English to a sufficient level to complete study requirements and materials,
  • individuals taking antioxidant agents and glutathione prodrugs, or
  • the inability/unwillingness to swallow an agent during the screening visit.

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Placebo then N-acetylcysteineN-Acetylcysteine-
N-acetylcysteine then PlaceboN-Acetylcysteine-
Primary Outcome Measures
NameTimeMethod
Change in glutamatergic neurometabolites (Glx) measured by proton spectroscopy Magnetic Resonance Imaging (MRI)1 hour after single dose
Secondary Outcome Measures
NameTimeMethod
Change in Gamma band amplitude and synchronization measured by electroencephalography1 hour after single dose

Trial Locations

Locations (1)

Stanford University School of Medicine

🇺🇸

Stanford, California, United States

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