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An Open Label Study of CM-AT for the Treatment of Children With Autism

Phase 3
Active, not recruiting
Conditions
Autism
Interventions
Registration Number
NCT02649959
Lead Sponsor
Curemark
Brief Summary

This is a Phase III, open label extension study evaluating the continued safety and efficacy of CM-AT in pediatric patients with autism with all levels of fecal chymotrypsin.

Detailed Description

Autism is clearly a significant cause of disability in the pediatric population. Treatment is based on the observation that many children with autism do not digest protein. CM-AT is a proprietary enzyme that is designed as a granulated powder taken three times daily.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
405
Inclusion Criteria
  • Age between 3 and 8 years, inclusive, at the time of signing informed consent/assent in Sponsor 00103 Study
  • Completion of the Sponsor's 00103 Study who continue to meet eligibility requirements
  • Currently in the 00102 open label study and continue to meet eligibility requirements
  • Subjects who initially qualified for 00103 screening, who subsequently failed Baseline entrance criteria for randomization (@Visit 1) Baseline assessment of the ABC eligibility requirement who continue to meet eligibility requirements
  • Up to 20 subjects 9-17 years of age who directly enroll into this study, who meet the current Diagnostic and Statistical Manual for Mental Disorders (DSM-IV-TR) diagnostic criteria for Autistic Disorder (AD), screened by the SCQ and confirmed by the ADI-R
Exclusion Criteria
  • Patient weighing < 13kg
  • Allergy to porcine products
  • Previous sensitization or allergy to trypsin, pancreatin, or pancrelipase
  • History of severe head trauma, as defined by loss of consciousness or hospitalization, skull fracture or stroke.
  • Seizure within the last year prior to enrollment, or the need for seizure medications either at present or in the past.
  • Evidence or history of severe, moderate or uncontrolled systemic disease
  • Ongoing dietary restriction for allergy or other reasons except nut allergies. Lactose free is allowable but not dairy free.
  • Inability to ingest the study drug / non-compliance with dosing schedule.
  • Inability to follow the prescribed dosing schedule.
  • Use of any stimulant or non-stimulant medication or medications given for attention deficit hyperactivity disorder (ADHD) must be discontinued 5 days prior to the initial randomized study period.
  • Subjects taking an selective serotonin reuptake inhibitor (SSRI) must be on a stable dose for a minimum of 30 days prior to entering the study.
  • History of premature birth <35 weeks gestation.
  • Prior history of stroke in utero or other in utero insult.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Open LabelCM-ATCM-AT
Primary Outcome Measures
NameTimeMethod
Aberrant Behavioral Checklist: Subscale of Irritability / Agitation (ABC-I) at fecal chymotrypsin (FCT) levels less than or equal to 12.6Change from Baseline to each post-baseline visit, through study completion Week 72.
Secondary Outcome Measures
NameTimeMethod
Aberrant Behavior Checklist: Subscale of Lethargy / Social Withdrawal (ABC-L) at fecal chymotrypsin (FCT) levels less than or equal to 12.6Change from Baseline to each post-baseline visit, through study completion Week 72.

Trial Locations

Locations (31)

Southwest Autism Research & Resource Center (S.A.R.R.C.)

🇺🇸

Phoenix, Arizona, United States

University of Arizona, Pediatrics Multidisciplinary Research Unit

🇺🇸

Tucson, Arizona, United States

Arkansas Children'S Hosp. Research Institute (A.C.H.R.I.)

🇺🇸

Little Rock, Arkansas, United States

N.R.C. Research Institute

🇺🇸

Orange, California, United States

M.I.N.D. Institute (Univ.of California, Davis)

🇺🇸

Sacramento, California, United States

University of California (U.C.S.F.)

🇺🇸

San Francisco, California, United States

IMMUNOe Research Centers

🇺🇸

Centennial, Colorado, United States

Yale Child Study Center

🇺🇸

New Haven, Connecticut, United States

Segal Institute For Clinical Research

🇺🇸

North Miami, Florida, United States

Advent Health -Lake Mary Pediatrics

🇺🇸

Orange City, Florida, United States

A.P.G. Research

🇺🇸

Orlando, Florida, United States

Research Institute of Deaconess Clinic

🇺🇸

Newburgh, Indiana, United States

Lake Charles Clinical Trials

🇺🇸

Lake Charles, Louisiana, United States

L.S.U. Health Sciences Center

🇺🇸

Shreveport, Louisiana, United States

Detroit Clinical Research Center, P.C.

🇺🇸

Bingham Farms, Michigan, United States

Children'S Specialized Hospital

🇺🇸

Egg Harbor Township, New Jersey, United States

Children's Specialized Hospital

🇺🇸

Toms River, New Jersey, United States

Clinical Research Center of Nj

🇺🇸

Voorhees, New Jersey, United States

Lovelace Scientific Resources

🇺🇸

Albuquerque, New Mexico, United States

Montefiore Med.Cneter, Autism & Obsessive Compulsive Spectrum Program

🇺🇸

Bronx, New York, United States

Richmond Behavioral Associates

🇺🇸

Staten Island, New York, United States

Duke Center For Autism and Brain Development

🇺🇸

Durham, North Carolina, United States

Cleveland Clinic Autism Center

🇺🇸

Cleveland, Ohio, United States

Omega Medical Research

🇺🇸

Warwick, Rhode Island, United States

Carolina Clinical Trials, Inc.

🇺🇸

Charleston, South Carolina, United States

Vanderbilt Universtiy Med.Center-Treatment&Research Inst. For Asd

🇺🇸

Nashville, Tennessee, United States

University of Texas, Houston-Behavioral & Biomedical Sciences

🇺🇸

Houston, Texas, United States

Focus Center of Clinical Research

🇺🇸

Clinton, Utah, United States

University of Virginia, Dept. of Psychiatry and Neurobehavioral Sciences

🇺🇸

Charlottesville, Virginia, United States

Neuroscience, Inc

🇺🇸

Herndon, Virginia, United States

Carilion Clinic-Virginia Tech, Carilion School of Medicine

🇺🇸

Roanoke, Virginia, United States

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