Magnetoencephalography / Magnetic Resonance Spectroscopy Dose Response Study of Arbaclofen in Autism Spectrum Disorder

Timothy Roberts1 个研究点分布在 1 个国家目标入组 25 人开始时间: 2016年2月最近更新: 2019年10月21日

适应症

干预措施

试验速览

阶段: 早期 1 期
状态: 已完成
发起方: Timothy Roberts
入组人数: 25
试验地点: 1
主要终点: M50 Latency (Left Hemisphere)

研究概览研究设计入排标准研究组 & 干预措施结局指标研究者研究点记录与标识符相似试验

研究概览

简要总结

This is a single-site, randomized, acute dose-response study to determine whether STX209 produces a dose-dependent significant change in MEG target parameters compared to baseline as well as compared to placebo treatment.

详细描述

Recent evidence from magnetoencephalographic (MEG) studies in ASD have pointed to abnormalities (specifically, delays) in auditory evoked neuromagnetic responses (e.g. M100 - see Roberts et al., 2010, and mismatch field, MMF - see Roberts et al., 2011) as well as abnormalities in the oscillatory behavior of auditory cortex, especially in the gamma band (30-50Hz), at rest and in response to simple auditory stimuli (see Gandal et al., 2010 and Cornew et al., 2012; Edgar et al., 2013). The local circuitry underlying such evoked activity and oscillations, and synaptic transmission in general, requires an appropriate balance of excitation and inhibition, mediated by glutamate and GABA, respectively. One model of the neural oscillatory deficits in ASD suggests that impaired regulatory control by inhibitory interneurons onto pyramidal cells underlies abnormal auditory latency and oscillatory electrophysiological measures. As such, electrophysiological deficits are interpreted in terms of local circuitry abnormalities, with inferences at the molecular level of imbalances in the activity of glutamate and GABA.

A candidate therapeutic for ASD has been developed - STX209, a GABA-B agonist. Since this pharmaceutical targets synaptic activity that has clear electrophysiological correlates, one goal of this proposal is to assess the responsiveness (sensitivity to change) of MEG measures to acute administration of STX209 at various doses in adolescents on the autism spectrum. The study also aims to establish the nature of the putative relationship between such electrophysiologic markers and GABA and glutamate levels using MEGAPRESS spectrally-edited magnetic resonance spectroscopy (MRS).

研究设计

研究类型: Interventional
分配方式: Randomized
干预模型: Crossover
主要目的: Basic Science
盲法: None

盲法说明

Each participant receives dose of drug or placebo. Both participant and investigator are masked to dose level/placebo. It is not open label.

入排标准

年龄范围: 14 Years 至 17 Years（Child）
性别: Male
接受健康志愿者: 否

入选标准

•Right- handed males aged 14 to 17.75 years.
•Diagnosis of ASD with the last 12 months according to the DSM-IV criteria, including Autistic Disorder, Pervasive Developmental Disorder - Not Otherwise Specified (PDD-NOS), and Asperger's Syndrome but excluding Childhood Dis-integrative Disorder and Rett Syndrome.
•Current pharmacological treatment regimen has been stable for at least 4 weeks prior to Screening.
•If the subject is already receiving stable non-pharmacological educational, behavioral, and/or dietary interventions, participation in these programs must have been continuous during the 2 months prior to Screening and subjects or their parent/caregiver may not electively initiate new or modify ongoing interventions for the duration of the study. Typical school vacations are not considered modifications of stable programming.
•Prior to the conduct of any study-specific procedures, the subject must provide verbal assent to participate in the study (if developmentally appropriate), and the parent/caregiver must provide written informed consent. If the caregiver attending the clinic visits is not the parent, written consent must be obtained from the parent for the caregiver's participation in the study.

排除标准

•No known neurological impairment (e.g., head trauma with loss of consciousness for more than 10 minutes, stroke, seizure disorder).
•Claustrophobia
•Metallic implanted prosthetic or stimulation device (including pacemaker)
•Excessive metallic dental work (including braces, non-removable retainers)
•Subjects who are currently receiving treatment with racemic baclofen, vigabatrin, tiagabine, or riluzole.
•Subjects who have taken another investigational drug within the last 30 days.
•Subjects who are not able to take oral medications.
•Subjects who have a history of hypersensitivity to racemic baclofen.
•Parents/guardians or subjects who, in the opinion of the Investigator, may be non-compliant with study schedules or procedures.

研究组 & 干预措施

A. Placebo then 15mg then 30mg

Experimental

Subjects will receive a single dose of placebo on week 1, 15 mg of STX209 on week 2 and 30 mg of STX209 on week 3.