Status:

UNKNOWN

Q10 Ubiquinol in Autism Spectrum Disorder and in Phelan-McDermid Syndrome.

Lead Sponsor:

Antonio Persico

Collaborating Sponsors:

Associazione Italiana Sindrome di Phelan-McDermid (AISPHEM)

University of Bari

Conditions:

Autism Spectrum Disorder

Phelan-McDermid Syndrome

Eligibility:

All Genders

2-40 years

Phase:

NA

Brief Summary

This double-blind, cross-over, randomized, controlled trial (RCT) has the aim of evaluating the effectiveness of a metabolic support therapy in two cohorts of patients with idiopathic Autism Spectrum ...

Detailed Description

Autism Spectrum Disorder (ASD) is a clinically and genetically heterogeneous collection of different conditions, sharing socio-communicative deficits, repetitive behaviors, restricted interests, and d...

Eligibility Criteria

Inclusion

  • Both parents or a legally authorized patient representative (LAR) must provide written informed consent. The parents and guardian must be able to understand and comply with the experimental protocol;
  • Subjects of both sexes, aged between 2 and 40 years old, may be included in the study;
  • The subject must meet DSM-5 criteria for a primary diagnosis of Autism Spectrum Disorder (idiopathic autism) or carry a documented deletion of human chromosome 22q13.33 or mutation in the SHANK3 gene (Phelan-McDermid Syndrome);
  • Subjects with idiopathic autism must pass the threshold score for Autism of the Autism Diagnostic Observation Schedule;
  • Baseline Children's Global Assessment Scale score must be between 45 and 59;
  • Patients treated with psychoactive drugs (neuroleptics, antiepileptics, etc.) are enrolled only if the treatment and dosage of these drugs has been constant for at least 3 months prior to enrollment in the trial and is kept constant throughout the 8-month duration of the trial;
  • Patients undergoing any kind of behavioral intervention must have must have started the intervention at least 3 months prior to enrollment and the intervention must remain unchanged throughout the 8-month duration of the trial;
  • The patient is able to swallow the capsule or his/her parents are available to open it and administer immediately its content in a small quantity of juice or soft-drink.

Exclusion

  • Patients who meet any of the following criteria will not be recruited in the study:
  • Patients with autism secondary to known genetic syndromes other than Phelan-McDermid syndrome (for example, Rett syndrome, fragile-X syndrome, etc.);
  • Presence of brain malformations or major structural anomalies visible by magnetic resonance imaging;
  • Patients with autism secondary to epileptic encephalopathy or with idiopathic autism comorbid with seizures more frequent than one episode every 6 months despite ongoing antiepileptic drug therapy;
  • Patients with autism accompanied by marked facial dysmorphism and/or congenital malformations;
  • Patients treated with anticoagulants;
  • Patients with serious medical illnesses (chronic renal disease, severe liver disease, cardiovascular disorders, uncontrolled hypertension with systolic pressure values\> 170 and diastolic pressure\> 100 mm Hg, malignant tumors, HIV infection);
  • Patients with a history of acute cerebrovascular episodes;
  • Patients with a history of stomach bleeding or active peptic ulcer;
  • Patients with documented allergy, hypersensitivity or intolerance to one of the excipients of the experimental or comparative product.
  • Trial interruption criteria:
  • Patients whose medical conditions require starting treatment with anticoagulants.
  • Patients with severe medical conditions starting during the 8-month duration of the trial.
  • Patients who undergo a change in psychopharmacological or behavioral treatment during the 8-month duration of the trial.

Key Trial Info

Start Date :

March 9 2019

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

August 31 2023

Estimated Enrollment :

200 Patients enrolled

Trial Details

Trial ID

NCT04312152

Start Date

March 9 2019

End Date

August 31 2023

Last Update

March 18 2020

Active Locations (1)

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Interdipartimental Program "Autismo 0-90" at "G. Martino" Universitary Hospital

Messina, ME, Italy, I-98125