Status:

NOT_YET_RECRUITING

Use of N-Acetylcysteine in the Treatment of Repetitive and Self-Injurious Behaviors in Cornelia de Lange Syndrome

Lead Sponsor:

Johns Hopkins University

Collaborating Sponsors:

Cornelia de Lange Syndrome Foundation

Conditions:

Cornelia de Lange Syndrome

Eligibility:

All Genders

13-35 years

Phase:

PHASE2

Brief Summary

This research project is a randomized cross-over pilot trial which aims to test the efficacy of N-acetylcysteine (NAC) for the treatment of Repetitive Behaviors (RB) and self-injurious behavior (SIB) ...

Detailed Description

Cornelia de Lange syndrome (CdLS) is a genetic condition caused by mutations in cohesin-related genes, mostly notably NIPBL. The CdLS phenotype includes physical features such as typical facies, limb ...

Eligibility Criteria

Inclusion

  • Ages 13 to 35 years
  • A diagnosis of CdLS as determined by a physician during routine care meeting the major and minor criteria from CdLS guidelines
  • Threshold criteria for the presence of RB/SIB as reported on initial screening Children's Yale-Brown Obsessive Compulsive Scale Modified for Pervasive Developmental Disorders (CYBOCS-PDD) \> 6 OR Aberrant Behavior Checklist (ABC) stereotypy subscale \> 7)
  • Being able to attend 4 visits over the course of 18 weeks at the Johns Hopkins Hospital
  • No acute safety concerns or need for hospitalization due to psychotic, manic or depressive episode
  • Not currently pregnant or lactating/breastfeeding. Whether a participant is pregnant or not will be determined by the participant/caregiver report based on date last menses. If there is any suspicion of pregnancy, the PI will confer with the family to obtain testing through the primary care provider.

Exclusion

  • Allergy to NAC
  • Allergy to Quinine
  • Contraindication to NAC (organ transplant; untreated or symptomatic gastric condition)
  • Need for another medication with which NAC is contraindicated (antibiotics)

Key Trial Info

Start Date :

March 1 2026

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

May 1 2027

Estimated Enrollment :

10 Patients enrolled

Trial Details

Trial ID

NCT04381897

Start Date

March 1 2026

End Date

May 1 2027

Last Update

November 7 2025

Active Locations (1)

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1

Johns Hopkins University School of Medicine

Baltimore, Maryland, United States, 21205