Autism Clinical Trial
Official title:
The ScanBrit Randomised Controlled Study of Gluten- and Casein-free Dietary Intervention for Children With Autism Spectrum Disorders
A growing body of research indicates that dietary intervention excluding foods containing
the proteins, gluten and casein, from the diet of children diagnosed with an autism spectrum
disorder (ASD) may have a positive effect on behaviour and developmental outcome.
In this single-blind, randomised-controlled, matched-pair adaptive trial, we introduced a
gluten- and casein-free (GFCF) diet to a group of pre-pubescent children diagnosed with ASD
concurrently with an abnormal urinary profile. Following random allocation to a diet or non-
diet group, stage 1 of the study saw an intervention group follow the GFCF diet for eight
months initially - progressing to 12 months if required. A non-diet control group continued
with a normal diet.
Assuming significant changes for the dietary group on the various outcome measures of
behaviour and development, stage 2 of the study saw both groups assigned to GFCF dietary
intervention for a further 12 months when outcome measures were again assessed at study end.
Eligibility criteria: diagnosis of autism, no co-morbid diagnosis of Fragile X syndrome,
epilepsy or tuberous sclerosis, aged between 4-10y11m.
Experimental hypothesis: children with an autism spectrum disorder (ASD) on a GFCF diet
would show a significantly improved group developmental outcome in the medium- and long-term
with regards to core autism and/or secondary symptoms.
Main outcome measures: change in scores of dietary participants on one or more measures
against predefined statistical thresholds as evidence of improvement, alongside changes to
intra- and inter-group scores at study endpoint.
Main outcome measures ascertained by: Autism Diagnostic Observation Schedule (ADOS), Gillam
Autism Rating Scale (GARS), Vineland Adaptive Behaviour Scales (VABS), Attention Deficit
Hyperactivity Disorder - IV (ADHD-IV) scales.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Investigator), Primary Purpose: Treatment
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