An Exploratory Open Label Study of EPI-743 (Vincerinone TM) in Children With Autism Spectrum Disorder

Autism Spectrum Disorder Clinical Trial

— Autism  

Official title:

An Exploratory Open-Label Phase 2 Study of EPI-743 (Vincerinone TM) in Children With Autism Spectrum Disorder

Clinical Trial Details — Status: Withdrawn

Administrative data

• NCT number: NCT02226458
• Other study ID #: EPI743-14-025
• Status: Withdrawn
• Phase: Phase 2
• Start date: October 31, 2014
• Est. completion date: January 31, 2016

Study information

• Verified date: January 2022
• Source: Edison Pharmaceuticals Inc
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The investigators hypothesize that EPI-743 may provide clinical benefit to children with Autism Spectrum Disorder.

Description:

An Exploratory Open Label Phase 2 Study of EPI-743 (Vincerinone TM) in Children with Autism Spectrum Disorder

Recruitment information / eligibility

• Status: Withdrawn
• Enrollment: 0
• Est. completion date: January 31, 2016
• Est. primary completion date: November 30, 2015
• Accepts healthy volunteers: No
• Gender: All
• Age group: 3 Years to 14 Years

Eligibility

Inclusion Criteria:

1. Diagnosis of Autism Spectrum Disorder as defined by the DSM-V criteria for ASD and a gold-standard diagnostic evaluation for ASD such as the Autism Diagnostic Observation Schedule (ADOS) and/or the Autism Diagnostic Interview - Revised (ADI-R)

2. Male or female, 3 years to 14 years of age

3. Abnormal glutathione cycle biomarkers (GSH/GSSG in plasma<8.0)

4. Language impairment (as defined by the CELF-2 or CELF-4 screener)

5. Ability to complete language assessment (using either CELF or PLS)

6. Subject or subject's guardian able to consent and comply with protocol requirements

7. Abstention from use of Coenzyme Q10, vitamin E, lipoic acid, folinic acid, other forms of folic acid above recommended daily allowance (RDA), and idebenone 2 months prior to treatment with EPI-743 and for duration of study

8. Stable regimen of medication and supplements for 2 months prior to enrollment and duration of the study

Exclusion Criteria:

1. Allergy to EPI-743 or sesame oil

2. Allergy to vitamin E

3. Clinical history of bleeding or abnormal baseline PT/PTT

4. Use of anticoagulant medications

5. Participation in any other interventional study within 90 days of treatment.

6. Use of antipsychotic medications

7. Moderate to severe positive response on ABC irritability subscale on questions:

Injures self on purpose, is aggressive to other children or adults (verbally or physically), deliberately hurts himself/ herself, and/or does physical violence to self

8. Severe impairment as defined as a Vineland Adaptive Behavioral Scales composite standard score of <40

9. Patients with genetic disease that gives rise to ASD (e.g. Rett syndrome, Down syndrome, fragile x syndrome)

10. Abnormal liver function tests two times the upper limit of normal or renal insufficiency with creatinine levels two times the upper limit of normal

Related Conditions & MeSH terms

• Autism Spectrum Disorder
• Autistic Disorder
• Child Development Disorders, Pervasive
• Disease

Intervention

Drug:
• EPI-743

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Edison Pharmaceuticals Inc

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Primary Efficacy	Change in plasma levels of reduced and oxidized glutathione from baseline to six months	6 months
Secondary	Secondary Endpoint	Change in language skills as assessed by change from baseline to six months on the Clinical Evaluation of Language Fundamentals or Preschool Language Scale	6 months
Secondary	Secondary Endpoint	Change from baseline to six months in adaptive behavior and social skills as assessed by the Vineland Adaptive Behavior Scale-Second Edition (VABS), Social Responsiveness Scale (SRS), and computerized eye movement analysis	6 months
Secondary	Secondary Endpoint	Change from baseline to six months in stereotyped behavior and associated ASD symptoms as assessed by Aberrant Behavior Checklist (ABC), The Ohio Autism Clinical Impression Scale (OACIS), Repetitive Behavior Scale - Revised (RBS-R) and Autism symptoms questionnaire (ASQ)	6 months
Secondary	Secondary Endpoint	Change from baseline to six months in gastrointestinal function as assessed by Symptom Diary (stool frequency, abdominal symptoms and medications) and six-item GI severity index (6-GSI).	6 months
Secondary	Secondary Endpoint	Change from baseline to six months in caregiver strain experienced by parents of children with emotional and behavioral disorders as assessed by Caregiver Strain Questionnaire (CGSQ)	6 months
Secondary	Secondary Endpoint	Change from baseline to six months in intellectual function, attention and memory as assessed by Leiter-R test	6 months
Secondary	Secondary Endpoint	Change from baseline to six months in biomarkers of oxidative stress	6 months
Secondary	Secondary Endpoint	Pharmacokinetic Assessment of EPI-743 including maximal plasma concentration (Cmax), area under plasma concentration curve (AUC), apparent oral clearance, apparent volume of distribution and time to peak concentration	6 months
Secondary	Safety Endpoint	To examine the safety of EPI-743 in subjects with Autism Spectrum Disorder by examining drug-related adverse and serious adverse events	8 months

External Links

•   Edison Pharmaceuticals Website