Omega-3, Autism Spectrum Disorder (ASD) (OMeASD)
Omega-3 Fatty Acids and Autism Spectrum Disorder (ASD) - A Double-blind Randomized Controlled Trial of Omega-3 Fatty Acids in Youth With ASD
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
This is a 12 week study to investigate the effects of omega-3 PUFAs in children (6-17 years-old) with ASD.
The primary outcome will be the clinical symptoms rated by the Aberrant Behavior Checklist (ABC). The secondary outcomes will be inflammatory biomarkers, cognitive function and physiological markers such as heart-rate variability (HRV).
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Pei-Chen Chang, MD, PhD
- Phone Number: 4126 0422052121
- Email: d13121@mail.cmuh.org.tw
Study Locations
-
-
Taichung
-
Taichung, Taichung, Taiwan, 404
- Recruiting
- China Medical University
-
Contact:
- Pei-Chen Chang, MD, PHD
- Phone Number: 886 4 22052121
- Email: 013121@tool.caaumed.org.tw
-
Principal Investigator:
- Pei-Chen Chang, MD, PhD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- diagnosis of DSM5 ASD made by child and adolescent psychiatrist
- age 6-17 years-old at the time of enrolment
- no pharmacotherapy or non-pharmacotherapy adjustment within the past 4 weeks,
- Signed informed consent.
Exclusion Criteria:
- comorbid other psychiatric disorders, including schizophrenia or affective mood disorder (Bipolar and Major Depressive Disorder), or substance use disorder
- comorbid physical disorders, such as thyroid dysfunction, cerebral palsy, coagulation disorders
- currently using omega-3 supplements or probiotics
- allergy to omega-3.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Omega-3 (EPA)
EPA
|
Omega-3 PUFAs
|
|
Placebo Comparator: Placebo
Soybean Oil
|
Soybean Oil
|
|
Experimental: Omega-3 (DHA)
DHA
|
Omega-3 PUFAs
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Clinical Symptoms-Behavioral problems (Aberrant Behavior Checklist, ABC)
Time Frame: Baseline, week 1,2,4,8,12
|
The ABC will be used to assess the behavioral problems of participants.
It consists of 58 items that describe various behaviors, such as aggression or hyperactivity, and is typically completed by a caregiver or teacher who knows the individual well.
Each item is rated on a 4-point scale: 0 = not at all a problem, 1 = slight problem, 2 = moderate problem, and 3 = severe problem.
Scores are summed across all items to produce a total score ranging from 0 to 174, with higher scores indicating more severe or frequent problem behaviors
|
Baseline, week 1,2,4,8,12
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Concentration of blood inflammatory biomarkers in pg/mL
Time Frame: Baseline and week 12
|
Interleukin (IL)-1 beta (picogram/milliliter, pg/ML) IL-6 IL-10 Tumor necrosis factor -αlpha Interferon (IFN)-γ
|
Baseline and week 12
|
|
Cognitive function-attention and impulsivity (Continuous Performance Test, CPT)
Time Frame: Baseline and week 12
|
CPT will be used to measure the attention and impulsivity in the subjects.
|
Baseline and week 12
|
|
Clinical symptoms: Behavioral problems (Strength and Difficulty Questionnaire, SDQ)
Time Frame: Baseline and week 12
|
SDQ will be used to assess behavior problems of the participants.
SDQ is a brief behavioral screening tool for children and adolescents, typically aged 3-16, designed to assess emotional and behavioral difficulties as well as prosocial strengths.
It has 25 items divided into five subscales: Emotional Symptoms, Conduct Problems, Hyperactivity/Inattention, Peer Problems, and Prosocial Behavior, with each subscale containing 5 items.
Items are rated on a 3-point scale: 0 = "Not True," 1 = "Somewhat True," 2 = "Certainly True."
Scoring involves summing the first four subscales to calculate a Total Difficulties Score (range 0-40), while the Prosocial subscale is scored separately (range 0-10) as a measure of strengths.
Higher Total Difficulties Scores indicate greater behavioral or emotional problems, while higher Prosocial scores indicate stronger social skills.
|
Baseline and week 12
|
|
Stool Sample
Time Frame: Baseline and week 12
|
Gut microbiomal sequencing, Faecal short-chain fatty acids
|
Baseline and week 12
|
|
Heart Rate variability (HRV)
Time Frame: Baseline and week 12
|
Autonomic nervous function (ANS) will be assessed with HRV.
|
Baseline and week 12
|
|
Concentration of blood high-sensitivity C-reactive Protein (hs-CRP)
Time Frame: Baseline and week 12
|
measurement of peripheral blood hs-CRP units in milligram/Liter (mg/L)
|
Baseline and week 12
|
|
Concentration of Red Blood Cell (RBC) Polyunsaturated Fatty Acids (PUFAs)
Time Frame: Baseline and week 12
|
Measurement of RBC PUFAs units in %
|
Baseline and week 12
|
|
Cognitive function: memory (Wechsler Memory Scale, WMS)
Time Frame: Baseline and week 12
|
WMS will be used to measure memory function of the subjects.
|
Baseline and week 12
|
|
Clinical symptoms: attention and hyperactivity (Swanson, Nolan, and Pelham Rating Scale - Version IV, SNAP-IV)
Time Frame: Baseline and week 12
|
The SNAP-IV is used to assess attention, hyperactivity and oppositional defiant disorder symptoms in the subjects.
It contains 26 items rated on a 4-point scale from 0 ("Not at all") to 3 ("Very much"), reflecting the frequency or severity of each behavior.
The items are grouped into three subscales: Inattention, Hyperactivity/Impulsivity, and Oppositional Defiant behaviors, with scores summed within each subscale.
Higher scores indicate more severe symptoms, and the scale can be completed by parents, teachers, or clinicians to provide a reliable measure for both clinical evaluation and research.
|
Baseline and week 12
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Pei-Chen Chang, MD, PhD, China Medical University Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CMUH110-REC3-113
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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