- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02879110
A 12-weeks Study to Evaluate Sulforaphane in Treatment of Autism Spectrum Disorder
July 28, 2019 updated by: Jian-Jun Ou, Central South University
A 12-weeks, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy, Safety and Related Mechanism of Sulforaphane in Treatment of Autism Spectrum Disorder
In this proposed study, the investigators will evaluate the the efficacy, safety and related mechanism of sulforaphane in treatment of autism spectrum disorder (ASD).
The study will recruit 120 ASD patients, then these patients will be randomized to sulforaphane group or placebo group (60 patients per arm) for 12 weeks clinic trial.
Clinical efficacy and safety assessment will be done at screen/baseline, 4 week, 8 week and 12 week.
The specific aims are to compare sulforaphane versus placebo on: 1) clinical core symptoms; 2) other behavioral problems and adaptive behaviors.
Biological samples also will be collected, and stored to research related mechanisms.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
In this proposed study, the investigators will evaluate the the efficacy, safety and related mechanism of sulforaphane in treatment of autism spectrum disorder (ASD).
The study will recruit 120 ASD patients, then these patients will be randomized to sulforaphane group or placebo group (60 patients per arm) for 12 weeks clinic trial.
Clinical efficacy and safety assessment will be done at screen/baseline, 4 week, 8 week and 12 week.
The specific aims are to compare sulforaphane versus placebo on: 1) clinical core symptoms; 2) other behavioral problems and adaptive behaviors.
The investigators hypothesize that (1) sulforaphane is superior to placebo in the treatment of clinical symptoms in patients with ASD, measured by the Social Responsiveness Scale, Aberrant Behavior Checklist, Repetitive Behavior Scale - Revised and Ohio State University Autism Clinical Global Impression; (2) sulforaphane is superior to placebo in the treatment of other behavioral problems and adaptive behaviors patients with ASD, measured by Achenbach's Child Behavior Checklist and Adaptive Behavior Assessment System, Second Edition; and (3) Biological samples will be collected, and stored so that the hypothesis sulforaphane may alter oxidative stress indexes or inflammatory biomarkers, and influence histone deacetylase inhibitor mechanism or inflammatory mechanism et al that may be significantly correlated with clinical improvement.
Study Type
Interventional
Enrollment (Actual)
110
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Guangdong
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Guangzhou, Guangdong, China, 510000
- Guangzhou Huiai Hospital
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Hunan
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Changsha, Hunan, China, 410001
- The second Xiangya hospital of central south university
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
3 years to 15 years (Child)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Aged 3 to 15 years.
- Meet DSM-V diagnostic criteria for autism spectrum disorder, and been checked with Autism Diagnostic Interview-Revised (ADI-R) and Autism Diagnostic Observation Schedule (ADOS).
Exclusion Criteria:
- With severe physical disease (i.e. congenital heart disease, thyroid disease, diseases with severe abnormality of liver or kidney function, diseases with abnormality vision or hearing et al.)
- With severe central nervous system disease (i.e. epilepsy et al).
- With other specific genetic syndromes (i.e. Fragile-X syndrome, Down's syndrome et al.)
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
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Experimental: Sulforaphane group
The patients will take sulforaphane for 12 weeks.
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Sulforaphane (SFN) is a compound within the isothiocyanate group of organosulfur compounds.
It is obtained from cruciferous vegetables such as broccoli, Brussels sprouts or cabbages.
Other Names:
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Placebo Comparator: Placebo group
The patients will take placebo for 12 weeks.
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Placebo tablet is composed of starch.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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The change of social impairments of children with autism spectrum disorder
Time Frame: At baseline, 4 week, 8 week and 12 week/endpoint
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Social impairments are measured by Social Responsiveness Scale
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At baseline, 4 week, 8 week and 12 week/endpoint
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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The change of rigid interests and behaviors of children with autism spectrum disorder
Time Frame: At baseline, 4 week, 8 week and 12 week/endpoint
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Rigid interests and behaviors are measured by Repetitive Behavior Scale - Revised
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At baseline, 4 week, 8 week and 12 week/endpoint
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The change of clinical symptoms of children with autism spectrum
Time Frame: At baseline, 4 week, 8 week and 12 week/endpoint
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Clinical symptoms are measured by Aberrant Behavior Checklist
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At baseline, 4 week, 8 week and 12 week/endpoint
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The change of other behavioral problems of children with autism spectrum
Time Frame: At baseline, 4 week, 8 week and 12 week/endpoint
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Other behavioral problems are measured by Achenbach's Child Behavior Checklist
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At baseline, 4 week, 8 week and 12 week/endpoint
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The change of adaptive behaviors of children with autism spectrum
Time Frame: At baseline, 4 week, 8 week and 12 week/endpoint
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Adaptive behaviors are measured by Adaptive Behavior Assessment System, Second Edition
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At baseline, 4 week, 8 week and 12 week/endpoint
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The change of clinical general impression of children with autism spectrum
Time Frame: At baseline, 4 week, 8 week and 12 week/endpoint
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Clinical general impression is measured by Ohio State University Autism Clinical Global Impression
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At baseline, 4 week, 8 week and 12 week/endpoint
|
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The change of heart rate as measured by stopwatch
Time Frame: At baseline and 12 week/endpoint
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At baseline and 12 week/endpoint
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The change of weight as measured by weighing-machine
Time Frame: At baseline and 12 week/endpoint
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At baseline and 12 week/endpoint
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The change of height as measured by Height measurement tools
Time Frame: At baseline and 12 week/endpoint
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At baseline and 12 week/endpoint
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The change of blood routine test as tested by clinical laboratory
Time Frame: At baseline and 12 week/endpoint
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At baseline and 12 week/endpoint
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The change of fasting blood-glucose as tested by clinical laboratory
Time Frame: At baseline and 12 week/endpoint
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At baseline and 12 week/endpoint
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The change of blood lipid as tested by clinical laboratory
Time Frame: At baseline and 12 week/endpoint
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At baseline and 12 week/endpoint
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The change of liver function as tested by clinical laboratory
Time Frame: At baseline and 12 week/endpoint
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At baseline and 12 week/endpoint
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The change of kidney function as tested by clinical laboratory
Time Frame: At baseline and 12 week/endpoint
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At baseline and 12 week/endpoint
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The change of thyroid function as tested by clinical laboratory
Time Frame: At baseline and 12 week/endpoint
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At baseline and 12 week/endpoint
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The change of HBV test as tested by clinical laboratory
Time Frame: At baseline and 12 week/endpoint
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At baseline and 12 week/endpoint
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The change of helicobacter pylori test as tested by clinical laboratory
Time Frame: At baseline and 12 week/endpoint
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At baseline and 12 week/endpoint
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The change of urine routine test as tested by clinical laboratory
Time Frame: At baseline and 12 week/endpoint
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At baseline and 12 week/endpoint
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Number of participants with treatment-related adverse events as assessed by Systematic Assessment for Treatment Emergent Effects
Time Frame: At 4 week, 8 week and 12 week/endpoint
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At 4 week, 8 week and 12 week/endpoint
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Other Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
The change of Oxidative stress indexes as tested by Oxidative stress indexes detection kit
Time Frame: At baseline and 12 week/endpoint
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At baseline and 12 week/endpoint
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The change of Epigenetics indicators as tested by Epigenetics indicators
Time Frame: At baseline and 12 week/endpoint
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At baseline and 12 week/endpoint
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The change of Cytokines & Chemokines as tested by Cytokines & Chemokines detection kit
Time Frame: At baseline and 12 week/endpoint
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At baseline and 12 week/endpoint
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The change of Metabolites as tested by Metabolites detection kit
Time Frame: At baseline and 12 week/endpoint
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At baseline and 12 week/endpoint
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The change of RNA expression as tested by RNA expression detection kit
Time Frame: At baseline and 12 week/endpoint
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At baseline and 12 week/endpoint
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The change of intestinal microflora as tested by Metagenomic technique
Time Frame: At baseline and 12 week/endpoint
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At baseline and 12 week/endpoint
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Chair: Jingping Zhao, M.D., Ph. D., Central South University
- Study Director: Jianjun Ou, M.D., Ph. D., Central South University
- Study Director: Hua Jin, M.D., Ph. D., Department of Psychiatry, University of California
- Principal Investigator: Fengyu Zhang, Ph.D., Global Clinical and Translational Research Institute
- Principal Investigator: Daomeng Cheng, M.D., Guangzhou Huiai Hospital
- Principal Investigator: Renrong Wu, M.D.,Ph.D, Central South University
- Study Director: John M Davis, M.D.,Ph.D, Department of Psychiatry, University of Illinoisat at Chicago
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Singh K, Connors SL, Macklin EA, Smith KD, Fahey JW, Talalay P, Zimmerman AW. Sulforaphane treatment of autism spectrum disorder (ASD). Proc Natl Acad Sci U S A. 2014 Oct 28;111(43):15550-5. doi: 10.1073/pnas.1416940111. Epub 2014 Oct 13.
- Foley AG, Cassidy AW, Regan CM. Pentyl-4-yn-VPA, a histone deacetylase inhibitor, ameliorates deficits in social behavior and cognition in a rodent model of autism spectrum disorders. Eur J Pharmacol. 2014 Mar 15;727:80-6. doi: 10.1016/j.ejphar.2014.01.050. Epub 2014 Jan 31.
- Houghton CA, Fassett RG, Coombes JS. Sulforaphane: translational research from laboratory bench to clinic. Nutr Rev. 2013 Nov;71(11):709-26. doi: 10.1111/nure.12060. Epub 2013 Oct 22.
- Moldrich RX, Leanage G, She D, Dolan-Evans E, Nelson M, Reza N, Reutens DC. Inhibition of histone deacetylase in utero causes sociability deficits in postnatal mice. Behav Brain Res. 2013 Nov 15;257:253-64. doi: 10.1016/j.bbr.2013.09.049. Epub 2013 Oct 5.
- Foley AG, Gannon S, Rombach-Mullan N, Prendergast A, Barry C, Cassidy AW, Regan CM. Class I histone deacetylase inhibition ameliorates social cognition and cell adhesion molecule plasticity deficits in a rodent model of autism spectrum disorder. Neuropharmacology. 2012 Sep;63(4):750-60. doi: 10.1016/j.neuropharm.2012.05.042. Epub 2012 Jun 6.
- Montes G, Halterman JS. Association of childhood autism spectrum disorders and loss of family income. Pediatrics. 2008 Apr;121(4):e821-6. doi: 10.1542/peds.2007-1594.
- Montes G, Halterman JS. Child care problems and employment among families with preschool-aged children with autism in the United States. Pediatrics. 2008 Jul;122(1):e202-8. doi: 10.1542/peds.2007-3037.
- Mugno D, Ruta L, D'Arrigo VG, Mazzone L. Impairment of quality of life in parents of children and adolescents with pervasive developmental disorder. Health Qual Life Outcomes. 2007 Apr 27;5:22. doi: 10.1186/1477-7525-5-22.
- Myzak MC, Tong P, Dashwood WM, Dashwood RH, Ho E. Sulforaphane retards the growth of human PC-3 xenografts and inhibits HDAC activity in human subjects. Exp Biol Med (Maywood). 2007 Feb;232(2):227-34.
- Ou JJ, Shi LJ, Xun GL, Chen C, Wu RR, Luo XR, Zhang FY, Zhao JP. Employment and financial burden of families with preschool children diagnosed with autism spectrum disorders in urban China: results from a descriptive study. BMC Psychiatry. 2015 Jan 22;15:3. doi: 10.1186/s12888-015-0382-4.
- Rossignol DA, Frye RE. A review of research trends in physiological abnormalities in autism spectrum disorders: immune dysregulation, inflammation, oxidative stress, mitochondrial dysfunction and environmental toxicant exposures. Mol Psychiatry. 2012 Apr;17(4):389-401. doi: 10.1038/mp.2011.165. Epub 2011 Dec 6.
- Schieve LA, Blumberg SJ, Rice C, Visser SN, Boyle C. The relationship between autism and parenting stress. Pediatrics. 2007 Feb;119 Suppl 1:S114-21. doi: 10.1542/peds.2006-2089Q.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
August 1, 2016
Primary Completion (Actual)
July 1, 2019
Study Completion (Actual)
July 1, 2019
Study Registration Dates
First Submitted
August 15, 2016
First Submitted That Met QC Criteria
August 22, 2016
First Posted (Estimate)
August 25, 2016
Study Record Updates
Last Update Posted (Actual)
July 30, 2019
Last Update Submitted That Met QC Criteria
July 28, 2019
Last Verified
July 1, 2019
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ASD201512
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Undecided
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
Yes
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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