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Bezpečnost a účinnost tPBM pro epileptiformní aktivitu u autismu (tPBM)

20. září 2026 aktualizováno: Richard Frye

Bezpečnost a účinnost transkraniální fotobiomodulace (tPBM) u jedinců s poruchou autistického spektra a epileptiformní aktivitou

For this study, the proposed intervention will be noninvasively delivered near infra-red (NIR) light - transcranial Photobiomodulation (tPBM) - to the brains of autistic children with abnormal EEGs with epileptiform discharges or with epilepsy. This will occur, twice a week, for 10 weeks. The NIR light is delivered to specific brain areas by Cognilum, a wearable device developed by Jelikalite. The expected outcome is improved focus, improved eye contact, improved speech, improved behavior, and gains in functional skills. Cognilum may impact the clinical practice of treating autism. At the beginning, at five weeks, and at the end of study, the clinician will complete the CARS-2, SRS, CGI, and a caregiver interview; additionally, questionnaires will be administered to caregivers during one of the 1-hour weekly treatment sessions.

Přehled studie

Typ studie

Intervenční

Zápis (Aktuální)

6

Fáze

  • Fáze 2

Kontakty a umístění

Tato část poskytuje kontaktní údaje pro ty, kteří studii provádějí, a informace o tom, kde se tato studie provádí.

Studijní místa

    • Arizona
      • Phoenix, Arizona, Spojené státy, 85050
        • Rossignol Medical Center

Kritéria účasti

Výzkumníci hledají lidi, kteří odpovídají určitému popisu, kterému se říká kritéria způsobilosti. Některé příklady těchto kritérií jsou celkový zdravotní stav osoby nebo předchozí léčba.

Kritéria způsobilosti

Věk způsobilý ke studiu

4 roky až 16 let (Dítě)

Přijímá zdravé dobrovolníky

Ne

Pohlaví způsobilá ke studiu

Všechno

Popis

Inclusion Criteria:

  • Autism Spectrum Disorder (diagnosed as Autistic Disorder on the ADOS-2 or the ADI-R).
  • Between 4 and 12 years of age, at baseline.
  • Autism severity of moderate or higher (≥4) under the 7-item clinical global impression-severity scale. Moderate level of autism severity (4) is defined by the diagnosis of ASD with language impairment.
  • Ability to maintain all ongoing complementary, dietary, traditional, and behavioral treatments constant for the study period.
  • Unchanged complementary, dietary, traditional, and behavioral treatments for two months prior to study entry
  • Ability to tolerate procedures, as determined at the discretion of the investigator.
  • At least one 24hr EEG with data in EDF format that is accessible to investigators.

Exclusion Criteria:

  • Significant self-abusive or violent behavior or evidence of suicidal ideation, plan or behavior

  • Severely affected children as defined by CGI-Severity Standard Score = 7 (Extremely Ill)

  • Severe prematurity (<34 weeks gestation) as determined by medical history

  • Current uncontrolled gastroesophageal reflux disease since GERD can cause movements that appear like seizures

  • Genetic syndromes

  • Congenital brain malformations

  • Any medical condition that the PI determines could jeopardize the safety of the study subject or compromise the integrity of the data.

  • Failure to thrive or Body Mass Index &lt; 5%ile or &lt;5%ile for weight (male &lt;11.2kg; female &lt;10.8kg by CDC 2000 growth charts) at the time of the study.

  • Concurrent treatment with drug that would significantly interact with treatment.

    • • Stimulants
    • • Anti-Psychotics
    • • Antihistamines
  • Excessive Hair that the caregivers are unwilling or unable to shave or braid.

  • Inability to tolerate the required dosage of tPBM treatment due to sensory issues.

Studijní plán

Tato část poskytuje podrobnosti o studijním plánu, včetně toho, jak je studie navržena a co studie měří.

Jak je studie koncipována?

Detaily designu

  • Primární účel: Léčba
  • Přidělení: N/A
  • Intervenční model: Přiřazení jedné skupiny
  • Maskování: Žádné (otevřený štítek)

Zbraně a zásahy

Skupina účastníků / Arm
Intervence / Léčba
Experimentální: Near infra-red (NIR) light - transcranial Photobiomodulation (tPBM) - to the brain of autistic child

This is a prospective, open level study comparing 15 individuals with active seizures and 15 individuals with EEG abnormalities before and after, near infra-red (NIR) light - transcranial Photobiomodulation (tPBM) will be the active arm

The proposed intervention will be noninvasively delivered near infra-red (NIR) light - transcranial Photobiomodulation (tPBM) - to the brains of autistic children. The NIR light is delivered to specific brain areas by Cognilum, a wearable device developed by Jelikalite. The expected outcome is improved focus, improved eye contact, improved speech, improved behavior, and gains in functional skills.

Co je měření studie?

Primární výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Childhood Autism Rating Scores (CARS)
Časové okno: Baseline, Week 5, Week 11 and Week 15 (One Month Follow-Up)

The CARS is a measure of autism severity completed by a clinician. Lower Score is Better. Scores range from 15 to 60.

Baseline, Week 5, Week 11 and Week 15 (One Month Follow-Up)

Sekundární výstupní opatření

Měření výsledku
Popis opatření
Časové okno
EEG Delta Power
Časové okno: Before Treatment and EEG following treatment (within 6 months)

Delta power is a measures of the amount of brain activity in the delta frequency as measured by overnight EEG

Before Treatment and EEG following treatment (within 6 months)

Další výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Seizure Frequency
Časové okno: Baseline, Week 11 and Week 15 (One Month Follow-Up)

Seizure log will record the seizure severity and frequency

Baseline, Week 11 and Week 15 (One Month Follow-Up)
Social Responsiveness Scale (SRS)
Časové okno: Baseline, Week 11 and Week 15 (One Month Follow-Up)

The SRS is a caregiver report of autism symptoms Lower Score is Better, Scores range from 30 to 90 (T-scores)

Baseline, Week 11 and Week 15 (One Month Follow-Up)
Clinical Global Impression Scale (CGI) Improvement
Časové okno: Week 11

The CGI measures the overall disease change. It is completed by a clinician. Scores range from 1 to 7. Lower score is better. Scores 1 to 3 represent improvement with 1 representing marked improvement, 2 moderate improvement, 3 mild improvement. Score 4 represents no change. Scores 5 to 7 represent worsening with 5 mildly worse, 6 moderately worse and 7 marked worse.

Week 11
NIH Toolbox
Časové okno: Baseline, Week 11 and Week 15 (One Month Follow-Up)

The NIH ToolBox is a set of short assessments for neurodevelopmental assessments. Direction of score depends on individual subtest.

Baseline, Week 11 and Week 15 (One Month Follow-Up)
OACIS Social Interaction
Časové okno: Week 11

CGI Improvement Type Scale Specific for Social Interactions: It is completed by a clinician. Scores range from 1 to 7. Lower score is better. Scores 1 to 3 represent improvement with 1 representing marked improvement, 2 moderate improvement, 3 mild improvement. Score 4 represents no change. Scores 5 to 7 represent worsening with 5 mildly worse, 6 moderately worse and 7 marked worse.

Week 11
OACIS Aberrant Behaviors
Časové okno: Week 11

CGI Improvement Type Scale Specifically for Aberrant Behaviors. It is completed by a clinician. Scores range from 1 to 7. Lower score is better. Scores 1 to 3 represent improvement with 1 representing marked improvement, 2 moderate improvement, 3 mild improvement. Score 4 represents no change. Scores 5 to 7 represent worsening with 5 mildly worse, 6 moderately worse and 7 marked worse.

Week 11
OACIS Repetitive Behaviors
Časové okno: Week 11 Assessment

CGI Improvement Type Scale Specifically for Repetitive Behaviors. It is completed by a clinician. Scores range from 1 to 7. Lower score is better. Scores 1 to 3 represent improvement with 1 representing marked improvement, 2 moderate improvement, 3 mild improvement. Score 4 represents no change. Scores 5 to 7 represent worsening with 5 mildly worse, 6 moderately worse and 7 marked worse.

Week 11 Assessment
OACIS Verbal Communication
Časové okno: Week 11

CGI Improvement Type Scale Specifically for Verbal communication. It is completed by a clinician. Scores range from 1 to 7. Lower score is better. Scores 1 to 3 represent improvement with 1 representing marked improvement, 2 moderate improvement, 3 mild improvement. Score 4 represents no change. Scores 5 to 7 represent worsening with 5 mildly worse, 6 moderately worse and 7 marked worse.

Week 11
OACIS Nonverbal Communication
Časové okno: Week 11

CGI Improvement Type Scale Specifically for Nonverbal communication. It is completed by a clinician. Scores range from 1 to 7. Lower score is better. Scores 1 to 3 represent improvement with 1 representing marked improvement, 2 moderate improvement, 3 mild improvement. Score 4 represents no change. Scores 5 to 7 represent worsening with 5 mildly worse, 6 moderately worse and 7 marked worse.

Week 11
OACIS Hyperactivity
Časové okno: Week 11

CGI Improvement Type Scale Specifically for Hyperactivity. It is completed by a clinician. Scores range from 1 to 7. Lower score is better. Scores 1 to 3 represent improvement with 1 representing marked improvement, 2 moderate improvement, 3 mild improvement. Score 4 represents no change. Scores 5 to 7 represent worsening with 5 mildly worse, 6 moderately worse and 7 marked worse.

Week 11
OACIS Anxiety
Časové okno: Week 11

CGI Improvement Type Scale Specifically for Anxiety. It is completed by a clinician. Scores range from 1 to 7. Lower score is better. Scores 1 to 3 represent improvement with 1 representing marked improvement, 2 moderate improvement, 3 mild improvement. Score 4 represents no change. Scores 5 to 7 represent worsening with 5 mildly worse, 6 moderately worse and 7 marked worse.

Week 11
OACIS Sensory Sensitivity
Časové okno: Week 11

CGI Improvement Type Scale Specifically for Sensory Sensitivity. It is completed by a clinician. Scores range from 1 to 7. Lower score is better. Scores 1 to 3 represent improvement with 1 representing marked improvement, 2 moderate improvement, 3 mild improvement. Score 4 represents no change. Scores 5 to 7 represent worsening with 5 mildly worse, 6 moderately worse and 7 marked worse.

Week 11
OACIS Restricted Behavior
Časové okno: Week 11

CGI Improvement Type Scale. It is completed by a clinician. Scores range from 1 to 7. Lower score is better. Scores 1 to 3 represent improvement with 1 representing marked improvement, 2 moderate improvement, 3 mild improvement. Score 4 represents no change. Scores 5 to 7 represent worsening with 5 mildly worse, 6 moderately worse and 7 marked worse.

Week 11
OACIS Autism Symptoms
Časové okno: Week 11

CGI Improvement Type Scale Specific for Autism symptoms. It is completed by a clinician. Scores range from 1 to 7. Lower score is better. Scores 1 to 3 represent improvement with 1 representing marked improvement, 2 moderate improvement, 3 mild improvement. Score 4 represents no change. Scores 5 to 7 represent worsening with 5 mildly worse, 6 moderately worse and 7 marked worse.

Week 11

Spolupracovníci a vyšetřovatelé

Zde najdete lidi a organizace zapojené do této studie.

Sponzor

Vyšetřovatelé

  • Vrchní vyšetřovatel: Richard E Frye, M.D., Ph.D, Rossignol Medical Center, Phoenix AZ

Publikace a užitečné odkazy

Osoba odpovědná za zadávání informací o studiu tyto publikace poskytuje dobrovolně. Mohou se týkat čehokoli, co souvisí se studiem.

Obecné publikace

Termíny studijních záznamů

Tato data sledují průběh záznamů studie a předkládání souhrnných výsledků na ClinicalTrials.gov. Záznamy ze studií a hlášené výsledky jsou před zveřejněním na veřejné webové stránce přezkoumány Národní lékařskou knihovnou (NLM), aby se ujistily, že splňují specifické standardy kontroly kvality.

Hlavní termíny studia

Začátek studia (Aktuální)

1. července 2024

Primární dokončení (Aktuální)

10. února 2026

Dokončení studie (Aktuální)

10. února 2026

Termíny zápisu do studia

První předloženo

22. března 2024

První předloženo, které splnilo kritéria kontroly kvality

4. dubna 2024

První zveřejněno (Aktuální)

8. dubna 2024

Aktualizace studijních záznamů

Poslední zveřejněná aktualizace (Aktuální)

22. září 2026

Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality

20. září 2026

Naposledy ověřeno

1. září 2026

Více informací

Termíny související s touto studií

Plán pro data jednotlivých účastníků (IPD)

Plánujete sdílet data jednotlivých účastníků (IPD)?

NE

Informace o lécích a zařízeních, studijní dokumenty

Studuje lékový produkt regulovaný americkým FDA

Ne

Studuje produkt zařízení regulovaný americkým úřadem FDA

Ano

produkt vyrobený a vyvážený z USA

Ano

Tyto informace byly beze změn načteny přímo z webu clinicaltrials.gov. Máte-li jakékoli požadavky na změnu, odstranění nebo aktualizaci podrobností studie, kontaktujte prosím register@clinicaltrials.gov. Jakmile bude změna implementována na clinicaltrials.gov, bude automaticky aktualizována i na našem webu .

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