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Sikkerhed og effektivitet af tPBM til epileptiform aktivitet i autisme (tPBM)

20. september 2026 opdateret af: Richard Frye

Sikkerhed og effektivitet af transkraniel fotobiomodulation (tPBM) for personer med autismespektrumforstyrrelse og epileptiform aktivitet

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.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

6

Fase

  • Fase 2

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

    • Arizona
      • Phoenix, Arizona, Forenede Stater, 85050
        • Rossignol Medical Center

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

4 år til 16 år (Barn)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

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.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: N/A
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: 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.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Childhood Autism Rating Scores (CARS)
Tidsramme: 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)

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
EEG Delta Power
Tidsramme: 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)

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Seizure Frequency
Tidsramme: 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)
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Efterforskere

  • Ledende efterforsker: Richard E Frye, M.D., Ph.D, Rossignol Medical Center, Phoenix AZ

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

1. juli 2024

Primær færdiggørelse (Faktiske)

10. februar 2026

Studieafslutning (Faktiske)

10. februar 2026

Datoer for studieregistrering

Først indsendt

22. marts 2024

Først indsendt, der opfyldte QC-kriterier

4. april 2024

Først opslået (Faktiske)

8. april 2024

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

22. september 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

20. september 2026

Sidst verificeret

1. september 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • tPBM Study

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ingen

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ja

produkt fremstillet i og eksporteret fra U.S.A.

Ja

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