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Safety and Efficacy Study in the Treatment of Intestinal Problems Associated With Autism
This study is ongoing, but not recruiting participants.
Sponsored by: PediaMed Pharmaceuticals
Information provided by: PediaMed Pharmaceuticals
ClinicalTrials.gov Identifier: NCT00110708
  Purpose

The purpose of this study is to determine if human immunoglobulin given by mouth twice a day is effective in treating the persistent gastrointestinal (GI) problems such as diarrhea, constipation, abdominal pain, and bloating, in children with autism.


Condition Intervention Phase
Autism
Autistic Disorder
Child Development Disorders, Pervasive
Gastrointestinal Diseases
Signs and Symptoms, Digestive
Drug: Oralgam (human immunoglobulin)
Phase II

MedlinePlus related topics: Abdominal Pain Autism Constipation Developmental Disabilities Diarrhea
Drug Information available for: Immunoglobulins Globulin, Immune
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Safety/Efficacy Study
Official Title: A Randomized, Placebo-Controlled Phase II Trial Evaluating Safety and Efficacy of Oral Human Immunoglobulin in the Treatment of Gastrointestinal Dysfunction Associated With Autistic Disorder in Pediatric Patients From 2 to 18 Years of Age

Further study details as provided by PediaMed Pharmaceuticals:

Primary Outcome Measures:
  • Global improvement in gastrointestinal function

Secondary Outcome Measures:
  • Assessment of behavior (improvement and severity); additional assessments of gastrointestinal conditions

Estimated Enrollment: 120
Study Start Date: April 2005
Estimated Study Completion Date: June 2006
Detailed Description:

Autistic GI Dysfunction (AGID) is a term that describes a constellation of GI signs and symptoms often found in children with autistic disorder, including abdominal pain, constipation, chronic diarrhea, alternating constipation and diarrhea, gaseousness, bloating, and reflux.

The objective of this study is to assess the potential efficacy of oral immunoglobulin in reducing a wide range of GI symptoms in children and adolescents diagnosed with autistic disorder.

  Eligibility

Ages Eligible for Study:   2 Years to 18 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Male or female from 2 years to 18 years of age (up to, but not inclusive of the 18th birthday)
  • Diagnosis of autistic disorder corroborated by an Autism Diagnostic Interview - Revised (ADI-R) assessment performed by a certified investigator
  • Physician Clinical Global Impression of Severity (of Autistic Disorder)
  • History of chronic, persistent gastrointestinal disturbance
  • No elective changes in medication, diet intervention, or behavioral therapy during the study (18 weeks total)

Exclusion Criteria:

  • Evidence of a gastrointestinal infection or GI abnormality
  • A known diagnosis of other gastrointestinal pathology
  • Antibiotic and/or antifungal (e.g. nystatin) medication
  • Chelation therapy
  • Medication affecting gastrointestinal transit
  • Planned use of prohibited drugs or agents that could affect GI transit
  • Changes in diet intervention within 30 days prior to the screening visit
  • Changes in alternative medical therapies or dietary supplements within 30 days prior to the screening visit
  • Adding and/or changing behavior modification or psychotherapy during participation in the study
  • Adding or changing psychotropic medication during participation in the study
  • DSM-IV diagnosis of a pervasive developmental disorder other than autistic disorder
  • Evidence of a seizure disorder, diagnosis of fragile X syndrome, tuberous sclerosis complex, liver disease, pancreatic disease, cystic fibrosis, or chronic infection
  • Previous gastrointestinal surgery
  • Pregnancy
  • Participation in another investigational study
  • Significant deviation from normal laboratory test values at baseline
  • IgA deficiency (serum IgA < 5 mg/dL)
  • A history of severe hypersensitivity to human immunoglobulin
  • Treatment with any human immunoglobulin and/or immunoglobulin products
  • Any concurrent medication that would compromise subject's tolerance of drug or compliance with the protocol
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00110708

  Show 22 Study Locations
Sponsors and Collaborators
PediaMed Pharmaceuticals
  More Information

Study ID Numbers: Protocol 004
Study First Received: May 12, 2005
Last Updated: February 20, 2006
ClinicalTrials.gov Identifier: NCT00110708  
Health Authority: United States: Food and Drug Administration

Keywords provided by PediaMed Pharmaceuticals:
autism
gastrointestinal dysfunction
autistic disorder
diarrhea
constipation
abdominal pain
gastrointestinal problems associated with autism
immune globulin
immunoglobulin
Immunoglobulins, Intravenous
Intestinal Mucosa/immunology/pathology
Administration, Oral
Autistic Disorder/*drug therapy
Child Behavior/*drug effects
Constipation/drug therapy
Diarrhea/drug therapy
Gastrointestinal Agents/*therapeutic use

Study placed in the following topic categories:
Developmental Disabilities
Diarrhea
Signs and Symptoms, Digestive
Gastrointestinal Diseases
Abdominal Pain
Pain
Child Development Disorders, Pervasive
Signs and Symptoms
Antibodies
Digestive System Diseases
Immunoglobulins, Intravenous
Autistic Disorder
Mental Disorders
Mental Disorders Diagnosed in Childhood
Constipation
Immunoglobulins

Additional relevant MeSH terms:
Pathologic Processes
Disease
Immunologic Factors
Physiological Effects of Drugs
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 16, 2009