Autism
Conditions
Brief summary
To study the effect of oxytocin on face processing and response inhibition in autistic adults by fMRI.
Detailed description
Autism is a developmental disorder affecting approximately 60/10,000 individuals. It is characterized by social and language deficits and repetitive behaviors/restricted interests. Functional imaging is becoming a very useful tool in trying to understand the neurobiology of autism. Oxytocin is a hormone produced by the brain to assist with labor and lactation. Recent evidence suggests that it may be involved in social attachment and in repetitive behaviors. In this project, we will study how oxytocin changes the way the brain of autistic adults processes faces, and deals with response inhibition (the ability to interrupt ongoing responses should they prove ineffective or interfering with attaining a goal). There is currently no functional imaging data assessing the effect of oxytocin on the brain. We will explore the activation patterns in response to oxytocin across circuits involved in social cognition (face fusiform area) and response inhibition (caudate, orbitofrontal and dorsolateral cortex) by administering a specific fMRI task activating those circuits before and during an oxytocin infusion. We will also explore the effect of oxytocin in these areas by administering specific cognitive testing not associated with fMRI before and during oxytocin infusion.
Interventions
DRUGOxytocin
10 international units = 1 cc, IV over 4 hours
DRUGPlacebo
Normal Saline, IV over 4 hours
Sponsors
Anagnostou, Evdokia, M.D.
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
1. Meet DSM-IV, ADI, or ADOS criteria for autism spectrum disorder. 2. Age 18-50. 3. Be seen as outpatients 4. IQ\>80 5. 5\. Demonstrate capacity to provide authorized informed consent or provide consent for participation by an approved surrogate on the autistic individual's behalf
Exclusion criteria
1. Subjects who are pregnant or nursing mothers. Sexually active women of childbearing potential who are not using adequate birth control measures. 2. Subjects with epilepsy. 3. Subjects with a history of schizophrenia, schizoaffective disorder or other Axis 1 mental disorders, such as bipolar disorder. 4. Subjects reporting history of encephalitis, phenylketonuria, tuberous sclerosis, fragile X syndrome, anoxia during birth, neurofibromatosis, hypomelanosis, hypothyroidism, Duchenne muscular dystrophy, and maternal rubella 5. Subjects who have received depot neuroleptic medication, or other psychoactive drugs within the past 5 weeks. 6. Subjects with renal or liver disease or abnormalities in blood chemistry. 7. Any metallic prosthesis such as plates, pins and screws, shrapnel, metallic foreign body, vascular or neurosurgical clips that may be incompatible with the MRI and any electrical devices such as a pacemaker or a defibrillator 8. Claustrophobia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in BOLD with oxytocin infusion | baseline and 4 hours | Change in BOLD with oxytocin infusion BOLD - blood-oxygen-level-dependent contrast |
Countries
United States
Outcome results
None listed