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Omega-3 Fatty Acids Monotherapy in Children and Adolescents With Autism Spectrum Disorders

Omega-3 Fatty Acids Monotherapy in Children and Adolescents With Autism Spectrum Disorders

Status
Terminated
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01248130
Enrollment
7
Registered
2010-11-25
Start date
2009-11-30
Completion date
2013-04-30
Last updated
2025-03-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Autism Spectrum Disorder (ASD)

Keywords

Omega-3 Fatty Acid, Autism Spectrum Disorders, Pervasive Developmental Disorders, Children, Cognitive Functioning

Brief summary

The primary aim of this study is to examine the efficacy and tolerability of short-term omega-3 fatty acids monotherapy in youth with Autism Spectrum Disorders (ASD). The investigators hypothesize that Omega-3 fatty acids will be efficacious in improving the core and associated features of ASD in youth, and that Omega-3 fatty acids monotherapy will be safe and well tolerated by youth with ASD. The secondary aim of this study is to examine the neuropsychological effect of Omega-3 fatty acids monotherapy in youth with ASD. The investigators hypothesize that omega-3 fatty acids will be efficacious in improving cognitive functions in youth with ASD.

Interventions

DRUGOmega-3 Fatty Acid

Children with Autism Spectrum Disorders will be randomized to receive either 1500mg (3 capsules) omega-3 fatty acids or placebo. Each 500mg capsule contains 350mg EPA and 50mg DHA. Omega-3 fatty acids dosing will be on a forced titration schedule to 3 capsules per day. All subjects will start with 1 capsule per day with an increase to 3 capsules per day by week 2. Subjects will be maintained at 3 capsules per day thereafter until the end of the trial (completion/discontinuation). During the 12 weeks of the study period, participants will be evaluated at weekly intervals during the first three weeks of the trial (baseline, weeks 1-3) and tri-weekly thereafter till the end of the trial (weeks 6, 9 and 12). At each visit, measures of safety and effectiveness will be administered and subjects will be evaluated for response and side effects to the treatment. Study medications will be prescribed under double blind conditions.

Sponsors

Massachusetts General Hospital
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
ALL
Age
6 Years to 17 Years
Healthy volunteers
No

Inclusion criteria

Inclusion 1. Male or female participants between 6 and 17 years of age, inclusive. 2. Fulfills diagnosis of autism spectrum disorders by meeting DSM-IV-TR PDD diagnostic criteria of autistic disorder, Asperger's disorder, or PDD-NOS as established by clinical interview assisted by MGH PDD Symptom Checklist. 3. Participants with at least moderate symptom severity of ASD as reflected by SRS score ≥ 85 and CGI-PDD severity score of ≥ 4 (moderately ill). 4. Subjects must be psychotropic drug-free for a minimum of four weeks prior to the baseline visit. 5. Subjects with mood, anxiety, or disruptive behavior disorders will be allowed to participate in the study provided they do not meet any exclusionary criteria. Exclusion 1. I.Q. \< 85. 2. DSM-IV-TR PDD diagnoses of Rett's disorder, and childhood disintegrative disorder. 3. Current diagnosis of a psychotic disorder or unstable mood or anxiety disorders as determined by the clinician. 4. Subject with marked severity of symptoms as suggested by the score of ≥ 5 (markedly ill) on CGI severity subscale for respective comorbid psychiatric disorders. 5. Clinically unstable psychiatric condition judged to be at a serious risk to self or others as determined by the clinician. 6. History of substance use (except nicotine or caffeine) within past 3 months, determined to be clinically significant by clinician. 7. Urine drug screen positive for substances of abuse. 8. Non-febrile seizures without a clear and resolved etiology in last month. 9. Subjects with a medical condition or treatment that will either jeopardize subject safety or affect the scientific merit of the study, including: 1. Pregnant or nursing females; 2. Organic brain disorders; 3. Uncorrected hypothyroidism or hyperthyroidism, as determined by study clinician; 4. Untreated and/or unstable diabetes; 5. Subjects with a clinically significant abnormality according to cardiology consultation (ECGs with clinically concerning intervals including PR, QTC, QRS, will be reviewed by cardiology). 6. History of renal or hepatic impairment determined to be clinically significant by clinician. 10. Serious, unstable systemic illness including hepatic, renal, gastroenterological, respiratory, cardiovascular (including ischemic heart disease), endocrinologic, neurologic, immunologic, or hematologic disease, as determined by clinician. 11. Any other concomitant medication with primary central nervous system activity other than specified in the Concomitant Medication section of the protocol. 12. Subjects who have difficulty swallowing pills. 13. History of known allergy to Omega-3 fatty acids, multiple drug allergies, or severe allergies. 14. A non-responder of, or history of intolerance to Omega-3 fatty acids, after treatment at an adequate dose and duration as determined by the clinician.

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in Social Responsiveness Scale (SRS) Total Raw ScorePre-treatment - 12 weeksThe SRS is a 65-item rating scale completed by the participants parent or guardian. The scale measures the severity of autism spectrum symptoms as the occur in natural social settings. The total raw score is calculated by summing the 65 items. Total scores range from 0 to 195, where higher scores indicate greater severity. The outcome reported reflects the change from baseline (pre-treatment) in SRS Total raw score. When examining change from baseline, negative scores represent improvement (i.e., decrease in severity from baseline).

Secondary

MeasureTime frameDescription
Change in NIMH Clinical Global Impression Scale for Pervasive Developmental Disorders (CGI-PDD) Improvement ScoresPre-treatment - 12 weeksThe CGI-PDD Improvement scale is a clinician-rated assessment of the participant's improvement in symptoms compared to baseline. The CGI-PDD-I is rated on a scale of one (very much improved) to seven (very much worse) and values of zero (not assessed) are assigned to all participants at baseline. The outcome reported reflects the change in improvement score from baseline, where lower scores indicate greater improvement compared to baseline.

Countries

United States

Participant flow

Participants by arm

ArmCount
Omega-3 Fatty Acid Treatment
Omega-3 Fatty Acid: Children with Autism Spectrum Disorders will be randomized to receive either 1500mg (3 capsules) omega-3 fatty acids or placebo. Each 500mg capsule contains 350mg EPA and 50mg DHA. Omega-3 fatty acids dosing will be on a forced titration schedule to 3 capsules per day. All subjects will start with 1 capsule per day with an increase to 3 capsules per day by week 2. Subjects will be maintained at 3 capsules per day thereafter until the end of the trial (completion/discontinuation). During the 12 weeks of the study period, participants will be evaluated at weekly intervals during the first three weeks of the trial (baseline, weeks 1-3) and tri-weekly thereafter till the end of the trial (weeks 6, 9 and 12). At each visit, measures of safety and effectiveness will be administered and subjects will be evaluated for response and side effects to the treatment. Study medications will be prescribed under double blind conditions.
3
Placebo (Sugar Pill)
Omega-3 Fatty Acid: Children with Autism Spectrum Disorders will be randomized to receive either 1500mg (3 capsules) omega-3 fatty acids or placebo. Each 500mg capsule contains 350mg EPA and 50mg DHA. Omega-3 fatty acids dosing will be on a forced titration schedule to 3 capsules per day. All subjects will start with 1 capsule per day with an increase to 3 capsules per day by week 2. Subjects will be maintained at 3 capsules per day thereafter until the end of the trial (completion/discontinuation). During the 12 weeks of the study period, participants will be evaluated at weekly intervals during the first three weeks of the trial (baseline, weeks 1-3) and tri-weekly thereafter till the end of the trial (weeks 6, 9 and 12). At each visit, measures of safety and effectiveness will be administered and subjects will be evaluated for response and side effects to the treatment. Study medications will be prescribed under double blind conditions.
4
Total7

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyIneligible10
Overall StudyProtocol Violation10

Baseline characteristics

CharacteristicOmega-3 Fatty Acid TreatmentPlacebo (Sugar Pill)Total
Age, Categorical
<=18 years
3 Participants4 Participants7 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants1 Participants1 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
3 Participants3 Participants6 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
3 Participants4 Participants7 Participants
Region of Enrollment
United States
3 participants4 participants7 participants
Sex: Female, Male
Female
1 Participants1 Participants2 Participants
Sex: Female, Male
Male
2 Participants3 Participants5 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
2 / 33 / 4
serious
Total, serious adverse events
0 / 30 / 4

Outcome results

Primary

Change From Baseline in Social Responsiveness Scale (SRS) Total Raw Score

The SRS is a 65-item rating scale completed by the participants parent or guardian. The scale measures the severity of autism spectrum symptoms as the occur in natural social settings. The total raw score is calculated by summing the 65 items. Total scores range from 0 to 195, where higher scores indicate greater severity. The outcome reported reflects the change from baseline (pre-treatment) in SRS Total raw score. When examining change from baseline, negative scores represent improvement (i.e., decrease in severity from baseline).

Time frame: Pre-treatment - 12 weeks

ArmMeasureValue (MEAN)Dispersion
Omega-3 Fatty Acid TreatmentChange From Baseline in Social Responsiveness Scale (SRS) Total Raw Score0 score on a scale
Placebo (Sugar Pill)Change From Baseline in Social Responsiveness Scale (SRS) Total Raw Score-7 score on a scaleStandard Deviation 15
Secondary

Change in NIMH Clinical Global Impression Scale for Pervasive Developmental Disorders (CGI-PDD) Improvement Scores

The CGI-PDD Improvement scale is a clinician-rated assessment of the participant's improvement in symptoms compared to baseline. The CGI-PDD-I is rated on a scale of one (very much improved) to seven (very much worse) and values of zero (not assessed) are assigned to all participants at baseline. The outcome reported reflects the change in improvement score from baseline, where lower scores indicate greater improvement compared to baseline.

Time frame: Pre-treatment - 12 weeks

ArmMeasureValue (MEAN)Dispersion
Omega-3 Fatty Acid TreatmentChange in NIMH Clinical Global Impression Scale for Pervasive Developmental Disorders (CGI-PDD) Improvement Scores4 score on a scale
Placebo (Sugar Pill)Change in NIMH Clinical Global Impression Scale for Pervasive Developmental Disorders (CGI-PDD) Improvement Scores3.3 score on a scaleStandard Deviation 1

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026