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Safety of L1-79 in Adolescent and Adult Males With Autism

A Randomized, Placebo-controlled Phase 2 Study With Open-Label and Double-Blind Portions to Evaluate the Safety of L1-79 in Adolescent and Young Adult Males With Autism

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02947048
Enrollment
42
Registered
2016-10-27
Start date
2016-10-31
Completion date
2018-02-01
Last updated
2024-08-21

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

Conditions

Autism

Brief summary

This is a five-arm designed to assess the safety of L1-79 that incorporates 15 prospectively randomized, placebo controlled patients and 5 open label patients at either 100 tid (three times daily) or 200 tid dosing for 28 days. The open label patients will be assessed for the purpose of understanding PK/PD and to determine if there are any EKG changes associated with the administration of L1-79. Additional safety information will be provided by the 30 patients randomized 2:1 active:placebo.

Detailed description

Protocol Number: HT 02-121 Protocol Title: Phase 2 Safety Study of L1-79 for the Treatment of Autism Study Phase: 2 The first cohort of 20 patients to be enrolled will all receive L1-79 100 mg t.i.d., and will be comprised of 3 groups of patients. The first group of patients to receive 100 mg will differ from the others in that they will get blood samples drawn for PK analysis and EKGs will be taken. The safety and PK data from this group will be submitted for FDA review and acceptance before the 200 mg t.i.d. cohort will be enrolled. The remaining 15 patients in this cohort will be randomized to receive either L1-79 100 mg t.i.d. or placebo on a 2:1 basis (2 L1-79 patients for each placebo patient). While the FDA is reviewing the data from the first 5 patients all 100 mg t.i.d. patients will continue to be treated. The second cohort is identical to the first. The initial 5 patients to be enrolled will differ from the others in that they will get blood samples drawn for PK analysis and EKGs will be taken. The remaining 15 patients in this cohort will be randomized to receive either L1-79 200 mg t.i.d. or placebo on a 2:1 active:placebo. Sample Size: N=40 * Group 1 (n=5) open100mg L1-79 (1x100mg capsule+1 placebo capsule) * Group 2 (n=10) blind100mg L1-79 (1x100mg capsule+1 placebo capsule) * Group 3 (n=5) open200 mg L1-79 (2x100 mg capsules) * Group 4 (n=10) blind200 mg L1-79 (2x100 mg capsules) * Group 5 (n=10) Placebo (2 placebo capsules) All Groups will receive the assigned study drug three-times daily Study Population: Male subjects with autism between the ages of 13 and 21 years of age who meet the entry criteria and who are able to complete standardized measures allowing them to participate in this study. Evaluation Schedule: Subjects will be evaluated within one week prior to study accession, and weekly throughout the dosing period, and again 4 weeks after the cessation of treatment. The Assigned Dosage Groups (Groups 1 and 3) will have PK blood draws and EKG the randomized group will not have. Safety Measures: All Groups will have regularly scheduled complete history and physical examination that includes orthostatic blood pressure measurements, vital signs, CBC, differential, platelet counts, urine analysis, and serum analytes including: total protein, albumin, glucose, BUN, creatinine, direct and total bilirubin, alkaline phosphatase, phosphorous, calcium, AST, ALT, sodium, potassium, chloride, bicarbonate, T4, TSH, and adverse events assessments. The Assigned Groups (1 and 3) will also have electrocardiograms taken at the study screening visit and weekly throughout the treatment interval.

Interventions

DRUGL1-79
DRUGPlacebo

Sponsors

Yamo Pharmaceuticals LLC
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
MALE
Age
12 Years to 21 Years
Healthy volunteers
No

Inclusion criteria

1. Males who are not sexually active 2. 12 and 21 years of age 3. Signed informed consent 4. Normal clinical laboratory values 5. DSM-5 compliant diagnosis of autism spectrum disorder, confirmed by the Autistic Diagnosis Interview Review (ADIR), and by the Autism Diagnosis Observation Schedule (ADOS) score consistent with a diagnosis of autism 6. No more than one concomitant medication for the treatment of autism, on a stable for at least 2 weeks prior to enrollment and no planned changes in psychosocial interventions during the trial 7. No medications for any other pathology

Exclusion criteria

1. Any co-morbidities, including Fragile-X syndrome, epilepsy, Retts syndrome, ADHD, or other disease or syndrome aside from autism that requires treatment 2. Any other psychiatric disorder, or out of range lab values 3. DSM-5 diagnosis of schizophrenia, schizoaffective disorder, alcohol use disorder 4. Active medical problems: unstable seizures (\>2 in past month) 5. Concomitant physical illness

Design outcomes

Primary

MeasureTime frameDescription
Adverse Events4 weeksNumber of Participants with On-treatment Adverse Events. To be conservative, it was pre-specified that all placebo data be combined (open-label, first cohort, and second cohort) for the safety population. For the efficacy population open-label data was excluded due to potential bias and placebo arms from the first and second cohort were presented separately due to differences in efficacy questionnaires completion in the first and second cohorts. Theses differences were not relevant to the adverse event data.

Secondary

MeasureTime frameDescription
Change From Baseline in Vineland Adaptive Behavior Scale - 2nd Edition Socialization Standard ScoreDay 0 and Week 4The Vineland Adaptive Behavior Scales, Second Edition (VABS-II) indicates adaptive functioning and consists of four major domains. Only the communication and socialization domains were done in this study. The VABS-II data is comprised of Socialization. Socialization Standard Scores may range from 20 to 160, with a population mean of 100 and a standard deviation of 15. Lower Vineland Adaptive Behavior Socialization Standard Scores indicate a worse state. A positive value of change from baseline indicates improvement.
Change From Baseline in Vineland Adaptive Behavior Scale - 2nd Edition Communication Standard ScoreWeek 0 and Week 4The Vineland Adaptive Behavior Scales, Second Edition (VABS-II) indicates adaptive functioning and consists of four major domains. Only the communication and socialization domains were done in this study. The VABS-II is comprised of Communication. Communication Standard Scores may range from 20 to 160, with a population mean of 100 and a standard deviation of 15. Lower Vineland Adaptive Behavior Communication Standard Scores indicate a worse state. A positive value of change from baseline indicates improvement.
Change From Baseline in the Autism Diagnostic Observation Schedule 2nd Edition (ADOS-2) Overall Total ScoreDay 0 and Week 4The Autism Diagnostic Observation Schedule 2nd Edition (ADOS-2) is the Gold Standard for assessing severity of ASD and position on the autism spectrum. The ADOS-2 is a semi-structured, standardized assessment of: Communication, Social interaction, Play, and Restricted and repetitive behaviors. The total scores range from 15 to 60, and the cut-off score to determine autism is 30. More specifically, a score of \<30 is classified as non-autism, a score of 30-36 is classified as mild to moderate autism, and a score of ≥37 is classified as severe autism. A higher ADOS-2 value indicates a worse state. A negative value of change from baseline indicates an improvement.
Change From Baseline in Clinical Global Impression Scale (CGI)Week 0 and Week 4The Clinical Global Impression (CGI) has two components: the CGI-Severity (CGI-S), which rates illness severity, and the CGI-Improvement (CGI-I), which rates the change in illness severity from baseline. The CGI-S is rated on the following seven-point scale with 1 being normal and 7 being among the most extremely ill subjects. The CGI-I score is rated on a seven-point scale with 1 being very much improved and 7 being very much worse. Higher values of the CGI-S score indicate a worse state. CGI-I scores of 5 or greater indicate decline, CGI I scores of 3 or lower indicate improvement, and a CGI-I score of 4 indicates no change.
Change From Baseline in Aberrant Behavior Checklist - Community (ABC-C)Week 0 to Week 4The Aberrant Behavior Checklist - Community (ABC-C) is a 58-symptom checklist for assessing problem behaviors of children and adults with developmental disabilities (intellectual disability, ASD, cerebral palsy, epilepsy) that resolve onto five subscales. The subscales and the respective number of items are as follows: (a) irritability (15 items, scores range from 0-45), (b) lethargy/social withdrawal (16 items, scores range from 0-48), (c) stereotypic behavior (7 items, scores range from 0-21), (d) hyperactivity/noncompliance (16 items, scores range from 0-48), and (e) inappropriate speech (4 items, scores range from 0-12). Higher ABC-C subscale scores indicates a worse outcome. A negative value of change from baseline indicates improvement.
Change From Baseline in the Repetitive Behavior Scale - Revised (RBS-R) Total ScoreWeek 0 and Week 4The RBS-R is a 43-item self-report questionnaire that is used to measure the breadth of repetitive behavior in children, adolescents, and adults with Autism Spectrum disorders. Behaviors are rated on a 4-point scale: 0-Behavior does not occur, 1-Behavior occurs and is a mild problem, 2-Behavior occurs and is a moderate problem, 3-Behavior occurs and is a severe problem. The total score is the sum of all 6 subscale scores and ranges from 0-127, stereotypic behavior ranges from 0-18, self-injurious behavior ranges from 0-24, compulsive behavior ranges from 0-24, ritualistic behavior ranges from 0-18, sameness behavior ranges from 0-33 and restricted behaviors ranges from 0-12. A higher RBS-R score indicates a worse state. A negative value of change from baseline indicates an improvement.
Change From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoreWeek 0 and Week 4Social Responsiveness Scale - 2nd edition (SRS-2) identifies social impairment associated with ASD and quantifies its severity. Raw and T-scores will be collected for SRS-2 Total, Social Awareness, Social Cognition, Social Communication, Social Motivation, Restricted Interest and Repetitive Behavior, DSM-5 Social Communication, and DSM-5 Restrictive Interest and Repetitive Behavior. Each domain has a varied but similar ranges of possible scores from 32 points-114 points. All T-scores have a mean of 50 points with a standard deviation of 10 points. A higher SRS-2 total T-score indicates greater impairment. A negative change from baseline indicates improvement.

Countries

United States

Participant flow

Participants by arm

ArmCount
100 mg Open
open-label lead-in 100 mg L1-79 t.i.d. L1-79
5
100 mg Blinded
blinded and randomized 100 mg L1-79 t.i.d. L1-79
10
Placebo Blinded (100 mg Cohort)
blinded and randomized placebo t.i.d. Placebo (100 mg cohort)
5
200 mg Open
open-label lead-in 200 mg L1-79 t.i.d. L1-79
6
200 mg Blinded
blinded and randomized 200 mg L1-79 t.i.d. L1-79
11
Placebo Blinded (200 mg Cohort)
blinded and randomized placebo t.i.d. Placebo (200 mg cohort)
5
Total42

Baseline characteristics

Characteristic100 mg OpenTotalPlacebo Blinded (200 mg Cohort)200 mg Blinded200 mg OpenPlacebo Blinded (100 mg Cohort)100 mg Blinded
Age, Continuous16.2 years16.1 years16.6 years16.4 years15.8 years15.3 years16.1 years
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
0 Participants3 Participants0 Participants0 Participants1 Participants2 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants4 Participants0 Participants2 Participants0 Participants1 Participants0 Participants
Race (NIH/OMB)
White
4 Participants35 Participants5 Participants9 Participants5 Participants2 Participants10 Participants
Region of Enrollment
United States
5 participants42 participants5 participants11 participants6 participants5 participants10 participants
Sex: Female, Male
Female
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Sex: Female, Male
Male
5 Participants42 Participants5 Participants11 Participants6 Participants5 Participants10 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
deaths
Total, all-cause mortality
0 / 50 / 100 / 60 / 110 / 50 / 5
other
Total, other adverse events
2 / 51 / 102 / 66 / 110 / 53 / 5
serious
Total, serious adverse events
0 / 50 / 100 / 60 / 110 / 50 / 5

Outcome results

Primary

Adverse Events

Number of Participants with On-treatment Adverse Events. To be conservative, it was pre-specified that all placebo data be combined (open-label, first cohort, and second cohort) for the safety population. For the efficacy population open-label data was excluded due to potential bias and placebo arms from the first and second cohort were presented separately due to differences in efficacy questionnaires completion in the first and second cohorts. Theses differences were not relevant to the adverse event data.

Time frame: 4 weeks

Population: Safety Population. Note that all Placebo data (open-label, first cohort and second cohort) is combined for the safety population. However for the efficacy population the open-label data is excluded and placebo arms from the first cohort and second cohort are presented separately because in the first cohort questionnaires were filled out at home by patients and in the second cohort they were completed in clinic with study staff.

ArmMeasureGroupValue (NUMBER)
100 mg OpenAdverse Eventsfatigue0 participants
100 mg OpenAdverse Eventsany adverse event2 participants
100 mg OpenAdverse Eventssyncope0 participants
100 mg OpenAdverse Eventsgeneralized tonic-clonic seizure0 participants
100 mg OpenAdverse Eventsnasopharyngitis0 participants
100 mg OpenAdverse Eventsdiarrhea0 participants
100 mg OpenAdverse Eventsblood thyroid stimulating hormone increased0 participants
100 mg OpenAdverse Eventspyrexia0 participants
100 mg OpenAdverse Eventsurinary incontinence0 participants
100 mg OpenAdverse Eventsagitation0 participants
100 mg OpenAdverse Eventsotitis externa0 participants
100 mg OpenAdverse Eventsseasonal allergy0 participants
100 mg OpenAdverse Eventsamylase increased0 participants
100 mg OpenAdverse Eventsintentional self-injury2 participants
100 mg OpenAdverse Eventsear infection0 participants
100 mg OpenAdverse Eventscough0 participants
100 mg OpenAdverse Eventsirritability2 participants
100 mg OpenAdverse Eventscrystal urine present0 participants
100 mg OpenAdverse Eventsconfusional state1 participants
100 mg OpenAdverse Eventsanxiety1 participants
100 mg BlindedAdverse Eventspyrexia0 participants
100 mg BlindedAdverse Eventsblood thyroid stimulating hormone increased0 participants
100 mg BlindedAdverse Eventsnasopharyngitis0 participants
100 mg BlindedAdverse Eventsotitis externa0 participants
100 mg BlindedAdverse Eventsfatigue0 participants
100 mg BlindedAdverse Eventsear infection0 participants
100 mg BlindedAdverse Eventsamylase increased0 participants
100 mg BlindedAdverse Eventscough0 participants
100 mg BlindedAdverse Eventsurinary incontinence0 participants
100 mg BlindedAdverse Eventsgeneralized tonic-clonic seizure0 participants
100 mg BlindedAdverse Eventssyncope1 participants
100 mg BlindedAdverse Eventsagitation0 participants
100 mg BlindedAdverse Eventsirritability0 participants
100 mg BlindedAdverse Eventsanxiety0 participants
100 mg BlindedAdverse Eventsconfusional state0 participants
100 mg BlindedAdverse Eventsintentional self-injury0 participants
100 mg BlindedAdverse Eventsany adverse event1 participants
100 mg BlindedAdverse Eventsdiarrhea0 participants
100 mg BlindedAdverse Eventsseasonal allergy0 participants
100 mg BlindedAdverse Eventscrystal urine present0 participants
200 mg OpenAdverse Eventsgeneralized tonic-clonic seizure0 participants
200 mg OpenAdverse Eventsear infection0 participants
200 mg OpenAdverse Eventsblood thyroid stimulating hormone increased0 participants
200 mg OpenAdverse Eventsconfusional state0 participants
200 mg OpenAdverse Eventspyrexia1 participants
200 mg OpenAdverse Eventsurinary incontinence0 participants
200 mg OpenAdverse Eventsintentional self-injury0 participants
200 mg OpenAdverse Eventscrystal urine present0 participants
200 mg OpenAdverse Eventsseasonal allergy1 participants
200 mg OpenAdverse Eventsirritability0 participants
200 mg OpenAdverse Eventscough1 participants
200 mg OpenAdverse Eventsanxiety0 participants
200 mg OpenAdverse Eventsotitis externa0 participants
200 mg OpenAdverse Eventsany adverse event2 participants
200 mg OpenAdverse Eventssyncope0 participants
200 mg OpenAdverse Eventsdiarrhea0 participants
200 mg OpenAdverse Eventsagitation0 participants
200 mg OpenAdverse Eventsnasopharyngitis0 participants
200 mg OpenAdverse Eventsamylase increased0 participants
200 mg OpenAdverse Eventsfatigue1 participants
200 mg BlindedAdverse Eventssyncope0 participants
200 mg BlindedAdverse Eventsfatigue0 participants
200 mg BlindedAdverse Eventspyrexia0 participants
200 mg BlindedAdverse Eventsseasonal allergy0 participants
200 mg BlindedAdverse Eventsear infection1 participants
200 mg BlindedAdverse Eventsnasopharyngitis0 participants
200 mg BlindedAdverse Eventsotitis externa1 participants
200 mg BlindedAdverse Eventsblood thyroid stimulating hormone increased1 participants
200 mg BlindedAdverse Eventscrystal urine present2 participants
200 mg BlindedAdverse Eventsagitation0 participants
200 mg BlindedAdverse Eventsconfusional state0 participants
200 mg BlindedAdverse Eventsany adverse event6 participants
200 mg BlindedAdverse Eventsdiarrhea3 participants
200 mg BlindedAdverse Eventsamylase increased0 participants
200 mg BlindedAdverse Eventsgeneralized tonic-clonic seizure1 participants
200 mg BlindedAdverse Eventsanxiety1 participants
200 mg BlindedAdverse Eventsintentional self-injury0 participants
200 mg BlindedAdverse Eventsirritability0 participants
200 mg BlindedAdverse Eventsurinary incontinence0 participants
200 mg BlindedAdverse Eventscough0 participants
Placebo Blinded (100 mg Cohort)Adverse Eventsintentional self-injury0 participants
Placebo Blinded (100 mg Cohort)Adverse Eventspyrexia0 participants
Placebo Blinded (100 mg Cohort)Adverse Eventsconfusional state0 participants
Placebo Blinded (100 mg Cohort)Adverse Eventsagitation0 participants
Placebo Blinded (100 mg Cohort)Adverse Eventsany adverse event5 participants
Placebo Blinded (100 mg Cohort)Adverse Eventsseasonal allergy0 participants
Placebo Blinded (100 mg Cohort)Adverse Eventsirritability0 participants
Placebo Blinded (100 mg Cohort)Adverse Eventsanxiety0 participants
Placebo Blinded (100 mg Cohort)Adverse Eventscrystal urine present0 participants
Placebo Blinded (100 mg Cohort)Adverse Eventsblood thyroid stimulating hormone increased0 participants
Placebo Blinded (100 mg Cohort)Adverse Eventsgeneralized tonic-clonic seizure0 participants
Placebo Blinded (100 mg Cohort)Adverse Eventscough0 participants
Placebo Blinded (100 mg Cohort)Adverse Eventsurinary incontinence0 participants
Placebo Blinded (100 mg Cohort)Adverse Eventsdiarrhea0 participants
Placebo Blinded (100 mg Cohort)Adverse Eventsotitis externa0 participants
Placebo Blinded (100 mg Cohort)Adverse Eventsear infection0 participants
Placebo Blinded (100 mg Cohort)Adverse Eventssyncope0 participants
Placebo Blinded (100 mg Cohort)Adverse Eventsamylase increased0 participants
Placebo Blinded (100 mg Cohort)Adverse Eventsnasopharyngitis0 participants
Placebo Blinded (100 mg Cohort)Adverse Eventsfatigue0 participants
Placebo Blinded (200 mg Cohort)Adverse Eventsear infection0 participants
Placebo Blinded (200 mg Cohort)Adverse Eventsblood thyroid stimulating hormone increased0 participants
Placebo Blinded (200 mg Cohort)Adverse Eventsdiarrhea0 participants
Placebo Blinded (200 mg Cohort)Adverse Eventsany adverse event5 participants
Placebo Blinded (200 mg Cohort)Adverse Eventsgeneralized tonic-clonic seizure0 participants
Placebo Blinded (200 mg Cohort)Adverse Eventssyncope0 participants
Placebo Blinded (200 mg Cohort)Adverse Eventsagitation1 participants
Placebo Blinded (200 mg Cohort)Adverse Eventsfatigue0 participants
Placebo Blinded (200 mg Cohort)Adverse Eventsanxiety0 participants
Placebo Blinded (200 mg Cohort)Adverse Eventsamylase increased1 participants
Placebo Blinded (200 mg Cohort)Adverse Eventsconfusional state0 participants
Placebo Blinded (200 mg Cohort)Adverse Eventsintentional self-injury1 participants
Placebo Blinded (200 mg Cohort)Adverse Eventscrystal urine present0 participants
Placebo Blinded (200 mg Cohort)Adverse Eventscough0 participants
Placebo Blinded (200 mg Cohort)Adverse Eventsirritability0 participants
Placebo Blinded (200 mg Cohort)Adverse Eventsseasonal allergy0 participants
Placebo Blinded (200 mg Cohort)Adverse Eventsotitis externa0 participants
Placebo Blinded (200 mg Cohort)Adverse Eventsnasopharyngitis1 participants
Placebo Blinded (200 mg Cohort)Adverse Eventsurinary incontinence1 participants
Placebo Blinded (200 mg Cohort)Adverse Eventspyrexia0 participants
Secondary

Change From Baseline in Aberrant Behavior Checklist - Community (ABC-C)

The Aberrant Behavior Checklist - Community (ABC-C) is a 58-symptom checklist for assessing problem behaviors of children and adults with developmental disabilities (intellectual disability, ASD, cerebral palsy, epilepsy) that resolve onto five subscales. The subscales and the respective number of items are as follows: (a) irritability (15 items, scores range from 0-45), (b) lethargy/social withdrawal (16 items, scores range from 0-48), (c) stereotypic behavior (7 items, scores range from 0-21), (d) hyperactivity/noncompliance (16 items, scores range from 0-48), and (e) inappropriate speech (4 items, scores range from 0-12). Higher ABC-C subscale scores indicates a worse outcome. A negative value of change from baseline indicates improvement.

Time frame: Week 0 to Week 4

Population: Efficacy Population Note that for the efficacy population open-label data is excluded and placebo arms from the first cohort and second cohort are presented separately because in the first cohort questionnaires were filled out at home by patients and in the second cohort they were completed in clinic with study staff.

ArmMeasureGroupValue (MEAN)Dispersion
100 mg OpenChange From Baseline in Aberrant Behavior Checklist - Community (ABC-C)hyperactivity and noncompliance0.4 score on a scaleStandard Deviation 3.9
100 mg OpenChange From Baseline in Aberrant Behavior Checklist - Community (ABC-C)lethargy and social withdrawal-1.6 score on a scaleStandard Deviation 6.7
100 mg OpenChange From Baseline in Aberrant Behavior Checklist - Community (ABC-C)inappropriate speech0.0 score on a scaleStandard Deviation 1.7
100 mg OpenChange From Baseline in Aberrant Behavior Checklist - Community (ABC-C)stereotypic behavior1.9 score on a scaleStandard Deviation 3.3
100 mg OpenChange From Baseline in Aberrant Behavior Checklist - Community (ABC-C)irritability and agitation-0.9 score on a scaleStandard Deviation 2
100 mg BlindedChange From Baseline in Aberrant Behavior Checklist - Community (ABC-C)stereotypic behavior-1.0 score on a scaleStandard Deviation 2.9
100 mg BlindedChange From Baseline in Aberrant Behavior Checklist - Community (ABC-C)hyperactivity and noncompliance-6.7 score on a scaleStandard Deviation 3.1
100 mg BlindedChange From Baseline in Aberrant Behavior Checklist - Community (ABC-C)inappropriate speech-1.3 score on a scaleStandard Deviation 1.2
100 mg BlindedChange From Baseline in Aberrant Behavior Checklist - Community (ABC-C)lethargy and social withdrawal-3.5 score on a scaleStandard Deviation 6.8
100 mg BlindedChange From Baseline in Aberrant Behavior Checklist - Community (ABC-C)irritability and agitation-5.3 score on a scaleStandard Deviation 3.8
200 mg OpenChange From Baseline in Aberrant Behavior Checklist - Community (ABC-C)stereotypic behavior-2.0 score on a scaleStandard Deviation 2.9
200 mg OpenChange From Baseline in Aberrant Behavior Checklist - Community (ABC-C)irritability and agitation-3.1 score on a scaleStandard Deviation 6.5
200 mg OpenChange From Baseline in Aberrant Behavior Checklist - Community (ABC-C)lethargy and social withdrawal-5.4 score on a scaleStandard Deviation 6.2
200 mg OpenChange From Baseline in Aberrant Behavior Checklist - Community (ABC-C)hyperactivity and noncompliance-4.6 score on a scaleStandard Deviation 9.4
200 mg OpenChange From Baseline in Aberrant Behavior Checklist - Community (ABC-C)inappropriate speech-2.1 score on a scaleStandard Deviation 2.6
200 mg BlindedChange From Baseline in Aberrant Behavior Checklist - Community (ABC-C)hyperactivity and noncompliance-5.5 score on a scaleStandard Deviation 6
200 mg BlindedChange From Baseline in Aberrant Behavior Checklist - Community (ABC-C)lethargy and social withdrawal-8.0 score on a scaleStandard Deviation 4.1
200 mg BlindedChange From Baseline in Aberrant Behavior Checklist - Community (ABC-C)irritability and agitation-4.5 score on a scaleStandard Deviation 4.8
200 mg BlindedChange From Baseline in Aberrant Behavior Checklist - Community (ABC-C)stereotypic behavior-2.8 score on a scaleStandard Deviation 1.7
200 mg BlindedChange From Baseline in Aberrant Behavior Checklist - Community (ABC-C)inappropriate speech-2.5 score on a scaleStandard Deviation 4
Secondary

Change From Baseline in Clinical Global Impression Scale (CGI)

The Clinical Global Impression (CGI) has two components: the CGI-Severity (CGI-S), which rates illness severity, and the CGI-Improvement (CGI-I), which rates the change in illness severity from baseline. The CGI-S is rated on the following seven-point scale with 1 being normal and 7 being among the most extremely ill subjects. The CGI-I score is rated on a seven-point scale with 1 being very much improved and 7 being very much worse. Higher values of the CGI-S score indicate a worse state. CGI-I scores of 5 or greater indicate decline, CGI I scores of 3 or lower indicate improvement, and a CGI-I score of 4 indicates no change.

Time frame: Week 0 and Week 4

Population: Efficacy Population Note that for the efficacy population open-label data is excluded and placebo arms from the first cohort and second cohort are presented separately because in the first cohort questionnaires were filled out at home by patients and in the second cohort they were completed in clinic with study staff.

ArmMeasureGroupValue (MEAN)Dispersion
100 mg OpenChange From Baseline in Clinical Global Impression Scale (CGI)Change from Baseline in Clinical Global Impression - Severity-0.5 score on a scaleStandard Error 0.2
100 mg OpenChange From Baseline in Clinical Global Impression Scale (CGI)Clinical Global Impression - Improvement3.0 score on a scaleStandard Error 0.3
100 mg BlindedChange From Baseline in Clinical Global Impression Scale (CGI)Clinical Global Impression - Improvement2.8 score on a scaleStandard Error 0.4
100 mg BlindedChange From Baseline in Clinical Global Impression Scale (CGI)Change from Baseline in Clinical Global Impression - Severity-0.2 score on a scaleStandard Error 0.3
200 mg OpenChange From Baseline in Clinical Global Impression Scale (CGI)Change from Baseline in Clinical Global Impression - Severity-0.8 score on a scaleStandard Error 0.3
200 mg OpenChange From Baseline in Clinical Global Impression Scale (CGI)Clinical Global Impression - Improvement2.8 score on a scaleStandard Error 0.2
200 mg BlindedChange From Baseline in Clinical Global Impression Scale (CGI)Change from Baseline in Clinical Global Impression - Severity-0.3 score on a scaleStandard Error 0.4
200 mg BlindedChange From Baseline in Clinical Global Impression Scale (CGI)Clinical Global Impression - Improvement2.8 score on a scaleStandard Error 0.4
Comparison: Clinical Global Impression - Severityp-value: 0.33ANCOVA
Comparison: Clinical Global Impression - Improvementp-value: 0.61ANCOVA
Comparison: Clinical Global Impression - Improvementp-value: 0.91ANCOVA
Comparison: Clinical Global Impression - Severityp-value: 0.61ANCOVA
Secondary

Change From Baseline in the Autism Diagnostic Observation Schedule 2nd Edition (ADOS-2) Overall Total Score

The Autism Diagnostic Observation Schedule 2nd Edition (ADOS-2) is the Gold Standard for assessing severity of ASD and position on the autism spectrum. The ADOS-2 is a semi-structured, standardized assessment of: Communication, Social interaction, Play, and Restricted and repetitive behaviors. The total scores range from 15 to 60, and the cut-off score to determine autism is 30. More specifically, a score of \<30 is classified as non-autism, a score of 30-36 is classified as mild to moderate autism, and a score of ≥37 is classified as severe autism. A higher ADOS-2 value indicates a worse state. A negative value of change from baseline indicates an improvement.

Time frame: Day 0 and Week 4

Population: Efficacy Population Note that for the efficacy population open-label data is excluded and placebo arms from the first cohort and second cohort are presented separately because in the first cohort questionnaires were filled out at home by patients and in the second cohort they were completed in clinic with study staff.

ArmMeasureValue (MEAN)Dispersion
100 mg OpenChange From Baseline in the Autism Diagnostic Observation Schedule 2nd Edition (ADOS-2) Overall Total Score-0.6 score on a scaleStandard Deviation 1.7
100 mg BlindedChange From Baseline in the Autism Diagnostic Observation Schedule 2nd Edition (ADOS-2) Overall Total Score0.3 score on a scaleStandard Deviation 1
200 mg OpenChange From Baseline in the Autism Diagnostic Observation Schedule 2nd Edition (ADOS-2) Overall Total Score-1.0 score on a scaleStandard Deviation 2.2
200 mg BlindedChange From Baseline in the Autism Diagnostic Observation Schedule 2nd Edition (ADOS-2) Overall Total Score-0.3 score on a scaleStandard Deviation 3
Secondary

Change From Baseline in the Repetitive Behavior Scale - Revised (RBS-R) Total Score

The RBS-R is a 43-item self-report questionnaire that is used to measure the breadth of repetitive behavior in children, adolescents, and adults with Autism Spectrum disorders. Behaviors are rated on a 4-point scale: 0-Behavior does not occur, 1-Behavior occurs and is a mild problem, 2-Behavior occurs and is a moderate problem, 3-Behavior occurs and is a severe problem. The total score is the sum of all 6 subscale scores and ranges from 0-127, stereotypic behavior ranges from 0-18, self-injurious behavior ranges from 0-24, compulsive behavior ranges from 0-24, ritualistic behavior ranges from 0-18, sameness behavior ranges from 0-33 and restricted behaviors ranges from 0-12. A higher RBS-R score indicates a worse state. A negative value of change from baseline indicates an improvement.

Time frame: Week 0 and Week 4

Population: Efficacy Population Note that for the efficacy population open-label data is excluded and placebo arms from the first cohort and second cohort are presented separately because in the first cohort questionnaires were filled out at home by patients and in the second cohort they were completed in clinic with study staff.

ArmMeasureGroupValue (MEAN)Dispersion
100 mg OpenChange From Baseline in the Repetitive Behavior Scale - Revised (RBS-R) Total Scoretotal score-3.2 score on a scaleStandard Deviation 7.8
100 mg OpenChange From Baseline in the Repetitive Behavior Scale - Revised (RBS-R) Total Scoresameness behavior-0.7 score on a scaleStandard Deviation 2
100 mg OpenChange From Baseline in the Repetitive Behavior Scale - Revised (RBS-R) Total Scoreritualistic behavior0.1 score on a scaleStandard Deviation 2.8
100 mg OpenChange From Baseline in the Repetitive Behavior Scale - Revised (RBS-R) Total Scorestereotypic behavior-0.6 score on a scaleStandard Deviation 1.7
100 mg OpenChange From Baseline in the Repetitive Behavior Scale - Revised (RBS-R) Total Scorerestricted behavior1.3 score on a scaleStandard Deviation 2.6
100 mg OpenChange From Baseline in the Repetitive Behavior Scale - Revised (RBS-R) Total Scoreself-injurious behavior-2.2 score on a scaleStandard Deviation 5.3
100 mg OpenChange From Baseline in the Repetitive Behavior Scale - Revised (RBS-R) Total Scorecompulsive behavior-1.2 score on a scaleStandard Deviation 3.6
100 mg BlindedChange From Baseline in the Repetitive Behavior Scale - Revised (RBS-R) Total Scoresameness behavior-2.3 score on a scaleStandard Deviation 3.2
100 mg BlindedChange From Baseline in the Repetitive Behavior Scale - Revised (RBS-R) Total Scorecompulsive behavior-0.7 score on a scaleStandard Deviation 0.6
100 mg BlindedChange From Baseline in the Repetitive Behavior Scale - Revised (RBS-R) Total Scoreself-injurious behavior-2.3 score on a scaleStandard Deviation 4.9
100 mg BlindedChange From Baseline in the Repetitive Behavior Scale - Revised (RBS-R) Total Scoreritualistic behavior0.0 score on a scaleStandard Deviation 0
100 mg BlindedChange From Baseline in the Repetitive Behavior Scale - Revised (RBS-R) Total Scorerestricted behavior-1.7 score on a scaleStandard Deviation 1.5
100 mg BlindedChange From Baseline in the Repetitive Behavior Scale - Revised (RBS-R) Total Scorestereotypic behavior-2.3 score on a scaleStandard Deviation 4
100 mg BlindedChange From Baseline in the Repetitive Behavior Scale - Revised (RBS-R) Total Scoretotal score-9.3 score on a scaleStandard Deviation 12.7
200 mg OpenChange From Baseline in the Repetitive Behavior Scale - Revised (RBS-R) Total Scorecompulsive behavior-3.0 score on a scaleStandard Deviation 5.1
200 mg OpenChange From Baseline in the Repetitive Behavior Scale - Revised (RBS-R) Total Scoretotal score-17.6 score on a scaleStandard Deviation 24.9
200 mg OpenChange From Baseline in the Repetitive Behavior Scale - Revised (RBS-R) Total Scorestereotypic behavior-1.9 score on a scaleStandard Deviation 2.9
200 mg OpenChange From Baseline in the Repetitive Behavior Scale - Revised (RBS-R) Total Scoreself-injurious behavior-2.0 score on a scaleStandard Deviation 4
200 mg OpenChange From Baseline in the Repetitive Behavior Scale - Revised (RBS-R) Total Scoreritualistic behavior-3.4 score on a scaleStandard Deviation 4.2
200 mg OpenChange From Baseline in the Repetitive Behavior Scale - Revised (RBS-R) Total Scoresameness behavior-4.6 score on a scaleStandard Deviation 7.3
200 mg OpenChange From Baseline in the Repetitive Behavior Scale - Revised (RBS-R) Total Scorerestricted behavior-2.7 score on a scaleStandard Deviation 2.9
200 mg BlindedChange From Baseline in the Repetitive Behavior Scale - Revised (RBS-R) Total Scoreself-injurious behavior-2.3 score on a scaleStandard Deviation 3.3
200 mg BlindedChange From Baseline in the Repetitive Behavior Scale - Revised (RBS-R) Total Scorerestricted behavior-2.0 score on a scaleStandard Deviation 1.6
200 mg BlindedChange From Baseline in the Repetitive Behavior Scale - Revised (RBS-R) Total Scoresameness behavior-3.3 score on a scaleStandard Deviation 1.5
200 mg BlindedChange From Baseline in the Repetitive Behavior Scale - Revised (RBS-R) Total Scorestereotypic behavior-0.5 score on a scaleStandard Deviation 2.6
200 mg BlindedChange From Baseline in the Repetitive Behavior Scale - Revised (RBS-R) Total Scoretotal score-16.5 score on a scaleStandard Deviation 6
200 mg BlindedChange From Baseline in the Repetitive Behavior Scale - Revised (RBS-R) Total Scoreritualistic behavior-6.0 score on a scaleStandard Deviation 2.6
200 mg BlindedChange From Baseline in the Repetitive Behavior Scale - Revised (RBS-R) Total Scorecompulsive behavior-2.5 score on a scaleStandard Deviation 1.7
Secondary

Change From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-score

Social Responsiveness Scale - 2nd edition (SRS-2) identifies social impairment associated with ASD and quantifies its severity. Raw and T-scores will be collected for SRS-2 Total, Social Awareness, Social Cognition, Social Communication, Social Motivation, Restricted Interest and Repetitive Behavior, DSM-5 Social Communication, and DSM-5 Restrictive Interest and Repetitive Behavior. Each domain has a varied but similar ranges of possible scores from 32 points-114 points. All T-scores have a mean of 50 points with a standard deviation of 10 points. A higher SRS-2 total T-score indicates greater impairment. A negative change from baseline indicates improvement.

Time frame: Week 0 and Week 4

Population: Efficacy Population Note that for the efficacy population open-label data is excluded and placebo arms from the first cohort and second cohort are presented separately because in the first cohort questionnaires were filled out at home by patients and in the second cohort they were completed in clinic with study staff.

ArmMeasureGroupValue (MEAN)Dispersion
100 mg OpenChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoresocial awareness T-score1.0 score on a scaleStandard Deviation 11.3
100 mg OpenChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoresocial cognition T-score0.4 score on a scaleStandard Deviation 5.4
100 mg OpenChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoreRRB T-score-0.4 score on a scaleStandard Deviation 9.3
100 mg OpenChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoreDSM-5 RRB T-score-0.4 score on a scaleStandard Deviation 9.3
100 mg OpenChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoresocial motivation T-score-1.4 score on a scaleStandard Deviation 9.2
100 mg OpenChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoresocial communication T-score1.1 score on a scaleStandard Deviation 7.1
100 mg OpenChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoreDSM-5 social communication interaction T-score0.6 score on a scaleStandard Deviation 5.4
100 mg OpenChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoretotal T-score-0.4 score on a scaleStandard Deviation 6.2
100 mg BlindedChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoreDSM-5 social communication interaction T-score-2.3 score on a scaleStandard Deviation 8.9
100 mg BlindedChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoresocial motivation T-score0.8 score on a scaleStandard Deviation 12.8
100 mg BlindedChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoreRRB T-score-9.8 score on a scaleStandard Deviation 14
100 mg BlindedChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoresocial awareness T-score-0.8 score on a scaleStandard Deviation 1.5
100 mg BlindedChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoretotal T-score-3.8 score on a scaleStandard Deviation 9.6
100 mg BlindedChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoresocial cognition T-score-2.3 score on a scaleStandard Deviation 5.3
100 mg BlindedChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoreDSM-5 RRB T-score-9.8 score on a scaleStandard Deviation 14
100 mg BlindedChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoresocial communication T-score-3.0 score on a scaleStandard Deviation 9
200 mg OpenChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoreRRB T-score-8.7 score on a scaleStandard Deviation 13.5
200 mg OpenChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoresocial awareness T-score-2.8 score on a scaleStandard Deviation 10.3
200 mg OpenChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoreDSM-5 RRB T-score-8.7 score on a scaleStandard Deviation 13.5
200 mg OpenChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoreDSM-5 social communication interaction T-score-8.3 score on a scaleStandard Deviation 10.6
200 mg OpenChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoresocial cognition T-score-11.4 score on a scaleStandard Deviation 20.9
200 mg OpenChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoretotal T-score-8.6 score on a scaleStandard Deviation 11.1
200 mg OpenChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoresocial communication T-score-8.9 score on a scaleStandard Deviation 11.4
200 mg OpenChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoresocial motivation T-score-11.5 score on a scaleStandard Deviation 12.9
200 mg BlindedChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoreDSM-5 RRB T-score-7.3 score on a scaleStandard Deviation 7.2
200 mg BlindedChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoretotal T-score-9.3 score on a scaleStandard Deviation 9.8
200 mg BlindedChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoresocial awareness T-score-8.0 score on a scaleStandard Deviation 14.9
200 mg BlindedChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoresocial cognition T-score-7.5 score on a scaleStandard Deviation 14.1
200 mg BlindedChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoresocial communication T-score-9.3 score on a scaleStandard Deviation 12.6
200 mg BlindedChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoresocial motivation T-score-6.8 score on a scaleStandard Deviation 4.9
200 mg BlindedChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoreRRB T-score-7.3 score on a scaleStandard Deviation 7.2
200 mg BlindedChange From Baseline in the Social Responsiveness Scale - 2nd Edition (SRS-2) Total T-scoreDSM-5 social communication interaction T-score-9.0 score on a scaleStandard Deviation 11.5
Secondary

Change From Baseline in Vineland Adaptive Behavior Scale - 2nd Edition Communication Standard Score

The Vineland Adaptive Behavior Scales, Second Edition (VABS-II) indicates adaptive functioning and consists of four major domains. Only the communication and socialization domains were done in this study. The VABS-II is comprised of Communication. Communication Standard Scores may range from 20 to 160, with a population mean of 100 and a standard deviation of 15. Lower Vineland Adaptive Behavior Communication Standard Scores indicate a worse state. A positive value of change from baseline indicates improvement.

Time frame: Week 0 and Week 4

Population: Efficacy Population Note that for the efficacy population open-label data is excluded and placebo arms from the first cohort and second cohort are presented separately because in the first cohort questionnaires were filled out at home by patients and in the second cohort they were completed in clinic with study staff.

ArmMeasureValue (MEAN)Dispersion
100 mg OpenChange From Baseline in Vineland Adaptive Behavior Scale - 2nd Edition Communication Standard Score10.1 score on a scaleStandard Deviation 16.6
100 mg BlindedChange From Baseline in Vineland Adaptive Behavior Scale - 2nd Edition Communication Standard Score7.7 score on a scaleStandard Deviation 10.8
200 mg OpenChange From Baseline in Vineland Adaptive Behavior Scale - 2nd Edition Communication Standard Score2.7 score on a scaleStandard Deviation 4.3
200 mg BlindedChange From Baseline in Vineland Adaptive Behavior Scale - 2nd Edition Communication Standard Score3.0 score on a scaleStandard Deviation 2.8
Secondary

Change From Baseline in Vineland Adaptive Behavior Scale - 2nd Edition Socialization Standard Score

The Vineland Adaptive Behavior Scales, Second Edition (VABS-II) indicates adaptive functioning and consists of four major domains. Only the communication and socialization domains were done in this study. The VABS-II data is comprised of Socialization. Socialization Standard Scores may range from 20 to 160, with a population mean of 100 and a standard deviation of 15. Lower Vineland Adaptive Behavior Socialization Standard Scores indicate a worse state. A positive value of change from baseline indicates improvement.

Time frame: Day 0 and Week 4

Population: Efficacy Population Note that for the efficacy population open-label data is excluded and placebo arms from the first cohort and second cohort are presented separately because in the first cohort questionnaires were filled out at home by patients and in the second cohort they were completed in clinic with study staff.

ArmMeasureValue (MEAN)Dispersion
100 mg OpenChange From Baseline in Vineland Adaptive Behavior Scale - 2nd Edition Socialization Standard Score-4.2 score on a scaleStandard Deviation 12.1
100 mg BlindedChange From Baseline in Vineland Adaptive Behavior Scale - 2nd Edition Socialization Standard Score0.0 score on a scaleStandard Deviation 0
200 mg OpenChange From Baseline in Vineland Adaptive Behavior Scale - 2nd Edition Socialization Standard Score7.6 score on a scaleStandard Deviation 11.9
200 mg BlindedChange From Baseline in Vineland Adaptive Behavior Scale - 2nd Edition Socialization Standard Score1.5 score on a scaleStandard Deviation 2.1

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