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Safety, Tolerability and Pharmacokinetics Study of STP1 in a Subgroup of Patients With Autism Spectrum Disorder (ASD)

A Phase 1b, Double-Blind, Placebo-Controlled, First-in-Human Study to Evaluate Safety, Tolerability and Pharmacokinetics of a Two-Week Oral Treatment With STP1 in a Subgroup of Patients With Autism Spectrum Disorder

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04644003
Enrollment
12
Registered
2020-11-25
Start date
2020-12-07
Completion date
2022-01-28
Last updated
2024-11-08

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

Conditions

Autism Spectrum Disorder

Keywords

ASD, Autism Spectrum Disorder

Brief summary

The main purpose of this study is to evaluate safety and tolerability in a subgroup of patients with Autism Spectrum Disorder (ASD). In addition, Pharmacokinetics and Pharmacodynamics, as well as efficacy of STP1 are being explored.

Detailed description

After obtaining written informed consent, those patients who are deemed eligible for the study, will be randomized on Day 1, in a double-blinded manner, in a 3:1ratio to receive either oral STP1 (twice daily) or placebo (twice daily). The total study duration is 6 weeks, including a screening phase of up to 2 weeks, a treatment phase of 2 weeks and a post-treatment follow-up phase of 2 weeks.

Interventions

DRUGSTP1

STP1 is a combination of two drugs, a phosphodiesterase (PDE) inhibitor and an NKCC1 inhibitor

DRUGPlacebo

Placebo medication (capsule and tablet) identical in appearance to active medication

Sponsors

Stalicla SA
Lead SponsorINDUSTRY

Study design

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

Eligibility

Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
No

Inclusion criteria

Key Inclusion Criteria: 1. Male or female individuals, between 18 and 40 years, diagnosed of ASD. 2. Patients will be assessed for specific developmental anthropometric & anatomical criteria as well as personal and family medical history as assessed by the ASD-Phen1 semi structured interview form. 3. Patients must have a parent or reliable caregiver who can provide information about the pre-natal period and early developmental period, as required by the protocol. 4. Patient and/or parent or legal guardian willing and consenting to participate. 5. Patients with ASD and comorbid seizure disorder should be seizure-free for at least 6 months prior to screening. 6. Before enrolling in the study, subjects must agree to use double-barrier birth control methods if they engage in intercourse. Key

Exclusion criteria

1. Patients with an identified genetic cause of ASD in their medical record will be excluded from the study. 2. History of traumatic head injury, cerebrovascular disorder, congestive heart failure, hepatic or renal disease. 3. Thrombocytopenia. 4. Type 1 Diabetes Mellitus or uncontrolled type 2 Diabetes Mellitus, or latent autoimmune diabetes of the adult. 5. A significant risk for suicidal behavior. 6. Initiation of, or a major change in psychological / behavioral intervention within 4 weeks prior to randomization. 7. Patient with any active infection. 8. Systolic blood pressure (SBP) \<80 mmHg or diastolic blood pressure (DBP) \<40 mmHg or a drop in SBP of ≥20 mm Hg, or in DBP of ≥10 mm Hg, during the orthostatic recordings. 9. Clinically relevant electrocardiogram (ECG) abnormalities. 10. Clinically significant abnormal laboratory test. 11. Active clinically significant disease. 12. History of malignancy. 13. Pregnant (confirmed by laboratory testing) or lactating female patient.

Design outcomes

Primary

MeasureTime frameDescription
Safety and Tolerability14 daysNumber of Participants with Adverse Events (nature and frequency of non-serious adverse events, serious adverse events and adverse events of special interest).

Countries

United States

Participant flow

Recruitment details

The patient population is defined as ASD-Phen1 based on STALICLA criteria. The number of patients enrolled were 12 subjects with 6 subjects receiving STP1-Low Dose, 3 subjects receiving STP1-High Dose, and 3 subjects receiving placebo. All 12 subjects (100.0%) completed treatment with 0 screen failures.

Pre-assignment details

Of 12 enrolled participants, 12 met inclusion criteria and were randomized to treatment.

Participants by arm

ArmCount
STP1 Low Dose
1 capsule and 1 tablet per intake STP1: STP1 is a combination of two drugs, a PDE inhibitor and an NKCC1 inhibitor
6
STP1 High Dose
1 capsule and 1 tablet per intake STP1: STP1 is a combination of two drugs, a PDE inhibitor and an NKCC1 inhibitor
3
Placebo
1 placebo capsule and 1 placebo tablet per intake Placebo: Placebo medication (capsule and tablet) identical in appearance to active medication
3
Total12

Baseline characteristics

CharacteristicSTP1 Low DoseSTP1 High DosePlaceboTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
6 Participants3 Participants3 Participants12 Participants
Age, Continuous18.50 years20.00 years18.00 years18.50 years
Body Mass Index36.80 kg/m^2
STANDARD_DEVIATION 5.02
37.07 kg/m^2
STANDARD_DEVIATION 6.89
25.17 kg/m^2
STANDARD_DEVIATION 5.84
33.96 kg/m^2
STANDARD_DEVIATION 7.38
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants3 Participants3 Participants12 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
1 Participants1 Participants0 Participants2 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
5 Participants2 Participants3 Participants10 Participants
Region of Enrollment
United States
6 participants3 participants3 participants12 participants
Sex: Female, Male
Female
1 Participants1 Participants1 Participants3 Participants
Sex: Female, Male
Male
5 Participants2 Participants2 Participants9 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 60 / 30 / 3
other
Total, other adverse events
5 / 62 / 32 / 3
serious
Total, serious adverse events
0 / 60 / 30 / 3

Outcome results

Primary

Safety and Tolerability

Number of Participants with Adverse Events (nature and frequency of non-serious adverse events, serious adverse events and adverse events of special interest).

Time frame: 14 days

Population: All patients receiving at least 1 dose of randomised treatment.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
STP1 Low DoseSafety and Tolerability6 Participants
STP1 High DoseSafety and Tolerability3 Participants
PlaceboSafety and Tolerability3 Participants

Source: ClinicalTrials.gov · Data processed: Feb 6, 2026