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Steroid Therapy for Autistic Children

Double-blind, Randomized, Placebo-Controlled Clinical Trial of Corticosteroids for the Autistic Spectrum Disorder - CAST: Corticosteroids for Autism - A Scientific Trial

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
REBEC
Registry ID
RBR-7nq8m7
Enrollment
Unknown
Registered
2011-04-12
Start date
2010-05-01
Completion date
Unknown
Last updated
2025-10-27

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

Conditions

The classical clinical picture of autistic spectrum disorder.

Interventions

Intervention Group: 20 subjects will receive oral prednisolone, in a dosage of 1 mg/kg/day, daily during eight weeks. From the ninth through the sixteenth weeks, patients will received a dosage of 1 m
Drug

Sponsors

HUAP
Lead Sponsor

Eligibility

Sex/Gender
Male
Age
3 Years to 7 Years

Inclusion criteria

Inclusion criteria: Male gender. Age range, 3-7 years. Autistic spectrum disorder diagnosed according to the criteria at the Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition-Text Revision (DSM-IV-TR). The subject's parents should read and sign the informed consent form, authorizing the researchers to recruit their child and to prescribe prednisolone.

Exclusion criteria

Exclusion criteria: Diagnosis of epilepsy. Diagnosis of a neurodegenerative disease. Diagnosis of cerebral malformations. Past history of meningitis or encephalitis. Diagnosis of a mass lesion in the central nervous system. Diagnosis of any other neurologic disorder. Gestational history suggestive of fetal or perinatal distress. Patient dos not fully meet the diagnostic criteria of autism. Patient's parents or caretakers did not sign the informed consent form.

Design outcomes

Primary

MeasureTime frame
The study primary endpoint is the subject's language function. During the course of the clinical trial, each subject will undergo four standardized assessments of his/her speech and language. Every assessment is performed by a speech pathologist and consists of the application of three formal tools, i.e.: ABFW (Language Assessment Test, a Brazilian test validated for autistic children). ADL (Language Development Assessment, another Brazilian test) and PEABODY (Picture Vocabulary Test, Third Edition). Each one these tools produces a score, and improvement criterion will be the score increase in the active substance group compared with the control group. Average increase in each score will be compared between the two groups using the unpaired Student's t test, and statistical significance is defined as lower than or equal to 0.05.

Secondary

MeasureTime frame
The study secondary endpoint is the subject score at CARS (Childhood Autism Rating Scale). Each subject receives a score just before the trial beginning and, immediately after the trial period, the scale score is reassessed. Degree of improvement in both groups will be measured and compared according to the score increase.

Countries

Brazil

Contacts

Public ContactAdriana;Marcio Brito;Vasconcelos

HUAP;HUAP

adri.r.brito@gmail.com;mmdvascon@gmail.com+55(21)8565-1212;+55(21)8741-6187

Outcome results

None listed

Source: REBEC (via WHO ICTRP)