Autism Spectrum DisorderPhase 2NCT01793441
A Study of RG7314 to Investigate Efficacy and Safety in Individuals With Autism Spectrum Disorders (ASD)
A Phase 2 study testing RG7314 in people with Autism Spectrum Disorder, run by Hoffmann-La Roche at 56 sites in United States.
Trial summary
This multi-center, randomized, double-blind, parallel group, placebo-controlled, proof of concept study will investigate the efficacy and safety of RG7314 in adult participants with ASD. Read more about this study
- Who is it for?
- Ages 18 to 45 years, men only
- Conditions the study is for
- Autism Spectrum Disorder
- What is being tested?
- RG7314
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 223 participants
- Where
- 56 sitesUnited States
- Study dates
- Sep 2013to Sep 2016
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 45 years
- Men only
- No healthy volunteers
- Adult
Who may be able to join
- Participants meet Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for ASD and Tenth Revision of the International Classification of Diseases and Related Health Problems (ICD-10) criteria for Autism diagnosis
- SRS-2 (T-score) greater than or equal to (>/=) 66
- CGI-S >/=4 (moderately ill)
- Participants have an Intelligence Quotient (IQ) >/=70 (Wechsler Abbreviated State of Intelligence)
- A body mass index (BMI) between 18 to 40 kilograms per square meter (kg/m^2) inclusive
- Language, hearing and vision compatible with the study measurements as judged by the investigator
- Lives with (or has substantial periods of contact with) a caregiver who is willing and able to attend visits when required, oversee the participant's compliance with protocol-specified procedures and study medication dosing, and report on the participant's status via completion of study assessments. Any period of absence must be covered by another caregiver. Non-cohabitating caregiver(s) must spend sufficient time with the participant so that, in the opinion of the investigator, the caregiver(s) can reliably assess participant's mental status, activities and behavior.
Who cannot join
- Alcohol and/or substance abuse/dependence during the last 12 months
- A significant risk for suicidal behavior, in the opinion of the investigator
- Systolic blood pressure greater than (>) 140 or less than (<) 90 millimeters of mercury (mm Hg), and diastolic blood pressure >90 or less than (<) 50 mm Hg
- Resting pulse rate >90 or <40 beats per minute
- Use of prohibited medications or herbal remedies within 2 weeks prior to randomization, or 5 half-lives (whichever is longer)
- Initiation of a new major change in psychological intervention within 4 weeks prior to randomization. Minor changes in ongoing treatment are not considered significant
- Participation in an investigational drug or device study within 60 days prior to randomization
Trial locations and contacts
56 sites in 1 country.
56 sites in 1 country
United States56 sites
The Kennedy Krieger Institute
Baltimore, Maryland, 21205
Study site
Baltimore, Maryland, 21205
Northwest Clinical Research Center
Bellevue, Washington, 98007
Study site
Bellevue, Washington, 98007
Pacific Institute of Medical Sciences
Bothell, Washington, 98011
Study site
Bothell, Washington, 98011
DBA IMMUNOe Int'l Res Center
Centennial, Colorado, 80112
Study site
Centennial, Colorado, 80112
Rush University Medical Center
Chicago, Illinois, 60612
Study site
Chicago, Illinois, 60612
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, 45229
Study site
Cincinnati, Ohio, 45229
University Hospitals
Cleveland, Ohio, 44106
Study site
Cleveland, Ohio, 44106
Emory University School of Medicine; Department of Human Genetics & Pediatrics
Decatur, Georgia, 30033
Study site
Decatur, Georgia, 30033
Neurology offices of south florida
Delray Beach, Florida, 33445
Study site
Delray Beach, Florida, 33445
DUKE SCHOOL OF MEDICINE;Duke Center for Autism and Brain Development
Durham, North Carolina, 27705
Study site
Durham, North Carolina, 27705
Massachusetts General Hospital
Lexington, Massachusetts, 02421
Study site
Lexington, Massachusetts, 02421
University of Minnesota; Clin. Neuro Research Unit
Minneapolis, Minnesota, 55414
Study site
Minneapolis, Minnesota, 55414
Vanderbilt Medical Center
Nashville, Tennessee, 37232
Study site
Nashville, Tennessee, 37232
Yale University; Yale Child Study Center
New Haven, Connecticut, 06510
Study site
New Haven, Connecticut, 06510
Mount Sinai School of Medicine; Seaver Autism Center
New York, New York, 10029
Study site
New York, New York, 10029
Research Centers of America, LLC
Oakland Park, Florida, 33334
Study site
Oakland Park, Florida, 33334
Nathan S. Kline Institute for Psychiatric Research
Orangeburg, New York, 10962
Study site
Orangeburg, New York, 10962
Compass Research
Orlando, Florida, 32806
Study site
Orlando, Florida, 32806
Southwest Autism Research & Resource Center
Phoenix, Arizona, 85006
Study site
Phoenix, Arizona, 85006
UPMC Western Psychiatric Institute and Clinic
Pittsburgh, Pennsylvania, 15203 1101
Study site
Pittsburgh, Pennsylvania, 15203 1101
Neuroscientific Insights
Rockville, Maryland, 20852
Study site
Rockville, Maryland, 20852
University of California Davis
Sacramento, California, 95817
Study site
Sacramento, California, 95817
Road Runner Research
San Antonio, Texas, 78258
Study site
San Antonio, Texas, 78258
PCSD Feighner Research
San Diego, California, 92108
Study site
San Diego, California, 92108
University of California at San Francisco
San Francisco, California, 94115
Study site
San Francisco, California, 94115
Study site
Santa Ana, California, 92705
Seattle Children's Research Institute
Seattle, Washington, 98145
Study site
Seattle, Washington, 98145
Study site
Stanford, California, 94305
Montefiore Medical Center; Departments of Psychiatry & Biobehavioral Science
The Bronx, New York, 10467
Study site
The Bronx, New York, 10467
About this study
Official title: A Multi-Center, Randomized, Double-Blind, 12-Week, Parallel Group, Placebo-Controlled Proof of Concept Study to Investigate the Efficacy and Safety of RG7314 in Individuals With Autism Spectrum Disorders (ASD)
This multi-center, randomized, double-blind, parallel group, placebo-controlled, proof of concept study will investigate the efficacy and safety of RG7314 in adult participants with ASD. In Stage I of the study, participants will be randomized in 2:1 to receive daily oral doses of 1.5 milligrams (mg) RG7314 or placebo for 12 weeks. After an independent safety review, the study may proceed to Stage II. In Stage II of the study, additional participants will be randomized in 2:1 to receive daily oral doses of 4 mg RG7314 or placebo for 12 weeks. After an independent safety review, Stage III will be started wherein additional participants will be randomized in 2:1 to receive daily oral doses of 10 mg RG7314 or placebo for 12 weeks. During Stage III, safety will be reviewed by independent safety review twice and if no safety signal is observed, then additional participants will be randomized in 1:1:1 either to receive 1.5 milligrams per day (mg/day) or 10 mg/day RG7314 orally or placebo for 12 weeks in Stage IV.
- Conditions
- Autism Spectrum Disorder
- Being tested
- Placebo, RG7314
- Medical subject headings
- Autism Spectrum Disorder
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PlaceboDrug
Placebo will be administered in different stages of the study for 12 weeks.
RG7314Drug
RG7314 will be administered orally at a dose of 1.5 mg/day in Stage I, 4 mg/day in Stage II, 10 mg/day in Stage III and 1.5 mg/day or 10 mg/day in Stage IV for 12 weeks.
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Participants will receive placebo matching to RG7314 in each stage (Stage I, II, III and IV) for 12 weeks. Receives: Drug: Placebo |
| RG7314 | Experimental | Participants will receive RG7314 orally at a dose of 1.5 mg/day in Stage I, 4 mg/day in Stage II, 10 mg/day in Stage III and 1.5 mg/day or 10 mg/day in Stage IV for 12 weeks. Receives: Drug: RG7314 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Social Communication Deficits as Measured by Social Responsiveness Scale 2 (SRS-2)
Measured: Baseline, Week 12
Percentage of Participants with Suicidality, as Measured by the Columbia-Suicide Severity Rating Scale (C-SSRS)
Measured: Baseline up to Week 12
Percentage of Participants With Adverse Events
Measured: From Baseline up to Week 18
Secondary outcomes (13)
Change From Baseline in Behavior/Symptoms as Measured by Aberrant Behavior Checklist (ABC)
Measured: Baseline, Week 12
Change From Baseline in Behavior/Symptoms as Measured by Repetitive Behavior Scale-Revised (RBS-R)
Measured: Baseline, Week 12
Change From Baseline in Behavior/Symptoms as Measured by Anxiety, Depression and Mood Scale (ADAMS)
Measured: Baseline, Week 12
Measure: Change From Baseline in Behavior/Symptoms as Measured by State-Trait Anxiety Inventory (STAI)
Measured: Baseline, Week 12
Change From Baseline in Clinical Global Impressions as Measured by Clinical Global Impressions Improvement (CGI-I) Scale
Measured: Baseline, Week 12
Change From Baseline in Adaptive Functioning and Skills as Measured by Vineland-II Adaptive Behavior Scale (VABS)
Measured: Baseline, Week 12
Plasma Concentration of RG7314
Measured: Pre-dose (0 hours [hr]), and 2, 4, 6 hrs post-dose on Day 1, 14, 84; pre-dose (0 hr) on Day 42; any time during early withdrawal visit (up to Week 12)
Plasma Concentration of RG7314 Metabolite M3
Measured: Pre-dose (0 hr), and 2, 4, 6 hrs post-dose on Day 1, 14, 84; pre-dose (0 hr) on Day 42; any time during early withdrawal visit (up to Week 12)
Area Under the Plasma Concentration Versus Time Curve From Time Zero to Last Measurable Concentration (AUClast) of RG7314
Measured: Pre-dose (0 hr), and 2, 4, 6 hrs post-dose on Day 1, 14, 84; pre-dose (0 hr) on Day 42; any time during early withdrawal visit (up to Week 12)
AUClast of RG7314 Metabolite M3
Measured: Pre-dose (0 hr), and 2, 4, 6 hrs post-dose on Day 1, 14, 84; pre-dose (0 hr) on Day 42; any time during early withdrawal visit (up to Week 12)
Maximum Observed Plasma Concentration (Cmax) of RG7314
Measured: Pre-dose (0 hr), and 2, 4, 6 hrs post-dose on Day 1, 14, 84; pre-dose (0 hr) on Day 42; any time during early withdrawal visit (up to Week 12)
Cmax of RG7314 Metabolite M3
Measured: Pre-dose (0 hr), and 2, 4, 6 hrs post-dose on Day 1, 14, 84; pre-dose (0 hr) on Day 42; any time during early withdrawal visit (up to Week 12)
Percentage of Participants With Clinical Response, Defined as At Least 25% Improvement in the SRS-2 Score With a CGI-I Score of 1 or 2
Measured: From Baseline to Week 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Feb 2013 (estimated)
- Study startSep 2013
- Primary completionSep 2016
- Study completionSep 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Autism Spectrum DisorderStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 223 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01793441
- Sponsor's protocol ID
- BP28420
- Other IDs
- 2012-005597-55
- Status last verified
- Jan 2017
- First submitted
- 14 Feb 2013
- Last updated
- 3 Feb 2017
- Results posted
- No
Publications
Iffland M, Livingstone N, Jorgensen M, Hazell P, Gillies D. Pharmacological intervention for irritability, aggression, and self-injury in autism spectrum disorder (ASD). Cochrane Database Syst Rev. 2023 Oct 9;10(10):CD011769. doi: 10.1002/14651858.CD011769.pub2.
PubMed 37811711
Study at a glance
From the registry record, last updated by the sponsor on 3 Feb 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multi-Center, Randomized, Double-Blind, 12-Week, Parallel Group, Placebo-Controlled Proof of Concept Study to Investigate the Efficacy and Safety of RG7314 in Individuals With Autism Spectrum Disorders (ASD)
- ClinicalTrials.gov ID
- NCT01793441
- Acronym / sponsor ID
- BP28420
- Conditions
- Autism Spectrum Disorder
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 223 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- Sep 2013
- Primary completion
- Sep 2016 (actual)
- Study completion
- Sep 2016 (actual)
- First posted
- 15 Feb 2013 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This multi-center, randomized, double-blind, parallel group, placebo-controlled, proof of concept study will investigate the efficacy and safety of RG7314 in adult participants with ASD. In Stage I of the study, participants will be randomized in 2:1 to receive daily oral doses of 1.5 milligrams (mg) RG7314 or placebo for 12 weeks. After an independent safety review, the study may proceed to Stage II. In Stage II of the study, additional participants will be randomized in 2:1 to receive daily oral doses of 4 mg RG7314 or placebo for 12 weeks. After an independent safety review, Stage III will be started wherein additional participants will be randomized in 2:1 to receive daily oral doses of 10 mg RG7314 or placebo for 12 weeks. During Stage III, safety will be reviewed by independent safety review twice and if no safety signal is observed, then additional participants will be randomized in 1:1:1 either to receive 1.5 milligrams per day (mg/day) or 10 mg/day RG7314 orally or placebo for 12 weeks in Stage IV.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: PlaceboParticipants will receive placebo matching to RG7314 in each stage (Stage I, II, III and IV) for 12 weeks. |
| RG7314 | Experimental | Drug: RG7314Participants will receive RG7314 orally at a dose of 1.5 mg/day in Stage I, 4 mg/day in Stage II, 10 mg/day in Stage III and 1.5 mg/day or 10 mg/day in Stage IV for 12 weeks. |
Who may qualify
- Ages
- 18 to 45 years
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (7 listed)
- Participants meet Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for ASD and Tenth Revision of the International Classification of Diseases and Related Health Problems (ICD-10) criteria for Autism diagnosis
- SRS-2 (T-score) greater than or equal to (>/=) 66
- CGI-S >/=4 (moderately ill)
- Participants have an Intelligence Quotient (IQ) >/=70 (Wechsler Abbreviated State of Intelligence)
- A body mass index (BMI) between 18 to 40 kilograms per square meter (kg/m^2) inclusive
Key exclusion criteria (7 listed)
- Alcohol and/or substance abuse/dependence during the last 12 months
- A significant risk for suicidal behavior, in the opinion of the investigator
- Systolic blood pressure greater than (>) 140 or less than (<) 90 millimeters of mercury (mm Hg), and diastolic blood pressure >90 or less than (<) 50 mm Hg
- Resting pulse rate >90 or <40 beats per minute
- Use of prohibited medications or herbal remedies within 2 weeks prior to randomization, or 5 half-lives (whichever is longer)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PlaceboPlacebo will be administered in different stages of the study for 12 weeks. | Drug | Placebo |
| RG7314RG7314 will be administered orally at a dose of 1.5 mg/day in Stage I, 4 mg/day in Stage II, 10 mg/day in Stage III and 1.5 mg/day or 10 mg/day in Stage IV for 12 weeks. | Drug | RG7314 |
Primary outcome
Change From Baseline in Social Communication Deficits as Measured by Social Responsiveness Scale 2 (SRS-2)
Time frame: Baseline, Week 12
Percentage of Participants with Suicidality, as Measured by the Columbia-Suicide Severity Rating Scale (C-SSRS)
Time frame: Baseline up to Week 12
Percentage of Participants With Adverse Events
Time frame: From Baseline up to Week 18
13 secondary outcomes
Change From Baseline in Behavior/Symptoms as Measured by Aberrant Behavior Checklist (ABC)
Time frame: Baseline, Week 12
Change From Baseline in Behavior/Symptoms as Measured by Repetitive Behavior Scale-Revised (RBS-R)
Time frame: Baseline, Week 12
Change From Baseline in Behavior/Symptoms as Measured by Anxiety, Depression and Mood Scale (ADAMS)
Time frame: Baseline, Week 12
Measure: Change From Baseline in Behavior/Symptoms as Measured by State-Trait Anxiety Inventory (STAI)
Time frame: Baseline, Week 12
Change From Baseline in Clinical Global Impressions as Measured by Clinical Global Impressions Improvement (CGI-I) Scale
Time frame: Baseline, Week 12
Change From Baseline in Adaptive Functioning and Skills as Measured by Vineland-II Adaptive Behavior Scale (VABS)
Time frame: Baseline, Week 12
Plasma Concentration of RG7314
Time frame: Pre-dose (0 hours [hr]), and 2, 4, 6 hrs post-dose on Day 1, 14, 84; pre-dose (0 hr) on Day 42; any time during early withdrawal visit (up to Week 12)
Plasma Concentration of RG7314 Metabolite M3
Time frame: Pre-dose (0 hr), and 2, 4, 6 hrs post-dose on Day 1, 14, 84; pre-dose (0 hr) on Day 42; any time during early withdrawal visit (up to Week 12)
Area Under the Plasma Concentration Versus Time Curve From Time Zero to Last Measurable Concentration (AUClast) of RG7314
Time frame: Pre-dose (0 hr), and 2, 4, 6 hrs post-dose on Day 1, 14, 84; pre-dose (0 hr) on Day 42; any time during early withdrawal visit (up to Week 12)
AUClast of RG7314 Metabolite M3
Time frame: Pre-dose (0 hr), and 2, 4, 6 hrs post-dose on Day 1, 14, 84; pre-dose (0 hr) on Day 42; any time during early withdrawal visit (up to Week 12)
Maximum Observed Plasma Concentration (Cmax) of RG7314
Time frame: Pre-dose (0 hr), and 2, 4, 6 hrs post-dose on Day 1, 14, 84; pre-dose (0 hr) on Day 42; any time during early withdrawal visit (up to Week 12)
Cmax of RG7314 Metabolite M3
Time frame: Pre-dose (0 hr), and 2, 4, 6 hrs post-dose on Day 1, 14, 84; pre-dose (0 hr) on Day 42; any time during early withdrawal visit (up to Week 12)
Percentage of Participants With Clinical Response, Defined as At Least 25% Improvement in the SRS-2 Score With a CGI-I Score of 1 or 2
Time frame: From Baseline to Week 12
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Feb 2017.
- Derived from this study: PubMed 37811711Iffland M, Livingstone N, Jorgensen M, Hazell P, Gillies D. Pharmacological intervention for irritability, aggression, and self-injury in autism spectrum disorder (ASD). Cochrane Database Syst Rev. 2023 Oct 9;10(10):CD011769. doi: 10.1002/14651858.CD011769.pub2.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Trials study director
Hoffmann-La Roche
56 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing RG7314 in people with Autism Spectrum Disorder, run by Hoffmann-La Roche at 56 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 3 Feb 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 56 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change From Baseline in Social Communication Deficits as Measured by Social Responsiveness Scale 2 (SRS-2) (time frame: Baseline, Week 12). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01793441, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Feb 2017.