Autism Spectrum DisorderPhase 2NCT05067582
A 12-Week Crossover Study to Assess the Efficacy, Safety and Tolerability of L1-79 in Subjects Aged 12-21 Years With Autism Spectrum Disorder
A Phase 2 study testing L1-79 in people with Autism Spectrum Disorder and Autism, run by Yamo Pharmaceuticals LLC at 8 sites in United States.
Trial summary
This study will investigate the efficacy, safety and tolerability of L1-79 in participants aged 12-21 years who have been diagnosed with ASD with a score of >/= 70 on the Wechsler Abbreviated Scale of Intelligence (WASI-II), and a score of >/= 4 on the Clinical Global Impression of Severity of Illness (CGI-S) weighted… Read more about this study
- Who is it for?
- Ages 12 to 21 years
- Conditions the study is for
- Autism Spectrum Disorder, Autism
- What is being tested?
- L1-79
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 58 participants
- Where
- 8 sitesUnited States
- Study dates
- 25 Jan 2022to 21 Jun 2024
- 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 12 to 21 years
- All sexes
- No healthy volunteers
- Child, Adult
Who may be able to join
- Male or female adolescents or young adults between 12 and 21 years of age.
- WASI-II standard score with 95% CI containing 70 or greater at screening or within the last 12 months prior to screening.
- Fulfill language criteria required to complete ADOS-2 Modules 2, 3 or 4.
- Diagnosis of ASD based on tool that utilizes the DSM-5 criteria, confirmed with ADOS-2.
- CGI-S (weighted for socialization) of 4 or greater.
- A female is eligible to enter and participate in the study if she is of non-childbearing potential or childbearing potential, has negative pregnancy test at screening and, if sexually active, agrees to use acceptable contraception methods (defined in protocol), for the duration of the study and for at least 30 days after the last dose of study drug.
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- Male subjects if sexually active and female partners of childbearing potential must agree to use acceptable contraceptive methods (defined in protocol), for the duration of the study and for at least 30 days after the last dose of study drug.
- Subjects and caregiver must be willing and able to participate in the testing procedures sufficient to obtain valid scores on the tests used herein.
- Must live with a parent/primary caregiver, or if not, during each week he/she must either spend at least 3 hours a day for at least 4 days or, spend the weekend with a parent/primary caregiver.
- In the opinion of the Investigator, be sufficiently tolerant and capable of complying with the requirements of this trial.
- Able to swallow study medication whole and self-administer medication if living independently or have a parent/caregiver be able to administer medication.
- Subjects or their legal guardians must be willing to sign informed consent and/or assent and caregivers participating in the study must be willing to sign informed consent.
Who cannot join
- Pregnancy or breastfeeding, or intention to become pregnant during the study.
- Uncontrolled inter-current illness including, but not limited to, ongoing or active infection, symptomatic cardio-vascular disease, hepatic disease, renal disease, musculo skeletal or rheumatologic disease, human immunodeficiency virus (HIV), hemorrhagic cerebrovascular accident (HCVA), hepatitis B virus (HBV), or psychiatric illness/social situations that would limit compliance with study requirements.
- Any disease that requires treatment with immunosuppressive drugs.
- A diagnosis of Fragile-X syndrome or Rett syndrome.
- A DSM-5 diagnosis of schizophrenia, schizoaffective disorder, alcohol use disorder, current or lifetime diagnosis of severe psychiatric disorder (e.g., bipolar disorder, etc.).
- Subjects at risk of suicidal behavior or with a history alcohol or substance abuse/dependence.
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- Presence of any active chronic medical problem including, but not limited to uncontrolled: seizure disorder, heart disease, cancer, asthma, genetic disease.
- Requiring more than 3 medications for the treatment of autism, ADHD, seizures, depression, anxiety, aggression, agitation, obsessive compulsive disorder, tic disorder, or other disorder commonly co-occurring with ASD.
- Initiation of new or major change in psychosocial intervention within 12 weeks prior to screening and throughout the duration of the study.
- School or academic setting are expected to change during the course the study.
- Clinically significant ECG abnormalities including subjects with baseline QTc prolongation (QTcF >450 msec for males and >470 msec in females).
- On concomitant medications known to prolong the QTc interval.
- Presence of out of range hepatic or renal function tests or other unexplained abnormal laboratory value that is deemed clinically significant by the Investigator.
- On any of the following medications: alpha-2 agonists (including, but not limited to clonidine and guanfacine), beta-blockers, anti-hypertensives, and antipsychotics not approved for use in ASD.
- Taking disallowed concomitant medications within 2 months (antipsychotics) and 1 month (all other medications) prior to Baseline.
- Any subject or caregiver who is unwilling or unable to give informed consent.
- Participated in an investigational drug study within 90 days prior to Baseline.
Trial locations and contacts
8 sites in 1 country.
8 sites in 1 country
United States8 sites
Rush University
Chicago, Illinois, 60612
Thompson Center for Autism and Neurodevelopmental Disorders
Columbia, Missouri, 65211
Ohio State University
Columbus, Ohio, 43210
Red Oak Psychiatry Associates
Houston, Texas, 77090
Thompson Autism Center CHOC
Orange, California, 92868
Southwest Autism Research and Resource Center
Phoenix, Arizona, 85006
Cortica
San Rafael, California, 94093
Center for Autism and The Developing Brain
White Plains, New York, 10032
About this study
Official title: A Randomized, Double-Blind, Chronic Dosing (12-weeks), Two-Period, Placebo-Controlled, Crossover, Multi-Center Study to Assess the Efficacy, Safety, and Tolerability of Two Doses of L1-79 for the Treatment of the Core Deficits in Social-Communication Interaction in Adolescents and Young Adults With Autism Spectrum Disorder
This study will investigate the efficacy, safety and tolerability of L1-79 in participants aged 12-21 years who have been diagnosed with ASD with a score of >/= 70 on the Wechsler Abbreviated Scale of Intelligence (WASI-II), and a score of >/= 4 on the Clinical Global Impression of Severity of Illness (CGI-S) weighted for socialization.
- Conditions
- Autism Spectrum Disorder, Autism
- Being tested
- L1-79
- Medical subject headings
- Autism Spectrum Disorder, Autistic Disorder
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
L1-79Drug
Also called DL-alpha-Methyltyrosine
tyrosine hydroxylase inhibitor
| Study group | Role | What they receive |
|---|---|---|
| Placebo Capsules | Placebo comparator | 1 capsule twice daily Receives: Drug: L1-79 |
| L1-79 200 mg or 300 mg Capsules | Experimental | 1 capsule twice daily Receives: Drug: L1-79 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Vineland Adaptive Behavior Scale, Third Edition (Vineland-3), Responder Analysis
at least 1 point improvement in 2/3 socialization subdomains or at least 3 point improvement in socialization domain
Measured: Week 12
Secondary outcomes (16)
Vineland-3 Socialization Domain, Standard Score
Measured: Week 12
V-scale Score for Each of the 3 Socialization Subdomains of the Vineland-3
Measured: Week 12
Clinical Global Impression of Severity of Illness (CGI-S) Weighted for Socialization
Measured: Week 12
Clinical Global Impression of Change (CGI-C) Weighted for Socialization
Measured: Week 12
Growth Scale Value (GSV) of Each of the 3 Socialization Subdomains of the Vineland-3
Measured: Week 12
Caregiver Global Impression of Change of 3 Most Bothersome Symptoms of ASD (CGI-3P)
Measured: Week 12
Social Responsiveness Scale, Second Edition (SRS-2) Social-Communication and Interaction - DSM-5 Composite T-score
Measured: Week 12
Social Responsiveness Scale, Second Edition (SRS-2) Social Awareness T-score
Measured: Week 12
Social Responsiveness Scale, Second Edition (SRS-2) Social Cognition T-score
Measured: Week 12
Social Responsiveness Scale, Second Edition (SRS-2) Social Motivation T-score
Measured: Week 12
Social Responsiveness Scale, Second Edition (SRS-2) Social Communication T-score
Measured: Week 12
Social Responsiveness Scale, Second Edition (SRS-2) Total T-score
Measured: Week 12
Parent-rated Anxiety Scale for ASD (PRAS-ASD)
Measured: Week 12
Aberrant Behavior Checklist, Second Edition (ABC-2) Social Withdrawal/Lethargy Subscale
Measured: Week 12
Aberrant Behavior Checklist, Second Edition (ABC-2) Inappropriate Speech Subscale
Measured: Week 12
Child's Sleep Habits Questionnaire (CSHQ)
Measured: Week 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Oct 2021
- Study start25 Jan 2022
- Primary completion18 Jun 2024
- Study completion21 Jun 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Autism Spectrum DisorderStudies of the same condition, open and under way.
- 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
- Crossover
- Model description
- Two Period Crossover
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 58 participants (actual)
Sponsor and investigators
- Lead sponsor
- Yamo Pharmaceuticals LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Tom Megerian, MD, PhD, Study director, CMO and Senior VP of Clinical Development
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05067582
- Sponsor's protocol ID
- Y202
- Status last verified
- Jul 2024
- First submitted
- 22 Sep 2021
- Last updated
- 31 Jul 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 31 Jul 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Chronic Dosing (12-weeks), Two-Period, Placebo-Controlled, Crossover, Multi-Center Study to Assess the Efficacy, Safety, and Tolerability of Two Doses of L1-79 for the Treatment of the Core Deficits in Social-Communication Interaction in Adolescents and Young Adults With Autism Spectrum Disorder
- ClinicalTrials.gov ID
- NCT05067582
- Acronym / sponsor ID
- Y202
- Conditions
- Autism Spectrum Disorder, Autism
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 58 participants (actual)
- Lead sponsor
- Yamo Pharmaceuticals LLCIndustry (pharma, biotech, devices)
- Study start
- 25 Jan 2022 (actual)
- Primary completion
- 18 Jun 2024 (actual)
- Study completion
- 21 Jun 2024 (actual)
- First posted
- 5 Oct 2021 (actual)
- 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 study will investigate the efficacy, safety and tolerability of L1-79 in participants aged 12-21 years who have been diagnosed with ASD with a score of >/= 70 on the Wechsler Abbreviated Scale of Intelligence (WASI-II), and a score of >/= 4 on the Clinical Global Impression of Severity of Illness (CGI-S) weighted for socialization.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
- Model description
- Two Period Crossover
| Arm | Type | Receives |
|---|---|---|
| Placebo Capsules | Placebo comparator | Drug: L1-791 capsule twice daily |
| L1-79 200 mg or 300 mg Capsules | Experimental | Drug: L1-791 capsule twice daily |
Who may qualify
- Ages
- 12 to 21 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult
Key inclusion criteria (12 listed)
- Male or female adolescents or young adults between 12 and 21 years of age.
- WASI-II standard score with 95% CI containing 70 or greater at screening or within the last 12 months prior to screening.
- Fulfill language criteria required to complete ADOS-2 Modules 2, 3 or 4.
- Diagnosis of ASD based on tool that utilizes the DSM-5 criteria, confirmed with ADOS-2.
- CGI-S (weighted for socialization) of 4 or greater.
Key exclusion criteria (17 listed)
- Pregnancy or breastfeeding, or intention to become pregnant during the study.
- Uncontrolled inter-current illness including, but not limited to, ongoing or active infection, symptomatic cardio-vascular disease, hepatic disease, renal disease, musculo skeletal or rheumatologic disease, human immunodeficiency virus (HIV), hemorrhagic cerebrovascular accident (HCVA), hepatitis B virus (HBV), or psychiatric illness/social situations that would limit compliance with study requirements.
- Any disease that requires treatment with immunosuppressive drugs.
- A diagnosis of Fragile-X syndrome or Rett syndrome.
- A DSM-5 diagnosis of schizophrenia, schizoaffective disorder, alcohol use disorder, current or lifetime diagnosis of severe psychiatric disorder (e.g., bipolar disorder, etc.).
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 |
|---|---|---|
| L1-79Also: DL-alpha-Methyltyrosinetyrosine hydroxylase inhibitor | Drug | L1-79 200 mg or 300 mg Capsules, Placebo Capsules |
Primary outcome
Vineland Adaptive Behavior Scale, Third Edition (Vineland-3), Responder Analysis
Time frame: Week 12
at least 1 point improvement in 2/3 socialization subdomains or at least 3 point improvement in socialization domain
16 secondary outcomes
Vineland-3 Socialization Domain, Standard Score
Time frame: Week 12
V-scale Score for Each of the 3 Socialization Subdomains of the Vineland-3
Time frame: Week 12
Clinical Global Impression of Severity of Illness (CGI-S) Weighted for Socialization
Time frame: Week 12
Clinical Global Impression of Change (CGI-C) Weighted for Socialization
Time frame: Week 12
Growth Scale Value (GSV) of Each of the 3 Socialization Subdomains of the Vineland-3
Time frame: Week 12
Caregiver Global Impression of Change of 3 Most Bothersome Symptoms of ASD (CGI-3P)
Time frame: Week 12
Social Responsiveness Scale, Second Edition (SRS-2) Social-Communication and Interaction - DSM-5 Composite T-score
Time frame: Week 12
Social Responsiveness Scale, Second Edition (SRS-2) Social Awareness T-score
Time frame: Week 12
Social Responsiveness Scale, Second Edition (SRS-2) Social Cognition T-score
Time frame: Week 12
Social Responsiveness Scale, Second Edition (SRS-2) Social Motivation T-score
Time frame: Week 12
Social Responsiveness Scale, Second Edition (SRS-2) Social Communication T-score
Time frame: Week 12
Social Responsiveness Scale, Second Edition (SRS-2) Total T-score
Time frame: Week 12
Parent-rated Anxiety Scale for ASD (PRAS-ASD)
Time frame: Week 12
Aberrant Behavior Checklist, Second Edition (ABC-2) Social Withdrawal/Lethargy Subscale
Time frame: Week 12
Aberrant Behavior Checklist, Second Edition (ABC-2) Inappropriate Speech Subscale
Time frame: Week 12
Child's Sleep Habits Questionnaire (CSHQ)
Time frame: 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 31 Jul 2024.
- Individual participant dataSharing planned: No
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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.
Tom Megerian, MD, PhD study director
CMO and Senior VP of Clinical Development
8 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 L1-79 in people with Autism Spectrum Disorder and Autism, run by Yamo Pharmaceuticals LLC at 8 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 12 inclusion and 17 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 31 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 8 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?
Vineland Adaptive Behavior Scale, Third Edition (Vineland-3), Responder Analysis (time frame: Week 12). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 31 Jul 2024.