Secretin for the Treatment of Autism

United States Department of Health and Human Services (HHS)

Status and phase

Completed

Phase 3

Conditions

Autism

Treatments

Drug: secretin, biologically derived porcine

Drug: secretin, synthetic porcine

Study type

Interventional

Funder types

NIH

Identifiers

NCT00065962

Supplement CRC99-3

3P01HD035468 (U.S. NIH Grant/Contract)

NICHD-23

57-937

5P01HD035465 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

Many drugs used to treat autism target specific symptoms, such as hyperactivity and aggressiveness. Few drugs target the core autistic symptoms of impaired social interaction and communication. This study will evaluate two forms of the drug secretin for the treatment of core autistic symptoms.

Full description

Autism is a disorder characterized by impairments of social interactions, verbal and nonverbal communication, and preoccupation with unusual activities or interests, particularly stereotyped or repetitive movements. This debilitating disorder is estimated to occur in 2 to 10 of every 10,000 births. A primary focus in pyschopharmacological intervention has been to treat specific associated symptoms, such as hyperactivity, aggressiveness, and temper tantrums; there are few pharmacologic treatments directed toward core autistic symptoms.

Secretin is a gut hormone with binding sites in the brain. Previous research has described three patients with autism who underwent diagnostic endoscopy for gastrointestinal complaints and experienced dramatic improvement in autistic symptoms following the administration of intravenous secretin given as part of endoscopy. Though the results of this single, uncontrolled study have limited interpretive value, many autistic children have been exposed and continue to be exposed to this potential treatment in an uncontrolled manner. This double blind, placebo-controlled trial will evaluate the safety and efficacy of secretin for the treatment of autism.

Participants will be randomly assigned to one of three treatment groups: synthetic porcine secretin (sPS), biologically derived porcine secretin (bPS), or placebo. Each participant will be given an initial intravenous dose of 0.1 ml of their assigned treatment at the appropriate dose (0.2 ug for sPS and 1 CU for bPS). If no allergic reaction occurs within one minute, the participants will continue in the study and receive the full remaining dose over one minute. Participants will be evaluated one week before and four weeks after infusion for social, communication, and behavioral functioning as measured by Autistic Diagnostic Observation Schedule Generic (by blinded raters); Rimland Questionnaires (by parents and teachers); Expressive Vocabulary Test; MacArthur Communication Inventory (by parents and teachers); and Aberrant Behavior Checklist (by parents and teachers). Participants will also have a physical exam and blood and urine tests. After completion of preliminary data analysis, placebo patients will be offered open label therapy if appropriate.

Sex

All

Ages

3 to 12 years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria

Autism based on DSM-IV criteria
IQ > 35
Medically fit for the study in the judgment of the study officials

Exclusion Criteria

Prior administration of secretin
Acute or chronic pancreatitis
Use of anticholinergics within 72 hours of study entry or anticipated need for anticholinergics during study
Allergies to pork products
Use of investigational drug within 1 month of study entry
Change in any medication or other therapeutic modality being used to treat any neurodevelopmental or gastrointestinal symptoms of the underlying autism disorder within 1 month of study entry
Any medical condition which, in the judgment of the investigator, would make the patient unable to safely participate in the study or comply with all study procedures
Any medical diagnosis which could account for autistic spectrum disorder (i.e., Rett syndrome, Fragile X, tuberous sclerosis, disintegrative disorder, epilepsy, Landau Kleffner, other mental retardation syndromes, or history of severe motor delays or current sensory or motor impairment such as cerebral palsy)
Hearing or visual impairments
Use of psychotropic medications (except for occasional symptomatic use for sleep, etc.) within 6 months of study entry