Treating Oxidative Stress and the Metabolic Pathology of Autism

Hypothesis: Many children with autism have impaired methylation and antioxidant/detoxification capacity and chronic oxidative stress. Targeted nutritional intervention that is designed to correct the metabolic imbalance will normalize their metabolic profile and improve measures of autistic behavior...

Date First Received: December 11, 2007

Last Updated: June 4, 2008

Verified by: Arkansas Children's Hospital Research Institute, June 2008

Clinical Trial Phase: N/A | Start Date: June 2008

Overall Status: Recruiting

Estimated Enrollment: 50

Brief Summary

Official Title: “Treating Oxidative Stress and the Metabolic Pathology of Autism”

Condition Keyword(s):

Hypothesis: Many children with autism have impaired methylation and antioxidant/detoxification capacity and chronic oxidative stress. Targeted nutritional intervention that is designed to correct the metabolic imbalance will normalize their metabolic profile and improve measures of autistic behavior.

Study Type: Interventional

Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator), Placebo Control, Crossover Assignment, Efficacy Study

Study Primary Completion Date: January 2011

Intervention(s) in this Clinical Trial

  • Dietary Supplement: B12
    • Methylcobalamin Dose: 75 ug/Kg every 3 days
  • Dietary Supplement: Placebo
    • cellulose
  • Dietary Supplement: folate
    • Folinic acid: Dose: 400 µg bid
  • Dietary Supplement: B complex
    • B-Complex: B-1 (3 mg); B-2 (3.4 mg).; B-352 (20 mg); B-6 (4 mg;) Pantothenic Acid(10 mg); Biotin (300 mcg); pyridoxal (25mg)
  • Dietary Supplement: vitamin C
    • Vitamin C 500 mg
  • Dietary Supplement: cod liver oil
    • Cod liver oil 1/2 tsp
  • Dietary Supplement: Mineral complex
    • Magnesium citrate(200 mg); Selenium(50 mcg, Zinc picolinate(25 mg), Molybdenum(50 mcg; Calcium citrate(400 mg)
  • Dietary Supplement: carnitine
    • Acetyl L-Carnitine Dose: 250 mg

Arms, Groups and Cohorts in this Clinical Trial

  • Experimental: 1
    • Nutritional supplementation
  • Placebo Comparator: 2
    • Placebo

Outcome Measures for this Clinical Trial

Primary Measures

  • Behavioral test scores
    • Time Frame: 4 months
      Safety Issue?: No

Secondary Measures

  • Plasma metabolic profile
    • Time Frame: 4 months
      Safety Issue?: No

Criteria for Participation in this Clinical Trial

Inclusion Criteria:

  • ADOS and DSM-IV (299.0) diagnosis of Autistic Disorder
  • Both sexes
  • Age range 3-7

Exclusion Criteria:

  • PDD-NOS
  • Asperger's
  • Rett syndrome
  • Fragile X
  • Tuberous sclerosis or other genetic conditions associated with autism
  • Frequent seizures
  • Recurrent or current infection
  • Severe gastrointestinal distress

Gender Eligibility for this Clinical Trial: Both

Minimum Age for this Clinical Trial: 3 Years

Maximum Age for this Clinical Trial: 7 Years

Are Healthy Volunteers Accepted for this Clinical Trial?: No

Clinical Trial Sponsor Information

Lead Sponsor: Arkansas Children's Hospital Research Institute

Overall Clinical Trial Officials and Contacts

Jill James, PhD Principal Investigator University of Arkansas  

Overall Contact: Jill James, PhD 501 951-3173 jamesjill@uams.edu

Related Publications

References

James SJ, Melnyk S, Jernigan S, Cleves MA, Halsted CH, Wong DH, Cutler P, Bock K, Boris M, Bradstreet JJ, Baker SM, Gaylor DW. Metabolic endophenotype and related genotypes are associated with oxidative stress in children with autism. Am J Med Genet B Neuropsychiatr Genet. 2006 Dec 5;141(8):947-56.

Additional Information

Information obtained from ClinicalTrials.gov on September 04, 2008

Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT00572741

Study ID Number: 59538

ClinicalTrials.gov Identifier: NCT00572741

Health Authority: United States: Institutional Review Board

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