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NCT Number: NCT02942498

Clinical Trial for Asses the Safety and Efficacy of Vitamin C and Vitamin E in Combination Versus Placebo for Treating Cognitive and Behavior Disorder in Children With Fragile X Syndrome

The purpose of this study is to determine vitamin C and vitamin E in combination are effective in the treatment of cognitive and behavior disorder in children with fragile X syndrome.

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Key information

About this study

The combination of vitamin E and vitamin C supplementation has been associated with a lower prevalence (-78%) and incidence (-64%) of Alzheimer's disease in the elderly population. It has recently been shown that dietary vitamin E supplementation reduces the production of free radicals inhibiting NADPH oxidase activity in circulating neutrophils. Another work describes the inhibition of glutamate release by activated microglia in cell cultures incubated with vitamin E, effect that can prevent excitotoxicity.

The investigators propose to evaluate the effectiveness of treatment in neurodevelopmental disorders affected by fragile X syndrome (FXS) with lipophilic compounds antioxidants such as tocopherol and hydrophilic compounds antioxidants such as ascorbic acid, which regulate oxidative stress and improve learning and behavioral mouse model and humans.

Our group has positive results in the use of this combination of antioxidants as a treatment for fragile X syndrome in adolescents. This disease has developed previous clinical trials with EUDRACT codes: 2009-017837-23 and 2013-004276-35.

The use of the combination of vitamin C and E in the treatment of cognitive and behavioral disorder in FXS, is patented PCT-050 187 with reference number 2011070875

This combination will be administered as a single oral dose with a total dose of 10mg / kg / day for each of the vitamins. This dose is maintained within the therapeutic range of both antioxidants.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Diagnosis of Fragile X syndrome by genetic testing of molecular biology, full mutation result methylation.
  • Having an older age of 1 year and less than 9 years
  • Having signed the informed consent document before starting their participation in the trial.

Exclusion criteria

  • Any advanced, severe or unstable disease.
  • Individuals with other psychiatric diagnosis as the first diagnosis.
  • It have been suffered serious medical problems in the last 12 months.
  • Be taking more than 100 mg of vitamin E or C a day in the last month.
  • Having physical, mental or sensory impairments that prevent the assessment of effectiveness.
  • Hypersensitivity to any component of the preparation.
  • Liver failure or severe renal or previous history of kidney stones.
  • Any treatment regimen, including treatment with psychotropic drugs and / or anticonvulsant therapy that has not been stable for a period ≥ 4 weeks before randomization.
  • Current treatment with more than two psychoactive medications, excluding medication used specifically for the control of seizures.
  • Hypoprothrombinemia secondary to vitamin K deficiency
  • Sensitivity to any of the compounds of formula treatment.
  • Patients diagnosed with congenital or idiopathic methemoglobinemia for diagnosis of glucose-6-phosphate dehydrogenase deficiency.
  • Use of oral anticoagulants, iron or vitamin A.
  • Forecast initiate or change pharmacological or no pharmacological interventions during the course of the study.
  • Patients weighing less than 4.2 kg

Treatment and study plan

Vitamin C 10mg/Kg Vitamin E 10 mg/Kg

Drug

Placebo

Drug

Placebo

Primary outcomes

  1. Autism Treatment Evaluation Checklist (ATEC).

    Time frame: 32 weeks

  2. Global Clinical Impression (GCI)

    Time frame: 32 weeks

  3. Peabody Picture Vocabulary Test (PiVT)

    Time frame: 32 weeks

  4. Battelle developmental inventory screening

    Time frame: 32 weeks

  5. Vineland Adaptive Behavior Scales

    Time frame: 32 weeks

  6. Adverse event reported

    Time frame: 32 weeks

  7. Quantitative Checklist for Autism in Toddlers (Q-Chat) test

    Time frame: 32 weeks

Secondary outcomes

  1. Golberg scale GHQ-28

    Time frame: 32 weeks

  2. Quality life SF36 test

    Time frame: 32 weeks

  3. Psychological General Well-Being Index

    Time frame: 32 weeks

  4. Sleep Disturbance Scale for Children

    Time frame: 32 weeks

Sponsors and collaborators

Lead sponsor

Fundación Pública Andaluza para la Investigación de Málaga en Biomedicina y Salud

Other

Collaborators

  • Delos Clinical

Registry information

Official study title

Clinical Trials Phase III, Double Blind, Crossover to Asses the Safety and Efficacy of Vitamin C and Vitamin E in Combination Versus Placebo for Treating Cognitive and Behavior Disorder in Children With Fragile X Syndrome

Acronym: SXF2-8

Important dates

Study start
2016
Primary completion
2017
Study completion
2018
First posted
Oct 24, 2016
Registry last updated
Jul 22, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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