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OpenTrials
Completed

NCT Number: NCT02414503

Effects of Intranasal Administration of a Single Dose of Oxytocin Using a Novel Device in Adults With Autism Spectrum Disorder

Oxytocin (OT) is a small, naturally occurring peptide currently in clinical use to stimulate lactation in breastfeeding women. The intranasal administration of OT has recently attracted attention as a potential novel treatment in several psychiatric disorders in autism. However, given the anatomy of the nasal cavity, the current design of nasal sprays would be expected to provide an inadequate delivery of medication to the areas of the nasal cavity where direct transport into the brain via the olfactory nerve could potentially occur. OptiNose has developed an intranasal delivery device that provides improved reproducibility of nasal delivery, improved deposition to the upper posterior regions of the nasal cavity where the olfactory nerve innervates the nasal cavity.

The primary objective of this study is to identify any differences between a single dose of 8 international units (IU) oxytocin, 24 IU oxytocin, and placebo delivered intranasally with the optimised OptiNose device in volunteers with Autism Spectrum Disorder. This will be measured in terms of performance on cognitive tests and physiological markers.

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Key information

Age range

18 year–35 year

Sex eligibility

Male

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

NORMENT, KG Jebsen Centre for Psychosis Research - TOP Study

Oslo, 0424, Norway

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Male subjects between the ages of 18 and 35, both inclusive, with a confirmed diagnosis of autism spectrum disorder (ASD) diagnosis.
  • Subjects must be in good general health, as determined by the investigator.
  • Subject's pre-study physical examination, vital signs and electrocardiogram (ECG) must not show any clinically significant abnormalities as determined by the investigator.
  • Subjects must be able to communicate well with the Investigator, to understand and comply with the requirements of the study, and to understand the oral and written patient information
  • Provision of a signed, written informed consent.

Exclusion criteria

  • Subjects showing major septal deviation or a significantly altered nasal epithelium.
  • Subjects with evidence of previous nasal disease, surgery, and dependence on inhaled drugs.
  • Subjects with current significant nasal congestion due to common colds.
  • Subjects with a clinically relevant history of significant hepatic, renal, endocrine, cardiac, nervous, pulmonary, haematological or metabolic disorder.
  • Psychiatric co-morbidity that requires intervention (e.g., psychosis spectrum disorders, suicide intent)
  • Systemic illness requiring treatment within 2 weeks prior to Study Day 1.
  • History of significant drug or alcohol abuse (as per WHO Alcohol use disorder identification test and drug use disorder identification test criteria) Subjects with a positive screen for alcohol or drugs of abuse at screening/admission will be excluded from participation in the study.
  • Abnormal laboratory values which is deemed clinically significant by investigator.
  • Full scale IQ < 75 (due to the prerequisite ability to complete self report measures).
  • Known allergic reactions or hypersensitivity to any component of the study medication in the nasal spray, such as propyl parahydroxybenzoate (E216), methyl parahydroxybenzoate (E218) and chlorobutanol hemihydrate.
  • Participation in any (other) clinical trial with an investigational medicinal product or medical device within 3 months prior to randomisation.
  • Other unspecified reasons that, in the opinion of the investigator or the sponsor make the subject unsuitable for enrollment.

Treatment and study plan

8IU intranasal oxytocin

Drug

24IU intranasal oxytocin

Drug

Placebo

Drug

OptiNose Breath Powered Bi

Device

Primary outcomes

  1. Performance on an emotion sensitivity test

    Time frame: 45 mins after oxytocin/placebo administration

    Participants will complete a task evaluating emotional expressions. These stimuli are identical to those published previously by Leknes et al., (2012).

  2. Performance on a facial emotion morphing task

    Time frame: 45 mins after oxytocin/placebo administration

    Participants will complete a task evaluating faces that morph into different emotional expressions.

Secondary outcomes

  1. Performance on the reading the mind in the eyes test

    Time frame: 45 mins after oxytocin/placebo administration

    Participants will complete the reading the mind in the eyes test

  2. Performance on an emotional dot probe task

    Time frame: 45 mins after oxytocin/placebo administration

    Participants will complete an emotional dot probe task

  3. Heart rate variability

    Time frame: 40 minutes after oxytocin/placebo administration

    Electrocardiogram data will be collected to assess heart rate variability, a measure of cardiac autonomic function.

  4. Eyetracking

    Time frame: 45 mins after oxytocin/placebo administration

    An eyetracking device will measure eyegaze and pupillometry.

Sponsors and collaborators

Lead sponsor

OptiNose AS

Industry

Collaborators

  • Oslo University Hospital
  • University of Oslo

Registry information

Official study title

A Randomized, Placebo Controlled, Double-blind, 3-period Cross-over Study in Adult Patients With Autism Spectrum Disorders Evaluating Cognitive Response After Single- Dose Oxytocin 8 or 24 IU Intranasal Administration Using the OptiNose Bi-directional Nose-to-brain Device

Important dates

Study start
2015
Primary completion
2016
Study completion
2016
First posted
Apr 10, 2015
Registry last updated
Sep 27, 2016

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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