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NCT Number: NCT07199218

Placebo-Controlled Study of Terpenes-Enriched Cannabis Oil T1/C28 for Children With Autism

The goal of this clinical trial is to determine whether cannabidiol (CBD, 28%) combined with terpenes and a small amount of THC (1%) can help reduce symptoms of autism, and to evaluate the safety of this treatment.

The main questions are:

1. Does this treatment improve behavioral challenges in children with autism? 2. Does this treatment improve social difficulties in children with autism?

What will happen in the study:

1. Participants take either the study treatment or a placebo (a look-alike substance with no active drug) every day for 2 months. 2. After 2 months, all participants receive the study treatment or a similar treatment without THC for another 2 months. 3. Participants come to the clinic once every 2 months for checkups and tests.

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Key information

Age range

4 year–13 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Shaare Zedek Medical Center

Jerusalem, N/A = Not Applicable, 9640610, Israel

Location status: Recruiting

Location contact

Adi Aran, MD

CONTACT

[email protected]

0508685034

Adi Aran, MD

PRINCIPAL_INVESTIGATOR

Daniel Korenfine

CONTACT

[email protected]

About this study

Autism spectrum disorder (ASD) is a condition that affects communication, social interaction, and behavior. Current medications do not treat the core symptoms of autism, and the drugs sometimes prescribed (such as antipsychotics for irritability) can cause significant side effects.

Cannabidiol (CBD) is a natural, non-psychoactive compound from the cannabis plant that may reduce brain overactivity and inflammation. Tetrahydrocannabinol (THC), the psychoactive component of cannabis, acts on the endocannabinoid system, which is thought to function differently in people with autism. Research suggests that CBD combined with very small amounts of THC may improve behavior and social functioning. Other plant compounds called terpenes may enhance the effects of CBD and THC, even at low doses.

This study tests whether a CBD oil enriched with terpenes and a very small amount of THC is safe and effective for children with autism. Seventy-eight children, ages 4-13, will participate. Half will receive the study oil and half will receive a placebo (an inactive oil that looks the same) for 8 weeks. Afterward, all participants will receive an active treatment for another 8 weeks.

The study evaluates whether the treatment improves behavior, social skills, and quality of life. Safety is monitored through regular clinic visits, questionnaires, physical exams, and blood tests.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Children aged 4 to 12 years (after the 4th birthday and before the 13th).
  • Diagnosis of autism spectrum disorder (ASD) according to DSM-5, confirmed by Childhood Autism Rating Scale-Second Edition (CARS-2).
  • Moderate or greater ASD-associated symptoms, defined as a rating of ≥4 ("moderate" or higher) on the Overall Function Clinical Global Impression-Severity (CGI-S).
  • Aberrant Behavior Checklist-Irritability subscale (ABC-I) score ≥18.
  • Social Responsiveness Scale-Second Edition (SRS-2) total T score ≥66.

Exclusion criteria

  • Body weight <12.5 kg or ≥57.5 kg.
  • Current or past diagnosis of heart failure, drug addiction, schizophrenia, psychosis, bipolar disorder, post-traumatic stress disorder (PTSD), or major depressive disorder (MDD), or diagnosis of schizophrenia in a first-degree relative.
  • Seizure or change in antiepileptic medications within 4 months prior to randomization.
  • Clinically significant abnormalities on physical examination or laboratory testing, including impairment in cardiac, hepatic, or renal function.
  • Change in pharmacological or behavioral treatment, or change in home or school environment (other than school holidays), within 4 weeks prior to randomization or planned during the study.
  • Cannabinoid treatment within 4 weeks prior to randomization.
  • Predicted poor compliance with study procedures (e.g., blood tests).
  • Concurrent use of opiates or alcohol.

Treatment and study plan

Terpenes-Enriched CBD-Predominant Oil

Drug

Oral cannabidiol (CBD; 7.2 mg/kg/day), tetrahydrocannabinol (THC; 0.257 mg/kg/day, equivalent to 1:28 of the CBD dose), and terpenes (0.5 mg/kg/day), administered in two daily doses. The formulation is an olive oil-based solution (CBD/THC: 280/10 mg per g) produced by Bazelet Group, Israel.

Placebo

Drug

Oral olive oil with added flavors to mimic the appearance, texture, and taste of the study drug, administered in two daily doses.

Terpenes-Enriched CBD Oil (THC-Free)

Drug

Oral cannabidiol (CBD; 7.2 mg/kg/day) and terpenes (0.5 mg/kg/day), administered in two daily doses. The formulation is an olive oil-based solution (CBD- 280 mg per g) produced by Bazelet Group, Israel.

Primary outcomes

  1. Change From Baseline in Aberrant Behavior Checklist-Community (ABC-C): Irritability Subscale raw score (ABC-I)

    Time frame: Baseline to Week 8

    The ABC-C is a caregiver-completed questionnaire with 58 items, divided into five subscales. The ABC-I (Irritability) subscale includes 15 items that assess emotional and behavioral symptoms of ASD, such as aggression toward others, deliberate self-injury, temper tantrums, depressed mood, and rapidly shifting moods. Scores on this subscale range from 0 to 45, with higher scores indicating greater severity. Change from baseline to Week 8 is reported, with lower scores reflecting clinical improvement.

Secondary outcomes

  1. Change From Baseline in Vineland™-III Adaptive Behavior Scales (VABS3) Socialization Domain Standard Score

    Time frame: Baseline to Week 8

    The VABS-3 Socialization domain measures interpersonal relationships, play and leisure, and coping skills, reflecting the individual's ability to engage in age-appropriate social interactions. Higher scores indicate better adaptive social functioning.

  2. Change From Baseline in Social Responsiveness Scale-2nd edition (SRS-II) total raw score

    Time frame: Baseline, Weeks 8 and 17

    The SRS-2 measures the severity of social impairment associated with autism spectrum disorder. It includes five subscales: Social Awareness (8 items), Social Communication (22 items), Social Cognition (12 items), Social Motivation (11 items), and Restricted Interests and Repetitive Behavior (12 items). Two summary scores are derived: the Total Score (sum of all five subscales) and the Social Communication and Interaction (SCI) score, which combines the four social subscales excluding Restricted Interests and Repetitive Behavior. The SCI and RRB correspond to the two DSM-5 symptom domains of autism spectrum disorder. Raw scores range from 65 to 260; higher scores indicate greater severity of social impairment.

  3. Number of Participants Reporting Treatment-emergent Adverse Events (TEAEs)

    Time frame: Baseline to Week 17

    Participants experiencing at least one adverse event that newly appeared or worsened after treatment initiation. Adverse events are graded as mild, moderate, or severe; hospitalizations are documented as serious adverse events; causality is categorized from not related to definitely related.

  4. Number of Participants With Clinically Significant Abnormal Laboratory Values

    Time frame: Week 8

    Number of participants with clinically significant abnormal values in complete blood count (CBC), liver transaminases, or total bilirubin levels, as determined by the investigator.

  5. Change From Baseline in Body Mass Index (BMI)

    Time frame: Baseline, Weeks 8 and 17

    Difference between baseline and week 8 body mass index (kg/m²)

  6. Clinical Global Impressions-Improvement (CGI-I) Score

    Time frame: Weeks 8 and 17

    CGI-I is a clinician rating of overall change from baseline; scores range from 1 to 7, with higher scores indicating worse outcome; anchors: 1 very much improved; 2 much improved; 3 minimally improved; 4 no change; 5 minimally worse; 6 much worse; 7 very much worse.

  7. Caregiver Global Impression of Change (CGIC or CaGC)

    Time frame: Weeks 8 and 17

    CGIC (CaGC) is a caregiver rating of overall change from baseline; scores range from 1 to 7, with higher scores indicating worse outcome; anchors: 1 very much improved; 2 much improved; 3 minimally improved; 4 no change; 5 minimally worse; 6 much worse; 7 very much worse.

Other outcomes

  1. Change From Baseline in Aberrant Behavior Checklist-Community (ABC-C): Irritability Subscale raw score (ABC-I)

    Time frame: Baseline, Week 17

    Appears above

  2. Change From Baseline in Vineland™ Adaptive Behavior Scales (VABS-3) Communication Domain Score

    Time frame: Baseline to Week 8

    The VABS-3 Communication domain measures receptive, expressive, and written language skills. Higher Communication scores indicate better adaptive functioning

  3. Change From Baseline in Vineland™ Adaptive Behavior Scales (VABS-3) Maladaptive Behavior Domain Score

    Time frame: Baseline to Week 8

    The VABS-3 Maladaptive Behavior domain measures internalizing, externalizing, and other maladaptive behaviors. Higher Maladaptive Behavior scores indicate greater difficulties.

  4. Change From Baseline in Emotion Dysregulation Inventory (EDI)

    Time frame: Baseline, Weeks 8 and 17

    The EDI measures the intensity and reactivity of emotional responses, reflecting difficulties with emotion regulation; scores range from 0 to 120, with higher scores indicating greater emotion dysregulation.

  5. Change From Baseline in Multidimensional Assessment of Disruptive Behavior (MAP-DB)

    Time frame: Baseline, Weeks 8 and 17

    The MAP-DB assesses temper loss, aggression, noncompliance, and impulsivity, capturing the frequency and severity of disruptive behaviors. Higher scores indicate greater disruptive behavior.

  6. Change From Baseline in Autism Impact Measure (AIM)

    Time frame: Baseline. Weeks 8 and 17

    The AIM assesses the frequency and impact of core autism symptoms in daily life. Higher scores indicate greater symptom frequency and impact.

  7. Change From Baseline in Quality of Life in Autism Questionnaire (QOLA) total score

    Time frame: Baseline, Weeks 8 and 17

    The QOLA Parent version includes Part A, parents' overall perception of their quality of life, and Part B, the impact of ASD symptoms on parents' quality of life; higher scores indicate better quality of life. Total scores: Part A ranges from 28 to 140, with higher scores reflecting better perceived parental quality of life; Part B ranges from 20 to 100, with higher scores indicating that the child's autism-related difficulties are perceived as less problematic for the parent.

  8. Change From Baseline in Children's Sleep Habits Questionnaire (CSHQ)

    Time frame: Baseline, Weeks 8 and 17

    he CSHQ assesses common sleep problems in children across multiple domains; scores range from 33 to 99, with higher scores indicating a greater likelihood of sleep problems.

  9. Change From Baseline in Gastrointestinal Signs and Symptoms Inventory

    Time frame: Baseline, Weeks 8 and 17

    This inventory assesses the presence and severity of gastrointestinal problems such as constipation, diarrhea, abdominal pain, and bloating. Higher scores indicate greater gastrointestinal symptom burden.

  10. Change From Baseline in Behavior Rating Inventory of Executive Function (BRIEF)

    Time frame: Baseline, Weeks 8 and 17

    The BRIEF evaluates executive functioning in daily life, including working memory, inhibitory control, and cognitive flexibility. Higher scores indicate greater executive dysfunction.

Study contacts

Contact information is provided by the study sponsor or research team.

Adi Aran, MD

CONTACT

[email protected]

+97226555414

Daniel Korenfine

CONTACT

[email protected]

Sponsors and collaborators

Lead sponsor

Bazelet Nehushtan LtD.

Industry

Registry information

Official study title

A Phase 2, Placebo-Controlled, Randomized, Double-Blind Study to Assess the Safety, Tolerability and Efficacy of Terpenes-enriched Cannabis Oil T1/C28, Administered to Pediatric Subjects With Autism Spectrum Disorder (ASD)

Acronym: TECA

Important dates

Study start
2025
Primary completion
2027
Study completion
2028
First posted
Sep 30, 2025
Registry last updated
Nov 19, 2025

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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