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Completed

NCT Number: NCT06352372

Safety and Efficacy of tPBM for Epileptiform Activity in Autism

For this study, the proposed intervention will be noninvasively delivered near infra-red (NIR) light - transcranial Photobiomodulation (tPBM) - to the brains of autistic children with abnormal EEGs with epileptiform discharges or with epilepsy. This will occur, twice a week, for 10 weeks. The NIR light is delivered to specific brain areas by Cognilum, a wearable device developed by Jelikalite. The expected outcome is improved focus, improved eye contact, improved speech, improved behavior, and gains in functional skills. Cognilum may impact the clinical practice of treating autism. At the beginning, at five weeks, and at the end of study, the clinician will complete the CARS-2, SRS, CGI, and a caregiver interview; additionally, questionnaires will be administered to caregivers during one of the 1-hour weekly treatment sessions.

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Key information

Age range

4 year–12 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Rossignol Medical Center

Phoenix, Arizona, 85050, United States

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Autism Spectrum Disorder (diagnosed as Autistic Disorder on the ADOS-2 or the ADI-R).
  • Between 4 and 12 years of age, at baseline.
  • Autism severity of moderate or higher (≥4) under the 7-item clinical global impression-severity scale. Moderate level of autism severity (4) is defined by the diagnosis of ASD with language impairment.
  • Ability to maintain all ongoing complementary, dietary, traditional, and behavioral treatments constant for the study period.
  • Unchanged complementary, dietary, traditional, and behavioral treatments for two months prior to study entry
  • Ability to tolerate procedures, as determined at the discretion of the investigator.
  • At least one 24hr EEG with data in EDF format that is accessible to investigators.

Exclusion criteria

  • Significant self-abusive or violent behavior or evidence of suicidal ideation, plan or behavior
  • Severely affected children as defined by CGI-Severity Standard Score = 7 (Extremely Ill)
  • Severe prematurity (<34 weeks gestation) as determined by medical history
  • Current uncontrolled gastroesophageal reflux disease since GERD can cause movements that appear like seizures
  • Genetic syndromes
  • Congenital brain malformations
  • Any medical condition that the PI determines could jeopardize the safety of the study subject or compromise the integrity of the data.
  • Failure to thrive or Body Mass Index &lt; 5%ile or &lt;5%ile for weight (male &lt;11.2kg; female &lt;10.8kg by CDC 2000 growth charts) at the time of the study.
  • Concurrent treatment with drug that would significantly interact with treatment.
  • • Stimulants
  • • Anti-Psychotics
  • • Antihistamines
  • Excessive Hair that the caregivers are unwilling or unable to shave or braid.
  • Inability to tolerate the required dosage of tPBM treatment due to sensory issues.

Treatment and study plan

noninvasively delivered near infra-red (NIR) light - transcranial Photobiomodulation (tPBM)

Device

The proposed intervention will be noninvasively delivered near infra-red (NIR) light - transcranial Photobiomodulation (tPBM) - to the brains of autistic children. The NIR light is delivered to specific brain areas by Cognilum, a wearable device developed by Jelikalite. The expected outcome is improved focus, improved eye contact, improved speech, improved behavior, and gains in functional skills.

Primary outcomes

  1. Childhood Autism Rating Scores (CARS)

    Time frame: Baseline, Week 11 and Week 15 (One Month Follow-Up)

    The CARS is a measure of autism severity completed by a clinician. Lower Score is Better. Scores range from 15 to 60.

Secondary outcomes

  1. EEG Delta Power

    Time frame: Before Treatment and EEG following treatment (within 6 months)

    Delta power is a measures of the amount of brain activity in the delta frequency as measured by overnight EEG

Other outcomes

  1. Seizure frequency and severity

    Time frame: Baseline, Week 11 and Week 15 (One Month Follow-Up)

    Seizure log will record the seizure severity and frequency

  2. Social Responsiveness Scale (SRS)

    Time frame: Baseline, Week 11 and Week 15 (One Month Follow-Up)

    The SRS is a caregiver report of autism symptoms Lower Score is Better, Scores range from 30 to 90 (T-scores)

  3. Clinical Global Impression Scale (CGI)

    Time frame: Baseline, Week 11 and Week 15 (One Month Follow-Up)

    The CGI measures the overall disease severity and change. It is completed by a clinician. Scores range from 1 to 7. Lower score is better

  4. NIH Toolbox

    Time frame: Baseline, Week 11 and Week 15 (One Month Follow-Up)

    The NIH ToolBox is a set of short assessments for neurodevelopmental assessments. Direction of score depends on individual subtest.

Sponsors and collaborators

Lead sponsor

Richard Frye

Other

Registry information

Official study title

Safety and Efficacy of Transcranial Photobiomodulation (tPBM) for Individuals With Autism Spectrum Disorder and Epileptiform Activity

Acronym: tPBM

Important dates

Study start
2024
Primary completion
2026
Study completion
2026
First posted
Apr 8, 2024
Registry last updated
Apr 24, 2026

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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