NCT01810341

Brief Summary

This study will prospectively enroll approximately 880 children, at least 18 months and less than 60 months of age, who have been referred to a pediatric developmental evaluation center. Enrolled children will have blood drawn for RNA gene expression analysis and optionally for metabolite, lipid and DNA analysis and undergo a clinical evaluation to determine the presence or absence of a diagnosis of ASD. The primary objective of this study is: \- To develop an algorithm to classify blood RNA gene expression patterns to maximize agreement between the classification and a clinical assessment of presence or absence of Autism Spectrum Disorders (ASD). The secondary objectives of this study are:

  • To develop an algorithm to classify plasma metabolite and/or lipid profiles in such a way as to maximize agreement between the classification and a clinical assessment of presence or absence of ASD.
  • To prospectively assess the clinical sensitivity and specificity of the plasma metabolite and/or lipid profile classification algorithm in a separate population consisting of children referred to a developmental evaluation clinic for a possible developmental disorder (DD).
  • To evaluate clinical sensitivity and specificity of various combinations of gene expression signature, metabolite and/or lipid signatures, and presence of ASD-associated genetic variation detected by chromosomal microarray analysis (CMA) or sequencing protein-coding regions of the genome.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
880

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Mar 2013

Geographic Reach
2 countries

20 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 1, 2013

Completed
10 days until next milestone

First Submitted

Initial submission to the registry

March 11, 2013

Completed
2 days until next milestone

First Posted

Study publicly available on registry

March 13, 2013

Completed
1.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2014

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2014

Completed
Last Updated

December 17, 2014

Status Verified

December 1, 2014

Enrollment Period

1.3 years

First QC Date

March 11, 2013

Last Update Submit

December 15, 2014

Conditions

Keywords

AutismAutism Spectrum DisordersRNAGene expressionDevelopmental DelayMetabolitesDNA

Outcome Measures

Primary Outcomes (1)

  • RNA gene expression in peripheral blood

    Within 30 days of collection

Secondary Outcomes (1)

  • Metabolites, lipids and DNA variation in peripheral blood

    Within 30 days of collection

Study Arms (2)

Development Group

In the Development Phase, analyses will be performed until the classification algorithm is finalized.

Validation Group

The Validation Phase will assess the performance of the finalized classification algorithm in 300 subjects.

Eligibility Criteria

Age18 Months - 60 Months
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)
Sampling MethodProbability Sample
Study Population

Children 18 months to less than 60 months referred to a developmental evaluation center for evaluation of a possible developmental disorder.

You may qualify if:

  • Referred to a developmental evaluation center for evaluation of a possible developmental disorder, other than isolated motor problems.
  • At least 18 months and less than 60 months.
  • Parent/legal guardian has been informed about the study and has signed an informed consent form.

You may not qualify if:

  • Prior reliable diagnosis of Autism Spectrum Disorder (i.e. prior evaluation by a multi-disciplinary team has already reliably established Autism Spectrum Disorder diagnosis).
  • Unable or unwilling to complete study procedures.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (20)

Melmed Center

Scottsdale, Arizona, 85254, United States

Location

Miller Children's Hospital

Long Beach, California, 90806, United States

Location

UC Davis MIND Institute

Sacramento, California, 95817, United States

Location

Emory University

Decatur, Georgia, 30033, United States

Location

Rush Medical Center

Chicago, Illinois, 60612, United States

Location

Riley Hospital for Children

Indianapolis, Indiana, 46202, United States

Location

Children's Hospital Boston

Boston, Massachusetts, 02115, United States

Location

Lurie Center Massachusetts General Hospital

Lexington, Massachusetts, 02421, United States

Location

Mount Sinai School of Medicine/Seaver Center

New York, New York, 10029, United States

Location

Institute for Behavioral Research on Staten Island

Staten Island, New York, 10314, United States

Location

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, 27517, United States

Location

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, 45229, United States

Location

Nationwide Children's Hospital

Columbus, Ohio, 43205, United States

Location

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, 19104, United States

Location

Medical University of South Carolina

Charleston, South Carolina, 29425, United States

Location

Vanderbilt University

Nashville, Tennessee, 37212, United States

Location

Baylor College of Medicine/Texas Children's Hospital

Houston, Texas, 77054, United States

Location

Seattle Children's

Seattle, Washington, 98121, United States

Location

Glenrose Rehabilitation Hospital

Edmonton, Alberta, T5G 0B7, Canada

Location

Holland Bloorview Kids Rehabilitation Hospital

Toronto, Ontario, M4G 1R8, Canada

Location

Biospecimen

Retention: SAMPLES WITH DNA

Peripheral blood

MeSH Terms

Conditions

Autistic DisorderAutism Spectrum DisorderLearning Disabilities

Condition Hierarchy (Ancestors)

Child Development Disorders, PervasiveNeurodevelopmental DisordersMental DisordersCommunication DisordersNeurobehavioral ManifestationsNeurologic ManifestationsNervous System DiseasesSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Barbara Rathmell, MD

    SynapDx Corp

    STUDY DIRECTOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 11, 2013

First Posted

March 13, 2013

Study Start

March 1, 2013

Primary Completion

July 1, 2014

Study Completion

December 1, 2014

Last Updated

December 17, 2014

Record last verified: 2014-12

Locations