NCT02445625

Brief Summary

This study aims to demonstrate that improvements in identification of social clues (and improvement of overall social behaviour) in subjects with ASD can be achieved using social games together with a BCI setup. The primary goal is to ensure increased rate of responses to joint attention cues. Intervention Type is a Device (brain computer interface using EEG). Structure: (1) initial eligibility screening (within 1 week after admission), (2) pre-intervention (first week of study, baseline outcome measures and additional evaluations), (3) intervention process (16 weeks), (4) post-intervention (outcome measures and additional evaluations), and (5) follow-up (outcome measures at 6 months).

Trial Health

100
On Track

Trial Health Score

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

Enrollment
15

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Feb 2016

Typical duration for not_applicable

Status
completed

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

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 24, 2015

Completed
21 days until next milestone

First Posted

Study publicly available on registry

May 15, 2015

Completed
9 months until next milestone

Study Start

First participant enrolled

February 1, 2016

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2017

Completed
10 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2018

Completed
6 months until next milestone

Results Posted

Study results publicly available

February 18, 2019

Completed
Last Updated

February 18, 2019

Status Verified

December 1, 2018

Enrollment Period

1.8 years

First QC Date

April 24, 2015

Results QC Date

October 11, 2018

Last Update Submit

February 13, 2019

Conditions

Outcome Measures

Primary Outcomes (2)

  • JAAT_NoFace

    Number of fixations on the target object of the joint attention animation of an avatar after the animation starts (e.g. looking at, pointing at) in the Joint-attention assesment task - JAAT\_NoFace with no previous fixation on avatar face.. We will use a new task/realistic game that will challenge the detection of initiation of joint attention cues (from avatars - gaze or pointing). The number of correct responses (to particular objects and not to non-object parts of the scene) will be recorded. We will also record incorrect responses to non-pointing body gestures.

    16 weeks, and 6 months after intervention

  • JAAT_Face

    Number of fixations on the target object of the joint attention animation of an avatar after the animation starts (e.g. looking at, pointing at) in the Joint-attention assesment task - JAAT\_NoFace with previous fixation on avatar face.. We will use a new task/realistic game that will challenge the detection of initiation of joint attention cues (from avatars - gaze or pointing). The number of correct responses (to particular objects and not to non-object parts of the scene) will be recorded. We will also record incorrect responses to non-pointing body gestures.

    16 weeks, and 6 months after intervention

Secondary Outcomes (2)

  • ATEC - Autism Treatment Evaluation Checklist

    16 weeks, and Follow-Up (6 months after intervention)

  • VABS - Vineland Adaptive Behaviour Scale

    16 weeks, and Follow-Up (6 months after intervention)

Other Outcomes (3)

  • POMS - Profile of Mood States

    16 weeks plus 6 months

  • HADS - Hospital Anxiety & Depression Scale

    16 weeks

  • Debriefing Interview Questionnaire

    16 weeks

Study Arms (1)

BCI to train joint attention in ASD

EXPERIMENTAL

We are using Brain Computer Interfaces implemented by EEG in 16 ASD subjects

Device: BCI to train joint attention in ASD

Interventions

The intervention comprehends seven BCI sessions spread over four months. The first four sessions are planned to occur weekly, and the rest monthly. In each session, the subject is asked to identify objects of interest based on the gaze direction of an avatar. The subject response is interpreted from the EEG signal (using the P300 component, as established in our previous work).

BCI to train joint attention in ASD

Eligibility Criteria

Age16 Years - 30 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Positive diagnostic results for ASD in:
  • Autism Diagnostic Interview-Revised; Autism Diagnostic Observation Schedule; The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria.

You may not qualify if:

  • Global Intelligence Quotient \< 80
  • Associated medical condition such as epilepsy, neurocutaneous or other genetic syndromes, or other usual comorbidity in ASD samples

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (2)

  • Baron-Cohen S, Baldwin DA, Crowson M. Do children with autism use the speaker's direction of gaze strategy to crack the code of language? Child Dev. 1997 Feb;68(1):48-57.

    PMID: 9084124BACKGROUND
  • Amaral C, Mouga S, Simoes M, Pereira HC, Bernardino I, Quental H, Playle R, McNamara R, Oliveira G, Castelo-Branco M. A Feasibility Clinical Trial to Improve Social Attention in Autistic Spectrum Disorder (ASD) Using a Brain Computer Interface. Front Neurosci. 2018 Jul 13;12:477. doi: 10.3389/fnins.2018.00477. eCollection 2018.

MeSH Terms

Conditions

Autism Spectrum Disorder

Condition Hierarchy (Ancestors)

Child Development Disorders, PervasiveNeurodevelopmental DisordersMental Disorders

Results Point of Contact

Title
Prof. Dr. Miguel Castelo-Branco
Organization
University of Coimbra

Study Officials

  • Miguel S Castelo-Branco, MD, PhD.

    IBILI - Institute for Biomedical Imaging in Life Sciences

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD, PhD

Study Record Dates

First Submitted

April 24, 2015

First Posted

May 15, 2015

Study Start

February 1, 2016

Primary Completion

November 1, 2017

Study Completion

September 1, 2018

Last Updated

February 18, 2019

Results First Posted

February 18, 2019

Record last verified: 2018-12