An Open Label Study of CM-AT for the Treatment of Children With Autism
An Open-Label Extension Study of CM-AT for the Treatment of Children With Autism With All Levels of Fecal Chymotrypsin
1 other identifier
interventional
405
1 country
31
Brief Summary
This is a Phase III, open label extension study evaluating the continued safety and efficacy of CM-AT in pediatric patients with autism with all levels of fecal chymotrypsin.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started Oct 2015
Longer than P75 for phase_3
31 active sites
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
October 1, 2015
CompletedFirst Submitted
Initial submission to the registry
November 12, 2015
CompletedFirst Posted
Study publicly available on registry
January 8, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
January 1, 2028
March 18, 2026
March 1, 2026
12.3 years
November 12, 2015
March 16, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Aberrant Behavioral Checklist: Subscale of Irritability / Agitation (ABC-I) at fecal chymotrypsin (FCT) levels less than or equal to 12.6
Change from Baseline to each post-baseline visit, through study completion Week 72.
Secondary Outcomes (1)
Aberrant Behavior Checklist: Subscale of Lethargy / Social Withdrawal (ABC-L) at fecal chymotrypsin (FCT) levels less than or equal to 12.6
Change from Baseline to each post-baseline visit, through study completion Week 72.
Study Arms (1)
Open Label
EXPERIMENTALCM-AT
Interventions
Eligibility Criteria
You may qualify if:
- Age between 3 and 8 years, inclusive, at the time of signing informed consent/assent in Sponsor 00103 Study
- Completion of the Sponsor's 00103 Study who continue to meet eligibility requirements
- Currently in the 00102 open label study and continue to meet eligibility requirements
- Subjects who initially qualified for 00103 screening, who subsequently failed Baseline entrance criteria for randomization (@Visit 1) Baseline assessment of the ABC eligibility requirement who continue to meet eligibility requirements
- Up to 20 subjects 9-17 years of age who directly enroll into this study, who meet the current Diagnostic and Statistical Manual for Mental Disorders (DSM-IV-TR) diagnostic criteria for Autistic Disorder (AD), screened by the SCQ and confirmed by the ADI-R
You may not qualify if:
- Patient weighing \< 13kg
- Allergy to porcine products
- Previous sensitization or allergy to trypsin, pancreatin, or pancrelipase
- History of severe head trauma, as defined by loss of consciousness or hospitalization, skull fracture or stroke.
- Seizure within the last year prior to enrollment, or the need for seizure medications either at present or in the past.
- Evidence or history of severe, moderate or uncontrolled systemic disease
- Ongoing dietary restriction for allergy or other reasons except nut allergies. Lactose free is allowable but not dairy free.
- Inability to ingest the study drug / non-compliance with dosing schedule.
- Inability to follow the prescribed dosing schedule.
- Use of any stimulant or non-stimulant medication or medications given for attention deficit hyperactivity disorder (ADHD) must be discontinued 5 days prior to the initial randomized study period.
- Subjects taking an selective serotonin reuptake inhibitor (SSRI) must be on a stable dose for a minimum of 30 days prior to entering the study.
- History of premature birth \<35 weeks gestation.
- Prior history of stroke in utero or other in utero insult.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Curemarklead
Study Sites (31)
Southwest Autism Research & Resource Center (S.A.R.R.C.)
Phoenix, Arizona, 85006, United States
University of Arizona, Pediatrics Multidisciplinary Research Unit
Tucson, Arizona, 85724, United States
Arkansas Children'S Hosp. Research Institute (A.C.H.R.I.)
Little Rock, Arkansas, 72202, United States
N.R.C. Research Institute
Orange, California, 92868, United States
M.I.N.D. Institute (Univ.of California, Davis)
Sacramento, California, 95817, United States
University of California (U.C.S.F.)
San Francisco, California, 94143-0984, United States
IMMUNOe Research Centers
Centennial, Colorado, 80112, United States
Yale Child Study Center
New Haven, Connecticut, 06519, United States
Segal Institute For Clinical Research
North Miami, Florida, 33161, United States
Advent Health -Lake Mary Pediatrics
Orange City, Florida, 32763, United States
A.P.G. Research
Orlando, Florida, 32803, United States
Research Institute of Deaconess Clinic
Newburgh, Indiana, 47630, United States
Lake Charles Clinical Trials
Lake Charles, Louisiana, 70629, United States
L.S.U. Health Sciences Center
Shreveport, Louisiana, 71103, United States
Detroit Clinical Research Center, P.C.
Bingham Farms, Michigan, 48025, United States
Children'S Specialized Hospital
Egg Harbor, New Jersey, 08234, United States
Children's Specialized Hospital
Toms River, New Jersey, 08755, United States
Clinical Research Center of Nj
Voorhees Township, New Jersey, 08043, United States
Lovelace Scientific Resources
Albuquerque, New Mexico, 87108, United States
Richmond Behavioral Associates
Staten Island, New York, 10312, United States
Montefiore Med.Cneter, Autism & Obsessive Compulsive Spectrum Program
The Bronx, New York, 10467, United States
Duke Center For Autism and Brain Development
Durham, North Carolina, 27705, United States
Cleveland Clinic Autism Center
Cleveland, Ohio, 44104, United States
Omega Medical Research
Warwick, Rhode Island, 02886, United States
Carolina Clinical Trials, Inc.
Charleston, South Carolina, 29407, United States
Vanderbilt Universtiy Med.Center-Treatment&Research Inst. For Asd
Nashville, Tennessee, 37232-2551, United States
University of Texas, Houston-Behavioral & Biomedical Sciences
Houston, Texas, 77054, United States
Focus Center of Clinical Research
Clinton, Utah, 84015, United States
University of Virginia, Dept. of Psychiatry and Neurobehavioral Sciences
Charlottesville, Virginia, 22903, United States
Neuroscience, Inc
Herndon, Virginia, 20170, United States
Carilion Clinic-Virginia Tech, Carilion School of Medicine
Roanoke, Virginia, 24014, United States
Related Publications (28)
McPheeters ML, Warren Z, Sathe N, Bruzek JL, Krishnaswami S, Jerome RN, Veenstra-Vanderweele J. A systematic review of medical treatments for children with autism spectrum disorders. Pediatrics. 2011 May;127(5):e1312-21. doi: 10.1542/peds.2011-0427. Epub 2011 Apr 4.
PMID: 21464191BACKGROUNDAutism and Developmental Disabilities Monitoring Network Surveillance Year 2008 Principal Investigators; Centers for Disease Control and Prevention. Prevalence of autism spectrum disorders--Autism and Developmental Disabilities Monitoring Network, 14 sites, United States, 2008. MMWR Surveill Summ. 2012 Mar 30;61(3):1-19.
PMID: 22456193BACKGROUNDPeacock G, Amendah D, Ouyang L, Grosse SD. Autism spectrum disorders and health care expenditures: the effects of co-occurring conditions. J Dev Behav Pediatr. 2012 Jan;33(1):2-8. doi: 10.1097/DBP.0b013e31823969de.
PMID: 22157409BACKGROUNDGanz ML. The lifetime distribution of the incremental societal costs of autism. Arch Pediatr Adolesc Med. 2007 Apr;161(4):343-9. doi: 10.1001/archpedi.161.4.343.
PMID: 17404130BACKGROUNDMcElhanon BO, McCracken C, Karpen S, Sharp WG. Gastrointestinal symptoms in autism spectrum disorder: a meta-analysis. Pediatrics. 2014 May;133(5):872-83. doi: 10.1542/peds.2013-3995.
PMID: 24777214BACKGROUNDBuie T, Campbell DB, Fuchs GJ 3rd, Furuta GT, Levy J, Vandewater J, Whitaker AH, Atkins D, Bauman ML, Beaudet AL, Carr EG, Gershon MD, Hyman SL, Jirapinyo P, Jyonouchi H, Kooros K, Kushak R, Levitt P, Levy SE, Lewis JD, Murray KF, Natowicz MR, Sabra A, Wershil BK, Weston SC, Zeltzer L, Winter H. Evaluation, diagnosis, and treatment of gastrointestinal disorders in individuals with ASDs: a consensus report. Pediatrics. 2010 Jan;125 Suppl 1:S1-18. doi: 10.1542/peds.2009-1878C.
PMID: 20048083BACKGROUNDSamsam M, Ahangari R, Naser SA. Pathophysiology of autism spectrum disorders: revisiting gastrointestinal involvement and immune imbalance. World J Gastroenterol. 2014 Aug 7;20(29):9942-51. doi: 10.3748/wjg.v20.i29.9942.
PMID: 25110424BACKGROUNDElsabbagh M, Divan G, Koh YJ, Kim YS, Kauchali S, Marcin C, Montiel-Nava C, Patel V, Paula CS, Wang C, Yasamy MT, Fombonne E. Global prevalence of autism and other pervasive developmental disorders. Autism Res. 2012 Jun;5(3):160-79. doi: 10.1002/aur.239. Epub 2012 Apr 11.
PMID: 22495912BACKGROUNDWasfy M, Oyofo B, Elgindy A, Churilla A. Comparison of preservation media for storage of stool samples. J Clin Microbiol. 1995 Aug;33(8):2176-8. doi: 10.1128/jcm.33.8.2176-2178.1995.
PMID: 7559972BACKGROUNDCavallini G, Benini L, Brocco G, Riela A, Bovo P, Pederzoli P, Angelini G, Pelle C, Bertelli G, Scuro LA. The fecal chymotrypsin photometric assay in the evaluation of exocrine pancreatic capacity. Comparison with other direct and indirect pancreatic function tests. Pancreas. 1989;4(3):300-4. doi: 10.1097/00006676-198906000-00005.
PMID: 2734275BACKGROUNDMatthews DM. Intestinal absorption of amino acids and peptides. Proc Nutr Soc. 1972 Sep;31(2):171-7. doi: 10.1079/pns19720033. No abstract available.
PMID: 4563292BACKGROUNDCoutinho AM, Oliveira G, Morgadinho T, Fesel C, Macedo TR, Bento C, Marques C, Ataide A, Miguel T, Borges L, Vicente AM. Variants of the serotonin transporter gene (SLC6A4) significantly contribute to hyperserotonemia in autism. Mol Psychiatry. 2004 Mar;9(3):264-71. doi: 10.1038/sj.mp.4001409.
PMID: 15094787BACKGROUNDNaushad SM, Jain JM, Prasad CK, Naik U, Akella RR. Autistic children exhibit distinct plasma amino acid profile. Indian J Biochem Biophys. 2013 Oct;50(5):474-8.
PMID: 24772971BACKGROUNDWilliams K, Wheeler DM, Silove N, Hazell P. Selective serotonin reuptake inhibitors (SSRIs) for autism spectrum disorders (ASD). Cochrane Database Syst Rev. 2010 Aug 4;(8):CD004677. doi: 10.1002/14651858.CD004677.pub2.
PMID: 20687077BACKGROUNDTang G, Gudsnuk K, Kuo SH, Cotrina ML, Rosoklija G, Sosunov A, Sonders MS, Kanter E, Castagna C, Yamamoto A, Yue Z, Arancio O, Peterson BS, Champagne F, Dwork AJ, Goldman J, Sulzer D. Loss of mTOR-dependent macroautophagy causes autistic-like synaptic pruning deficits. Neuron. 2014 Sep 3;83(5):1131-43. doi: 10.1016/j.neuron.2014.07.040. Epub 2014 Aug 21.
PMID: 25155956BACKGROUNDBalasubramanian MN, Butterworth EA, Kilberg MS. Asparagine synthetase: regulation by cell stress and involvement in tumor biology. Am J Physiol Endocrinol Metab. 2013 Apr 15;304(8):E789-99. doi: 10.1152/ajpendo.00015.2013. Epub 2013 Feb 12.
PMID: 23403946BACKGROUNDFairclough PD, Hegarty JE, Silk DB, Clark ML. Comparison of the absorption of two protein hydrolysates and their effects on water and electrolyte movements in the human jejunum. Gut. 1980 Oct;21(10):829-34. doi: 10.1136/gut.21.10.829.
PMID: 7192244BACKGROUNDArnold GL, Hyman SL, Mooney RA, Kirby RS. Plasma amino acids profiles in children with autism: potential risk of nutritional deficiencies. J Autism Dev Disord. 2003 Aug;33(4):449-54. doi: 10.1023/a:1025071014191.
PMID: 12959424BACKGROUNDMunasinghe SA, Oliff C, Finn J, Wray JA. Digestive enzyme supplementation for autism spectrum disorders: a double-blind randomized controlled trial. J Autism Dev Disord. 2010 Sep;40(9):1131-8. doi: 10.1007/s10803-010-0974-2.
PMID: 20204691BACKGROUNDSchreck KA, Williams K, Smith AF. A comparison of eating behaviors between children with and without autism. J Autism Dev Disord. 2004 Aug;34(4):433-8. doi: 10.1023/b:jadd.0000037419.78531.86.
PMID: 15449518BACKGROUNDBailey DB Jr, Raspa M, Olmsted M, Holiday DB. Co-occurring conditions associated with FMR1 gene variations: findings from a national parent survey. Am J Med Genet A. 2008 Aug 15;146A(16):2060-9. doi: 10.1002/ajmg.a.32439.
PMID: 18570292BACKGROUNDLecavalier L. An evaluation of the Gilliam Autism Rating Scale. J Autism Dev Disord. 2005 Dec;35(6):795-805. doi: 10.1007/s10803-005-0025-6.
PMID: 16283084BACKGROUNDMarcus RN, Owen R, Kamen L, Manos G, McQuade RD, Carson WH, Aman MG. A placebo-controlled, fixed-dose study of aripiprazole in children and adolescents with irritability associated with autistic disorder. J Am Acad Child Adolesc Psychiatry. 2009 Nov;48(11):1110-1119. doi: 10.1097/CHI.0b013e3181b76658.
PMID: 19797985BACKGROUNDYerys BE, Wallace GL, Sokoloff JL, Shook DA, James JD, Kenworthy L. Attention deficit/hyperactivity disorder symptoms moderate cognition and behavior in children with autism spectrum disorders. Autism Res. 2009 Dec;2(6):322-33. doi: 10.1002/aur.103.
PMID: 19998356BACKGROUNDSchreck KA, Williams K. Food preferences and factors influencing food selectivity for children with autism spectrum disorders. Res Dev Disabil. 2006 Jul-Aug;27(4):353-63. doi: 10.1016/j.ridd.2005.03.005. Epub 2005 Jul 25.
PMID: 16043324BACKGROUNDBorowitz D. Update on the evaluation of pancreatic exocrine status in cystic fibrosis. Curr Opin Pulm Med. 2005 Nov;11(6):524-7. doi: 10.1097/01.mcp.0000181474.08058.b3.
PMID: 16217179BACKGROUNDPenn AH, Hugli TE, Schmid-Schonbein GW. Pancreatic enzymes generate cytotoxic mediators in the intestine. Shock. 2007 Mar;27(3):296-304. doi: 10.1097/01.shk.0000235139.20775.7f.
PMID: 17304111BACKGROUNDPearson DA, Hendren RL, Heil MF, McIntyre WR, Raines SR. Pancreatic Replacement Therapy for Maladaptive Behaviors in Preschool Children With Autism Spectrum Disorder. JAMA Netw Open. 2023 Nov 1;6(11):e2344136. doi: 10.1001/jamanetworkopen.2023.44136.
PMID: 38032645DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Deborah Pearson, PhD
The University of Texas Health Science Center, Houston
- PRINCIPAL INVESTIGATOR
Robert Hendren, DO
University of California, San Francisco
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 12, 2015
First Posted
January 8, 2016
Study Start
October 1, 2015
Primary Completion (Estimated)
January 1, 2028
Study Completion (Estimated)
January 1, 2028
Last Updated
March 18, 2026
Record last verified: 2026-03
Data Sharing
- IPD Sharing
- Will not share