NCT05271955

Brief Summary

Randomized open-label study comparing children aged 3 to 6 years with autism and normal cognitive development or mild cognitive impairment receiving the usual treatment plus intensive use of eGOLIAH (experimental group) with children receiving only the usual treatment (control group). eGOLIAH (Gaming Open Library for Intervention in Autism at Home) is an accessible online platform for digital games inspired by the principles of the Early Start Denver Model (ESDM), one of the care programs validated in the management of young ASD. The duration per patient will be one year. The exposure to e-GOLIAH for the experimental group will be done with the recommendation of intensive exposure to the game (5 sessions\> ½ hour per week). Clinical variables will be assessed at entry, 6 months and 1 year (end of study). The EQ5D questionnaires will be collected by the supervising therapist during the follow-up visit and at the same time as the clinical variables.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
150

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jun 2022

Typical duration for not_applicable

Geographic Reach
1 country

12 active sites

Status
unknown

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

First Submitted

Initial submission to the registry

February 28, 2022

Completed
9 days until next milestone

First Posted

Study publicly available on registry

March 9, 2022

Completed
3 months until next milestone

Study Start

First participant enrolled

June 15, 2022

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 15, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 15, 2024

Completed
Last Updated

April 25, 2022

Status Verified

February 1, 2022

Enrollment Period

2.5 years

First QC Date

February 28, 2022

Last Update Submit

April 15, 2022

Conditions

Keywords

e-GOLIAHe-GOLIAH-ECOAutistic Spectrum DisordersChildrenTabletGamesSerious Game

Outcome Measures

Primary Outcomes (1)

  • Comparison of Incremental Cost-Utility Ratio (ICUR) at 12 months between the 2 groups

    ICUR use the 5-level EQ-5D version and the child-friendly EQ-5D version (EQ5D-5L/EQ5D-Y) questionnaires (min score : 0 ; max score : 100 ; higher scores mean a better outcome)

    12 months

Secondary Outcomes (10)

  • Comparison of Incremental Cost-utility ratio (ICUR) at 6 months between the 2 groups

    6 months

  • Comparison of Incremental cost-effectiveness ratio (ICER) between the 2 groups

    6 and 12 months

  • Comparison of the out of pocket payment for the consumption of treatments linked to the TSA between the 2 groups

    12 months

  • Budget impact analysis (BIA) of e-GOLIAH in the management of children diagnosed with TSA for health insurance

    3 years

  • Comparison of Quality of life between the 2 groups

    6 and 12 months

  • +5 more secondary outcomes

Study Arms (2)

Experimental

EXPERIMENTAL

Children receiving the usual care plus intensive use of e-GOLIAH (experimental group)

Device: "e-GOLIAH"

Control

ACTIVE COMPARATOR

Children receiving only the usual treatment (control group).

Behavioral: Usual care

Interventions

Usual care plus electronic tablet with games application "e-GOLIAH" (Gaming Open Library for Intervention in Autism at Home)

Experimental
Usual careBEHAVIORAL

Usual care which combines speech therapy, psychomotor, educational or psychological care with a developmental and / or behavioral orientation and a school life support during schooling.

Control

Eligibility Criteria

Age3 Years - 6 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Child with autism confirmed by a validated instrument (ADI-R or ADOS)
  • Aged 3 to 6 years;
  • Parent(s) agree to get involved in the constraint of using the SG 5 times / week at home for 2 periods of 3 months.
  • Signature of the informed consent form by the 2 holders of parental authority or the only holder of parental authority present
  • Affiliation to a social security scheme (except AME)
  • Children with behavioral problems;
  • Unstabilized comorbid organic pathology;
  • Moderate and severe cognitive deficit (Intellectual Quotient less than 55);
  • Multi or polyhandicap.
  • Medication that may cause visual or cognitive impairment (PSAs, neuroleptics, etc.) or that may interfere with the study assessments
  • Degenerative diseases or any other disease that could interfere with the evaluations planned during this study (known epilepsy and/or history of seizures, etc.)
  • Photosensitive persons in order to avoid situations that could induce epileptic seizures in them

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (12)

Fondation Lenval - Hôpitaux Pédiatriques de Nice- CHU Lenval

Nice, Alpes Maritimes, 06200, France

Location

Centre Hospitalier Universitaire de Strasbourg

Strasbourg, Bas-Rhin, 67091, France

Location

Centre Hospitalier Universitaire de Toulouse

Toulouse, Haut-Garonne, 31059, France

Location

Centre Hospitalier Universitaire de Montpellier

Montpellier, Hérault, 34295, France

Location

Centre Hospitalier Universitaire de Tours

Tours, Indre-et-Loire, 37044, France

Location

Centre Hospitalier Universitaire de Nancy

Nancy, Meurthe-et-Moselle, 54511, France

Location

Centre Hospitalier d'Amiens

Amiens, Somme, 80054, France

Location

Centre Hospitalier Universitaire de Paris - Centre Hospitalier d'Henri Laborit

Poitiers, Vienne, 86021, France

Location

Assistance Publique - Hôpitaux de Paris, Site de la Pitié-Salpêtrière

Paris, Île-de-France Region, 75013, France

Location

Centre Hospitalier Sainte-Anne / GHU Paris Psychiatrie et Neurosciences

Paris, Île-de-France Region, 75014, France

Location

Assistance Publique - Hôpitaux de Paris, Site de Necker

Paris, Île-de-France Region, 75015, France

Location

Centre Hospitalier de Versailles - André Mignot

Versailles, Île-de-France Region, 78157, France

Location

Related Publications (5)

  • Dawson G, Rogers S, Munson J, Smith M, Winter J, Greenson J, Donaldson A, Varley J. Randomized, controlled trial of an intervention for toddlers with autism: the Early Start Denver Model. Pediatrics. 2010 Jan;125(1):e17-23. doi: 10.1542/peds.2009-0958. Epub 2009 Nov 30.

    PMID: 19948568BACKGROUND
  • Jouen AL, Narzisi A, Xavier J, Tilmont E, Bodeau N, Bono V, Ketem-Premel N, Anzalone S, Maharatna K, Chetouani M, Muratori F, Cohen D; MICHELANGELO Study Group. GOLIAH (Gaming Open Library for Intervention in Autism at Home): a 6-month single blind matched controlled exploratory study. Child Adolesc Psychiatry Ment Health. 2017 Mar 22;11:17. doi: 10.1186/s13034-017-0154-7. eCollection 2017.

    PMID: 28344643BACKGROUND
  • Bieleninik L, Geretsegger M, Mossler K, Assmus J, Thompson G, Gattino G, Elefant C, Gottfried T, Igliozzi R, Muratori F, Suvini F, Kim J, Crawford MJ, Odell-Miller H, Oldfield A, Casey O, Finnemann J, Carpente J, Park AL, Grossi E, Gold C; TIME-A Study Team. Effects of Improvisational Music Therapy vs Enhanced Standard Care on Symptom Severity Among Children With Autism Spectrum Disorder: The TIME-A Randomized Clinical Trial. JAMA. 2017 Aug 8;318(6):525-535. doi: 10.1001/jama.2017.9478.

    PMID: 28787504BACKGROUND
  • Billeci L, Narzisi A, Tonacci A, Sbriscia-Fioretti B, Serasini L, Fulceri F, Apicella F, Sicca F, Calderoni S, Muratori F. An integrated EEG and eye-tracking approach for the study of responding and initiating joint attention in Autism Spectrum Disorders. Sci Rep. 2017 Oct 19;7(1):13560. doi: 10.1038/s41598-017-13053-4.

    PMID: 29051506BACKGROUND
  • Bono V, Narzisi A, Jouen AL, Tilmont E, Hommel S, Jamal W, Xavier J, Billeci L, Maharatna K, Wald M, Chetouani M, Cohen D, Muratori F; MICHELANGELO Study Group. GOLIAH: A Gaming Platform for Home-Based Intervention in Autism - Principles and Design. Front Psychiatry. 2016 Apr 28;7:70. doi: 10.3389/fpsyt.2016.00070. eCollection 2016.

    PMID: 27199777BACKGROUND

MeSH Terms

Conditions

Autism Spectrum Disorder

Condition Hierarchy (Ancestors)

Child Development Disorders, PervasiveNeurodevelopmental DisordersMental Disorders

Study Officials

  • David COHEN, Professor

    Assistance Publique - Hôpitaux de Paris

    STUDY DIRECTOR

Central Study Contacts

David COHEN, Professor, Child Psychiatrist

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 28, 2022

First Posted

March 9, 2022

Study Start

June 15, 2022

Primary Completion

December 15, 2024

Study Completion

December 15, 2024

Last Updated

April 25, 2022

Record last verified: 2022-02

Locations