About this trial
This is a randomized, double blind, placebo-controlled study of the effects of intranasal oxytocin on bone health in children with autism spectrum disorder, ages 6-18 years old. Subjects will be randomized to receive intranasal oxytocin or placebo (30 IU, 2 times daily) for 12 months in the double-blind phase, followed by a 6-month open label phase during which all study subjects will receive intranasal oxytocin (30 IU, 2 times daily). Study visits include screening to determine eligibility, followed by study visits at baseline, week 2, and months 6, 12, 18 and phone calls every two weeks for the first two months and monthly thereafter for the duration of the study. Study assessments include history and physical examinations, anthropometric measurements, electrocardiogram (EKG), adverse event monitoring, laboratory tests for chemistries, hormones and biomarkers for bone metabolism, questionnaires regarding diet and exercise, and imaging to assess body composition, bone density and structure.
Eligibility criteria
Qualifiers
Ages 6 to 18 years old at Randomization
BMI greater than or equal to the 5th percentile
Expert clinical diagnosis of ASD
Availability of parent/guardian to provide informed consent
Disqualifiers
Fragile X, tuberous sclerosis, William's syndrome, Angelman's syndrome, Noonan syndrome, and other single gene defects that are syndromic and affect heart or bone density
Other conditions that may contribute to low bone density (e.g., hypogonadism)
Medications that may impact bone other than calcium or vitamin D supplementation, other than calcium or vitamin D supplementation, such as specific anti-seizure medications (Phenytoin, Phenobarbital), oral glucocorticoids, hormonal contraceptive injection (Medroxyprogesterone acetate (Depo-Provera)
Hyponatremia
Trial design
Treatments tested in this trial
- 1. Intranasal oxytocin spray
- 2. Intranasal placebo spray
- 3. Intranasal Oxytocin spray
Treatment groups
Sponsors and collaborators
Elizabeth Austen Lawson
Lead sponsor
Massachusetts General Hospital
Sponsor institution
United States Department of Defense
Collaborator
University of Virginia
Collaborator