Clinical trial NCT01361503: Magnetic Resonance Spectroscopic and Diffusion Tensor Imaging of Adolescents with Autism Spectrum Disorders
Official title: Magnetic Resonance Spectroscopic and Diffusion Tensor Imaging of Adolescents with Autism Spectrum Disorders
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Autism Spectrum Disorders
Keywords: Autism Spectrum Disorders
Pervasive Developmental Disorders
Asperger's Syndrome
Adolescents
Magnetic Resonance Spectroscopy
Diffusion Tensor Imaging
Lead sponsor: Massachusetts General Hospital
Sponsor class: OTHER
Collaborators: name: Mclean Hospital
First posted: 2011-05-26
Enrollment: 20
Sex: ALL
Minimum age (years): 6
Maximum age (years): 17
Standard ages: CHILD
Accepts healthy volunteers: yes
Observational model: CASE_CONTROL
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Subjects will be recruited from current patients of The Alan and Lorraine Bressler Clinic for Autism Spectrum Disorders. We propose to contact by letter (via regular mail or email) or telephone patients who have been identified by clinicians as expressing interest in the study. Subjects who have participated in previous protocols in our program may also be eligible to participate in this study. We propose to contact by letter or telephone past study participants who have expressed interested in being contacted about future studies they may be eligible for in our office. If a potential subject's clinician ascertains that the patient has an interest in study participation, the clinician will only offer contact information for the study to the patient and/or the patient's parents. The patient and/or parent can then contact the study coordinator for more information on the actual study.

Brief summary: The primary objective of this study is to conduct magnetic resonance spectroscopic (MRS) and imaging (MRI) scans to assess the structural and neurochemical profile of the brain in 20 children and adolescents, 6-17 years old with Autism Spectrum Disorder (ASD). For comparison, MRS and MRI will also be obtained from 10 healthy control subjects, matched to the 20 subjects with ASD in age, sex, dexterity, and IQ. All eligible subjects will be administered a detailed assessment battery consisting of cognitive assessments (neuropsychological battery including subsets of the DANVA2 and the CANTAB) and measures of psychosocial functioning (SAICA and M-FES). The study includes 1-3 visits for the screening period at Massachusetts General Hospital (approximately 4 hours of assessments) and one scanning visit at McLean Hospital (approximately 1.5 hours).

The investigators hypothesize that youth with ASD versus controls will exhibit increased glutamate concentrations, reflecting glutamatergic overactivity, and increased Cho concentrations, suggesting neuronal abnormality. Furthermore, the investigators hypothesize that compared to neurotypical controls, the structural integrity of white mater tracts will be disrupted in ASD.


Eligibility criteria: Inclusion Criteria

* Male or female participants between 6 and 17 years of age.
* Fulfills diagnosis of autism spectrum disorders by meeting DSM-IV-TR PDD diagnostic criteria for autistic disorder, Asperger's disorder, or PDD-NOS as established by clinical interview.
* Subjects and their legal representative must have a level of understanding sufficient to communicate intelligently with the investigator and study coordinator, and to cooperate with all tests and examinations required by the protocol.
* Subjects and their legal representative must be considered reliable reporters.
* Each subject and his/her authorized legal representative must understand the nature of the study. The subject's authorized legal representative and the subject must sign an IRB approved informed consent and assent document respectively.
* Participants with disruptive behavior disorders, mood and anxiety disorders will be allowed to participate in the study provided they do not meet any exclusionary criteria.

Exclusion Criteria

* IQ \< 85.
* DSM-IV-TR PDD diagnoses of Rett's disorder, or childhood disintegrative disorder.
* Current diagnosis of a psychotic disorder or unstable bipolar disorder.
* History of recent or current (past 30 days) clinically significant depressive or anxiety disorder that warrants treatment.
* History of substance use (except nicotine or caffeine) within past 3 months or urine drug screen positive for substances of abuse.
* Clinically unstable psychiatric conditions or judged to be at serious safety risk to self (suicidal risk) or others.
* Subjects with a medical condition or treatment that will either jeopardize subject safety or affect the scientific merit of the study.
* Organic brain disorders.
* History of non-febrile seizures without a clear and resolved etiology in last 1 month.
* Pregnant or nursing females.
* Left hand dominant subjects.
* History of claustrophobia or fear of enclosed places.
* Presence of metal or surgical devices (aneurysm clips, metal plates, cochlear implants, neurostimulators, braces, and other items).
* Investigator and his/her immediate family; defined as the investigator's spouse, parent, child, grandparent, or grandchild.

Primary outcomes:
measure: Structural and neurochemical profiles of adolescents with ASD
timeFrame: scanning visit (1.5 hours)
Secondary outcomes:
Other outcomes:
Locations:
city: Belmont
country: United States
facility: McLean Hospital
state: Massachusetts
city: Boston
country: United States
facility: Massachusetts General Hospital
state: Massachusetts
Study officials:
affiliation: Massachusetts General Hospital
name: Gagan Joshi, MD
role: PRINCIPAL_INVESTIGATOR
References: