Autism Spectrum DisorderPhase 2INOXTNCT01788072
INtranasal OXyTocin for the Treatment of Autism Spectrum Disorders
A Phase 2 study testing Intranasal Oxytocin in people with Autism Spectrum Disorder, run by Holland Bloorview Kids Rehabilitation Hospital at 2 sites in Canada.
Trial summary
There is substantial evidence from animal model and healthy control data, that oxytocin is involved in the modulation of social cognition. In addition, recent genetics and plasma level studies suggest a possible role for oxytocin in the pathophysiology of Autism Spectrum Disorders (ASD). Read more about this study
- Who is it for?
- Ages 18 to 45 years
- Conditions the study is for
- Autism Spectrum Disorder
- What is being tested?
- Intranasal Oxytocin
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 70 participants
- Where
- 2 sitesCanada
- Study dates
- Jun 2014to Oct 2017
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 45 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Male or female outpatients 18-45 years of age, inclusive
- Meet Diagnostic and Statistical Manual of Mental Disorders. Diagnostic and Statistical Manual (DSM-V) criteria will be established by a clinician with expertise with individuals with ASD. Best estimate Diagnosis will be reached using DSM-V criteria, the Autism Diagnostic Observation Schedule (ADOS) and the Autism Diagnostic Interview (ADI-R).
- Have a Clinical Global Impression-Severity (CGI-S) score ≥ 4 (moderately ill) at Screening.
- Verbal scale Intelligence Quotient (IQ) ≥ 70
- If already receiving stable concomitant medications affecting behavior, have stable regimens with no changes during the preceding 1 month prior to Screening (with the exception of fluoxetine, where a period of 6 weeks is needed), and will not electively initiate new or modify ongoing medications for the duration of the study
- If already receiving stable non-pharmacological educational, behavioral, and/or dietary interventions, have continuous participation during the preceding 3 months prior to Screening, and not electively initiate new or modify ongoing interventions for the duration of the study
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- Have normal physical examination and laboratory test results at screening. If abnormal, the finding(s) must be deemed clinically insignificant by the Treating Clinician.
- Ability to speak and understand English sufficiently to allow for the completion of all study assessments
- Ability to obtain written informed consent from the subject (if developmentally appropriate), or ability to obtain written informed consent from their surrogate decision maker (SDM), if the subject is unable to provide consent.
Who cannot join
- Patients born prior to 28 weeks gestational age
- Patients with a primary psychiatric diagnosis other than ASD
- Patients with a medical history of neurological disease, including, but not limited to, epilepsy/seizure disorder, movement disorder, tuberous sclerosis, fragile X, and any other known genetic syndromes, or known abnormal brain MRI/structural lesion. Exceptions: 1) simple febrile seizures, 2) epilepsy/ seizure free for at least 2 years prior to Screening
- Pregnant female patients, sexually active female patients on hormonal birth control and sexually active females who do not use at least two types of non-hormonal birth control
- Patients with evidence or history of malignancy or any significant hematological, endocrine, cardiovascular (including any rhythm disorder), respiratory, renal, hepatic, or gastrointestinal disease
- Patients with one or more of the following: HIV, Hepatitis B virus, Hepatitis C virus, hemophilia (bleeding problems, recent nose and brain injuries), abnormal blood pressure (hypotension or hypertension), drug abuse, immunity disorder or severe depression.
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- Patients unable to tolerate venipuncture procedures for blood sampling
- Patients who are currently taking oxytocin or have taken intranasal oxytocin in the past with no response
- Patients with a sensitivity to oxytocin or any components of its formulation
Trial locations and contacts
2 sites in 1 country.
Canada2 sites
St. Joseph's Healthcare Hamilton
Hamilton, Ontario, L8S 4K1
Holland Bloorview Kids Rehabilitation Hospital
Toronto, Ontario, M4G 1R8
About this study
Official title: INtranasal OXyTocin for the Treatment of Autism Spectrum Disorders (ASD)
There is substantial evidence from animal model and healthy control data, that oxytocin is involved in the modulation of social cognition. In addition, recent genetics and plasma level studies suggest a possible role for oxytocin in the pathophysiology of Autism Spectrum Disorders (ASD). As a large number of children with ASD are transitioning into adulthood and will likely require treatment, the lack of data to make meaningful treatment recommendations to facilitate adult living is an urgent issue. This study will examine the effect of intranasal oxytocin (IN-OXT) on social function in adults with ASD. It is hypothesized that IN-OXT will be superior to placebo in improving social function by the end of study treatment.
- Conditions
- Autism Spectrum Disorder
- Being tested
- Intranasal Oxytocin, Placebo
- Keywords
- Autism Spectrum Disorders, Oxytocin, Adults
- Medical subject headings
- Autism Spectrum Disorder
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Intranasal OxytocinDrug
Also called Syntocinon
24 IU taken twice daily (BID), in the morning and at noon/early afternoon
PlaceboDrug
24 IU taken twice daily (BID), in the morning and at noon/early afternoon
| Study group | Role | What they receive |
|---|---|---|
| Intranasal Oxytocin | Active comparator | Not described Receives: Drug: Intranasal Oxytocin |
| Placebo | Placebo comparator | Not described Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Efficacy of intranasal oxytocin vs. placebo on social function in adults with ASD
This will be measured by the Clinical Global Impressions - Improvement Scale - Social (CGI-I-Social).
Measured: 12 weeks
Secondary outcomes (8)
Efficacy of intranasal oxytocin vs. placebo on a continuous measure of social cognition in adults with ASD
This will be measured by the Revised Eyes Test
Measured: 12 weeks
Efficacy of intranasal oxytocin vs. placebo on a continuous measure of social function in adults with ASD
This will be measured by the Vineland Adaptive Behavior Scale (VABS-II)
Measured: 12 weeks
Efficacy of intranasal oxytocin vs. placebo on a continuous measure of social responsiveness in adults with ASD
This will be measured by the Social Responsiveness Scale (SRS-2)
Measured: 12 weeks
Efficacy of intranasal oxytocin vs. placebo on a continuous measure of social responsiveness in adults with ASD
This will be measured by the Aberrant Behavior Checklist (ABC)
Measured: 12 weeks
Safety and tolerability of intranasal oxytocin in adults with ASD
This will be measured by the Safety Monitoring Uniform Report Form (SMURF)
Measured: 12 weeks
Safety and tolerability of intranasal oxytocin in adults with ASD
This will be measured by the Clinical Global Impressions - Improvement Scale - Global (CGI-I-Global)
Measured: 12 weeks
Efficacy of intranasal oxytocin vs. placebo on quality of life
This will be measured by the World Health Organization Quality of Life Survey (WHOQOL-BREF)
Measured: 12 weeks
Efficacy of intranasal oxytocin vs. placebo on anxiety
This will be measured by the Symptom Checklist 90-Revised (SCL-90-R)
Measured: 12 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Feb 2013 (estimated)
- Study startJun 2014
- Primary completionAug 2017
- Study completionOct 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Autism Spectrum DisorderStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 70 participants (actual)
Sponsor and investigators
- Lead sponsor
- Holland Bloorview Kids Rehabilitation Hospital
- Sponsor type
- University, hospital or other
- Collaborators
- McMaster University, Unity Health Toronto
- Responsible party
- Sponsor
- Investigators
- Evdokia Anagnostou, M.D., Principal investigator, Holland Bloorview Kids Rehabilitation HospitalMarc Woodbury-Smith, M.D., Principal investigator, McMaster University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01788072
- Sponsor's protocol ID
- INOXT-10-2013
- Acronym
- INOXT
- Status last verified
- Jan 2018
- First submitted
- 7 Feb 2013
- Last updated
- 16 Jul 2025
- Results posted
- No
- Data monitoring committee
- Yes
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 16 Jul 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- INtranasal OXyTocin for the Treatment of Autism Spectrum Disorders (ASD)
- ClinicalTrials.gov ID
- NCT01788072
- Acronym / sponsor ID
- INOXT / INOXT-10-2013
- Conditions
- Autism Spectrum Disorder
- Keywords
- Autism Spectrum Disorders, Oxytocin, Adults
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 70 participants (actual)
- Lead sponsor
- Holland Bloorview Kids Rehabilitation HospitalUniversity, hospital or other
- Collaborators
- McMaster University, Unity Health Toronto
- Study start
- Jun 2014
- Primary completion
- Aug 2017 (actual)
- Study completion
- Oct 2017 (actual)
- First posted
- 11 Feb 2013 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
There is substantial evidence from animal model and healthy control data, that oxytocin is involved in the modulation of social cognition. In addition, recent genetics and plasma level studies suggest a possible role for oxytocin in the pathophysiology of Autism Spectrum Disorders (ASD). As a large number of children with ASD are transitioning into adulthood and will likely require treatment, the lack of data to make meaningful treatment recommendations to facilitate adult living is an urgent issue. This study will examine the effect of intranasal oxytocin (IN-OXT) on social function in adults with ASD. It is hypothesized that IN-OXT will be superior to placebo in improving social function by the end of study treatment.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Intranasal Oxytocin | Active comparator | Drug: Intranasal Oxytocin |
| Placebo | Placebo comparator | Drug: Placebo |
Who may qualify
- Ages
- 18 to 45 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (9 listed)
- Male or female outpatients 18-45 years of age, inclusive
- Meet Diagnostic and Statistical Manual of Mental Disorders. Diagnostic and Statistical Manual (DSM-V) criteria will be established by a clinician with expertise with individuals with ASD. Best estimate Diagnosis will be reached using DSM-V criteria, the Autism Diagnostic Observation Schedule (ADOS) and the Autism Diagnostic Interview (ADI-R).
- Have a Clinical Global Impression-Severity (CGI-S) score ≥ 4 (moderately ill) at Screening.
- Verbal scale Intelligence Quotient (IQ) ≥ 70
- If already receiving stable concomitant medications affecting behavior, have stable regimens with no changes during the preceding 1 month prior to Screening (with the exception of fluoxetine, where a period of 6 weeks is needed), and will not electively initiate new or modify ongoing medications for the duration of the study
Key exclusion criteria (9 listed)
- Patients born prior to 28 weeks gestational age
- Patients with a primary psychiatric diagnosis other than ASD
- Patients with a medical history of neurological disease, including, but not limited to, epilepsy/seizure disorder, movement disorder, tuberous sclerosis, fragile X, and any other known genetic syndromes, or known abnormal brain MRI/structural lesion. Exceptions: 1) simple febrile seizures, 2) epilepsy/ seizure free for at least 2 years prior to Screening
- Pregnant female patients, sexually active female patients on hormonal birth control and sexually active females who do not use at least two types of non-hormonal birth control
- Patients with evidence or history of malignancy or any significant hematological, endocrine, cardiovascular (including any rhythm disorder), respiratory, renal, hepatic, or gastrointestinal disease
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Intranasal OxytocinAlso: Syntocinon24 IU taken twice daily (BID), in the morning and at noon/early afternoon | Drug | Intranasal Oxytocin |
| Placebo24 IU taken twice daily (BID), in the morning and at noon/early afternoon | Drug | Placebo |
Primary outcome
Efficacy of intranasal oxytocin vs. placebo on social function in adults with ASD
Time frame: 12 weeks
This will be measured by the Clinical Global Impressions - Improvement Scale - Social (CGI-I-Social).
8 secondary outcomes
Efficacy of intranasal oxytocin vs. placebo on a continuous measure of social cognition in adults with ASD
Time frame: 12 weeks
Efficacy of intranasal oxytocin vs. placebo on a continuous measure of social function in adults with ASD
Time frame: 12 weeks
Efficacy of intranasal oxytocin vs. placebo on a continuous measure of social responsiveness in adults with ASD
Time frame: 12 weeks
Efficacy of intranasal oxytocin vs. placebo on a continuous measure of social responsiveness in adults with ASD
Time frame: 12 weeks
Safety and tolerability of intranasal oxytocin in adults with ASD
Time frame: 12 weeks
Safety and tolerability of intranasal oxytocin in adults with ASD
Time frame: 12 weeks
Efficacy of intranasal oxytocin vs. placebo on quality of life
Time frame: 12 weeks
Efficacy of intranasal oxytocin vs. placebo on anxiety
Time frame: 12 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Jul 2025.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Evdokia Anagnostou, M.D. principal investigator
Holland Bloorview Kids Rehabilitation Hospital
Marc Woodbury-Smith, M.D. principal investigator
McMaster University
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Intranasal Oxytocin in people with Autism Spectrum Disorder, run by Holland Bloorview Kids Rehabilitation Hospital at 2 sites in Canada.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 16 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Efficacy of intranasal oxytocin vs. placebo on social function in adults with ASD (time frame: 12 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Jul 2025.