AzTrials
AzTrials

Autism Spectrum DisorderNCT03269110

Folic Acid Clinical Trial: Follow up of Children (FACT 4 Child)

An observational study of Autism Spectrum Disorder and Asthma, run by Ottawa Hospital Research Institute at 58 sites in 4 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

FACT 4 Child is a follow up study of mothers who participated in the Folic Acid Clinical Trial (NCT01355159) and their children at 4-6 years of age to determine the effect of high dose folic acid supplementation on social impairments associated with Autism Spectrum Disorders (ASDs), and deficiencies in a range of… Read more about this study

Who is it for?
Ages 4 to 6 yearsHealthy volunteers can take part
What is being tested?
SRS 2, CBCL, BRIEF-P
How many people
664 participants
Where
58 sitesin 4 countries
Study dates
1 Jul 2017to 31 Dec 2023
Phase
Observational
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 4 to 6 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Study population: FACT 4 Child is the post-delivery follow-up of offspring born to FACT mothers once children reach the age of 4 years. Women in FACT and their children, will be invited to participate in FACT 4 Child.

Who may be able to join

  • Capability of participant to comprehend and comply with study requirements
  • Mother participated in FACT

Who cannot join

  • Confirmed spontaneous termination (miscarriage) or elective termination or stillborn
  • Confirmed death of offspring at 6 weeks postpartum and/or at discharge from hospital

Trial locations and contacts

58 sites in 4 countries.

58 sites in 4 countries

United Kingdom31 sites
  • Wansbeck General Hospital

    Ashington, Northumberland, NE63 9JJ

  • Blackburn

    Blackburn, BB2 3HH

  • Burnley

    Burnley, BB10 2PQ

  • Fairfield

    Bury, Lancashire, BL9 7TD

  • Cumberland Infirmary Carlisle

    Carlisle

  • Leighton

    Crewe, Cheshire, CW1 4QJ

  • North Manchester

    Crumpsall, M8 5RB

  • Darlington Memorial Hospital

    Darlington, County Durham, DL3 6HX

  • North Durham

    Durham

  • Gateshead Queen Elizabeth Hospital

    Gateshead, Tyne and Wear, NE9 6SX

  • Hinchingbrooke

    Huntingdon, Cambridgeshire, PE29 6NT

  • West Middlesex University Hospital

    Isleworth, Middlesex, TW7 6AF

  • Lincolnshire

    Lincoln, Lincolnshire, LN2 4AX

  • St George's Hospital

    London, Tooting, SW17 0QT

  • Guy's and St. Thomas

    London

  • South Tees Hospital

    Middlesbrough, TS4 3BW

  • Newcastle upon Tyne Hospitals

    Newcastle upon Tyne, NE1 4LP

  • North Tyneside General Hospital

    North Shields, NE29 8NH

  • Norfolk & Norwich

    Norwich

  • Nottingham City Hospital

    Nottingham, NG5 1PB

  • Nottingham Queens Medical Centre

    Nottingham, NG7 2UH

  • Oldham

    Oldham, OL1 2JH

  • Rochdale

    Rochdale, Lancashire, OL12 0NB

  • South Tyneside Distrcit Hospital

    South Shields, Tyne and Wear, NE34 0PL

  • North Tees Hospital

    Stockton, TS19 9AH

  • Sunderland Royal Hospital

    Sunderland, SR4 7TP

  • Hillingdon Hospital

    Uxbridge, UB8 3NN

  • Warrington Hospital

    Warrington

  • West Cumberland Hospital

    Whitehaven

  • 49 Marine Avenue

    Whitley Bay

  • Royal Wolverhampton - New Cross Hospital

    Wolverhampton

Other trials in United Kingdom

Canada18 sites
  • Calgary Foothills Medical Center

    Calgary, Alberta, T2N2T9

  • Edmonton Lois Hole Hospital for Women

    Edmonton, Alberta, T5H 3V9

  • Fredericton Dr. Everett Chalmers Regional Hospital

    Fredericton, New Brunswick, E3B 5N5

  • Hamilton McMaster University

    Hamilton, Ontario, L8S 4K1

  • Kingston

    Kingston, Ontario, K7L 2V7

  • London

    London, Ontario, N6A 5W9

  • Moncton Hospital

    Moncton, New Brunswick, E1C 6Z8

  • Quebec City (CHUL) Centre Hospitalier Universitaire

    Montreal, Quebec, G1V 4G2

  • Sainte-Justine

    Montreal, Quebec, H3T 1C5

  • St-Mary's Hospital

    Montreal, Quebec, H3T 1M5

  • St-Luc

    Montreal, Quebec

  • The Ottawa Hospital, General Campus

    Ottawa, Ontario, K1H 8L6

  • The Ottawa Hospital, Civic Campus

    Ottawa, Ontario, K1Y 4E9

  • Regina Qu'Appelle Health Region

    Regina, Saskatchewan, S4P 0W5

  • St-John's Women's Health Centre

    St. John's, Newfoundland and Labrador, A1B 3V6

  • Sunnybrook Health Sciences

    Toronto, Ontario, M4N 3M5

  • St-Paul's Hospital

    Vancouver, British Columbia, V6Z 2K5

  • Winnipeg University of Manitoba

    Winnipeg, Manitoba, R3E 3P4

Other trials in Canada

Australia6 sites
  • Women's and Children's Hospital

    Adelaide, South Australia

  • Townsville

    Douglas, Queensland, 4814

  • Ipswich

    Ipswich, Queensland, 4305

  • Royal Women's

    Parkville, Victoria, 3052

  • Nepean

    Penrith, New South Wales, 2750

  • Sunshine

    St Albans, Victoria, 3021

Other trials in Australia

Jamaica3 sites
  • Jubilee

    Kingston

  • Spanishtown

    Kingston

  • University of West Indies

    Kingston

Other trials in Jamaica

About this study

FACT 4 Child is a follow up study of mothers who participated in the Folic Acid Clinical Trial (NCT01355159) and their children at 4-6 years of age to determine the effect of high dose folic acid supplementation on social impairments associated with Autism Spectrum Disorders (ASDs), and deficiencies in a range of executive function and emotional and behavioural problems in young children, and the risk of death.

Read the detailed description

The Folic Acid Clinical Trial (FACT) was developed to conclusively determine the effect of high dose folic acid supplementation in pregnancy on the prevention of preeclampsia in a randomized controlled trial (RCT) design.

The primary objective of the FACT 4 Child study is to examine the effect of maternal folic acid supplementation in pregnancy on the risk of social impairments, as well as executive function, emotional and behavioural problems associated with Autism Spectrum Disorders (ASD) and other developmental disorders, and death in offspring aged 4-6 y of mothers recruited to the CIHR funded FACT.

The effect of folic acid supplementation throughout pregnancy may potentially have an impact on both the mother and her offspring, which highlights the importance and relevance of this study to the management of women with preeclampsia. Results of this study will allow care providers to have the evidence of potential effects of high dose folic acid that can then be discussed; allowing women to make an informed choice about their management and care.

Being tested
SRS 2, CBCL, BRIEF-P
Keywords
neurological, autism, ASD, behaviour, folic acid, pre-eclampsia, asthma, executive function
Medical subject headings
Autism Spectrum Disorder, Asthma, Mental Disorders, Pre-Eclampsia, Death, Neurologic Manifestations, Autistic Disorder, Behavior

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SRS 2, CBCL, BRIEF-PDiagnostic test

    This study does not involve an intervention.

Study groups in NCT03269110
Study groupRoleWhat they receive
Mother and child(ren)FACT 4 Child is the post-delivery follow-up of the offspring born to FACT mothers once these children are between the age of 4 - 6 years.
Receives: Diagnostic Test: SRS 2, CBCL, BRIEF-P

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Neurocognitive disability

    The primary outcome is a competing composite endpoint of neurocognitive disability and death. Neurocognitive disability is a composite outcome related to social impairments, executive function, emotional and behavioural problems which have been associated with Autism Spectrum Disorder (ASD). It will be defined by an abnormal score on any of three standardized and validated assessment tools: SRS-2 BRIEF-P, or CBCL which will be administered to the parents of children aged 4-6 years. Deaths reported between 6 weeks to 4-6 years of age will be recorded as a competing event and treated as part of the primary endpoint.

    Measured: From six weeks of age to date of data collection taken at one time point between the ages of 4 to 6 years.

Secondary outcomes (1)
  1. Severe Morbidity

    Secondary outcomes to be assessed in FACT 4 Child include severe morbidity of FACT offspring, captured by the Mother-Child Health Survey at the age of 4 - 6 years, including incidence of: Severe morbidity defined by any illnesses during the previous years that has necessitated hospitalization or medication/treatment for >2 months

    Measured: From six weeks of age to date of data collection taken at one time point between the ages of 4 to 6 years.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted31 Aug 2017
  2. Study start1 Jul 2017
  3. Primary completion31 Dec 2023
  4. Study completion31 Dec 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
664 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03269110
Sponsor's protocol ID
CTO 816
Status last verified
Apr 2025
First submitted
10 Aug 2017
Last updated
18 Apr 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Christensen DL, Baio J, Van Naarden Braun K, Bilder D, Charles J, Constantino JN, Daniels J, Durkin MS, Fitzgerald RT, Kurzius-Spencer M, Lee LC, Pettygrove S, Robinson C, Schulz E, Wells C, Wingate MS, Zahorodny W, Yeargin-Allsopp M; Centers for Disease Control and Prevention (CDC). Prevalence and Characteristics of Autism Spectrum Disorder Among Children Aged 8 Years--Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2012. MMWR Surveill Summ. 2016 Apr 1;65(3):1-23. doi: 10.15585/mmwr.ss6503a1.

    PubMed 27031587
  • Knapp M, Romeo R, Beecham J. Economic cost of autism in the UK. Autism. 2009 May;13(3):317-36. doi: 10.1177/1362361309104246.

    PubMed 19369391
  • Buescher AV, Cidav Z, Knapp M, Mandell DS. Costs of autism spectrum disorders in the United Kingdom and the United States. JAMA Pediatr. 2014 Aug;168(8):721-8. doi: 10.1001/jamapediatrics.2014.210.

    PubMed 24911948
  • McQuiston S, Kloczko N. Speech and language development: monitoring process and problems. Pediatr Rev. 2011 Jun;32(6):230-8; quiz 239. doi: 10.1542/pir.32-6-230. No abstract available.

    PubMed 21632874
  • Waddell C, McEwan K, Shepherd CA, Offord DR, Hua JM. A public health strategy to improve the mental health of Canadian children. Can J Psychiatry. 2005 Mar;50(4):226-33. doi: 10.1177/070674370505000406.

    PubMed 15898462
  • Repchinsky C. CPS 2008: Compendium of Pharmaceuticals and Specialties : The Canadian Drug Reference for Health Professionals. United States: Canadian Pharmacists Association, 2008.

  • ACOG Committee on Practice Bulletins--Obstetrics. ACOG practice bulletin. Diagnosis and management of preeclampsia and eclampsia. Number 33, January 2002. Obstet Gynecol. 2002 Jan;99(1):159-67. doi: 10.1016/s0029-7844(01)01747-1.

    PubMed 16175681
  • Oakley GP Jr. Elimination of folic acid-preventable neural tube defects. Am J Prev Med. 2008 Dec;35(6):606-7. doi: 10.1016/j.amepre.2008.09.017. No abstract available.

    PubMed 19000851
  • Wilson RD; GENETICS COMMITTEE; MOTHERISK. RETIRED: Pre-conceptional vitamin/folic acid supplementation 2007: the use of folic acid in combination with a multivitamin supplement for the prevention of neural tube defects and other congenital anomalies. J Obstet Gynaecol Can. 2007 Dec;29(12):1003-1013. doi: 10.1016/S1701-2163(16)32685-8. English, French.

    PubMed 18053387
  • Suren P, Roth C, Bresnahan M, Haugen M, Hornig M, Hirtz D, Lie KK, Lipkin WI, Magnus P, Reichborn-Kjennerud T, Schjolberg S, Davey Smith G, Oyen AS, Susser E, Stoltenberg C. Association between maternal use of folic acid supplements and risk of autism spectrum disorders in children. JAMA. 2013 Feb 13;309(6):570-7. doi: 10.1001/jama.2012.155925.

    PubMed 23403681
  • Schmidt RJ, Tancredi DJ, Ozonoff S, Hansen RL, Hartiala J, Allayee H, Schmidt LC, Tassone F, Hertz-Picciotto I. Maternal periconceptional folic acid intake and risk of autism spectrum disorders and developmental delay in the CHARGE (CHildhood Autism Risks from Genetics and Environment) case-control study. Am J Clin Nutr. 2012 Jul;96(1):80-9. doi: 10.3945/ajcn.110.004416. Epub 2012 May 30.

    PubMed 22648721
  • Schmidt RJ, Hansen RL, Hartiala J, Allayee H, Schmidt LC, Tancredi DJ, Tassone F, Hertz-Picciotto I. Prenatal vitamins, one-carbon metabolism gene variants, and risk for autism. Epidemiology. 2011 Jul;22(4):476-85. doi: 10.1097/EDE.0b013e31821d0e30.

    PubMed 21610500
  • Villamor E, Rifas-Shiman SL, Gillman MW, Oken E. Maternal intake of methyl-donor nutrients and child cognition at 3 years of age. Paediatr Perinat Epidemiol. 2012 Jul;26(4):328-35. doi: 10.1111/j.1365-3016.2012.01264.x. Epub 2012 Mar 14.

    PubMed 22686384
  • Forns J, Torrent M, Garcia-Esteban R, Caceres A, Pilar Gomila M, Martinez D, Morales E, Julvez J, Grimalt JO, Sunyer J. Longitudinal association between early life socio-environmental factors and attention function at the age 11 years. Environ Res. 2012 Aug;117:54-9. doi: 10.1016/j.envres.2012.04.007. Epub 2012 May 18.

    PubMed 22608140
  • Chatzi L, Papadopoulou E, Koutra K, Roumeliotaki T, Georgiou V, Stratakis N, Lebentakou V, Karachaliou M, Vassilaki M, Kogevinas M. Effect of high doses of folic acid supplementation in early pregnancy on child neurodevelopment at 18 months of age: the mother-child cohort 'Rhea' study in Crete, Greece. Public Health Nutr. 2012 Sep;15(9):1728-36. doi: 10.1017/S1368980012000067. Epub 2012 Feb 8.

    PubMed 22314109

Questions about this trial

What is this clinical trial studying?

An observational study of Autism Spectrum Disorder and Asthma, run by Ottawa Hospital Research Institute at 58 sites in 4 countries.

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 2 inclusion and 2 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 18 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 58 sites in United Kingdom, Canada, Australia, Jamaica. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

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?

Neurocognitive disability (time frame: From six weeks of age to date of data collection taken at one time point between the ages of 4 to 6 years.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03269110, which also lists 75 linked publications.

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 18 Apr 2025.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in