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Autism Spectrum DisorderPhase 2NCT04745026

Trial to Investigate the Safety and Efficacy of Cannabidiol Oral Solution (GWP42003-P; CBD-OS) in Children and Adolescents With Autism Spectrum Disorder

A Phase 2 study testing GWP42003-P in people with Autism Spectrum Disorder, run by Jazz Pharmaceuticals at 23 sites in 6 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

This study will be conducted to evaluate the efficacy of GWP42003-P, compared with placebo, in reducing symptom severity in children with Autism Spectrum Disorder (ASD). Read more about this study

Who is it for?
Ages 6 to 17 years
Conditions the study is for
Autism Spectrum Disorder
What is being tested?
GWP42003-P
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
103 participants
Where
23 sitesin 6 countries
Study dates
31 May 2021to 21 Dec 2023
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 6 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Participant weight is at least 12 kilograms (kg).
  • Participants (if possessing adequate understanding, in the investigator's opinion) and their parent(s)/legal representative are willing and able to give informed assent and consent for participation in the trial.
  • Participant and their caregiver are willing and able (in the investigator's opinion) to comply with all trial requirements.
  • Participant has a diagnosis of Autism Spectrum Disorder (ASD) as per Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) criteria for ASD, confirmed by Autism Diagnostic Observational Schedule (ADOS-2) criteria (conducted within 2 years at the trial site or at screening by a qualified assessor). Note: During special circumstances (e.g., COVID-19 pandemic) where the ADOS-2 cannot be performed due to site restrictions (e.g., mandatory use of face masks) and an ADOS- 2 conducted within 2 years at the trial site by a qualified assessor is not available, eligibility can be confirmed using: 1) an ADOS-2 performed within 2 years by a qualified assessor (external to the site); 2) if 1) is not available, eligibility may be confirmed using the Autism Diagnostic Interview, Revised (ADI-R) at screening.
  • Clinical Global Impressions - Improvement Scale (CGI-S) ≥ 4 (moderately ill) at screening and randomization.
  • Intelligence quotient (IQ) ≥ 70 at screening, or measured within 1 year of screening, using Wechsler Abbreviated Scale of Intelligence Scale Second Edition (WASI-II).
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  • All medications or interventions (including psychosocial interventions, dietary supplements, probiotics, speech therapy, etc.) for ASD related symptoms must have been stable for 4 weeks prior to screening and randomization, and the patient/caregiver should be willing to maintain a stable regimen throughout the trial.
  • Participants must have the ability to swallow the investigational medicinal product (IMP), provided as a liquid solution.
  • Participant and/or parent(s)/legal representative is willing to allow the responsible authorities to be notified of participation in the trial, if mandated by local law.
  • Participant and/or parent(s)/legal representative is/are willing to allow the participant's primary care practitioner (if they have one) and consultant (if they have one) to be notified of participation in the trial if the primary care practitioner/consultant is different from the investigator.

Who cannot join

  • Current diagnosis of bipolar disorder, psychosis, schizophrenia, schizoaffective disorder, or major depression (participants with depression in remission may be included)
  • Has a diagnosis other than ASD that dominates the clinical presentation (e.g., Attention Deficit Hyperactivity Disorder [ADHD])
  • Has a progressive neurological condition
  • Seizures in the past 24 weeks
  • Changes in anticonvulsive therapy within the last 12 weeks
  • Currently taking more than 2 anti-epileptic drugs (AEDs)
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  • Taking sirolimus, everolimus, temsirolimus, or tacrolimus
  • Taking clobazam
  • Taking omeprazole, lansoprazole, tolbutamide, or warfarin
  • Taking repaglinide, pioglitazone, rosiglitazone, montelukast, bupropion, or efavirenz
  • Currently using or has used recreational or medicinal cannabis, cannabinoid-based medications (including Sativex®, or Epidiolex®) within the 12 weeks prior to screening and is unwilling to abstain for the duration of the trial
  • Participant has any known or suspected hypersensitivity to cannabinoids or any of the excipients of the IMP, such as sesame oil.
  • Participant has moderately impaired hepatic function at screening, defined as serum alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 2 × upper limit of normal (ULN) or total bilirubin (TBL) > 2 × ULN. This criterion can only be confirmed once the laboratory results are available; participants enrolled into the trial who are later found to meet this criterion must be screen-failed.
  • Participant is male and fertile (i.e., after puberty unless permanently sterile by bilateral orchidectomy) unless willing to ensure that they use male contraception (condom) or remain sexually abstinent during the trial and for 12 weeks thereafter.
  • Participant is female and of childbearing potential (i.e., following menarche and until becoming postmenopausal for ≥ 12 consecutive months unless permanently sterile by hysterectomy, bilateral salpingectomy, or bilateral oophorectomy) unless willing to ensure that they use a highly effective method of birth control (e.g., hormonal contraception, intrauterine device/hormone-releasing system, bilateral tubal occlusion, vasectomized partner, sexual abstinence) during the trial and for 12 weeks thereafter.
  • Female participant who is pregnant (positive pregnancy test), lactating or planning pregnancy during the course of the trial or within 12 weeks thereafter.
  • Participant has received an IMP within the 12 weeks prior to the screening visit.
  • Participant had brain surgery or traumatic brain injury within 1 year of screening.
  • Participant has any other significant disease or disorder which, in the opinion of the investigator, may either put the participant, other participants, or site staff at risk because of participation in the trial, may influence the result of the trial, or may affect the participant's ability to take part in the trial.
  • Any abnormalities identified following a physical examination of the participant that, in the opinion of the investigator, would jeopardize the safety of the participant if they took part in the trial
  • Any history of suicidal behavior (lifelong) or any suicidal ideation of type 4 or 5 on the Columbia-Suicide Severity Rating Scale (C-SSRS) in the last 4 weeks or at screening or randomization
  • Participant has donated blood during the past 12 weeks and is unwilling to abstain from donation of blood during the trial.
  • Participant has any known or suspected history of alcohol or substance abuse or positive drugs of abuse test at screening (not justified by a known concurrent medication).
  • Participant has previously been randomized into this trial.
  • Participant has plans to travel outside their country of residence during the trial, unless the participant has confirmation that the IMP is permitted in the destination country/state

Trial locations and contacts

23 sites in 6 countries.

23 sites in 6 countries

United States12 sites
  • Boston Children's Hospital

    Boston, Massachusetts, 02115

  • Red Oak Psychiatry Associates, PA

    Houston, Texas, 77090

  • UCSD School of Medicine

    La Jolla, California, 92093

  • Massachusetts General Hospital (Lurie Center for Autism)

    Lexington, Massachusetts, 02421

  • UCLA Neuropsychiatric Institute

    Los Angeles, California, 90024

  • University of Louisville

    Louisville, Kentucky, 40292

  • APG Research, LLC

    Orlando, Florida, 32803

  • Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104

  • Southwest Autism Research and Resource Center (SARRRC)

    Phoenix, Arizona, 85006

  • University of California San Francisco

    San Francisco, California, 94143

  • Seattle Children's Research Institute

    Seattle, Washington, 98105

  • Richmond Behavioral Associates

    Staten Island, New York, 10312

Other trials in United States

Spain3 sites
  • Instituto Global de Atencion Integral del Neurodesarrollo (IGAIN)

    Barcelona, 08007

  • Hospital Universitari Vall d'Hebron

    Barcelona, 08035

  • Corporacio Sanitaria Parc Tauli

    Sabadell, 08208

Other trials in Spain

Australia2 sites
  • Monash Medical Centre

    Clayton, 03168

  • Queensland Children's Hospital

    South Brisbane, 4101

Other trials in Australia

Canada2 sites
  • The Kids Clinic

    Ajax, Ontario, L1Z0M1

  • Center for Pediatric Excellence

    Ottawa, Ontario, K2G1W2

Other trials in Canada

Germany2 sites
  • Klinik fur Psychiatrie, Psychotherapie und Psychosomatik im Kindes und Jugendalter

    Freiburg im Breisgau, 79104

  • Zentralinstitut fuer Seelische Gesundheit

    Mannheim, 68159

Other trials in Germany

United Kingdom2 sites
  • University of Glasgow Institute of Health and Wellbeing

    Glasgow, G128QQ

  • Institute of Psychiatry, King's College London

    London

Other trials in United Kingdom

About this study

Official title: An Exploratory, Phase 2, Randomized, Double-blind, Placebo-controlled Trial to Investigate the Safety and Efficacy of Cannabidiol Oral Solution (GWP42003-P; CBD-OS) in Children and Adolescents With Autism Spectrum Disorder

This study will be conducted to evaluate the efficacy of GWP42003-P, compared with placebo, in reducing symptom severity in children with Autism Spectrum Disorder (ASD).

Being tested
GWP42003-P, Placebo
Keywords
Cannabidiol oral solution, CBD-OS, GWP42003-P, Children, Adolescents
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.

  • GWP42003-PDrug

    Also called Epidiolex®, cannabidiol, CBD-OS

    GWP42003-P oral solution (100 milligrams per milliliter [mg/mL] cannabidiol [CBD] in sesame oil with anhydrous ethanol, ethanol [10% v/v] sweetener [sucralose], and strawberry flavoring), administered twice a day (morning and evening)

  • PlaceboDrug

    Oral placebo to match GWP42003-P oral solution containing sesame oil with anhydrous ethanol, sweetener (sucralose), strawberry flavoring, and beta carotene, administered twice a day (morning and evening)

Study groups in NCT04745026
Study groupRoleWhat they receive
GWP42003-P 10 mg/kg/dayExperimentalParticipants will be stratified based on their age (6 to 11 years old, 12 to 17 years old), use of antipsychotics (on versus off), and region (North America versus Rest of the World) and will be randomized to receive 5 milligrams per kilogram per day (mg/kg/day) GWP42003-P for 1 week and then 10 mg/kg/day GWP42003-P for 11 weeks.
Receives: Drug: GWP42003-P
PlaceboPlacebo comparatorParticipants will be stratified based on their age (6 to 11 years old, 12 to 17 years old), use of antipsychotics (on versus off), and region (North America versus Rest of the World) and will be randomized to receive matching placebo for 12 weeks.
Receives: Drug: Placebo

What is being measured

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

  1. Change From Baseline in Aberrant Behavior Checklist (ABC) Subscale Total Scores

    The caregiver-assessed ABC was designed to assess the presence and severity of various problem behaviors commonly observed in individuals diagnosed with intellectual and developmental disability. The checklist contains 5 subscales: Irritability (15 items); Social Withdrawal (16 items); Stereotypic Behavior (7 items); Hyperactivity/Noncompliance (16 items); and Inappropriate Speech (4 items). Each item is scored as 0 (never a problem), 1 (slight problem), 2 (moderately serious problem), or 3 (severe problem). The total score of all items for each subscale range from 0-45 (irritability), 0-48 (social withdrawal and hyperactivity/noncompliance), 0-21 (stereotypic behavior), and 0-12 (inappropriate speech) where higher scores indicate worse clinical outcome. The change from baseline to Week 4, Week 8, and Week 12 is reported with lower scores indicating better clinical outcome.

    Measured: Baseline up to Week 12

  2. Change From Baseline in Vineland Adaptive Behavior Scales-3 (VABS-3) Scores

    The VABS-3 scales assess what a person does, rather than what he or she can do. The Vineland-3 assesses adaptive behavior in 3 domains: Communication, Daily Living Skills, and Socialization. Each domain is comprised of 3 subdomains: receptive expression and written (communication); personal, domestic and community (daily living skills); Interpersonal relationships, play and leisure and copying skills (socialization). The adaptive behavior composite score is calculated as arithmetic mean of all 3 domain scores. The total score range is 20 to 140, where low scores indicate low (worst) clinical outcome and high scores indicate high (best) clinical outcome. The change from baseline in VABS-3 is being reported with positive values indicating a positive improvement in adaptive behavior.

    Measured: Baseline up to Week 12

  3. Number of Patients Per Clinical Global Impression Improvement (CGI-I) Category

    The CGI-I is a 7-point scale that requires the clinician to assess how much the patient's illness has improved or worsened relative to a baseline state at the beginning of the intervention. The clinician is asked: Compared to the patient's condition at admission to the project, how much has the patient changed? This is rated as: 1 = very much improved; 2 = much improved; 3 = minimally improved; 4 = no change; 5 = minimally worse; 6 = much worse; or 7 = very much worse. Higher scores indicate worse clinical outcome. The number of patients in each CGI-I category is reported.

    Measured: Day 85

  4. Change From Baseline in Clinical Global Impression Severity (CGI-S) Scores

    The CGI-S is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment, relative to the clinician's experience with patients who have the same diagnosis. The clinician is asked: Considering your total clinical experience with this particular population, how ill is the patient at this time? This is rated as: 1 = normal, not at all ill; 2 = borderline ill; 3 = mildly ill; 4 = moderately ill; 5 = markedly ill; 6 = severely ill; or 7 = extremely ill. Higher scores indicate worse outcome. The change from baseline in CGI-S scores is reported and lower mean scores indicate better outcome.

    Measured: Baseline up to Week 12

Secondary outcomes (10)
  1. Number of Participants Reporting Treatment-emergent Adverse Events

    A TEAE is one that started, or worsened in severity or seriousness, following the first dose of IMP. AEs were coded according to the Medical Dictionary for Regulatory Activities v24.0 dictionary.

    Measured: Baseline up to Week 12

  2. Mean Change From Baseline in Hematology Clinical Laboratory Levels

    Measured: Baseline up to Week 9 (end of taper/withdrawal)

  3. Mean Percentage Change From Baseline in Hematology Clinical Laboratory Levels

    Measured: Baseline up to Week 9 (end of taper/withdrawal)

  4. Mean Change From Baseline in Hemoglobin Levels

    Measured: Week 9 (end of taper/withdrawal)

  5. Mean Change From Baseline in Erythrocyte Mean Corpuscular Hemoglobin Levels

    Measured: Week 9 (end of taper/withdrawal)

  6. Mean Change From Baseline in Erythrocyte Mean Corpuscular Volume Levels

    Measured: Week 9 (end of taper/withdrawal)

  7. Number of Patients With Clinically Significant Vital Sign Values

    Measured: Post-baseline up to 12 weeks

  8. Number of Patients With Clinically Significant Physical Examination Procedure Findings

    Number of patients with abnormal physical exam findings are reported.

    Measured: Baseline up to Day 85 post-baseline

  9. Number of Patients With Clinically Significant 12-lead Electrocardiogram Findings

    Measured: Baseline up to Day 85 post-baseline

  10. Number of Participants Reporting Suicidal Ideation or Behavior Using the Columbia-Suicide Severity Rating Scale (C-SSRS)

    C-SSRS rating scale results since last visit is reported. The presence/absence of any suicidal ideation or behavior is scored based on yes/no responses. The overall number of participants reporting suicidal ideation or behavior is being reported.

    Measured: Baseline up to Day 92

Timeline

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

  1. First posted9 Feb 2021
  2. Study start31 May 2021
  3. Primary completion21 Dec 2023
  4. Study completion21 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
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
103 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04745026
Sponsor's protocol ID
GWND19189
Other IDs
2020-002819-21
Status last verified
Mar 2025
First submitted
4 Feb 2021
Last updated
30 Mar 2025
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing GWP42003-P in people with Autism Spectrum Disorder, run by Jazz Pharmaceuticals at 23 sites in 6 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 10 inclusion and 25 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 30 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 23 sites in United States, Spain, Australia, Canada, Germany and 1 more country. 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?

Yes. Results are posted in the registry (first posted 30 Mar 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Change From Baseline in Aberrant Behavior Checklist (ABC) Subscale Total Scores (time frame: Baseline up to Week 12). The study lists 4 primary outcomes in all. 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 30 Mar 2025.

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