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CompletedNCT02832557Updated Jun 5, 2023

A Salivary miRNA Diagnostic Test for Autism

An observational study in Autism Spectrum Disorder and Developmental Delay, sponsored by State University of New York - Upstate Medical University. Completed at 1 site in United States. Open to participants aged 24 Months to 48 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-06-05.

Sponsored by State University of New York - Upstate Medical University · Observational

Study type
Observational
Model
Case-control
Time perspective
Cross-sectional
Enrollment
998
Ages
24 Months to 48 Months
Sex
All
01

Study summary

The goal of this study is to validate a panel of miRNAs that distinguish children with autism spectrum disorder (ASD) from their non-ASD peers with a positive MCHAT-R. These biomarkers may allow earlier diagnosis of autism, allowing earlier service, and also help us to understand some of the changes in the brains of autistic children.

Read the detailed description

The central aim of this project is to validate a panel of expressed microRNA (miRNA) in the saliva of children identified at risk for developing ASD by the MCHAT-R. Further, this study aims to assess the value of the current panel as an adjunctive test that may increase specificity of MCHAT-R positive results, or affirm clinical diagnoses alongside the ADOS or other objective assessments.

The primary endpoints of this study are as follows:

  1. Evaluate the diagnostic ability (sensitivity and specificity) of the current a salivary microtranscriptome panel for distinguishing children with ASD from their non-ASD peers.
  2. Assess stability of the salivary microtranscriptome diagnosis over time, and interrogate longitudinal microtranscriptome levels relative to neuropsychological measures.

Secondary endpoints are the identification of microtranscriptome features whose concentrations correlate with ASD endophenotypes.

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Conditions studied

  • Autism Spectrum Disorder
  • Developmental Delay

Keywords

  • Autism
  • Asperger's Syndrome
  • microRNA
  • epigenetic
  • biomarker
03

In context

Autistic Disorder

1,344 studies on the registry are indexed under Autistic Disorder; 334 are open to participants now.

This study's enrollment of 998 is above the median of 102 across 267 observational studies indexed under Autistic Disorder.

Browse Autistic Disorder studies →

Lead sponsor

State University of New York - Upstate Medical University is the lead sponsor of 154 studies on the registry; 17 are open to participants now.

Of its 11 completed or terminated interventional studies of FDA-regulated products, 4 (36%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
24 Months to 48 Months
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

The study will compare salivary miRNA in children between the ages of 24 months and 48 months of age who are considered at risk for the development of autism spectrum disorder as identified by a score of 3 or greater on the MCHAT-R.

Inclusion criteria

  • Age at enrollment: 24 months to 48 months (inclusive)
  • MCHAT-R score of 3 or greater
  • Parent/guardian must be fluent in spoken English (required to complete study specific questionnaires etc)

Exclusion criteria

Exclusion Criteria:

  • confounding neurological (i.e. cerebral palsy, epilepsy), sensory (i.e. auditory or visual) impairments, and feeding tube dependence.
  • history of extreme pre-term birth (\< 32 weeks gestation)
  • wards of the state
  • Autistic subjects with known syndromic autism (attributed to a known genetic mutation)
05

Study design

Observational model
Case-control
Time perspective
Cross-sectional
Enrollment
998 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • MCHAT-R Positive

    Children identified at risk for the development of autism spectrum disorder (ASD) by scoring a 3 or higher on the MCHAT-R. Participants should not have a history of extreme pre-term birth or underlying neurological disorders such as seizures or cerebral palsy.

    Other: Salivary collection · Other: Vineland Adaptive Behavior Scale-III Assessment · Other: Medical history questionaire · Other: Autism Diagnostic Observation Schedule -2nd edition (ADOS-2) · Other: Mullen Scales of Early Learning

Interventions

  • OtherSalivary collection

    Collection of saliva via swab for miRNA processing

  • OtherVineland Adaptive Behavior Scale-III Assessment
  • OtherMedical history questionaire
  • OtherAutism Diagnostic Observation Schedule -2nd edition (ADOS-2)
  • OtherMullen Scales of Early Learning
06

What researchers measure

Primary outcomes

  1. Salivary miRNA profile

    Measures of miRNA abundance in saliva

    Time frame: at the time of collect (from 18m to 6 years of age)

Secondary outcomes

  1. Measures of adaptive function

    Vineland Adaptive Behavior Composite Score

    Time frame: At time of enrollment (from 18m to 6 years of age)

  2. Measures of early intellectual development

    Mullen Scales of Early Learning

    Time frame: At time of enrollment (from 18m to 6 years of age)

  3. Measure of autistic behavior

    Autism Diagnostic Observation Schedule (ADOS) Composite Score (Autism Group Only)

    Time frame: At time of enrollment (from 18m to 6 years of age)

07

Study locations

1 site
  • SUNY Upstate Medical University
    Syracuse, New York 13210, United States
08

References and documents

Publications

  • Hicks SD, Ignacio C, Gentile K, Middleton FA. Salivary miRNA profiles identify children with autism spectrum disorder, correlate with adaptive behavior, and implicate ASD candidate genes involved in neurodevelopment. BMC Pediatr. 2016 Apr 22;16:52. doi: 10.1186/s12887-016-0586-x. PubMed 27105825 ↗
  • Hicks SD, Rajan AT, Wagner KE, Barns S, Carpenter RL, Middleton FA. Validation of a Salivary RNA Test for Childhood Autism Spectrum Disorder. Front Genet. 2018 Nov 9;9:534. doi: 10.3389/fgene.2018.00534. eCollection 2018. PubMed 30473705 ↗
  • Hicks SD, Carpenter RL, Wagner KE, Pauley R, Barros M, Tierney-Aves C, Barns S, Greene CD, Middleton FA. Saliva MicroRNA Differentiates Children With Autism From Peers With Typical and Atypical Development. J Am Acad Child Adolesc Psychiatry. 2020 Feb;59(2):296-308. doi: 10.1016/j.jaac.2019.03.017. Epub 2019 Mar 27. PubMed 30926572 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 5, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02832557
Lead sponsor
State University of New York - Upstate Medical University
Collaborators
National Institute of Mental Health (NIMH), Quadrant Biosciences Inc., Milton S. Hershey Medical Center, University of Missouri-Columbia, Children's Hospital Medical Center, Cincinnati, Baylor College of Medicine
Responsible party
Frank A Middleton (Principal Investigator/Associate Professor, State University of New York - Upstate Medical University) — Principal investigator
First posted
Jul 14, 2016
Start date
Nov 1, 2015
Primary completion
Aug 31, 2021
Completion
Aug 31, 2021
Last update
Jun 5, 2023

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2023. You cannot join it, but the record below documents what was studied.

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