CClinicalTrials.gg
TerminatedNCT03504917Updated Oct 27, 2021Results posted

A Study of Balovaptan in Adults With Autism Spectrum Disorder With a 2-Year Open-Label Extension

A Phase 3 interventional study of Balovaptan and Placebo in Autism Spectrum Disorder, sponsored by Hoffmann-La Roche. Terminated at 51 sites in 6 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-10-27.

Sponsored by Hoffmann-La Roche · Phase 3, Interventional, and Treatment

Why this study was terminated
A futility analysis assessed that the study is highly unlikely to meet the pre-defined primary objective of the study. No new safety concerns were identified.
Phase
Phase 3
Study type
Interventional
Enrollment
322
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study will evaluate the efficacy, safety, and pharmacokinetics of 10 mg of oral administration balovaptan once a day (QD) compared with matching placebo in adults (18 years and older) with autism spectrum disorder (ASD).

02

Conditions studied

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 322 is above the median of 45 across 1,044 interventional studies indexed under Autistic Disorder.

Browse Autistic Disorder studies →

Lead sponsor

Hoffmann-La Roche is the lead sponsor of 2,061 studies on the registry; 85 are open to participants now.

Of its 319 completed or terminated interventional studies of FDA-regulated products, 239 (75%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Subject meets the DSM-5 criteria for ASD for an autism diagnosis and is confirmed using ADOS-2 criteria
  • SRS-2, proxy version, total t-score >=66 at screening
  • A full scale IQ score >=70 on the WASI®-II
  • Subject has an appropriate study partner, in the opinion of the investigator
  • For women of childbearing potential: agreement to remain abstinent or use a contraceptive method with a failure rate of \<1% per year during the treatment period and for at least 28 days after the last dose of study drug
  • Treatment with permitted medications (at a stable dose for 12 weeks before screening) and behavioral therapy regimens (regimens stable for 6 weeks before screening), with the intent that such treatments remain stable throughout the study and with no expected changes before the Week 24 visit

Exclusion criteria

Exclusion Criteria:

  • Pregnancy or breastfeeding, or intention to become pregnant during the study
  • Previous initiation of new or major change in psychosocial intervention within 6 weeks prior to screening
  • Unstable or uncontrolled clinically significant affective or psychotic disorders and/or neurologic disorder that may interfere with the assessment of safety or efficacy endpoints
  • Substance use disorders during the last 12 months
  • Significant risk for suicidal behavior, in the opinion of the investigator
  • Epilepsy or seizure disorder considered not well controlled within the past 6 months or changes in anticonvulsive therapy within the last 6 months
  • Clinical diagnosis of peripheral neuropathy
  • Within the last 2 years, unstable or clinically significant cardiovascular disease
  • Uncontrolled hypertension
  • Unexplained syncopal episode within the last 12 months
  • Confirmed elevation above upper limit of normal of CK-MB, high sensitivity cardiac troponin T, cardiac troponin I, and/or N-terminal pro B-type natriuretic peptide
  • Positive serology results for hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) antibody, or human immunodeficiency virus (HIV) 1 or 2
  • History of coagulopathies, bleeding disorders, blood dyscrasias, hematological malignancies, myelosuppression (including iatrogenic), or current major bleeding event
  • Concomitant disease or condition that could interfere with, or treatment of which might interfere with, the conduct of the study, or what would, in the opinion of the investigator, pose an unacceptable risk to the subject in this study
  • Confirmed clinically significant abnormality in parameters of hematology
  • Confirmed clinically significant abnormality in parameters of clinical chemistry, coagulation, or urinalysis
  • Medical history of malignancy, if not considered cured
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
322 participants (actual)

Study arms

  • Experimental
    Balovaptan

    Drug: Balovaptan

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • DrugBalovaptan

    Participants will receive 10 mg of oral administration balovaptan once a day (QD).

  • DrugPlacebo

    Participants will receive matching placebo.

06

What researchers measure

Primary outcomes

  1. Change From Baseline at Week 24 on the Vineland Adaptive Behavior Scales (Vineland-II) Two-domain Composite (2DC) Score.

    Vineland™-II Adaptive Behavior Scales 2-Domain Composite (2DC) Score is defined as mean of the Communication domain standard score \& Socialization domain standard score. If any of the 2 individual domain standard scores is missing 2DC score is not computed. Vineland™-II is an instrument that measures communication, daily living skills, socialization, motor skills and maladaptive behavior of individuals with developmental disabilities. Survey Interview Form will be administered to a subject's reliable study partner in this study, during which the rater or clinician will ask to the study partner open ended questions relating to the subject's activities and behavior. Standardized scores on the Adaptive behavior composite range from 20-160 with higher scores indicating better functioning.

    Time frame: Week 24

Secondary outcomes

  1. Change From Baseline at Week 12 on the Vineland-II 2DC Score

    Vineland™-II Adaptive Behavior Scales 2-Domain Composite (2DC) Score is defined as mean of the Communication domain standard score \& Socialization domain standard score. If any of the 2 individual domain standard scores is missing 2DC score is not computed. Vineland™-II is an instrument that measures communication, daily living skills, socialization, motor skills and maladaptive behavior of individuals with developmental disabilities. Survey Interview Form will be administered to a subject's reliable study partner in this study, during which the rater or clinician will ask to the study partner open ended questions relating to the subject's activities and behavior. Standardized scores on the Adaptive behavior composite range from 20-160 with higher scores indicating better functioning.

    Time frame: Week 12

  2. Change From Baseline at Weeks 12 and 24 in the Pediatric Quality of Life (PedsQL) Inventory Generic Core Scales, Version 4.0, on Summary and Total Scores

    The Pediatric Quality of Life Inventory PedsQL™4.0 Generic Core Scale assessment consists of a 23 item questionnaire encompassing 4 core scale domains: Physical Functioning (8 items); Emotional Functioning (5 items); Social Functioning (5 items); and School Functioning (5 items). Items are scored on a 5 point Likert-type response scale (0=never a problem; 1=almost never a problem; 2=sometimes a problem; 3=often a problem; and 4=almost always a problem). Once scored, items will be reverse scored and linearly transformed to a 0-100 scale (0=100, 1=75, 2=50, 3=25, 4=0), so that higher scores indicate better health-related quality of life.

    Time frame: Weeks 12 and 24

  3. Change From Baseline at Weeks 12 and 24 in the Vineland-II Adaptive Behavior Composite Standard Score

    The Vineland-II is an instrument that measures communication, daily living skills, socialization, motor skills (only in children up to 6 years) and maladaptive (not assessed in this study) behavior of individuals with developmental disabilities. The Survey Interview Form (i.e., semi -structured interview) will be administered to a subject's reliable study partner in this study, during which the rater or clinician will ask to the study partner open ended questions relating to the subject's activities and behavior. Domain scores will be obtained for the individual domains of Socialization, Communication, Daily Living Skills, and motor skills (up to 6 years only) and used to calculate the Vineland-II Adaptive Behavior Composite score. Standardized scores on the Adaptive behavior composite range from 20-160 with higher scores indicating better functioning. Only descriptive statistics presented instead of the planned estimated due to the early discontinuation of the study due to futility.

    Time frame: Weeks 12 and 24

  4. Change From Baseline at Week 12 and 24 on the Vineland-II Socialization Domain Standard Score

    The Vineland-II is an instrument that measures communication, daily living skills, socialization, motor skills (only in children up to 6 years) and maladaptive (not assessed in this study) behavior of individuals with developmental disabilities. The Survey Interview Form (i.e., semi -structured interview) will be administered to a subject's reliable study partner in this study, during which the rater or clinician will ask to the study partner open ended questions relating to the subject's activities and behavior. Domain scores will be obtained for the individual domains of Socialization, Communication, Daily Living Skills, and motor skills (up to 6 years only) and used to calculate the Vineland-II Adaptive Behavior Composite score. Standardized scores on the Adaptive behavior composite range from 20-160 with higher scores indicating better functioning. Only descriptive statistics presented instead of the planned estimand due to the early discontinuation of the study due to futility.

    Time frame: Baseline, Weeks 12 and 24

  5. Change From Baseline at Weeks 12 and 24 on the Vineland-II Communication Domain Standard Score

    The Vineland-II is an instrument that measures communication, daily living skills, socialization, motor skills (only in children up to 6 years) and maladaptive (not assessed in this study) behavior of individuals with developmental disabilities. The Survey Interview Form (i.e., semi -structured interview) will be administered to a subject's reliable study partner in this study, during which the rater or clinician will ask to the study partner open ended questions relating to the subject's activities and behavior. Domain scores will be obtained for the individual domains of Socialization, Communication, Daily Living Skills, and motor skills (up to 6 years only) and used to calculate the Vineland-II Adaptive Behavior Composite score. Standardized scores on the Adaptive behavior composite range from 20-160 with higher scores indicating better functioning.

    Time frame: Weeks 12 and 24

  6. Change From Baseline at Weeks 12 and 24 on the Vineland-II Daily Living Skills Domain Standard Score

    The Vineland-II is an instrument that measures communication, daily living skills, socialization, motor skills (only in children up to 6 years) and maladaptive (not assessed in this study) behavior of individuals with developmental disabilities. The Survey Interview Form (i.e., semi -structured interview) will be administered to a subject's reliable study partner in this study, during which the rater or clinician will ask to the study partner open ended questions relating to the subject's activities and behavior. Domain scores will be obtained for the individual domains of Socialization, Communication, Daily Living Skills, and motor skills (up to 6 years only) and used to calculate the Vineland-II Adaptive Behavior Composite score. Standardized scores on the Adaptive behavior composite range from 20-160 with higher scores indicating better functioning. Only descriptive statistics presented instead of the planned estimated due to the early discontinuation of the study due to futility.

    Time frame: Weeks 12 and 24

  7. Change From Baseline in Severity of Clinical Impressions as Measured by Clinical Global Impression-Severity (CGI-S)

    The CGI-S reflects the rater's impression of the subject's current autism severity on a 7-point scale ranging from no symptoms (1) to very severe symptoms (7). Changes in CGI-S score were calculated as increase or decrease in absolute CGI-S scores between Baseline and Weeks 12 and 24. Percentage of participants reported for each change in score from baseline.

    Time frame: Weeks 12 and 24

  8. Improvements in Clinical Impressions, as Measured by Clinical Global Impression-Improvement (CGI-I)

    This is a 7-point Likert scale that assesses improvement of the patient's condition. Scores range from the worst score of 7 (Very much worse) to the best score of 1 (Very much improved). Lower scores are better on this scale, and indicate greater improvement. Percentage of participants reported for each score.

    Time frame: Weeks 12 and 24

  9. Change From Baseline at Weeks 12 and 24 in the Hamilton Anxiety Rating Scale (HAM-A) Total and Domain Scores

    The HAM-A is a 14-item, rater administered interview, assessing the severity of anxiety symptoms during the past 7 days. Seven items assess psychic anxiety and seven assess somatic anxiety. Each item utilizes a 5-point symptom severity response scale, ranging from none (0) to very severe (4). A total score is calculated that ranges from 0 to 56; higher scores are indicative of more severe anxiety.

    Time frame: Weeks 12 and 24

  10. Proportion of Subjects With a >=6-point Improvement in Vineland-II 2DC Score

    The Vineland-II is an instrument that measures communication, daily living skills, socialization, motor skills (only in children up to 6 years) and maladaptive (not assessed in this study) behavior of individuals with developmental disabilities. The Survey Interview Form (i.e., semi -structured interview) will be administered to a subject's reliable study partner in this study, during which the rater or clinician will ask to the study partner open ended questions relating to the subject's activities and behavior. Domain scores will be obtained for the individual domains of Socialization, Communication, Daily Living Skills, and motor skills (up to 6 years only) and used to calculate the Vineland-II Adaptive Behavior Composite score. Standardized scores on the Adaptive behavior composite range from 20-160 with higher scores indicating better functioning All participants who have an improvement of at least 6 points are included in the \>=6 score threshold

    Time frame: Weeks 12 and 24

  11. Percentage of Participants With Adverse Events

    According to the ICH guideline for Good Clinical Practice, an adverse event is any untoward medical occurrence in a clinical investigation subject administered a pharmaceutical product, regardless of causal attribution. The Blinded Treatment Period continued for 24 weeks, Open Label Extension (OLE) Treatment Period continued up to 2 years. The study was pre-maturely terminated, therefore did not reach the planned end date.

    Time frame: Week 24 and Up to Approximately 2 Years

07

Results

Posted May 7, 2021

Participant flow

322 Participants were randomized. 1 Participants did not receive the treatment and in the ITT Population, 321 participants received at least one dose of the study treatment. The Study was discontinued early before the planned sample size was reached.

Blinded Treatment Period
Participant flow — Blinded Treatment Period
MilestoneBalovaptanPlacebo
Started163158
Completed103102
Not completed6056
Withdrew: Protocol violation10
Withdrew: Withdrawal by subject129
Withdrew: Lack of efficacy11
Withdrew: Lost to follow-up14
Withdrew: Adverse event44
Withdrew: Physician decision10
Withdrew: Unable due to leaving the study site, non-interest, withdrawal, and a partner inability13
Withdrew: Study terminated by sponsor3934
Withdrew: Non-compliance with study drug01
Open Label Extension Treatment Period
Participant flow — Open Label Extension Treatment Period
MilestoneBalovaptanPlacebo
Started10097
Completed00
Not completed10097
Withdrew: The participant left the study site01
Withdrew: Withdrawal by subject82
Withdrew: Lost to follow-up14
Withdrew: Lack of efficacy31
Withdrew: Adverse event70
Withdrew: Non-compliance with study drug01
Withdrew: Study terminated by sponsor8188

Outcome measures

PrimaryChange From Baseline at Week 24 on the Vineland Adaptive Behavior Scales (Vineland-II) Two-domain Composite (2DC) Score.

Vineland™-II Adaptive Behavior Scales 2-Domain Composite (2DC) Score is defined as mean of the Communication domain standard score \& Socialization domain standard score. If any of the 2 individual domain standard scores is missing 2DC score is not computed. Vineland™-II is an instrument that measures communication, daily living skills, socialization, motor skills and maladaptive behavior of individuals with developmental disabilities. Survey Interview Form will be administered to a subject's reliable study partner in this study, during which the rater or clinician will ask to the study partner open ended questions relating to the subject's activities and behavior. Standardized scores on the Adaptive behavior composite range from 20-160 with higher scores indicating better functioning.

Time frame:
Week 24
Reported as:
Mean · Score
Change From Baseline at Week 24 on the Vineland Adaptive Behavior Scales (Vineland-II) Two-domain Composite (2DC) Score.
ScoreBalovaptanPlacebo
Change From Baseline at Week 24 on the Vineland Adaptive Behavior Scales (Vineland-II) Two-domain Composite (2DC) Score.4.56 ± 10.856.83 ± 12.18
SecondaryChange From Baseline at Week 12 on the Vineland-II 2DC Score

Vineland™-II Adaptive Behavior Scales 2-Domain Composite (2DC) Score is defined as mean of the Communication domain standard score \& Socialization domain standard score. If any of the 2 individual domain standard scores is missing 2DC score is not computed. Vineland™-II is an instrument that measures communication, daily living skills, socialization, motor skills and maladaptive behavior of individuals with developmental disabilities. Survey Interview Form will be administered to a subject's reliable study partner in this study, during which the rater or clinician will ask to the study partner open ended questions relating to the subject's activities and behavior. Standardized scores on the Adaptive behavior composite range from 20-160 with higher scores indicating better functioning.

Time frame:
Week 12
Reported as:
Mean · Score
Change From Baseline at Week 12 on the Vineland-II 2DC Score
ScoreBalovaptanPlacebo
Change From Baseline at Week 12 on the Vineland-II 2DC Score3.47 ± 10.004.85 ± 12.64
SecondaryChange From Baseline at Weeks 12 and 24 in the Pediatric Quality of Life (PedsQL) Inventory Generic Core Scales, Version 4.0, on Summary and Total Scores

The Pediatric Quality of Life Inventory PedsQL™4.0 Generic Core Scale assessment consists of a 23 item questionnaire encompassing 4 core scale domains: Physical Functioning (8 items); Emotional Functioning (5 items); Social Functioning (5 items); and School Functioning (5 items). Items are scored on a 5 point Likert-type response scale (0=never a problem; 1=almost never a problem; 2=sometimes a problem; 3=often a problem; and 4=almost always a problem). Once scored, items will be reverse scored and linearly transformed to a 0-100 scale (0=100, 1=75, 2=50, 3=25, 4=0), so that higher scores indicate better health-related quality of life.

Time frame:
Weeks 12 and 24
Reported as:
Mean · Score
Change From Baseline at Weeks 12 and 24 in the Pediatric Quality of Life (PedsQL) Inventory Generic Core Scales, Version 4.0, on Summary and Total Scores
ScoreBalovaptanPlacebo
Total Score at Week 124.1 ± 11.25.0 ± 10.2
Psychosocial Health Summary Score at Week 124.9 ± 13.25.5 ± 12.7
Physical Health Summary Score at Week 122.5 ± 13.34.3 ± 12.3
Total Score at Week 248.0 ± 13.76.0 ± 11.6
Psychosocial Health Summary Score at Week 2410.0 ± 15.46.9 ± 14.1
Physical Health Summary Score at Week 244.3 ± 15.54.4 ± 14.5
SecondaryChange From Baseline at Weeks 12 and 24 in the Vineland-II Adaptive Behavior Composite Standard Score

The Vineland-II is an instrument that measures communication, daily living skills, socialization, motor skills (only in children up to 6 years) and maladaptive (not assessed in this study) behavior of individuals with developmental disabilities. The Survey Interview Form (i.e., semi -structured interview) will be administered to a subject's reliable study partner in this study, during which the rater or clinician will ask to the study partner open ended questions relating to the subject's activities and behavior. Domain scores will be obtained for the individual domains of Socialization, Communication, Daily Living Skills, and motor skills (up to 6 years only) and used to calculate the Vineland-II Adaptive Behavior Composite score. Standardized scores on the Adaptive behavior composite range from 20-160 with higher scores indicating better functioning. Only descriptive statistics presented instead of the planned estimated due to the early discontinuation of the study due to futility.

Time frame:
Weeks 12 and 24
Reported as:
Mean · Score
Change From Baseline at Weeks 12 and 24 in the Vineland-II Adaptive Behavior Composite Standard Score
ScoreBalovaptanPlacebo
Week 122.87 ± 6.993.99 ± 10.01
Week 244.32 ± 8.435.26 ± 9.69
SecondaryChange From Baseline at Week 12 and 24 on the Vineland-II Socialization Domain Standard Score

The Vineland-II is an instrument that measures communication, daily living skills, socialization, motor skills (only in children up to 6 years) and maladaptive (not assessed in this study) behavior of individuals with developmental disabilities. The Survey Interview Form (i.e., semi -structured interview) will be administered to a subject's reliable study partner in this study, during which the rater or clinician will ask to the study partner open ended questions relating to the subject's activities and behavior. Domain scores will be obtained for the individual domains of Socialization, Communication, Daily Living Skills, and motor skills (up to 6 years only) and used to calculate the Vineland-II Adaptive Behavior Composite score. Standardized scores on the Adaptive behavior composite range from 20-160 with higher scores indicating better functioning. Only descriptive statistics presented instead of the planned estimand due to the early discontinuation of the study due to futility.

Time frame:
Baseline, Weeks 12 and 24
Reported as:
Mean · Score
Change From Baseline at Week 12 and 24 on the Vineland-II Socialization Domain Standard Score
ScoreBalovaptanPlacebo
12 Week3.63 ± 11.585.26 ± 12.71
24 Week5.54 ± 13.546.86 ± 11.75
SecondaryChange From Baseline at Weeks 12 and 24 on the Vineland-II Communication Domain Standard Score

The Vineland-II is an instrument that measures communication, daily living skills, socialization, motor skills (only in children up to 6 years) and maladaptive (not assessed in this study) behavior of individuals with developmental disabilities. The Survey Interview Form (i.e., semi -structured interview) will be administered to a subject's reliable study partner in this study, during which the rater or clinician will ask to the study partner open ended questions relating to the subject's activities and behavior. Domain scores will be obtained for the individual domains of Socialization, Communication, Daily Living Skills, and motor skills (up to 6 years only) and used to calculate the Vineland-II Adaptive Behavior Composite score. Standardized scores on the Adaptive behavior composite range from 20-160 with higher scores indicating better functioning.

Time frame:
Weeks 12 and 24
Reported as:
Mean · Score
Change From Baseline at Weeks 12 and 24 on the Vineland-II Communication Domain Standard Score
ScoreBalovaptanPlacebo
Week 123.30 ± 13.744.44 ± 16.58
Week 243.59 ± 16.306.81 ± 17.50
SecondaryChange From Baseline at Weeks 12 and 24 on the Vineland-II Daily Living Skills Domain Standard Score

The Vineland-II is an instrument that measures communication, daily living skills, socialization, motor skills (only in children up to 6 years) and maladaptive (not assessed in this study) behavior of individuals with developmental disabilities. The Survey Interview Form (i.e., semi -structured interview) will be administered to a subject's reliable study partner in this study, during which the rater or clinician will ask to the study partner open ended questions relating to the subject's activities and behavior. Domain scores will be obtained for the individual domains of Socialization, Communication, Daily Living Skills, and motor skills (up to 6 years only) and used to calculate the Vineland-II Adaptive Behavior Composite score. Standardized scores on the Adaptive behavior composite range from 20-160 with higher scores indicating better functioning. Only descriptive statistics presented instead of the planned estimated due to the early discontinuation of the study due to futility.

Time frame:
Weeks 12 and 24
Reported as:
Mean · Score
Change From Baseline at Weeks 12 and 24 on the Vineland-II Daily Living Skills Domain Standard Score
ScoreBalovaptanPlacebo
Week 122.93 ± 8.442.74 ± 9.20
Week 245.14 ± 9.343.02 ± 9.04
SecondaryChange From Baseline in Severity of Clinical Impressions as Measured by Clinical Global Impression-Severity (CGI-S)

The CGI-S reflects the rater's impression of the subject's current autism severity on a 7-point scale ranging from no symptoms (1) to very severe symptoms (7). Changes in CGI-S score were calculated as increase or decrease in absolute CGI-S scores between Baseline and Weeks 12 and 24. Percentage of participants reported for each change in score from baseline.

Time frame:
Weeks 12 and 24
Reported as:
Number · Percentage of Participants
Change From Baseline in Severity of Clinical Impressions as Measured by Clinical Global Impression-Severity (CGI-S)
Percentage of ParticipantsBalovaptanPlacebo
Week 12 -300
Week 12 -22.02.2
Week 12 -121.825.0
Week 12 074.872.1
Week 12 +10.70.7
Week 12 +20.70
Week 12 +300
Week 24 -301.0
Week 24 -25.510.0
Week 24 -127.520.0
Week 24 066.168.0
Week 24 +10.91.0
Week 24 +200
Week 24 +300
SecondaryImprovements in Clinical Impressions, as Measured by Clinical Global Impression-Improvement (CGI-I)

This is a 7-point Likert scale that assesses improvement of the patient's condition. Scores range from the worst score of 7 (Very much worse) to the best score of 1 (Very much improved). Lower scores are better on this scale, and indicate greater improvement. Percentage of participants reported for each score.

Time frame:
Weeks 12 and 24
Reported as:
Number · Percentage of Participants
Improvements in Clinical Impressions, as Measured by Clinical Global Impression-Improvement (CGI-I)
Percentage of ParticipantsBalovaptanPlacebo
Week 12 100
Week 12 210.114.7
Week 12 336.543.4
Week 12 450.041.2
Week 12 53.40.7
Week 12 600
Week 12 700
Week 24 102.0
Week 24 215.624.0
Week 24 344.040.0
Week 24 438.533.0
Week 24 50.91.0
Week 24 60.90
Week 24 700
SecondaryChange From Baseline at Weeks 12 and 24 in the Hamilton Anxiety Rating Scale (HAM-A) Total and Domain Scores

The HAM-A is a 14-item, rater administered interview, assessing the severity of anxiety symptoms during the past 7 days. Seven items assess psychic anxiety and seven assess somatic anxiety. Each item utilizes a 5-point symptom severity response scale, ranging from none (0) to very severe (4). A total score is calculated that ranges from 0 to 56; higher scores are indicative of more severe anxiety.

Time frame:
Weeks 12 and 24
Reported as:
Mean · Score
Change From Baseline at Weeks 12 and 24 in the Hamilton Anxiety Rating Scale (HAM-A) Total and Domain Scores
ScoreBalovaptanPlacebo
Week 12 Total-1.7 ± 4.9-2.8 ± 4.4
Week 12 Psychic Anxiety Subscale-1.3 ± 3.5-1.8 ± 3.2
Week 12 Somatic Anxiety Subscale-0.4 ± 2.4-1.0 ± 2.5
Week 24 Total-2.7 ± 4.5-2.8 ± 5.7
Week 24 Psychic Anxiety Subscale-2.1 ± 3.4-1.8 ± 3.9
Week 24 Somatic Anxiety Subscale-0.6 ± 2.2-0.1 ± 2.9
SecondaryProportion of Subjects With a >=6-point Improvement in Vineland-II 2DC Score

The Vineland-II is an instrument that measures communication, daily living skills, socialization, motor skills (only in children up to 6 years) and maladaptive (not assessed in this study) behavior of individuals with developmental disabilities. The Survey Interview Form (i.e., semi -structured interview) will be administered to a subject's reliable study partner in this study, during which the rater or clinician will ask to the study partner open ended questions relating to the subject's activities and behavior. Domain scores will be obtained for the individual domains of Socialization, Communication, Daily Living Skills, and motor skills (up to 6 years only) and used to calculate the Vineland-II Adaptive Behavior Composite score. Standardized scores on the Adaptive behavior composite range from 20-160 with higher scores indicating better functioning All participants who have an improvement of at least 6 points are included in the \>=6 score threshold

Time frame:
Weeks 12 and 24
Reported as:
Number · Percentage of Participants
Proportion of Subjects With a >=6-point Improvement in Vineland-II 2DC Score
Percentage of ParticipantsBalovaptanPlacebo
Week 12 >=634.442.1
Week 24 >=64348.4
SecondaryPercentage of Participants With Adverse Events

According to the ICH guideline for Good Clinical Practice, an adverse event is any untoward medical occurrence in a clinical investigation subject administered a pharmaceutical product, regardless of causal attribution. The Blinded Treatment Period continued for 24 weeks, Open Label Extension (OLE) Treatment Period continued up to 2 years. The study was pre-maturely terminated, therefore did not reach the planned end date.

Time frame:
Week 24 and Up to Approximately 2 Years
Reported as:
Number · Percentage of Participants
Percentage of Participants With Adverse Events
Percentage of ParticipantsBalovaptan TreatmentPlacebo TreatmentBalovaptan OLEPlacebo OLE
Percentage of Participants With Adverse Events60.165.859.055.7

Adverse events

Collected over From baseline to the end of Safety Period, up to 2 years. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Balovaptan in Blinded Treatment Period0/163 (0%)2/163 (1.2%)49/163 (30.1%)
Placebo Blinded Treatment Period1/158 (0.6%)5/158 (3.2%)59/158 (37.3%)
Balovaptan in Open Label Extension Treatment Period0/100 (0%)0/100 (0%)28/100 (28%)
Placebo in Open Label Extension Treatment Period0/97 (0%)2/97 (2.1%)30/97 (30.9%)
Most frequent serious events
Showing 10 of 11
Most frequent serious events
EventBalovaptan in Blinded Treatment PeriodPlacebo Blinded Treatment PeriodBalovaptan in Open Label Extension Treatment PeriodPlacebo in Open Label Extension Treatment Period
Urinary tract infectionInfections and infestations0/1630/1580/1001/97
Pharyngitis streptococcalInfections and infestations0/1630/1580/1001/97
SepsisInfections and infestations0/1630/1580/1001/97
Femur fractureInjury, poisoning and procedural complications0/1630/1580/1001/97
Panic disorderPsychiatric disorders0/1631/1580/1000/97
ColitisGastrointestinal disorders0/1631/1580/1000/97
Abscess limbInfections and infestations0/1631/1580/1000/97
UrosepsisInfections and infestations0/1631/1580/1000/97
Completed suicidePsychiatric disorders0/1631/1580/1000/97
Suicidal ideationPsychiatric disorders1/1631/1580/1000/97
Most frequent other events
Most frequent other events
EventBalovaptan in Blinded Treatment PeriodPlacebo Blinded Treatment PeriodBalovaptan in Open Label Extension Treatment PeriodPlacebo in Open Label Extension Treatment Period
NasopharyngitisInfections and infestations14/16319/1587/1004/97
HeadacheNervous system disorders8/1637/1585/10010/97
DiarrhoeaGastrointestinal disorders11/16314/1585/1004/97
AnxietyPsychiatric disorders8/1637/1588/1003/97
Upper respiratory tract infectionInfections and infestations10/1639/1586/1007/97
DizzinessNervous system disorders2/16310/1582/1001/97
NauseaGastrointestinal disorders4/1637/1581/1005/97
GastroenteritisInfections and infestations2/1630/1581/1005/97
InsomniaPsychiatric disorders5/1638/1583/1003/97
Oropharyngeal painRespiratory, thoracic and mediastinal disorders5/1638/1580/1003/97

Baseline characteristics

Age, Continuous
Age, Continuous(Years)BalovaptanPlaceboTotal
Mean27.6 ± 9.727.6 ± 9.827.6 ± 9.7
Sex: Female, Male
Sex: Female, Male(Participants)BalovaptanPlaceboTotal
Female353065
Male128128256
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)BalovaptanPlaceboTotal
Hispanic or Latino151328
Not Hispanic or Latino145142287
Unknown or Not Reported336
Race (NIH/OMB)
Race (NIH/OMB)(Participants)BalovaptanPlaceboTotal
American Indian or Alaska Native022
Asian358
Native Hawaiian or Other Pacific Islander000
Black or African American9615
White143140283
More than one race314
Unknown or Not Reported549
08

Study locations

51 sites
  • Harmonex Neuroscience Research
    Dothan, Alabama 36303, United States
  • Southwest Autism Research & Resource Center
    Phoenix, Arizona 85006, United States
  • Woodland Research Northwest, LLC
    Rogers, Arkansas 72758, United States
  • University of California , Los Angeles (UCLA); Child, Adolescent Psychiatry
    Los Angeles, California 90095, United States
  • PCSD Feighner Research
    San Diego, California 92108, United States
  • University of California at San Francisco
    San Francisco, California 94115, United States
  • MCB Clinical Research Centers
    Colorado Springs, Colorado 80910, United States
  • Yale University / Yale-New Haven Hospital
    New Haven, Connecticut 06519-1124, United States
  • Sarkis Clinical Trials
    Gainesville, Florida 32607, United States
  • APG- Advanced Psychiatric Group
    Orlando, Florida 32803, United States
  • IMIC Inc.
    Palmetto Bay, Florida 33157, United States
  • Rush University Medical Center
    Chicago, Illinois 60612, United States
  • Uni of Chicago; Centre For Advanced Medicine
    Chicago, Illinois 60637, United States
  • Lake Charles Clinical Trials, LLC
    Lake Charles, Louisiana 70601, United States
  • The Johns Hopkins Hospital
    Baltimore, Maryland 21287, United States
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
  • University of Minnesota Medical Center-Fairview
    Minneapolis, Minnesota 55414, United States
  • Millennium Psychiatric Associates, LLC
    Saint Louis, Missouri 63132, United States
  • Hapworth Research Inc.
    New York, New York 10019, United States
  • Center for Autism and the Developing Brain
    New York, New York 10032, United States
  • Nathan S. Kline Institute for Psychiatric Research
    Orangeburg, New York 10962, United States
  • Richmond Behavioral Associates
    Staten Island, New York 10312, United States
  • University Hospitals
    Cleveland, Ohio 44106, United States
  • Ohio State University
    Columbus, Ohio 43210, United States
  • Cutting Edge Research Group
    Oklahoma City, Oklahoma 73116, United States
  • UPMC Western Psychiatric Institute and Clinic
    Pittsburgh, Pennsylvania 15203, United States
  • Vanderbilt University Medical Center; Department of Psychiatry
    Nashville, Tennessee 37212, United States
  • BioBehavioral Research of Austin, PC
    Austin, Texas 78759, United States
  • Red Oak Psychiatry Associates, PA
    Houston, Texas 77090, United States
  • Aspen Clinical Research
    Orem, Utah 84058, United States
  • Northwest Clinical Research Center
    Bellevue, Washington 98007, United States
  • Seattle Children's Hospital
    Seattle, Washington 98105, United States
  • Okanagan Clinical Trials
    Kelowna, British Columbia V1Y 1Z9, Canada
  • Holland Bloorview Kids Rehabilitation Hospital; Autism Research Centre
    East York, Ontario M4G 1R8, Canada
  • University of Western Ontario
    London, Ontario N6A 4G5, Canada
  • McGill University Health Centre - Glen Site
    Montreal, Quebec H4A 3J1, Canada
  • Hopital Charles Perrens; Centre de Ressources Autisme Aquitaine
    Bordeaux, 33076, France
  • Hospices Civils de Lyon; Centre d'Investigation Clinique Pédiatrique
    LYON Cedex, 69003, France
  • Centre hospitalier du Rouvray; CRAHN Centre de Ressources Autisme Haute-Normandie
    Sotteville Les Rouen, 76300, France
  • ASST di Pavia; Dip. di Scienze del Sistema Nervoso e del Comportamento
    Pavia, Lombardia 27100, Italy
  • AUSL di Piacenza; Psichiatria di Collegamento
    Piacenza, Lombardia 29121, Italy
  • ASL TO2; Centro Pilota Regione Piemonte - Dip. Salute Mentale
    Torino, Piemonte 10138, Italy
  • A.O.U. Policlinico - V. Emanuele - P.O. Gaspare Rodolico; Dip. Terapia integrata disturbi resistenti
    Catania, Sicilia 95123, Italy
  • Hospital Mutua de Terrassa; Departamento de Psiquiatria
    Terrassa, Barcelona 08221, Spain
  • Hospital Universitari Vall d'Hebron; Sevicio de Psiquiatría
    Barcelona, 08035, Spain
  • Hospital General Universitario Gregorio Marañon; Servicio de Psiquiatria del niño y del adolescente
    Madrid, 28009, Spain
  • Hospital Universitario Rio Hortega; Departamento de Psiquiatria
    Valladolid, 47012, Spain
  • Western General Hospital; Wellcome Trust CRF
    Edinburgh, EH4 2XU, United Kingdom
  • Queen Elizabeth University Hospital; Clinical Research Facility
    Glasgow, G51 4TF, United Kingdom
  • Kings College Hospital; Kings Clinical Research Facility
    London, SE5 9RS, United Kingdom
  • RE:Cognition Health; RE:Cognition Health
    London, W1G 9JF, United Kingdom
09

References and documents

Publications

  • Jacob S, Veenstra-VanderWeele J, Murphy D, McCracken J, Smith J, Sanders K, Meyenberg C, Wiese T, Deol-Bhullar G, Wandel C, Ashford E, Anagnostou E. Efficacy and safety of balovaptan for socialisation and communication difficulties in autistic adults in North America and Europe: a phase 3, randomised, placebo-controlled trial. Lancet Psychiatry. 2022 Mar;9(3):199-210. doi: 10.1016/S2215-0366(21)00429-6. Epub 2022 Feb 10. PubMed 35151410 ↗

Study documents

  • Protocol and statistical analysis plan · Feb 1, 2019

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 27, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03504917
Lead sponsor
Hoffmann-La Roche
Responsible party
Sponsor
First posted
Apr 20, 2018
Start date
Aug 8, 2018
Primary completion
Mar 4, 2020
Completion
Jul 1, 2020
Results posted
May 7, 2021
Last update
Oct 27, 2021

Study contacts

Clinical Trials
study director · Hoffmann-La Roche

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Oct 2021. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion