CClinicalTrials.gg
CompletedNCT04299464Updated Jan 28, 2025Results posted

A 12-Week Placebo-Controlled Study to Investigate the Efficacy, Safety, and Tolerability of RO7017773 in Participants Aged 15-45 Years With Autism Spectrum Disorder (ASD)

A Phase 2 interventional study of Placebo and RO7017773 in Autism Spectrum Disorder (ASD), sponsored by Hoffmann-La Roche. Completed at 21 sites in 4 countries. Open to participants aged 15 Years to 45 Years. Per ClinicalTrials.gov, last updated 2025-01-28.

Sponsored by Hoffmann-La Roche · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
104
Allocation
Randomized
Ages
15 Years to 45 Years
Sex
All
01

Study summary

This study will investigate the efficacy, safety, tolerability, and pharmacokinetics of RO7017773 in participants aged 15-45 years who have been diagnosed with ASD with a score of >/=50 on the Wechsler Abreviated Scale of Intelligence (WASI-II).

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 104 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
15 Years to 45 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male and female participants with Autism Spectrum Disorder according to Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)
  • Wechsler Abbreviated Scale of Intelligence (WASI-II) >/= 50 at screening or within the last 12 months prior to screening
  • ASD or Autism diagnosis confirmed by Autism Diagnostic Observation Schedule (ADOS-2)
  • Body mass index within the range of 18.5 to 40 kg/m2
  • Female Participants: is eligible if she is not pregnant, not breastfeeding, and women of childbearing potential (WOCBP), who agree to remain abstinent or use contraceptive methods that result in a failure rate of \< 1% per year during the treatment period and for at least 28 days after the last dose of study drug
  • Language, hearing, and vision compatible with the study measurements as judged by the Investigator
  • Allowed existing treatment regimens should be stable for 8 weeks prior to screening. Investigator expects stability of these treatments and behavioral interventions for the duration of the study
  • In the Investigator's opinion, able to participate and deemed appropriate for participation in the study, capable of following the study SoA and able to comply with the study restrictions
  • In the Investigator's opinion, participation in the study or discontinuation of prohibited medication will not pose undue risks

Exclusion criteria

Exclusion Criteria

Neurologic/Psychiatric Conditions:

  • Non-verbal individuals
  • Presence of chromosome 15q11.2 q13.1 duplication syndrome (Dup15q syndrome), known "syndromic" forms of ASD (confirmed per genetic results available at screening): fragile X syndrome, Prader Willi syndrome, Rett's syndrome, tuberous sclerosis, and Angelman syndrome, as well as genetic alterations strongly associated with ASD per genetic results available at screening affecting the following genes: CHD8, ANDP, SHANK3
  • Medical history of alcohol and/or substance abuse/dependence in the last 12 months or positive test for drugs of abuse at screening
  • Initiation of a major change in psychosocial intervention within 6 weeks prior to screening. Minor changes in ongoing treatment are not considered major changes
  • Clinically significant psychiatric and/or neurological disorder that may interfere with the safety or efficacy endpoints
  • Risk of suicidal behavior in the opinion of a certified clinician or as evidenced by a "yes" to questions 4 and/or 5 of Columbia-Suicide-Severity Rating Scale (C-SSRS) taken at screening and baseline with respect to the last 12 months, or any suicide attempt in the past 5 years
  • Unstable epilepsy/seizure disorder within the past 6 months or changes in anticonvulsive therapy within the last 6 months

Other Conditions:

  • Medical history of malignancy if not considered cured or if occurred within the last 3 years with the exception of fully excised non-melanoma skin cancers or in-situ carcinoma of the cervix that has been successfully treated
  • Concomitant disease, condition or treatment which would either interfere with the conduct of the study or pose an unacceptable risk to the participant in the opinion of the Investigator Prior/Concomitant Therapy
  • Use of prohibited medications or herbal remedies within 6 weeks or 5 half-lives (t1/2) prior to randomization

Prior/Concurrent Clinical Study Experience:

  • Donation or loss of blood over 500 mL in adults and 250 mL in adolescents within 3 months prior to randomization
  • Participation in an investigational drug study within 1 month or 5 times the t1/2 of the investigational molecule prior to randomization or participation in a study testing an investigational medical device within 1 month prior to randomization or if the device is still active Diagnostic Assessments
  • Confirmed clinically significant abnormality in hematological, chemistry or coagulation laboratory parameters
  • Positive test result at screening for hepatitis B surface antigen, hepatitis C virus (HCV, untreated), or human immunodeficiency virus (HIV)-1 and -2. HCV participants who have been successfully treated and who test negative for HCV RNA, may be considered eligible for entry into the study

Other Exculsions:

  • Uncorrected hypokalemia or hypomagnesaemia
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
104 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Participants will receive placebo matched to RO7017773 for approximately 12 weeks.

    Drug: Placebo

  • Experimental
    RO7017773 Low Dose

    Participants will receive a fixed low dose of RO7017773 for approximately 12 weeks.

    Drug: RO7017773

  • Experimental
    RO7017773 High Dose

    Participants will receive a fixed high dose of RO7017773 for approximately 12 weeks.

    Drug: RO7017773

Interventions

  • DrugPlacebo

    Participants will receive oral placebo for approximately 12 weeks.

  • DrugRO7017773

    Participants will receive oral RO7017773 for approximately 12 weeks.

06

What researchers measure

Primary outcomes

  1. Change From Baseline to Week 12 in the Adaptive Behavior Composite (ABC) Score of the Vineland Adaptive Behavior Scales, Third Edition (Vineland-3)

    Vineland-3 is a semi-structured interview that measures an individual's adaptive behavior across 3 domains: Communication, Socialization, and Daily Living skills. Each domain is composed of 3 subdomains. Subdomain raw score is based on item responses (3-point scale: 0=never present; 1=sometimes present; 2=usually present) and is calculated for each subdomain of the three main domains as the sum of the scores for each item within the subdomain. Raw scores of the 9 subdomains are used to derive Growth Scale Values (GSVs; range = 10-197). A conversion table for mapping raw scores to GSV scores is found in Appendix 3, Table B.2 in the Vineland-3 manual (Sparrow et al. 2016). GSV is a person-ability score used to track an individual's progress. Vineland-3 ABC Composite GSV score is calculated as the mean GSV score (summing the 9 GSV subdomain scores and dividing by 9; Vineland-3 ABC Composite GSV scores can range from 10-154). A higher score indicates better adaptive functioning.

    Time frame: Baseline to Week 12

Secondary outcomes

  1. Number of Participants With at Least One Adverse Events (AEs)

    An AE is an untoward medical occurrence in a participant administered a pharmaceutical product and regardless of the causal relationship with the treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom/disease temporally associated with the use of an investigational product, whether or not considered related to the investigational product.

    Time frame: Up to Week 18

  2. Number of Participants With at Least One Serious Adverse Events (SAEs)

    An AE is an untoward medical occurrence in a participant administered a pharmaceutical product and regardless of causal relationship with the treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom/disease temporally associated with the use of an investigational product, whether or not considered related to investigational product. A SAE is any significant hazard, contraindication, side effect that is fatal or life-threatening, requires hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, is medically significant or requires intervention to prevent one or other of the outcomes listed above.

    Time frame: Up to Week 18

  3. Number of Participants Discontinuing Treatment Due to AEs

    An AE is an untoward medical occurrence in a participant administered a pharmaceutical product and regardless of the causal relationship with the treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom/disease temporally associated with the use of an investigational product, whether or not considered related to the investigational product.

    Time frame: Day 1 up to Week 12

  4. Number of Participants With Post-baseline Suicidal Ideation or Suicidal Behaviour as Measured Using the Columbia-Suicide-Severity Rating Scale (C-SSRS)

    C-SSRS=assessment tool used to assess lifetime suicidality of participant (at baseline) as well as any new instances of suicidality (C-SSRS since last visit). Structured interview prompts recollection of suicidal ideation, including intensity of ideation, behavior, and attempts with actual/potential lethality. Categories have binary responses (yes/no) and include Wish to be Dead; Non-specific Active Suicidal Thoughts; Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act; Active Suicidal Ideation with Some Intent to Act, without Specific Plan; Active Suicidal Ideation with Specific Plan and Intent, Preparatory Acts and Behavior; Aborted Attempt; Interrupted Attempt; Actual Attempt (non-fatal); Completed Suicide. Suicidal ideation/behavior is indicated by a "yes" answer to any of the listed categories. Score of 0 is assigned if no suicide risk is present. Score of 1 or higher= suicidal ideation or behavior. Categories with non-zero values are only reported here.

    Time frame: Baseline up to Week 18

  5. Change From Baseline in Karolinska Sleepiness Scale (KSS) Score for Assessing Daytime Sleepiness

    The KSS measures the subjective level of sleepiness at a particular time during the day. On this scale, participants (or support persons for adolescents aged 15 to 17 years and low-functioning participants) indicate which level best reflects the psycho-physical state experienced in the last 5 minutes. The KSS is a 9-point scale (1=extremely alert, 9=very sleepy, great effort to keep awake, fighting sleep). A decrease in KSS score or negative change from baseline indicate an improvement in sleepiness.

    Time frame: Baseline (Day 1 Predose), 3-4 hours post-dose on Day 1, Predose and 3-4 hours post-dose on Days 14, 42, and 84

  6. Change From Baseline in Epworth Sleepiness Scale Score (ESS) for Assessing Daytime Sleepiness

    The ESS is a brief, self-administered eight-item questionnaire that measures daytime sleepiness in adults. Participants were asked to rate on a scale of 0-3 the chances that, "over the past month" and "since last visit", he/she would have dozed in eight specific situations that are commonly met in daily life (0 = would never doze and 3 = high chance of dozing). The ESS score is the sum of eight item-scores and can range from 0 to 24. A lower ESS score or a negative change from baseline score indicates an improvement in daytime sleepiness.

    Time frame: Baseline (Day 1), Days 14, 42, and 84

  7. Change From Baseline ESS Score for Children and Adolescents (ESS-CHAD) for Assessing Daytime Sleepiness

    The ESS-CHAD is a brief, support person-administered eight-item questionnaire that measures daytime sleepiness in children and adolescents. Each item asked the support persons of adolescents and participants with an IQ score \<70 to rate on a scale of 0-3 the chances that "Over the past month," and "since last visit", "your child" would have dozed in eight specific situations that are commonly met in daily life ( 0 to 3 where 0 = would never doze and 3 = high chance of dozing). The ESS score is the sum of eight item scores and can range from 0 to 24. A lower ESS score or negative change from baseline score indicates an improvement in daytime sleepiness.

    Time frame: Baseline (Day 1), Days 14, 42, 63, and 84

  8. Number of Participants With Daytime Sleepiness Assessed Using Sudden Onset of Sleep Questionnaire

    A sleep questionnaire was developed specifically for this study. Each participant (or support person for adolescents aged 15 to 17 years and for low-functioning participants) was asked to answer a series of 8 questions. The questions and their corresponding responses are as follows: a. Have you ever fallen asleep or have you been likely to fall asleep during your waking time? (Yes/No); b. Was this episode? (Gradual with awareness/Sudden and unpredictable/Sudden with awareness); c. Of the recent episode, how often does this occur? (Every day/Less frequently/Once a week/Other); d. Do you feel worried about falling asleep during the day? (Yes/No); e. Did the episode (or episodes) disrupt your daily activities? (Considerably/Marginally/No); f. Did this episode (or episodes) disrupt your social life (Considerably/Marginally/No); g. In the case of such an episode, was awakening? (Difficult/Easy/Normal). Categories with non-zero values are only reported here.

    Time frame: Baseline (Day 1), Days 7, 14, 42, 63, and 84

  9. Change From Baseline to Week 12 in Behavior/Symptoms as Measured by All Domains of the Repetitive Behavior Scale-Revised (RBS-R) Score

    The RBS-R is a 43-item informant-based questionnaire, assessing the variety of restricted and repetitive behaviors (RRBs) in individuals with ASD. The scale is grouped into six subscales: Stereotyped, Self-Injurious, Compulsive, Ritualistic, Sameness, and Restricted Behaviors. For each item, behaviors are rated on a 4-point scale: 0-Behavior does not occur, 1-Behavior occurs and is a mild problem, 2-Behavior occurs and is a moderate problem, 3-Behavior occurs and is a severe problem. A total RBS-R score is calculated as the sum of the scores for the 43 items. The total score ranges from 0 to 129 and higher scores are indicative of more severe RRBs.

    Time frame: Baseline to Week 12

  10. Change From Baseline to Week 12 on the Vineland-3 Socialization Domain

    Vineland-3 is a semi-structured interview measuring an individual's adaptive behavior across 3 domains: Communication, Socialization \& Daily Living skills. Each domain consists of 3 subdomains. Subdomain raw scores are based on item responses (3-point scale: 0=never present; 1=sometimes present; 2=usually present) \& are calculated for each subdomain of Socialization (interpersonal relationships, play and leisure time, coping skills) domain as sum of the scores for each item in the subdomain. Raw scores for the 3 Socialization subdomains are used to derive GSVs (range=10-164). A conversion table for mapping raw scores to GSV scores is found in the Vineland-3 manual (Sparrow et al. 2016). GSV is a person-ability score used to track an individual's progress. Vineland-3 Socialization Domain GSV score is calculated as a mean GSV score (summing the 3 GSV subdomain scores \& dividing by 3). Vineland-3 Socialization Domain GSV score range = 10-145. Higher score =better adaptive functioning.

    Time frame: Baseline to Week 12

  11. Change From Baseline to Week 12 on the Vineland-3 Communication Domain

    Vineland-3 is a semi-structured interview measuring an individual's adaptive behavior across 3 domains: Communication, Socialization \& Daily Living skills. Each domain consists of 3 subdomains. Subdomain raw scores are based on item responses (3-point scale: 0=never present; 1=sometimes present; 2=usually present) \& is calculated for each subdomain of the Communication (receptive, expressive, written) domain as the sum of the scores for each item within the subdomain. Raw scores for each of the 3 Communication subdomains are used to derive Growth Scale Values (GSVs; range from 10-197). A conversion table for mapping raw scores to GSV scores is found in Vineland-3 manual (Sparrow et al. 2016). GSV is a person-ability score used to track an individual's progress. Vineland-3 Socialization Domain GSV score is calculated as mean GSV score (summing the 3 GSV subdomain scores \& dividing by 3). Vineland-3 Socialization Domain GSV score range=10-174. Higher score=better adaptive functioning.

    Time frame: Baseline to Week 12

07

Results

Posted Jan 28, 2025

Participant flow

Participants took part in the study across 26 investigative sites in 4 countries (United States, Canada, Spain, and Italy) from 31 March 2021 to 15 May 2024.

Participant flow — Overall Study
MilestonePlaceboAlogabat 20 mgAlogabat 60 mg
Started343436
Completed323029
Not completed247
Withdrew: Adverse event102
Withdrew: Non-compliance with study drug100
Withdrew: Reason not specified013
Withdrew: Physician decision011
Withdrew: Withdrawal by subject021

Outcome measures

PrimaryChange From Baseline to Week 12 in the Adaptive Behavior Composite (ABC) Score of the Vineland Adaptive Behavior Scales, Third Edition (Vineland-3)

Vineland-3 is a semi-structured interview that measures an individual's adaptive behavior across 3 domains: Communication, Socialization, and Daily Living skills. Each domain is composed of 3 subdomains. Subdomain raw score is based on item responses (3-point scale: 0=never present; 1=sometimes present; 2=usually present) and is calculated for each subdomain of the three main domains as the sum of the scores for each item within the subdomain. Raw scores of the 9 subdomains are used to derive Growth Scale Values (GSVs; range = 10-197). A conversion table for mapping raw scores to GSV scores is found in Appendix 3, Table B.2 in the Vineland-3 manual (Sparrow et al. 2016). GSV is a person-ability score used to track an individual's progress. Vineland-3 ABC Composite GSV score is calculated as the mean GSV score (summing the 9 GSV subdomain scores and dividing by 9; Vineland-3 ABC Composite GSV scores can range from 10-154). A higher score indicates better adaptive functioning.

Time frame:
Baseline to Week 12
Reported as:
Mean · score on a scale
Change From Baseline to Week 12 in the Adaptive Behavior Composite (ABC) Score of the Vineland Adaptive Behavior Scales, Third Edition (Vineland-3)
score on a scalePlaceboAlogabat 20 mgAlogabat 60 mg
Change From Baseline to Week 12 in the Adaptive Behavior Composite (ABC) Score of the Vineland Adaptive Behavior Scales, Third Edition (Vineland-3)3.250 (2.011 to 4.490)2.819 (1.469 to 4.169)2.807 (1.499 to 4.115)
Statistical analysis
  • Placebo vs Alogabat 20 mg · ANCOVA · p = 0.7650 · Difference in adjusted mean: -0.432 · 80% CI -2.291 to 1.428
  • Placebo vs Alogabat 60 mg · ANCOVA · p = 0.7517 · Difference in adjusted mean: -0.4444 · 80% CI -2.250 to 1.363
SecondaryNumber of Participants With at Least One Adverse Events (AEs)

An AE is an untoward medical occurrence in a participant administered a pharmaceutical product and regardless of the causal relationship with the treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom/disease temporally associated with the use of an investigational product, whether or not considered related to the investigational product.

Time frame:
Up to Week 18
Reported as:
Count of participants · Participants
Number of Participants With at Least One Adverse Events (AEs)
ParticipantsPlaceboAlogabat 20 mgAlogabat 60 mg
Number of Participants With at Least One Adverse Events (AEs)242222
SecondaryNumber of Participants With at Least One Serious Adverse Events (SAEs)

An AE is an untoward medical occurrence in a participant administered a pharmaceutical product and regardless of causal relationship with the treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom/disease temporally associated with the use of an investigational product, whether or not considered related to investigational product. A SAE is any significant hazard, contraindication, side effect that is fatal or life-threatening, requires hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, is medically significant or requires intervention to prevent one or other of the outcomes listed above.

Time frame:
Up to Week 18
Reported as:
Count of participants · Participants
Number of Participants With at Least One Serious Adverse Events (SAEs)
ParticipantsPlaceboAlogabat 20 mgAlogabat 60 mg
Number of Participants With at Least One Serious Adverse Events (SAEs)000
SecondaryNumber of Participants Discontinuing Treatment Due to AEs

An AE is an untoward medical occurrence in a participant administered a pharmaceutical product and regardless of the causal relationship with the treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom/disease temporally associated with the use of an investigational product, whether or not considered related to the investigational product.

Time frame:
Day 1 up to Week 12
Reported as:
Count of participants · Participants
Number of Participants Discontinuing Treatment Due to AEs
ParticipantsPlaceboAlogabat 20 mgAlogabat 60 mg
Number of Participants Discontinuing Treatment Due to AEs102
SecondaryNumber of Participants With Post-baseline Suicidal Ideation or Suicidal Behaviour as Measured Using the Columbia-Suicide-Severity Rating Scale (C-SSRS)

C-SSRS=assessment tool used to assess lifetime suicidality of participant (at baseline) as well as any new instances of suicidality (C-SSRS since last visit). Structured interview prompts recollection of suicidal ideation, including intensity of ideation, behavior, and attempts with actual/potential lethality. Categories have binary responses (yes/no) and include Wish to be Dead; Non-specific Active Suicidal Thoughts; Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act; Active Suicidal Ideation with Some Intent to Act, without Specific Plan; Active Suicidal Ideation with Specific Plan and Intent, Preparatory Acts and Behavior; Aborted Attempt; Interrupted Attempt; Actual Attempt (non-fatal); Completed Suicide. Suicidal ideation/behavior is indicated by a "yes" answer to any of the listed categories. Score of 0 is assigned if no suicide risk is present. Score of 1 or higher= suicidal ideation or behavior. Categories with non-zero values are only reported here.

Time frame:
Baseline up to Week 18
Reported as:
Count of participants · Participants
Number of Participants With Post-baseline Suicidal Ideation or Suicidal Behaviour as Measured Using the Columbia-Suicide-Severity Rating Scale (C-SSRS)
ParticipantsPlaceboAlogabat 20 mgAlogabat 60 mg
Wish to be Dead211
Non-specific Active Suicidal Thoughts111
Self-Injurious Behavior Without Suicidal Intent101
SecondaryChange From Baseline in Karolinska Sleepiness Scale (KSS) Score for Assessing Daytime Sleepiness

The KSS measures the subjective level of sleepiness at a particular time during the day. On this scale, participants (or support persons for adolescents aged 15 to 17 years and low-functioning participants) indicate which level best reflects the psycho-physical state experienced in the last 5 minutes. The KSS is a 9-point scale (1=extremely alert, 9=very sleepy, great effort to keep awake, fighting sleep). A decrease in KSS score or negative change from baseline indicate an improvement in sleepiness.

Time frame:
Baseline (Day 1 Predose), 3-4 hours post-dose on Day 1, Predose and 3-4 hours post-dose on Days 14, 42, and 84
Reported as:
Mean · score on a scale
Change From Baseline in Karolinska Sleepiness Scale (KSS) Score for Assessing Daytime Sleepiness
score on a scalePlaceboAlogabat 20 mgAlogabat 60 mg
Baseline (Day 1: Predose)4.97 ± 2.104.88 ± 2.284.17 ± 2.37
Change from Baseline at Day 1: 3-4 hours Post Dose-0.88 ± 2.00-0.58 ± 2.120.19 ± 2.20
Change from Baseline at Day 14: Predose-0.03 ± 1.91-0.13 ± 2.12-0.03 ± 2.15
Change from Baseline at Day 14: 3-4 hours Post Dose-0.76 ± 1.70-0.84 ± 2.600.34 ± 2.72
Change from Baseline at Day 42: Predose-0.50 ± 2.05-0.94 ± 2.66-0.94 ± 1.82
Change from Baseline at Day 42: 3-4 hours Post Dose-0.74 ± 1.77-1.00 ± 2.79-0.26 ± 2.34
Change from Baseline at Day 84: Predose-1.52 ± 2.23-0.83 ± 2.65-0.48 ± 2.13
Change from Baseline at Day 84: 3-4 hours Post Dose-1.13 ± 2.00-0.83 ± 2.80-0.30 ± 2.45
SecondaryChange From Baseline in Epworth Sleepiness Scale Score (ESS) for Assessing Daytime Sleepiness

The ESS is a brief, self-administered eight-item questionnaire that measures daytime sleepiness in adults. Participants were asked to rate on a scale of 0-3 the chances that, "over the past month" and "since last visit", he/she would have dozed in eight specific situations that are commonly met in daily life (0 = would never doze and 3 = high chance of dozing). The ESS score is the sum of eight item-scores and can range from 0 to 24. A lower ESS score or a negative change from baseline score indicates an improvement in daytime sleepiness.

Time frame:
Baseline (Day 1), Days 14, 42, and 84
Reported as:
Mean · score on a scale
Change From Baseline in Epworth Sleepiness Scale Score (ESS) for Assessing Daytime Sleepiness
score on a scalePlaceboAlogabat 20 mgAlogabat 60 mg
Baseline (Day 1)5.00 ± 3.696.15 ± 4.234.54 ± 2.67
Change from Baseline at Day 140.24 ± 2.42-0.72 ± 3.360.73 ± 4.58
Change from Baseline at Day 420.62 ± 2.52-2.08 ± 4.150.50 ± 3.39
Change from Baseline at Day 840.38 ± 3.40-1.46 ± 4.280.26 ± 3.41
SecondaryChange From Baseline ESS Score for Children and Adolescents (ESS-CHAD) for Assessing Daytime Sleepiness

The ESS-CHAD is a brief, support person-administered eight-item questionnaire that measures daytime sleepiness in children and adolescents. Each item asked the support persons of adolescents and participants with an IQ score \<70 to rate on a scale of 0-3 the chances that "Over the past month," and "since last visit", "your child" would have dozed in eight specific situations that are commonly met in daily life ( 0 to 3 where 0 = would never doze and 3 = high chance of dozing). The ESS score is the sum of eight item scores and can range from 0 to 24. A lower ESS score or negative change from baseline score indicates an improvement in daytime sleepiness.

Time frame:
Baseline (Day 1), Days 14, 42, 63, and 84
Reported as:
Mean · score on a scale
Change From Baseline ESS Score for Children and Adolescents (ESS-CHAD) for Assessing Daytime Sleepiness
score on a scalePlaceboAlogabat 20 mgAlogabat 60 mg
Baseline (Day 1)4.20 ± 3.836.20 ± 1.306.86 ± 4.53
Change from Baseline at Day 14-1.00 ± 2.92-0.40 ± 3.36-1.00 ± 2.28
Change from Baseline at Day 42-1.40 ± 2.70-2.00 ± 2.161.00 ± 2.92
Change from Baseline at Day 63-1.00 ± 1.41-2.50 ± 0.71-2.00 ± 1.41
Change from Baseline at Day 841.40 ± 4.51-1.25 ± 4.19-1.50 ± 1.29
SecondaryNumber of Participants With Daytime Sleepiness Assessed Using Sudden Onset of Sleep Questionnaire

A sleep questionnaire was developed specifically for this study. Each participant (or support person for adolescents aged 15 to 17 years and for low-functioning participants) was asked to answer a series of 8 questions. The questions and their corresponding responses are as follows: a. Have you ever fallen asleep or have you been likely to fall asleep during your waking time? (Yes/No); b. Was this episode? (Gradual with awareness/Sudden and unpredictable/Sudden with awareness); c. Of the recent episode, how often does this occur? (Every day/Less frequently/Once a week/Other); d. Do you feel worried about falling asleep during the day? (Yes/No); e. Did the episode (or episodes) disrupt your daily activities? (Considerably/Marginally/No); f. Did this episode (or episodes) disrupt your social life (Considerably/Marginally/No); g. In the case of such an episode, was awakening? (Difficult/Easy/Normal). Categories with non-zero values are only reported here.

Time frame:
Baseline (Day 1), Days 7, 14, 42, 63, and 84
Reported as:
Count of participants · Participants
Number of Participants With Daytime Sleepiness Assessed Using Sudden Onset of Sleep Questionnaire
ParticipantsPlaceboAlogabat 20 mgAlogabat 60 mg
a. Baseline: Day 1 (No)222829
a. Baseline: Day 1 (Yes)1167
a. Day 7 (No)302530
a. Day 7 (Yes)182
a. Day 14 (No)222626
a. Day 14 (Yes)868
a. Day 42 (No)262928
a. Day 42 (Yes)634
a. Day 63 (No)321
a. Day 63 (Yes)001
a. Day 84 (No)263027
a. Day 84 (Yes)714
b. Baseline: Day 1 (Gradual with Awareness)1056
b. Baseline: Day 1 (Sudden and Unpredictable (Without Awareness))100
b. Baseline: Day 1 (Sudden with Awareness)111
b. Day 7 (Gradual with Awareness)171
b. Day 7 (Sudden and Unpredictable (Without Awareness))010
b. Day 7 (Sudden with Awareness)001
b. Day 14 (Gradual with Awareness)1055
b. Day 14 (Sudden and Unpredictable (Without Awareness))020
b. Day 14 (Sudden with Awareness)003
b. Day 42 (Gradual with Awareness)632
b. Day 42 (Sudden with Awareness)102
b. Day 63 (Gradual with Awareness)1—0
b. Day 63 (Sudden with Awareness)0—1
b. Day 84 (Gradual with Awareness)713
b. Day 84 (Sudden and Unpredictable (Without Awareness))001
b. Day 84 (Sudden with Awareness)001
c. Baseline: Day 1 (Everyday)511
c. Baseline: Day 1 (Less Frequently)112
c. Baseline: Day 1 (Once a Week)443
c. Baseline: Day 1 (Other)001
c. Day 7 (Everyday)001
c. Day 7 (Less Frequently)021
c. Day 7 (Once a Month)010
c. Day 7 (Once a Week)110
c. Day 7 (Other)040
c. Day 14 (Everyday)204
c. Day 14 (Less Frequently)030
c. Day 14 (Once a Week)622
c. Day 14 (Other)222
c. Day 42 (Everyday)302
c. Day 42 (Less Frequently)102
c. Day 42 (Once a Month)010
c. Day 42 (Once a Week)120
c. Day 42 (Other)100
c. Day 63 (Everyday)1—1
c. Day 84 (Everyday)002
c. Day 84 (Less Frequently)300
c. Day 84 (Once a Week)112
c. Day 84 (Other)300
d. Baseline: Day 1 (No)537
d. Baseline: Day 1 (Yes)740
d. Day 7 (No)062
d. Day 7 (Yes)120
d. Day 14 (No)868
d. Day 14 (Yes)210
d. Day 42 (No)413
d. Day 42 (Yes)221
d. Day 63 (No)0—1
d. Day 63 (Yes)1—0
d. Day 84 (No)404
d. Day 84 (Yes)310
e. Baseline: Day 1 (Considerably)010
e. Baseline: Day 1 (Marginally)851
e. Baseline: Day 1 (No)416
e. Day 7 (Considerably)011
e. Day 7 (Marginally)110
e. Day 7 (No)061
e. Day 14 (Considerably)011
e. Day 14 (Marginally)312
e. Day 14 (No)755
e. Day 42 (Marginally)100
e. Day 42 (No)534
e. Day 63 (Marginally)1—0
e. Day 63 (No)0—1
e. Day 84 (Considerably)001
e. Day 84 (Marginally)201
e. Day 84 (No)512
f. Baseline: Day 1 (Marginally)331
f. Baseline: Day 1 (No)946
f. Day 7 (Considerably)001
f. Day 7 (Marginally)010
f. Day 7 (No)171
f. Day 14 (Considerably)102
f. Day 14 (Marginally)011
f. Day 14 (No)965
f. Day 42 (Considerably)001
f. Day 42 (Marginally)001
f. Day 42 (No)632
f. Day 63 (No)1—1
f. Day 84 (Considerably)001
f. Day 84 (Marginally)100
f. Day 84 (No)613
g. Baseline: Day 1 (Difficult)100
g. Baseline: Day 1 (Easy)754
g. Baseline: Day 1 (Normal)423
g. Day 7 (Easy)151
g. Day 7 (Normal)031
g. Day 14 (Easy)653
g. Day 14 (Normal)425
g. Day 42 (Easy)433
g. Day 42 (Normal)201
g. Day 63 (Easy)1—0
g. Day 63 (Normal)0—1
g. Day 84 (Easy)612
g. Day 84 (Normal)102
SecondaryChange From Baseline to Week 12 in Behavior/Symptoms as Measured by All Domains of the Repetitive Behavior Scale-Revised (RBS-R) Score

The RBS-R is a 43-item informant-based questionnaire, assessing the variety of restricted and repetitive behaviors (RRBs) in individuals with ASD. The scale is grouped into six subscales: Stereotyped, Self-Injurious, Compulsive, Ritualistic, Sameness, and Restricted Behaviors. For each item, behaviors are rated on a 4-point scale: 0-Behavior does not occur, 1-Behavior occurs and is a mild problem, 2-Behavior occurs and is a moderate problem, 3-Behavior occurs and is a severe problem. A total RBS-R score is calculated as the sum of the scores for the 43 items. The total score ranges from 0 to 129 and higher scores are indicative of more severe RRBs.

Time frame:
Baseline to Week 12
Reported as:
Mean · score on a scale
Change From Baseline to Week 12 in Behavior/Symptoms as Measured by All Domains of the Repetitive Behavior Scale-Revised (RBS-R) Score
score on a scalePlaceboAlogabat 20 mgAlogabat 60 mg
Change From Baseline to Week 12 in Behavior/Symptoms as Measured by All Domains of the Repetitive Behavior Scale-Revised (RBS-R) Score-6.695 (-9.772 to -3.618)-4.954 (-8.071 to -1.836)-8.410 (-11.621 to -5.200)
Statistical analysis
  • Placebo vs Alogabat 20 mg · ANCOVA · p = 0.6082 · Difference in adjusted mean: 1.741 · 80% CI -2.631 to 6.114
  • Placebo vs Alogabat 60 mg · ANCOVA · p = 0.6228 · Difference in adjusted mean: -1.715 · 80% CI -6.204 to 2.774
SecondaryChange From Baseline to Week 12 on the Vineland-3 Socialization Domain

Vineland-3 is a semi-structured interview measuring an individual's adaptive behavior across 3 domains: Communication, Socialization \& Daily Living skills. Each domain consists of 3 subdomains. Subdomain raw scores are based on item responses (3-point scale: 0=never present; 1=sometimes present; 2=usually present) \& are calculated for each subdomain of Socialization (interpersonal relationships, play and leisure time, coping skills) domain as sum of the scores for each item in the subdomain. Raw scores for the 3 Socialization subdomains are used to derive GSVs (range=10-164). A conversion table for mapping raw scores to GSV scores is found in the Vineland-3 manual (Sparrow et al. 2016). GSV is a person-ability score used to track an individual's progress. Vineland-3 Socialization Domain GSV score is calculated as a mean GSV score (summing the 3 GSV subdomain scores \& dividing by 3). Vineland-3 Socialization Domain GSV score range = 10-145. Higher score =better adaptive functioning.

Time frame:
Baseline to Week 12
Reported as:
Mean · score on a scale
Change From Baseline to Week 12 on the Vineland-3 Socialization Domain
score on a scalePlaceboAlogabat 20 mgAlogabat 60 mg
Change From Baseline to Week 12 on the Vineland-3 Socialization Domain6.298 (4.302 to 8.294)3.315 (1.162 to 5.468)1.824 (-0.220 to 3.868)
Statistical analysis
  • Placebo vs Alogabat 20 mg · ANCOVA · p = 0.1987 · Difference in adjusted mean: -2.983 · 80% CI -5.957 to -0.009
  • Placebo vs Alogabat 60 mg · ANCOVA · p = 0.0460 · Difference in adjusted mean: -4.474 · 80% CI -7.326 to -1.622
SecondaryChange From Baseline to Week 12 on the Vineland-3 Communication Domain

Vineland-3 is a semi-structured interview measuring an individual's adaptive behavior across 3 domains: Communication, Socialization \& Daily Living skills. Each domain consists of 3 subdomains. Subdomain raw scores are based on item responses (3-point scale: 0=never present; 1=sometimes present; 2=usually present) \& is calculated for each subdomain of the Communication (receptive, expressive, written) domain as the sum of the scores for each item within the subdomain. Raw scores for each of the 3 Communication subdomains are used to derive Growth Scale Values (GSVs; range from 10-197). A conversion table for mapping raw scores to GSV scores is found in Vineland-3 manual (Sparrow et al. 2016). GSV is a person-ability score used to track an individual's progress. Vineland-3 Socialization Domain GSV score is calculated as mean GSV score (summing the 3 GSV subdomain scores \& dividing by 3). Vineland-3 Socialization Domain GSV score range=10-174. Higher score=better adaptive functioning.

Time frame:
Baseline to Week 12
Reported as:
Mean · score on a scale
Change From Baseline to Week 12 on the Vineland-3 Communication Domain
score on a scalePlaceboAlogabat 20 mgAlogabat 60 mg
Change From Baseline to Week 12 on the Vineland-3 Communication Domain1.624 (0.087 to 3.162)2.903 (1.228 to 4.578)4.321 (2.693 to 5.948)
Statistical analysis
  • Placebo vs Alogabat 20 mg · ANCOVA · p = 0.4746 · Difference in adjusted means: 1.279 · 80% CI -1.021 to 3.578
  • Placebo vs Alogabat 60 mg · ANCOVA · p = 0.1244 · Difference in adjusted means: 2.697 · 80% CI 0.453 to 4.940

Adverse events

Collected over Up to Week 18. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo0/34 (0%)0/34 (0%)16/34 (47.1%)
Alogabat 20 mg0/34 (0%)0/34 (0%)20/34 (58.8%)
Alogabat 60 mg0/36 (0%)0/36 (0%)17/36 (47.2%)
Most frequent other events
Showing 10 of 17
Most frequent other events
EventPlaceboAlogabat 20 mgAlogabat 60 mg
SomnolenceNervous system disorders5/347/346/36
HeadacheNervous system disorders5/343/342/36
IrritabilityPsychiatric disorders2/341/344/36
NauseaGastrointestinal disorders0/341/344/36
NasopharyngitisInfections and infestations1/343/341/36
HypersomniaNervous system disorders2/343/343/36
Sudden onset of sleepNervous system disorders0/343/342/36
AnxietyPsychiatric disorders3/341/341/36
FatigueGeneral disorders0/342/343/36
GastroenteritisInfections and infestations0/342/341/36

Baseline characteristics

Safety population included all participants randomized to study treatment and who received at least one dose of the study treatment, whether prematurely withdrawn from the study or not.

Age, Continuous
Age, Continuous(years)PlaceboAlogabat 20 mgAlogabat 60 mgTotal
Mean25.3 ± 8.124.8 ± 7.125.0 ± 7.525.0 ± 7.5
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboAlogabat 20 mgAlogabat 60 mgTotal
Female98926
Male25262778
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)PlaceboAlogabat 20 mgAlogabat 60 mgTotal
Hispanic or Latino116623
Not Hispanic or Latino22282979
Unknown or Not Reported1012
Race (NIH/OMB)
Race (NIH/OMB)(Participants)PlaceboAlogabat 20 mgAlogabat 60 mgTotal
American Indian or Alaska Native0000
Asian1113
Native Hawaiian or Other Pacific Islander0000
Black or African American0437
White31282786
More than one race0022
Unknown or Not Reported2136
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Study locations

21 sites
  • Southwest Autism Research and Resource Center
    Phoenix, Arizona 85006, United States
  • Yale University / Yale-New Haven Hospital
    New Haven, Connecticut 06519-1124, United States
  • APG- Advanced Psychiatric Group
    Orlando, Florida 32803, United States
  • Rush University Medical Center
    Chicago, Illinois 60612, United States
  • University of Minnesota
    Minneapolis, Minnesota 55414-2959, United States
  • Montefiore Medical Center
    Bronx, New York 10461, United States
  • Nathan Kline Institute
    Orangeburg, New York 10962, United States
  • University Hospitals
    Cleveland, Ohio 44106, United States
  • Ohio State University
    Columbus, Ohio 43210, United States
  • UPMC Western Psychiatric Institute and Clinic
    Pittsburgh, Pennsylvania 15203, United States
  • Vanderbilt Medical Center
    Nashville, Tennessee 37212, United States
  • Okanagan Clinical Trials
    Kelowna, British Columbia V1Y 1Z9, Canada
  • Janeway Childrens Health
    St. John's, Newfoundland and Labrador A1B 3V6, Canada
  • Holland Bloorview Kids Rehabilitation Hospital
    East York, Ontario M4G 1R8, Canada
  • London Health Sciences Centre
    London, Ontario N6A 4G5, Canada
  • Ist. G. Gaslini
    Genova, Liguria 16147, Italy
  • Istituto Scientifico Medea
    Bosisio Parini (LC), Lombardia 23842, Italy
  • P.O. Gaspare Rodolico
    Catania, Sicilia 95123, Italy
  • IGAIN (Instituto Global de Atención Integral al Neurodesarrollo)
    Barcelona, 08007, Spain
  • Hospital Universitari Vall d'Hebron
    Barcelona, 08035, Spain
  • Hospital General Universitario Gregorio Marañon
    Madrid, 28009, Spain
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References and documents

Study documents

  • Study protocol · Jun 2, 2022
  • Statistical analysis plan · Jun 28, 2024

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

Individual participant data

Plan to share: Yes — Qualified researchers may request access to individual patient level data through the clinical study data request platform (www.vivli.org). Further details on Roche's criteria for eligible studies are available here (https://vivli.org/ourmember/roche/). For further details on Roche's Global Policy on the Sharing of Clinical Information and how to request access to related clinical study documents, see here (https://www.roche.com/research_and_development/who_we_are_how_we_work/clinical_trials/our_commitment_to_data_sharing.htm).

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 28, 2025, 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
NCT04299464
Lead sponsor
Hoffmann-La Roche
Responsible party
Sponsor
First posted
Mar 6, 2020
Start date
Mar 31, 2021
Primary completion
May 15, 2024
Completion
May 15, 2024
Results posted
Jan 28, 2025
Last update
Jan 28, 2025

Study contacts

Clinical Trials
study director · Hoffmann-La Roche

Oversight

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

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This study is completed, as verified in Jan 2025. You cannot join it, but the record below documents what was studied.

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