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CompletedNCT05081245Updated May 19, 2026

ML-004 in Adolescents and Adults With Autism Spectrum Disorders (ASD)

A Phase 2 interventional study of ML-004 (IR)/(ER) tablet and ML-004 Placebo in Autism Spectrum Disorder, sponsored by MapLight Therapeutics. Completed at 29 sites in 3 countries. Open to participants aged 12 Years to 45 Years. Per ClinicalTrials.gov, last updated 2026-05-19.

Primary conditionAutistic DisorderRegistry: Autism Spectrum DisorderReclassifiedWhy we changed it
Registry
Autism Spectrum Disorder — the first condition term the registry derived for this study.
ClinicalTrials.gg
Autistic Disorder
Why
  1. The study's listed conditions name Autistic Disorder, a narrower term within Autism Spectrum Disorder.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by MapLight Therapeutics · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
168
Allocation
Randomized
Ages
12 Years to 45 Years
Sex
All
01

Study summary

ML-004-002 is a multi-center, randomized, double-blind, parallel-group, placebo-controlled study that will enroll approximately 150 adolescent and adult subjects with ASD. The primary objective is to evaluate the efficacy of ML-004 compared with placebo in the improvement of social communication deficits in subjects with ASD.

02

Conditions studied

  • Autism Spectrum Disorder

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Keywords

  • ASD
  • Autism
  • Autism Spectrum Disorder
  • Social Communication
03

In context

Autistic Disorder Reclassified

1,030 studies on the registry are indexed under Autistic Disorder; 266 are open to participants now.

This study's enrollment of 168 is above the median of 49 across 811 interventional studies indexed under Autistic Disorder.

Browse Autistic Disorder studies →

Lead sponsor

MapLight Therapeutics is the lead sponsor of 6 studies on the registry; 3 are open to participants now.

Compared within Autistic Disorder, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Autism Spectrum Disorder. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
12 Years to 45 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age 12 to 45 at screening
  • Has a designated care/study partner who can reliably report on symptoms
  • Has a diagnosis of Autism Spectrum Disorder (ASD)
  • Has a (BMI) 18 through 34 kg/m², inclusive
  • Full scale IQ (or equivalent) ≥55 score, with adequate verbal fluency, as determined by the Principal Investigator.
  • Psychoactive medications and adjunctive therapies are stable for 4 weeks prior to screening
  • Must be able to swallow study medication

Exclusion criteria

Exclusion Criteria:

  • Has Rett syndrome or Child Disintegrative Disorder
  • Has participated in any other study and received any other medication (other than COVID-19 vaccination) or device within 60 days prior to screening
  • History of epilepsy without current adequate control, or any seizure in the 6 months preceding screening
  • History of suicidal ideation or behavior in the past 12 months, or a positive response to C-SSRS questions 4 and/or 5
  • Systolic blood pressure ≥140 mmHg (if adult) or >135 mmHg (if adolescent), or diastolic blood pressure ≥90 (if adult) or >85 mmHg (if adolescent), or a clinical history of uncontrolled or severe hypertension
  • If female, is pregnant or lactating
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

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

Study arms

  • Experimental
    ML-004 (IR)/(ER) tablet

    ML-004 is a bilayer immediate-release (IR)/extended-release (ER, gastroretentive) oral tablet formulation. ML-004 is taken orally once daily and provided as a tablet in two dose strengths of 12 mg (3 mg IR/9 mg ER) and 24 mg tablet (6 mg IR/18 mg ER). Dose levels for this study are 12 mg (provided as one 12 mg tablet), 24 mg (one 24 mg tablet), 48 mg (two 24 mg tablets), and 72 mg (three 24 mg tablets).

    Drug: ML-004 (IR)/(ER) tablet

  • Placebo comparator
    ML-004 Placebo

    Matched placebo oral tablets will consist of same excipients as the investigational drug but without any ML-004. Placebo taken orally once daily to match tablet number of ML-004 dose levels for 12 mg (1 tablet), 24 mg (1 tablet), 48 mg (2 tablets), and 72 mg (3 tablets).

    Drug: ML-004 Placebo

Interventions

  • DrugML-004 (IR)/(ER) tablet

    Participants will receive ML-004 once daily.

  • DrugML-004 Placebo

    Participants will receive matching placebo once daily.

06

What researchers measure

Primary outcomes

  1. Change from Baseline in Autism Behavior Inventory (ABI)-Social Communication Domain Score

    Change from baseline in the ABI-Social Communication Domain Score will be reported. The ABI is a 62-item questionnaire for reporting the behaviors of subjects (ages: 3 years-adulthood) diagnosed with ASD. The tool is suitable for completion by parents or care/study partners of people with ASD. Each item assesses either quality (from not at all to without help) or frequency (never to very often) of a particular behavior. The Social Communication domain score is the sum of the scores in the social communication domain divided by the number of items in the domain.

    Time frame: Baseline up to Day 110

Secondary outcomes

  1. Change from Baseline in Clinician Global Impression of Improvement (CGI-I)

    The CGI-I score is a single-item instrument based on a 7-point scale routinely used in clinical trials to capture the Investigator's global impression of response. The Investigator or designee rates the improvement observed from 1 (very much improved) to 7 (very much worse).

    Time frame: Day 110

  2. Change from Baseline in Autism Behavior Inventory-Clinician (ABI-C) Score

    The ABI-Clinician (ABI-C) captures the clinician rating of behaviors of a person with ASD that occurred over the week prior to assessment. It contains 14 items reflecting the core and associated autism behavior domains: Social Communication, Restrictive Behaviors, Mood and Anxiety, Self Regulation, and Challenging Behavior. Each item is rated on a 7-point scale from 1 (none; no symptoms present) to 7 (very severe; persistent interference with function or adaptation).

    Time frame: Baseline up to Day 110

  3. Change from Baseline in Aberrant Behavior Checklist 2-Irritability (ABC-I) Subscale Score

    The ABC is a parent- or care/study partner-reported behavior rating assessment with five domains and 58 items, each rated on a 0 (not at all a problem) to 3 (the problem is severe in degree) scale. The irritability domain consists of 15 items.

    Time frame: Baseline up to Day 110

  4. Change from baseline in the Clinician Global Impression of Severity (CGI-S) Score

    The CGI-S is a global assessment of the clinician-rater's impression of the severity of the participant's illness. It is rated on a scale of 1 (normal, not at all ill) to 7 (among the most extremely ill).

    Time frame: Baseline up to Day 110

  5. Change from baseline in the ABI Repetitive/Restrictive Behavior Domain Score

    Each item on the ABI-Repetitive/Restrictive Behavior Domain is rated by frequency (never to very often). The domain score is the sum of all domain items scores divided by the number of items in the domain.

    Time frame: Baseline up to Day 110

  6. Change from baseline in the ABI Mood and Anxiety Domain Score

    Each item on the ABI- Mood and Anxiety Domain is rated by frequency (never to very often). The domain score is the sum of all domain items scores divided by the number of items in the domain.

    Time frame: Baseline up to Day 110

  7. Change from baseline in the ABI Challenging Behavior Domain Score

    Each item on the ABI- Challenging Behavior Domain is rated by frequency (never to very often). The domain score is the sum of all domain items scores divided by the number of items in the domain.

    Time frame: Baseline up to Day 110

  8. Change from baseline in the ABI Self-regulation Domain Score

    Each item on the ABI- Self-regulation Domain is rated by frequency (never to very often). The domain score is the sum of all domain items scores divided by the number of items in the domain.

    Time frame: Baseline up to Day 110

  9. Change from baseline in the ABI-Short Form (ABI-S) Score

    The ABI-S is a 24-item short version of the ABI, containing items from each of the five domains. The domain score for each domain is calculated as the sum of scores all domain items divided by the number of items in the domain.

    Time frame: Baseline up to Day 110

  10. Change from baseline in the ABC-Social Withdrawal (ABC-SW) Subscale Score

    The ABC-SW subscale consists of 16 items of the ABC-2 rated from 0 (not at all a problem) to 3 (the problem is severe in degree).

    Time frame: Baseline up to Day 110

  11. Change from baseline in the Social Responsiveness Scale 2 (SRS-2) Score

    The SRS-2 consists of 65 items across 5 subscales. Responses range from 1 (not true) to 4 (almost always true).

    Time frame: Baseline up to Day 110

  12. Change from baseline in the Vineland-3 (Domain Level Version) Score: total of Communication, Socialization, and Maladaptive behavior domains

    The Vineland-3 Domain Level Version contains 5 domains. Responses on each item are rated from 0 (never) to 2 (usually).

    Time frame: Baseline up to Day 110

07

Study locations

29 sites
  • Harmonex Neuroscience Research
    Dothan, Alabama 36303, United States
  • Southwest Autism Research & Resource Center, Clinical Research
    Phoenix, Arizona 85006, United States
  • Cortica Healthcare
    Glendale, California 91203, United States
  • NRC Research Institute
    Orange, California 92868, United States
  • Cortica
    San Rafael, California 94903, United States
  • Yale Child Study Center
    New Haven, Connecticut 06519, United States
  • Children's National Health System - The Children's Research Institute (CRI)
    Washington D.C., District of Columbia 20010, United States
  • Abba Medical Group
    Miami, Florida 33176, United States
  • APG Research, LLC
    Orlando, Florida 32803, United States
  • University of South Florida Psychiatry and Behavioral Neurosciences
    Tampa, Florida 33613, United States
  • Neurobehavioral Medicine Group
    Bloomfield Hills, Michigan 48302, United States
  • University of Missouri, Thompson Center for Autism & Neurodevelopmental Disorders
    Columbia, Missouri 65211, United States
  • Jersey Shore University Medical Center
    Neptune City, New Jersey 07753, United States
  • Nathan Kline Institute for Psychiatric Research
    Orangeburg, New York 10962, United States
  • Richmond Behavioral Associates
    Staten Island, New York 10314, United States
  • Center for Autism and the Developing Brain, New York State Psychiatric Institute
    White Plains, New York 10605, United States
  • Ohio State University Nisonger Center
    Columbus, Ohio 43210, United States
  • Suburban Research Associates
    Media, Pennsylvania 19063, United States
  • BioBehavioral Research of Austin
    Austin, Texas 78759, United States
  • Red Oak Psychiatry Associates, PA
    Houston, Texas 77090, United States
  • Road Runner Research, Ltd.
    San Antonio, Texas 78249, United States
  • Family Psychiatry of The Woodlands
    The Woodlands, Texas 77381, United States
  • Cedar Clinical Research
    Draper, Utah 84020, United States
  • Virginia Commonwealth University
    Richmond, Virginia 23220, United States
  • Brain and Mind Centre
    Camperdown, New South Wales 2050, Australia
  • The Royal Children's Hospital, Murdoch Children's Research Institute
    Parkville, Victoria 3052, Australia
  • OCT Research ULC (dba Okanagan Clinical Trials)
    Kelowna, British Columbia V1Y 1Z9, Canada
  • Lawson Health Research Institute/ London Health Sciences Centre
    London, Ontario N6A 5W9, Canada
  • Holland Bloorview Kids Rehabilitation Hospital
    Toronto, Ontario M4G 1R8, Canada
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 19, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05081245
Lead sponsor
MapLight Therapeutics
Responsible party
Sponsor
First posted
Oct 18, 2021
Start date
Sep 13, 2022
Primary completion
Mar 10, 2026
Completion
Apr 17, 2026
Last update
May 19, 2026

Oversight

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

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