ClinicalTrials.gg
RecruitingNCT05235919Updated Jul 26, 2024

Treatment to Promote Self-regulation in Children With Autism Spectrum Disorder

A Phase 2 interventional study of repetitive transcranial magnetic stimulation (rTMS) and Sham stimulation in Autism Spectrum Disorder and Self-Regulation, Emotion, sponsored by Holland Bloorview Kids Rehabilitation Hospital. Recruiting at 1 site in Canada. Open to participants aged 9 Years to 18 Years. Per ClinicalTrials.gov, last updated 2024-07-26.

Sponsored by Holland Bloorview Kids Rehabilitation Hospital · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Feb 2025, 1 year 9 months ago, but the record still lists the study as recruiting.
  • Started Sep 2022; still recruiting 4 years 1 month later.

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Phase
Phase 2
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
9 Years to 18 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 22 studies in Autism Spectrum Disorder by Holland Bloorview Kids Rehabilitation Hospital — 5 open to participants now, 6 under way, none of them phase 3. Autism Spectrum Disorder · Holland Bloorview Kids Rehabilitation Hospital.

Planned enrollment
14th of 21
50 · median 60
Started
2022
with 3 others
Phase 2
9 of 22
3 open now
Registered
17th of 22
by date

Among the 22 studies in Autism Spectrum Disorder by Holland Bloorview Kids Rehabilitation Hospital, this one is the 14th largest by planned enrollment of the 21 interventional ones that give a count, is one of 4 that started in 2022, is one of 9 in phase 2, and was the 17th registered.

Autism Spectrum Disorder

1,727 studies on the registry are indexed under Autism Spectrum Disorder; 500 are open to participants now.

Browse Autism Spectrum Disorder studies →

Open to participants now

5 of the 22 studies in Autism Spectrum Disorder by Holland Bloorview Kids Rehabilitation Hospital are open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

All 5 open studies →

Where they have run

Who these studies take

Of the 349 Autism Spectrum Disorder studies recruiting now, 48 (14%) set no upper age limit and 294 (84%) stop at 75 or younger; 298 take children under 18; 92 take healthy volunteers.

This study: 9 Years to 18 Years · all sexes · no healthy volunteers.

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02

Study summary

This study will evaluate the feasibility of repetitive Transcranial Magnetic Stimulation (rTMS) in Autism Spectrum Disorder (ASD) with self-regulation impairment. Baseline and follow-up participant visits will include behavioral assessments of self-regulation and magnetic resonance imaging (MRI) to determine neurophysiological outcomes before and after rTMS treatment.

Read the detailed description

Children and youth with Autism Spectrum Disorder (ASD) often present with co-morbid impairments in self-regulation (e.g., difficulty managing their emotions) resulting in unhelpful regulatory approaches such as disruptive compulsive, aggressive and self-injurious behaviour. There is an urgent need to establish novel, precise and effective interventions that promote self-regulation and reduce disruptive behaviours. This project will collect pilot data on the effects of repetitive TMS in reducing disruptive behaviours in youth with ASD, in order to inform the design of a follow-up full-scale clinical trial. Youth with ASD who experience clinically significant difficulties with self-regulation and disruptive behaviour will be recruited. Participants will be randomized to rTMS or sham rTMS for 3 weeks. The overall feasibility of the trial will be assessed. The effect of rTMS on the brain mechanisms of self-regulation and clinical improvement in disruptive behaviours will also be measured. Neurophysiological outcomes, including changes in regional brain network activity for inhibition of behaviour, will be explored.

03

Conditions studied

  • Autism Spectrum Disorder
  • Self-Regulation, Emotion

Keywords

  • transcranial magnetic stimulation
  • rTMS
  • MRI
04

Who can participate

Ages eligible
9 Years to 18 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

  • Children with a diagnosis of autism spectrum disorder and self-regulation impairment or challenges
  • Able to participate in rTMS

Exclusion criteria

Exclusion Criteria:

  • Children with autism spectrum disorder but no co-morbid self-regulation disorders.
  • Children with to TMS (history of seizures, family history of seizures, metal implants)
  • Co-existing neurological conditions (epilepsy, stroke, etc.)
Terms in these criteria, in plain language(1)

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
50 participants (estimated)

Study arms

  • Experimental
    repetitive transcranial magnetic stimulation (rTMS)

    Participants will receive 15 rTMS sessions for 3 weeks.

    Device: repetitive transcranial magnetic stimulation (rTMS)

  • Sham comparator
    Sham

    Participants will receive 15 sessions of sham stimulation for 3 weeks.

    Other: Sham stimulation

Interventions

  • Devicerepetitive transcranial magnetic stimulation (rTMS)

    30 minutes rTMS session 5 days/week for 3 weeks.

  • OtherSham stimulation

    30 minutes sham stimulation 5 days/week for 3 weeks.

06

What researchers measure

Primary outcomes

  1. Recruitment

    Recruitment rates of 4 participants/month are achieved with a ≥ 20% response rate

    Time frame: Weeks 1-18

  2. Attrition

    Attrition rates of less than 10% (i.e., ≥90% of participants successfully complete assessments).

    Time frame: Weeks 1-18

  3. Adherence

    90% of participants who complete assessment achieve the target intensity and dose (15 rTMS sessions)

    Time frame: Weeks 1-18

  4. Blinding success

    Blinding of participants and their parents/caregivers and required study team members will be assessed using a Blinding Questionnaire indicating the perceived group membership (rTMS/sham)

    Time frame: Weeks 1-18

Secondary outcomes

  1. Clinical Measure of Self-regulation: Emotion Dysregulation Index Reactivity and Dysphoria

    Change in total score on Reactivity (0-96) and Dysphoria (0-24) scales - greater scores indicates a worse outcome

    Time frame: Weeks 1, 6, 18

  2. Clinical Measure of Self-Regulation: The Response To Stress Questionnaire - Family Stress

    Change in total score Response To Stress Questionnaire Family Stress Version (57-228, greater score indicates worse a outcome)

    Time frame: Weeks 1, 6, 18

  3. Clinical Measure of Self-regulation: Aberrant Behaviour Checklist - Irritability Subscale

    Change in total score on Aberrant Behaviour Checklist - Irritability Subscale (15-60, greater score indicates a worse outcome)

    Time frame: Weeks 1, 6, 18

  4. Clinical Measure of Self-regulation: Emotional Regulation Checklist

    change in total score on Emotional Regulation Checklist (24-96, low scores indicate worse outcomes)

    Time frame: Weeks 1, 6, 18

  5. Overall Clinical Change

    Clinical Global Impression scale - 1 item on a scale from 0-7 (a change of 0.5 indicates a clinical impact of significance)

    Time frame: Weeks 1, 6, 18

  6. Inhibitory control

    Go/No-Go Task Performance

    Time frame: Weeks 1, 6, 18

  7. Functional brain changes (magnetic resonance imaging)

    change in blood oxygen level dependent (BOLD) signal associated with go/no-go task

    Time frame: Weeks 1, 6, 18

  8. Structural brain changes (magnetic resonance imaging)

    Diffusion imaging - change in fractional anisotropy

    Time frame: Weeks 1, 6, 18

07

Study locations

1 of 1 sites recruiting
  • Bloorivew Research Institute
    Toronto, Ontario M4G 1R8, Canada
    Recruiting
    • Deryk Beal, PhD · Contactdbeal@hollandbloorview.ca · 416-425-6220
    • PhD · Contact
    • Deryk Beal, PhD, Reg. CASLPO, CCC-SLP · Principal investigator
    • Evdokia Anagnostou, MD · Principal investigator
08

References and documents

Publications

  • Oberman LM, Enticott PG, Casanova MF, Rotenberg A, Pascual-Leone A, McCracken JT; TMS in ASD Consensus Group. Transcranial magnetic stimulation in autism spectrum disorder: Challenges, promise, and roadmap for future research. Autism Res. 2016 Feb;9(2):184-203. doi: 10.1002/aur.1567. Epub 2015 Nov 4. PubMed 26536383 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Sep 2022 (actual). Primary completion is estimated for Feb 2025, 29 months after the start.

Of 67 non-industry phase 2 interventional studies under Autism Spectrum Disorder, half reached primary completion within 39 months of starting (the median), counting those still running; a quarter within 23 and three quarters within 63. This study's planned 29 months is below that.

Counting every sponsor, half of 82 studies reached it within 36 months; a quarter within 23 and three quarters within 52.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 10, 2022
First posted
Feb 11, 2022
StartActual
Sep 22, 2022
Primary completionEst.
Feb 2025
CompletionEst.
Feb 2025
Last update
Jul 26, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 26, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05235919
Lead sponsor
Holland Bloorview Kids Rehabilitation Hospital
Responsible party
Deryk Beal (Clinician-Scientist, Holland Bloorview Kids Rehabilitation Hospital) — Principal investigator
First posted
Feb 11, 2022
Start date
Sep 22, 2022
Primary completion
Feb 2025 (estimated)
Completion
Feb 2025 (estimated)
Last update
Jul 26, 2024

Study contacts

Deryk Beal, PhD
Contact
dbeal@hollandbloorview.ca
416-425-6220 ext. 3582
Deryk Beal, PhD
principal investigator · Holland Bloorview Research Institute

Oversight

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

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