ClinicalTrials.gg
Active, not recruitingNCT05889273Updated Jul 20, 2026

ML-004 Open-Label Extension Study in Adults and Adolescents With Autism Spectrum Disorders (ASD)

A Phase 2 interventional study of ML-004 (IR)/(ER) tablet in Autism Spectrum Disorder, sponsored by MapLight Therapeutics. Active, not recruiting at 21 sites in 3 countries. Open to participants aged 12 Years to 46 Years. Per ClinicalTrials.gov, last updated 2026-07-20.

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
120
Allocation
Not applicable
Ages
12 Years to 46 Years
Sex
All
01

Study summary

ML-004-003 is a multi-center, open-label extension study that will enroll approximately 120 adolescent and adult subjects with ASD that have completed study ML-004-002. The primary objective of the study will be to evaluate the safety of ML-004 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 planned enrollment of 120 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 46 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

  • Has completed Study ML-004-002 within the past 90 days
  • Age 12 years to 46 years 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 kg/m²
  • Psychoactive medications and adjunctive therapies 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
  • History of epilepsy without current adequate control, or any seizure in the 6 months preceding screening
  • Has a positive response to C-SSRS questions 4 and/or 5, or is a significant risk for suicidal behavior
  • Has a clinical history of uncontrolled or severe hypertension
  • If female, is pregnant or lactating
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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
120 participants (estimated)

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

Interventions

  • DrugML-004 (IR)/(ER) tablet

    Participants will receive ML-004 once daily.

06

What researchers measure

Primary outcomes

  1. Frequency of occurrence of treatment-emergent adverse events (TEAEs).

    Time frame: Baseline up to Day 362

Secondary outcomes

  1. Frequency of occurrence of Serious Adverse Events (SAEs)

    Time frame: Baseline up to Day 362

  2. Frequency of occurrence of TEAEs leading to discontinuation.

    Time frame: Baseline up to Day 362

  3. Frequency of occurrence of TEAEs arising from clinically important changes in other safety assessments.

    Time frame: Baseline up to Day 362

  4. Frequency of occurrence of suicidal ideation and behavior as assessed by the Columbia-Suicide Severity Rating Scale.

    Time frame: Baseline up to Day 362

07

Study locations

21 sites
08

References and documents

Related links

Individual participant data

Plan to share: Undecided

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 Jun 2023 (actual). Primary completion is estimated for Nov 2027, 53 months after the start.

Of 44 phase 2 interventional studies under Autistic Disorder, half reached primary completion within 39 months of starting (the median), counting those still running; a quarter within 24 and three quarters within 62. This study's planned 53 months is above that.

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

Registered
May 22, 2023
First posted
Jun 5, 2023
StartActual
Jun 1, 2023
Primary completionEst.
Nov 2027
CompletionEst.
Dec 2027
Last update
Jul 20, 2026
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 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05889273
Lead sponsor
MapLight Therapeutics
Responsible party
Sponsor
First posted
Jun 5, 2023
Start date
Jun 1, 2023
Primary completion
Nov 2027 (estimated)
Completion
Dec 2027 (estimated)
Last update
Jul 20, 2026

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 active, not recruiting, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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