ClinicalTrials.gg
Not yet recruitingNCT07931690Updated Nov 12, 2026

IMPACT-Ready Study

An observational study in Autism Spectrum Disorder and Neurodevelopmental Disorders, sponsored by Coalition for Aligning Science. Not yet recruiting at 12 sites in 3 countries. Open to participants aged 0 Years to 18 Years. Per ClinicalTrials.gov, last updated 2026-11-12.

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 Coalition for Aligning Science · Observational

Updated Nov 12, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,250
Ages
0 Years to 18 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 603 studies in Autistic Disorder with a site in United States — 123 open to participants now, 152 under way, 3 of them phase 3. Autistic Disorder · United States.

Planned enrollment
13th of 96
1,250 · median 135
Started
2026
with 46 others
Observational
96 of 603
15 open now
Primary completion
2033-11
later than 146 of 150 live
Registered
600th of 603
by date

Among the 603 studies in Autistic Disorder with a site in United States, this one is the 13th largest by planned enrollment of the 96 observational ones that give a count, is one of 47 that started in 2026, is one of 96 observational ones, reaches primary completion later than 146 of the 150 other live ones, and was the 600th registered.

Autistic Disorder

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

Browse Autistic Disorder studies →

Open to participants now

123 of the 603 studies in Autistic Disorder with a site in United States are open now. Recruiting first, the newest first:

118 more — sign in →

All 123 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 181 Autistic Disorder studies recruiting now, 33 (18%) set no upper age limit and 141 (78%) stop at 75 or younger; 146 take children under 18; 56 take healthy volunteers.

This study: 0 Years to 18 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 603 studies in Autistic Disorder with a site in United States, or all of them as a file.
02

Study summary

The IMPACT-Ready Study is a multi-site, international short-term prospective natural history study to develop new outcome measures, clinical endpoints, and biomarkers for autism and related neurodevelopmental conditions. The primary objective is to systematically document over time the behavioral, medical, neurophysiological, and genetic presentation of children with profound autism and related neurodevelopmental conditions. Participants will be initially separated into two cohorts: those with a confirmed diagnosis of a monogenic disorder associated with profound autism, including ARID1B, GRIN2B, RNU4-2, SCN2A, SLC6A1, or other genes of interest (Cohort 1), or those with likely profound or profound autism without a definitive genetic cause for their autism at the time of enrollment who use few or no words to communicate, with significant cognitive impairments (Cohort 2).

All participants will complete a baseline visit, and a subset of participants will complete either 6-month or annual follow-up visits based on the results of their genetic testing and their age.

After whole genome sequencing and Fragile X testing at the baseline visit, Cohort 2 will be split into 2 groups: Cohort 2a (those with a definitive genetic cause for autism not identified) and Cohort 2b (those with the presence of pathogenic or likely pathogenic variant(s) in a neurodevelopmental gene other than one of the targeted genes of interest AND those that do not meet the criteria for profound/likely profound autism following baseline assessment).

Read the detailed description

The ARIA IMPACT-Ready Study aims to better understand and measure how autism and related neurodevelopmental conditions develop and change over time. What we learn may help improve future research and treatments. Eligibility criteria is children ages 0-18 years who have a pathogenic or likely pathogenic variant in ARID1B, GRIN2B, RNU4-2, SCN2A, SLC6A1, or other genes of interest AND children ages 2-18 years who have likely profound or profound autism with no known genetic cause and use few or no words to communicate (are minimally verbal or non-verbal), with significant cognitive impairments. Participation lasts up to 2 years, and depending on the child's age, it involves 1 to 5 study visits. Each visit will last between 5-8 hours and may be split over 2 to 3 days, if needed. During the study, participants will:

  • Provide a blood or cheek swab sample for whole genome sequencing (WGS). The blood or cheek sample is also required from biological parents, if available.
  • Complete physical and neurological exams
  • Participate in play-based activities and surveys to better understand cognitive (IQ), behavioral, and developmental skills.
  • Participate in studies to examine biomarkers of brain function, such as electroencephalography and eye tracking
  • Wear a smartwatch, an EEG headband, and have a thin mat placed under their mattress to monitor their sleep at home for 3 nights.
  • Parents will also be asked questions about their child's family and medical history.

Families receive a detailed behavioral report, genetic testing results and $250 for each completed visit. Reasonable travel costs will be covered.

03

Conditions studied

  • Autism Spectrum Disorder
  • Neurodevelopmental Disorders

Browse trials for

Keywords

  • autism
  • natural history
  • profound autism
  • minimally verbal/nonverbal
  • ARID1B
  • GRIN2B
  • RNU4-2
  • SCN2A
  • SLC6A1
  • Clinical Trial Readiness
  • Coffin-Siris syndrome
  • GRIN2B-related neurodevelopmental disorder
  • ReNU syndrome
  • SCN2A-DEE
  • SLC6A1-Related Neurodevelopmental Disorder
04

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 1,250 is above the median of 101 across 189 observational studies indexed under Autistic Disorder.

Browse Autistic Disorder studies →

Lead sponsor

This is the only study on the registry with Coalition for Aligning Science as lead sponsor.

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 →

05

Who can participate

Ages eligible
0 Years to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Children and young adults with autism and related neurodevelopmental conditions

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

  • For Cohort 1: age 0-18 years with clinical documentation of a genetically-defined disorder associated with profound autism, including a pathogenic/likely pathogenic variant in ARID1B, GRIN2B, RNU4-2, SCN2A, or SLC6A1.
  • For Cohort 2: ages 2-18 years with profound autism or likely profound autism, either without previous genetic testing or previous testing that was non-diagnostic.

Exclusion criteria

Exclusion Criteria

  • For Cohort 1: Aged over 18 years at enrollment.
  • For Cohort 2: Age \<2 or >18 years at enrollment
  • For Cohort 2: Participants with an established genetic diagnosis for their autism on the basis of a pathogenic variant (or variants) identified in a non-target neurodevelopmental gene.
  • Primary language other than English or Spanish.
  • Treatment with an drug, biological agent, or device as part of another research study, within 30 days prior to study enrollment.
  • Previous treatments involving disease-modifying therapies, such as gene therapy, antisense oligonucleotide (ASO), or a repurposed drug.
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.

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.

06

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,250 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Cohort 1

    Children and young adults (birth to 18 years) with confirmed pathogenic or likely pathogenic variants in genes strongly linked to autism, including ARID1B, GRIN2B, RNU4-2, SCN2A, SLC6A1, or other genes of interest. A formal diagnosis of profound autism is not required to participate. This group will be followed over time.

  • Cohort 2a

    Children and young adults (2-18 years) with likely profound or profound autism without a definitive genetic cause for autism identified from whole-genome sequencing or Fragile X testing at the baseline visit. This cohort will be followed over time.

  • Cohort 2b

    Children and young adults (2-18 years) with either 1) likely profound or profound autism with the presence of a genetic variant(s) in a gene other than one of the targeted genes of interest or another gene known to cause autism or 2) do not meet the study definition for profound/likely profound autism following baseline assessment. Meaningful genetic, clinical, and biomarker data will be collected from these participants at the baseline visit, but this cohort will not be followed over time.

07

What researchers measure

Primary outcomes

  1. Cognition

    Cognition will be assessed using the Bayley Scales of Infant \& Toddler Development-4 or the Stanford-Binet Intelligence Scales-5. The primary composite variable (40-160) will be evaluated, with higher scores indicating more advanced cognitive development.

    Time frame: 0-2 years old: 6-month assessment at baseline, and 6, 12, 18, and 24 month follow-up visits. Participants who reach 24 months during the study move to annual assessments. 2-18 years old: annual assessment at baseline, year 1 and year 2 follow-up visits.

  2. Language & Communication

    Language and communication will be assessed using the Clinical Evaluation of Language Fundamentals-5 (CELF-5) or Preschool Language Scales-5 (PLS-5). The primary composite variable (0-130 for the CELF-5, 50-150 for the PLS-5) will be evaluated, with higher scores indicating more advanced language and communication.

    Time frame: 0-2 years old: 6-month assessment at baseline, and 6, 12, 18, and 24 month follow-up visits. Participants who reach 24 months during the study move to annual assessments. 2-18 years old: annual assessment at baseline, year 1 and year 2 follow-up visits.

  3. Autism Symptoms

    Autism symptoms will be assessed using the Autism Diagnostic Observation Scales-2 (ADOS) or the Autism Observation Scale for Infants (AOSI). The primary composite variable (1-10 for the ADOS, 0-16 for the AOSI) will be evaluated, with lower scores indicating greater symptom severity.

    Time frame: 0-2 years old: 6-month assessment at baseline, and 6, 12, 18, and 24 month follow-up visits. Participants who reach 24 months during the study move to annual assessments. 2-18 years old: annual assessment at baseline, year 1 and year 2 follow-up visits.

  4. Adaptive Behavior

    Adaptive behavior will be assessed using the Vineland Adaptive Behavior Scale-3. The primary composite variable (20-140) will be evaluated, with higher scores indicating better adaptive functioning.

    Time frame: 0-2 years old: 6-month assessment at baseline, and 6, 12, 18, and 24 month follow-up visits. Participants who reach 24 months during the study move to annual assessments. 2-18 years old: annual assessment at baseline, year 1 and year 2 follow-up visits.

  5. Motor Skills

    Motor skills will be assessed using the Motor Assessment Battery for Children-3 (MABC-3) or the Peabody Developmental Motor Scales-3 (PDMS-3). The primary composite variable (0-100 for MABC-3, 50-150 for the PDMS-3) will be evaluated, with higher scores indicating more advanced motor skills.

    Time frame: 0-2 years old: 6-month assessment at baseline, and 6, 12, 18, and 24 month follow-up visits. Participants who reach 24 months during the study move to annual assessments. 2-18 years old: annual assessment at baseline, year 1 and year 2 follow-up visits.

Secondary outcomes

  1. Genetic

    Whole genome sequencing and Fragile X testing (when applicable)

    Time frame: At baseline visit

Other outcomes

  1. Biomarkers & Quantitative Phenotyping

    High-density research EEG

    Time frame: 0-2 years old: 6-month assessment at baseline, and 6, 12, 18, and 24 month follow-up visits. Participants who reach 24 months during the study move to annual assessments. 2-18 years old: annual assessment at baseline, year 1 and year 2 follow-up visits.

  2. Biomarkers & Quantitative Phenotyping

    Eye-tracking

    Time frame: 0-2 years old: 6-month assessment at baseline, and 6, 12, 18, and 24 month follow-up visits. Participants who reach 24 months during the study move to annual assessments. 2-18 years old: annual assessment at baseline, year 1 and year 2 follow-up visits.

  3. Biomarkers & Quantitative Phenotyping

    Quantitative video motion capture

    Time frame: 0-2 years old: 6-month assessment at baseline, and 6, 12, 18, and 24 month follow-up visits. Participants who reach 24 months during the study move to annual assessments. 2-18 years old: annual assessment at baseline, year 1 and year 2 follow-up visits.

  4. Biomarkers & Quantitative Phenotyping

    Overnight sleep monitoring

    Time frame: 0-2 years old: 6-month assessment at baseline, and 6, 12, 18, and 24 month follow-up visits. Participants who reach 24 months during the study move to annual assessments. 2-18 years old: annual assessment at baseline, year 1 and year 2 follow-up visits.

08

Study locations

12 sites
  • Children's Hospital Los Angeles/University of California Los Angeles
    Los Angeles, California 90027, United States
    • Jonathan Santoro, MD · Principal investigator
    • Rajsekar Rajaraman, MD, MS · Sub investigator
    • Rujuta Wilson, MD · Sub investigator
  • University of Colorado Anschutz Medical Campus/Children's Hospital of Colorado
    Aurora, Colorado 80045, United States
    • Timothy Benke, MD, PhD · Principal investigator
    • Scott Demarest, MD · Sub investigator
    • Nicole Tartaglia, MD · Sub investigator
  • Emory University/Georgia State University/Children's Healthcare of Atlanta
    Atlanta, Georgia 30322, United States
    • Ami Klin, PhD · Principal investigator
    • Warren Jones, PhD · Sub investigator
    • Nathan Call, PhD, BCBA-D · Sub investigator
  • Boston Children's Hospital
    Boston, Massachusetts 02115, United States
    • Siddharth Srivastava, MD · Principal investigator
    • Susan Faja, PhD · Sub investigator
    • Matthew Siegel, MD · Sub investigator
  • New York State Psychiatric Institute/Weill Cornell Medicine/Columbia University Medical Center
    New York, New York 10032, United States
    • Jeremy Veenstra-Vanderweele, MD · Principal investigator
    • William Fifer, PhD · Sub investigator
    • Zachary Grinspan, MD, MS · Sub investigator
  • University of North Carolina at Chapel Hill
    Chapel Hill, North Carolina 27599, United States
    • Mark Shen, PhD · Principal investigator
    • Jessica Girault, PhD · Sub investigator
    • Gabriel Dichter, PhD · Sub investigator
  • Cincinnati Children's Hospital Medical Center
    Cincinnati, Ohio 45229, United States
    • Craig Erickson, MD · Principal investigator
    • Ernest Pedapati, MD, MS, FAAP · Sub investigator
    • Rebecca Schaffer, PsyD, HSPP · Sub investigator
  • Children's Hospital of Philadelphia/University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
    • Eric Marsh, MD, PhD · Principal investigator
    • Robert Schultz, PhD · Sub investigator
    • Amanda Bennett, MD, MPH · Sub investigator
  • Baylor College of Medicine/Texas Children's Hospital
    Houston, Texas 77030, United States
    • Jimmy Holder, MD, PhD · Principal investigator
    • Mirjana Maletic-Savatic, MD, PhD · Sub investigator
    • Holly Harris, MD · Sub investigator
  • Seattle Children's Hospital/University of Washington
    Seattle, Washington 98105, United States
    • Sara Webb, PhD · Principal investigator
    • Frederick Shic, PhD · Sub investigator
    • Emily Neuhaus, PhD · Sub investigator
  • Holland Bloorview Rehabilitation Hospital/Hospital for Sick Children
    East York, Ontario, Canada
    • Evdokia Anagnostou, MD, FRCPC · Principal investigator
    • Stephen Scherer, PhD, DSc, FRSC · Sub investigator
    • Danielle Baribeau, MD, PhD · Sub investigator
  • University of Oxford/King's College London
    Oxford, United Kingdom
09

Timeline

1 registry update 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

Start is estimated for Nov 2026; primary completion for Nov 2033, 84 months later.

Of 57 non-industry observational studies under Autistic Disorder, half reached primary completion within 72 months of starting (the median), counting those still running; a quarter within 27 and three quarters within 144. This study's planned 84 months is above that.

Counting every sponsor, half of 65 studies reached it within 43 months; a quarter within 20 and three quarters within 120.

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

Registered
Sep 3, 2026
First posted
Nov 12, 2026
StartEst.
Nov 2026
Primary completionEst.
Nov 2033
CompletionEst.
Nov 2040
Last update
Nov 12, 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.
Registered
First appeared on the registry. No changes since
Nov 12, 2026
Show all 1 update
  1. Nov 12, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07931690
Lead sponsor
Coalition for Aligning Science
Responsible party
Sponsor
First posted
Nov 12, 2026
Start date
Nov 2026 (estimated)
Primary completion
Nov 2033 (estimated)
Completion
Nov 2040 (estimated)
Last update
Nov 12, 2026

Study contacts

Catherine Clinton, MS, CGC
Contact
Catherine.Clinton@childrens.harvard.edu
617-355-1254
Ekemini Riley, PhD
Contact
eriley@aligningscience.com

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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