Purpose

The investigators propose a phase 2 randomized double blind 8-week treatment trial of intranasal OXT vs. placebo in 50 subjects aged 5 to 17 years with PWS in order to assess IN-OXT's affect on measurements of (1) eating behaviors (2) repetitive behaviors (3) weight and body composition (4) quality of life (5) salivary OXT and hormone levels (including ghrelin, pancreatic polypeptide, peptide YY, GLP-1, insulin, glucagon, testosterone, and estrogen). If superior to placebo, this data will add to the current knowledge that OXT is an effective treatment for hyperphagia as well as other symptoms of PWS.

Conditions

Eligibility

Eligible Ages
Between 5 Years and 17 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  1. Male or female pediatric outpatients aged 5 to 17 years
  2. Must be in PWS nutritional phase 2b or 3 as determined by PI
  3. Must be on growth hormone treatment and have been receiving stable doses of growth hormone treatment for at least one year prior to screening date. Treatment cannot have been interrupted for more than one week within 3 months of screening.
  4. Diagnosis of PWS confirmed by exam, genetic testing and patient medical records.
  5. A score of at least moderate severity on the Hyperphagia Questionnaire for Clinical Trials at both screening and baseline visits.
  6. Stable dosages of hormone treatments (including testosterone and estrogen supplements) for 4 weeks prior to randomization and for the duration of the study.
  7. Stable dosages of metabolic treatments that could affect appetite (including metformin) for 4 weeks prior to randomization and for the duration of the study.
  8. Physical exam and laboratory results that are within the normal range for individuals with PWS.
  9. Presence of a parent/caregiver/guardian that is able to consent for their participation and complete assessments regarding the child's development and behavior improvement throughout the study.

Exclusion Criteria

  1. Exposure to any investigational agent in the 30 days prior to randomization.
  2. Child not receiving growth hormone treatment
  3. Children weighing less than 40 lbs
  4. Children with unstable Type 2 Diabetes confirmed by Hemoglobin A1C levels at screening
  5. Children with unstable medical co-morbidities at baseline.
  6. Children with active upper respiratory infections at screening.
  7. A primary psychiatric diagnosis other than ASD, including bipolar disorder, psychosis, schizophrenia, PTSD or MDD. These patients will be excluded due to potential confounding results.
  8. Pregnant or lactating patients or patients who will not agree to use a double barrier method of contraception. IN-OXT has not been studied in pregnant or lactating women.
  9. Females using an estrogen-based contraceptive. As an alternative to an estrogen based contraceptive, subjects will be counseled to use progesterone-based contraceptives; cervical cap; cervical sponges; or spermicidal foam in combination with a condom. Subjects will need to use a double barrier method to be in the study.
  10. A medical condition that might interfere with the conduct of the study, confound interpretation of study results or endanger the subject's well-being.
  11. A known diagnosis of Rett's Syndrome of Childhood Disintegrative Disorder or marked sensory impairment such as deafness or blindness.
  12. Subjects who have changes in allied health therapies, behavioral or educational interventions within four weeks prior to randomization other than those associated with school holidays.
  13. Subjects who have had changes in medications or medication doses of risperidone, apriprazole, other antipsychotic medications, clonidine, guanfacine, stimulants or anti-convulsants within four weeks of randomization.

Study Design

Phase
Phase 2
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Experimental: Intranasal Oxytocin (IN-OXT)
Syntocinon (synthetic oxytocin) will be used in this protocol. Each subject will receive a dose of 16 IU QD and will be instructed to inhale 2 puffs per nostril (4 IU each).
  • Drug: Intranasal Oxytocin (IN-OXT)
    Each subject will receive a dose of 16 IU QD, and will be instructed to inhale 2 puffs per nostril every day (4 IU each). If needed, treatment will be titrated due to side effects or non-response.
    Other names:
    • Syntocinon
Placebo Comparator
Placebo Comparator: Matched Placebo
Each subject will receive a dose of 16 IU QD, and will be instructed to inhale 2 puffs per nostril (4 IU each).
  • Drug: Matched Placebo
    Each subject will receive a dose of 16 IU QD, and will be instructed to inhale 2 puffs per nostril every day (4 IU each). If needed, treatment will be titrated due to side effects or non-response.

Recruiting Locations

Montefiore Medical Center, Albert Einstein College of Medicine
Bronx, New York 10467
Contact:
Danya Schlussel, BA
718-920-6732
dschluss@montefiore.org

More Details

NCT ID
NCT03197662
Status
Recruiting
Sponsor
Montefiore Medical Center

Study Contact

Bonnie Taylor, PhD
718-920-2909
botaylor@montefiore.org

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.