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NCT06514573Recruiting

Butyrate Supplementation in Children With Autism Spectrum Disorder (ASD) and Functional Gastrointestinal Disorders

Effects of a Postbiotic Supplementation on Gastrointestinal and Core Symptoms in Autism Spectrum Disorder: A Multicenter Randomized Controlled Trial

Source: ClinicalTrials.gov · Last updated 2 May 2025 · Not updated for over 12 months - ask the site whether it is still open

Brief summary (registry, in English)

Autism spectrum disorder (ASD) is a neurodevelopmental condition occurring in 1:77 Italian children. Several comorbidities are reported, including functional gastrointestinal disorders (FGIDs) present in up to 70% of patients. FGIDs are disorders resulting from a combination of symptoms affecting motility, hypersensitivity, and other functions, which are not caused by anatomic or organic origin and that impact the severity of ASD core symptoms and complicate the clinical management of ASD children, especially those who are non-verbal. Evidence reports gut microbiome (GM) remodelling in ASD children, and postbiotic butyrate, a GM-derived metabolite, attenuates FGIDs in children and restores social behavior in ASD mouse models. Clinical data on butyrate effects in ASD are still scanty. The present study investigates the therapeutic effects of a 16-week oral postbiotic supplementation on clinical/behavioral profiles, gastrointestinal disturbances, gut microbiome, and immune and inflammatory biomarkers in peripheral blood and fecal samples in children with ASD and FGIDs. Using the Machine Learning (ML) approach, a subset of artificial intelligence, this study also aims to identify predictive factors implicated in the effect of the postbiotic supplementation on FGIDs, important for prevention through modulation of the microbiota. The investigators expect that treating FGIDs will have an impact on the behavioral and core symptoms of ASD and the quality of life of children and their families.

Status (registry)
Recruiting
Study type
Interventional
Enrollment
128 (estimated)
First submitted
26 Jun 2024
Start date
May 2025
Primary completion date
Jul 2026
Lead sponsor
Istituto Superiore di Sanità
Diseases
Autism
NCT number
NCT06514573

What you commit to

  • Study type: Interventional
  • Planned participants: 128
  • From May 2025 to the primary completion date, Jul 2026
  • 3 sites in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • concomitant presence of other chronic condition (adverse food reactions, metabolic disorders, infections)
  • antibiotics and/or pre-/pro-/synbiotics use 6 months prior to enrollment

Other illness

  • malformation and Gi or urinary tracts chronic diseases
  • diabetes
  • neurologic/cardiovascular/autoimmune diseases

Age

  • age 6 years

Other

  • uncertain FGIDs diagnoses
  • FGIDs symptoms duration \<3 months
  • immunodeficiencies
  • obesity
  • malnutrition
  • last 12 months participation into other clinical trials

Who the study is looking for

  • children aged 3-6 years
  • both sexes
  • ASD diagnosis and presence of FGIDs (6-item Gastrointestinal Severity Index (6-GSI) \>7 from \> 3 months)

Age in the registry: 3 years to 6 years · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (3)

Sites in registry order. Save your city in your profile to sort them by distance.

SiteCityCountrySite status
Azienda Ospedaliera Universitaria Federico II
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NaplesItalyRecruiting
Istituto Superiore di Sanità
Coordinator of this site? Confirm its status
RomeItalyRecruiting
Policlinico Tor Vergata Hospital
Coordinator of this site? Confirm its status
RomeItalyRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.