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NCT07450443RecruitingPhase 2/3

Role of the Gut Vascular Barrier and Microbiota in Autism Spectrum Disorders

Role of the Gut Vascular Barrier and Microbiota in Autism Spectrum Disorders: Evaluation of Efficacy of Postbiotic-based Nutraceutical Treatment

Source: ClinicalTrials.gov · Last updated 4 Mar 2026

Brief summary (registry, in English)

Recent research links gut microbiota alterations to Autism Spectrum Disorders (ASD), a neurobiological condition with multifactorial bases. In some ASD patients, altered gut flora and increased intestinal permeability are observed, influencing the central nervous system's development and function. Chronic gastrointestinal (GI) symptoms are commonly associated with ASD and correlate with its severity. This non-pharmacological interventional clinical study aims to investigate the role of gut microbiota on ASD and the effectiveness of postbiotic-based dietary supplements in children aged 3-8 years old. Gastrointestinal symptoms, behavioral profile and analysis of intestinal metagenomic and metabolomic profiles will be assessed before and after one-month treatment. The results of the study could enhance understanding of non-pharmacological therapeutic approaches in ASD and improve clinical management strategies and the behavioural functioning for children with ASD.

Status (registry)
Recruiting
Phase (registry)
Phase 2/3
Study type
Interventional
Enrollment
90 (estimated)
First submitted
19 Jan 2026
Start date
21 Mar 2023
Primary completion date
Dec 2027
Lead sponsor
Fondazione I.R.C.C.S. Istituto Neurologico Carlo Besta
Diseases
Autism
NCT number
NCT07450443

What you commit to

  • Study type: Interventional · Phase 2/3
  • Planned participants: 90
  • From 21 Mar 2023 to the primary completion date, Dec 2027
  • 2 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

  • Subjects with significant health problems requiring surgical treatment or continuous medical; treatment;
  • Use of medications that may affect biomarkers assessed, for example: antibiotics and/or pre-, probiotics within 1 month prior to enrollment.
    • Group 3 exclusion criteria
    • \- Participants with gastrointestinal problems requiring immediate (life-threatening) treatment, or with gastrointestinal symptoms such as chronic irregular bowel movements (constipation, diarrhea), encopresis, recurrent abdominal bloating and pain, gastroesophageal reflux and vomiting, or food aversion.

Other illness

  • Children with syndromic ASD or defined genetic diseases;

Other

  • Group 1 and 2
  • Exclusion Criteria
  • Severe gastrointestinal problems requiring immediate (life-threatening) treatment;
  • Severely underweight/malnourished children;

Who the study is looking for

  • Group 1 and 2:
  • Diagnosis of ASD according to DSM-5 diagnostic criteria;
  • Clinical neurological evaluation by child neurologist and neuropsychologist with administration of standardized instruments such as Autism Diagnostic Observation Schedule-2 (ADOS-2) and/or Autism Diagnostic Interview-Revised (ADI-R) to support diagnosis;
  • Assessment of psychomotor or intellectual development (Griffiths Scales, Wechsler Scales, Leiter Scale)
  • Assessment of the following symptoms in the past three months: constipation, diarrhea, abnormal stool consistency, abnormal stool smell, flatulence, abdominal pain, unexplained daytime irritability, and nighttime awakening, and abdominal tenderness. The degree of gastrointestinal disturbances will be quantified before recruitment using an Italian version of the GI Severity Index. A score of at least 2 in a single item of gastrointestinal symptoms (item 1-6) was required for entry into the symptomatic group.
  • Signed informed consent for analysis of intestinal microbiota and metabolome and administration of nutraceutical therapy with PostbiotiX Comfort ®.
    • Group 3 Inclusion criteria
  • Males or females aged between 3 and 8 years whit typical development and absence of gastrointestinal symtomps
  • Signed informed consent for analysis of intestinal microbiota and metabolome

Age in the registry: 3 years to 8 years · Sex: All · Accepts healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (2)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Fondazione IRCCS Istituto Neurologico Carlo Besta
Coordinator of this site? Confirm its status
MilanItalyRecruiting
IRCCS Humanitas Reasearch Hospital (ICH) Laboratory of Microbiota and Mucosal Immunology
Coordinator of this site? Confirm its status
MilanItalyRecruiting

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