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Therapies for Children With Autism Spectrum Disorders

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Evidence Table. <strong>Therapies</strong> <strong>for</strong> children with ASD (continued)<br />

Study<br />

Inclusion/ Exclusion Baseline<br />

Description Intervention<br />

Criteria/ Population Measures Outcomes<br />

within 60 days prior to<br />

trend: P = 0.52<br />

screening visit<br />

Responders to<br />

• IgA deficiency (serum<br />

treatment, MGIS,<br />

IgA < 5 mg/dl)<br />

CE population, n:<br />

• A history of severe<br />

G1a: 9/20<br />

hypersensitivity to<br />

G1b: 6/20<br />

human immunoglobulin<br />

G1c: 8/20<br />

• Treatment with any<br />

G2: 10/22<br />

human immunoglobulin<br />

G1/G2: P = NR<br />

and/or immunoglobulin<br />

(“similar to ITT<br />

products within 90 days<br />

population”)<br />

prior to screening visit<br />

Dose-response<br />

• Concurrent medication<br />

that would compromise<br />

tolerance of drug or<br />

compliance with the<br />

protocol<br />

Additional exclusion<br />

criteria during screening:<br />

• Clinically significant<br />

abnormal laboratory test<br />

values<br />

• Failure of parent or<br />

guardian to record at<br />

least 11/14 days of daily<br />

diary assessments or the<br />

weekly assessments<br />

• GI Symptoms Score of <<br />

5 <strong>for</strong> week 1 or 2 of the<br />

screening period<br />

• MGIS score moderately<br />

or substantially improved<br />

during week1 or 2 of the<br />

screening period<br />

• Parent or guardian’s<br />

inability or unwillingness<br />

to follow directions or<br />

inability to understand<br />

how to use the electronic<br />

diary data entry system<br />

Age, years ± SD (range):<br />

G1a: 7.4 ± 3.1 (3-13)<br />

G1b: 8.0 ± 4.1 (2-17)<br />

G1c: 7.6 ± 3.5 (3-13)<br />

G2: 6.2 ± 3.3 (2-14)<br />

trend: P = 0.59<br />

Medical:<br />

Responders to<br />

treatment by<br />

predominant<br />

bowel pattern, n:<br />

Diarrhea:<br />

G1a: 3/11<br />

G1b: 2/9<br />

G1c: 6/15<br />

G2: 5/14<br />

Dose-response<br />

trend: P = 0.69<br />

Constipation:<br />

G1a: 7/20<br />

G1b: 7/20<br />

G1c: 3/11<br />

G2: 7/12<br />

Dose-response<br />

trend: P = 0.22<br />

Alternating:<br />

G1a: 1/1<br />

G1b: 0/2<br />

G1c: 2/5<br />

G2: 2/5<br />

Dose-response<br />

trend: P = 0.79<br />

Handen, et al.,<br />

Age, n (%):<br />

Responders to<br />

2009 (continued)<br />

2-11 years:<br />

treatment with<br />

G1a: 28 (87.5)<br />

regression-onset<br />

G1b: 27 (87.1)<br />

of autistic<br />

G1c: 27 (87.1)<br />

symptoms, n<br />

G2: 27 (87.1)<br />

G1a: 6/18<br />

12-17 years:<br />

G1b: 7/20<br />

G1a: 4 (12.5)<br />

G1c: 9/21<br />

G1b: 4 (12.9)<br />

G2: 9/21<br />

G1c: 4 (12.9)<br />

Dose-response<br />

G2: 4 (12.9)<br />

trend: P = 0.85<br />

Mental age:<br />

Responders to<br />

C-48

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