Evidence map›Paper›PMID 27015721›Full record

Trial reportJournal of the American Academy of Child and Adolescent Psychiatry2016

Development of an Objective Autism Risk Index Using Remote Eye Tracking.

Thomas W Frazier, Eric W Klingemier, Mary Beukemann, Leslie Speer, Leslie Markowitz, Sumit Parikh, Steven Wexberg, Kimberly Giuliano, Elaine Schulte, Carol Delahunty and 6 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Journal of the American Academy of Child and Adolescent Psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04942522 (Application of Probiotic PS128), which is not on this map. Cited by 29 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04942522 phase1unknown statusnot on this mapstarted 2021, after this paper: background citation

Application of Probiotic PS128 (Lactobacillus Plantarum, PS128) in Children With Autism Spectrum Disorder (ASD)

TypeinterventionalSponsorYan HaoRan2021 to 2023Enrolled80ConditionsAutism Spectrum DisorderArmsprobiotics PS128, placebo (Microcrystalline cellulose )
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Gaze and social functioning associations in autism spectrum disorder: A systematic review and meta-analysis.Autism research : official journal of the International Society for Autism Research · 2022
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Article
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  11. Review
  12. Remote monitoring of social attention in neurogenetic syndromes and idiopathic neurodevelopmental disability.Autism research : official journal of the International Society for Autism Research · 2025
    Article
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  19. Evidence-based use of scalable biomarkers to increase diagnostic efficiency and decrease the lifetime costs of autism.Autism research : official journal of the International Society for Autism Research · 2021
    Article
  20. Attend Less, Fear More: Elevated Distress to Social Threat in Toddlers With Autism Spectrum Disorder.Autism research : official journal of the International Society for Autism Research · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Thomas W FrazierCenter for Autism, Cleveland Clinic, Cleveland. Electronic address: fraziet2@ccf.org.
Eric W KlingemierCenter for Autism, Cleveland Clinic, Cleveland.
Mary BeukemannCenter for Autism, Cleveland Clinic, Cleveland.
Leslie SpeerCenter for Autism, Cleveland Clinic, Cleveland.
Leslie MarkowitzCenter for Autism, Cleveland Clinic, Cleveland.
Sumit ParikhPediatric Neurology, Cleveland Clinic.
Steven WexbergPediatric Institute, Cleveland Clinic.
Kimberly GiulianoPediatric Institute, Cleveland Clinic.
Elaine SchultePediatric Institute, Cleveland Clinic.
Carol DelahuntyPediatric Institute, Cleveland Clinic.
Veena AhujaPediatric and Neurologic Institutes, Cleveland Clinic.
Charis EngGenomic Medicine Institute, Cleveland Clinic.
Michael J ManosCenter for Pediatric Behavioral Health, Cleveland Clinic.
Antonio Y HardanStanford University, Stanford, CA.
Eric A YoungstromUniversity of North Carolina at Chapel Hill.
Mark S StraussUniversity of Pittsburgh.

Funding

Toward better characterization and clinical trial readiness for targeting neuropsychiatric manifestations in PTEN pathogenic variantsU54NS092090 · NINDS · BOSTON CHILDREN'S HOSPITAL · PI M. Pilar Trelles · 2014 to 2026
$20.1M
NINDS NIH HHS U54 NS092090NINDS NIH HHS U54NS092090
6 · The paper itself

Abstract

objectiveAbnormal eye gaze is a hallmark characteristic of autism spectrum disorder (ASD), and numerous studies have identified abnormal attention patterns in ASD. The primary aim of the present study was to create an objective, eye tracking-based autism risk index.

methodIn initial and replication studies, children were recruited after referral for comprehensive multidisciplinary evaluation of ASD and subsequently grouped by clinical consensus diagnosis (ASD n = 25/15, non-ASD n = 20/19 for initial/replication samples). Remote eye tracking was blinded to diagnosis and included multiple stimuli. Dwell times were recorded to each a priori-defined region of interest (ROI) and averaged across ROIs to create an autism risk index. Receiver operating characteristic curve analyses examined classification accuracy. Correlations with clinical measures evaluated whether the autism risk index was associated with autism symptom severity independent of language ability.

resultsIn both samples, the autism risk index had high diagnostic accuracy (area under the curve [AUC] = 0.91 and 0.85, 95% CIs = 0.81-0.98 and 0.71-0.96), was strongly associated with Autism Diagnostic Observation Schedule-Second Edition (ADOS-2) severity scores (r = 0.58 and 0.59, p < .001), and not significantly correlated with language ability (r ≤| -0.28|, p > .095).

conclusionThe autism risk index may be a useful quantitative and objective measure of risk for autism in at-risk settings. Future research in larger samples is needed to cross-validate these findings. If validated and scaled for clinical use, this measure could inform clinical judgment regarding ASD diagnosis and track symptom improvements.

Indexed as

AttentionAutism Spectrum DisorderChildChild, PreschoolEye MovementsFemaleHumansMaleRemote Sensing TechnologyReproducibility of ResultsRisk FactorsSeverity of Illness IndexSocial Behaviorautism spectrum disorderautism symptomsobjective measureremote eye trackingrisk

Identifiers

PMID27015721
PMCPMC4808563

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.