Evidence map›Paper›PMID 39425256›Full record

Trial reportPsychiatry and clinical neurosciences2025

AST-001 versus placebo for social communication in children with autism spectrum disorder: A randomized clinical trial.

Hyo-Won Kim, Ji-Hoon Kim, Un Sun Chung, Johanna Inhyang Kim, Se-Hoon Shim, Tae Won Park, Moon-Soo Lee, Jun-Won Hwang, Eun-Jin Park, Su-Kyeong Hwang and 1 more

Erratum issuedAbstract readRandomized Controlled TrialClinical Trial, Phase II
In one paragraph

Trial report in Psychiatry and clinical neurosciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Hyo-Won KimDepartment of Psychiatry, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea.ORCID https://orcid.org/0000-0002-8744-5138
Ji-Hoon KimDepartment of Psychiatry, Pusan National University Yangsan Hospital, Pusan, South Korea.
Un Sun ChungDepartment of Psychiatry, Kyungpook National University School of Medicine, Daegu, South Korea.
Johanna Inhyang KimDepartment of Psychiatry, Hanyang University Medical Center, Seoul, South Korea.
Se-Hoon ShimDivision of Child and Adolescent Psychiatry, Department of Psychiatry, Soon Chun Hyang University Cheonan Hospital, Cheonan, South Korea.
Tae Won ParkDepartment of Psychiatry, Jeonbuk National University College of Medicine, Jeonju, South Korea.
Moon-Soo LeeDepartment of Psychiatry, Korea University Guro Hospital, Korea University College of Medicine, Seoul, South Korea.
Jun-Won HwangDepartment of Psychiatry, Kangwon National University School of Medicine, Chuncheon, South Korea.
Eun-Jin ParkDepartment of Psychiatry, Inje university, Ilsan Paik Hospital, Goyang, South Korea.
Su-Kyeong HwangDepartment of Pediatrics, School of Medicine, Kyungpook National University, Daegu, South Korea.
Yoo-Sook JoungDepartment of Psychiatry, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, South Korea.

Funding

Astrogen
6 · The paper itself

Abstract

aimThis study examined the efficacy of AST-001 for the core symptoms of autism spectrum disorder (ASD) in children.

methodsThis phase 2 clinical trial consisted of a 12-week placebo-controlled main study, a 12-week extension, and a 12-week follow-up in children aged 2 to 11 years with ASD. The participants were randomized in a 1:1:1 ratio to a high-dose, low-dose, or placebo-to-high-dose control group during the main study. The placebo-to-high-dose control group received placebo during the main study and high-dose AST-001 during the extension. The a priori primary outcome was the mean change in the Adaptive Behavior Composite (ABC) score of the Korean Vineland Adaptive Behavior Scales II (K-VABS-II) from baseline to week 12.

resultsAmong 151 enrolled participants, 144 completed the main study, 140 completed the extension, and 135 completed the follow-up. The mean K-VABS-II ABC score at the 12th week compared with baseline was significantly increased in the high-dose group (P = 0.042) compared with the placebo-to-high-dose control group. The mean CGI-S scores were significantly decreased at the 12th week in the high-dose (P = 0.046) and low-dose (P = 0.017) groups compared with the placebo-to-high-dose control group. During the extension, the K-VABS-II ABC and CGI-S scores of the placebo-to-high-dose control group changed rapidly after administration of high-dose AST-001 and caught up with those of the high-dose group at the 24th week. AST-001 was well tolerated with no safety concern. The most common adverse drug reaction was diarrhea.

conclusionsOur results provide preliminary evidence for the efficacy of AST-001 for the core symptoms of ASD.

Indexed as

Autism Spectrum DisorderCommunicationSerineChildChild, PreschoolDouble-Blind MethodFemaleHumansMaleOutcome Assessment, Health CarePlacebosPlacebosSerineautismchildrenclinical trialsocial communication

Identifiers

PMID39425256
PMCPMC11693980

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Registered trials

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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.