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Ou · 2024 · Journal of autism and developmental disorders

A multicenter trial of 108 participants and results by rater

Did caregiver and clinician ratings agree in the same trial?

Human · multicenter randomized double-blind controlled trial

Concept image of autism spectrum research using a wooden infinity symbol and speech bubbles

Key findings

Results differed by rater.

In a multicenter trial of 108 participants, clinician ratings improved, and about one-third of participants had score reductions of at least 30%. Caregiver ratings showed no significant difference between groups.

Results Differed by Rater

108-person multicenter controlled trial · 12 weeks

Caregiver rating
Not significant
Clinician rating
Signal of improvement

Results varied by rater and scale within the same trial.

Caregiver and clinician ratings were analyzed separately.

Read the original paper and sources ↓

Detailed results

Results also differed by rater in the multicenter trial of 108 participants.

A 12-week randomized double-blind trial in China assessed more children across multiple centers than earlier small studies. Caregiver scales showed no significant difference between sulforaphane and placebo, while clinician scales reported improvement in the sulforaphane group.

Results by rater
AssessmentReported results
Caregiver-completed scalesNo significant difference versus placebo
Clinician-rated scaleSignificant improvement in the sulforaphane group
Exploratory analysis by ageA larger effect was reported in participants older than 10 years.

Source: paper abstract.

What does a “30% reduction” mean?

The authors reported that approximately one-third of participants had assessment scores at least 30% lower at 12 weeks. Improvement was seen in clinician ratings; caregiver ratings were not significant.

What additional analyses show

The authors reported effects across several intelligence levels, with a larger effect in participants older than 10 years. They also proposed differences between raters for follow-up research. Yang's study is a subsequent microbiome analysis of some participants in this trial.

Study design

Tablets and placebo were compared for 12 weeks across several centers. Caregivers and clinicians separately rated children's behavior and social responsiveness.

Participants
108 children with ASD in China
Multicenter randomized double-blind trial
Intake and observation
Tablets containing GLR and active myrosinase
Weight-based dose · 12 weeks
Measures
Caregiver-rated and clinician-rated scales

Study context

Published online in 2022 and assigned to a 2024 volume and issue. Yang's gut microbiome study is a follow-up analysis of some participants in this trial.

Original paper and sources

Efficacy of Sulforaphane in Treatment of Children with Autism Spectrum Disorder: A Randomized Double-Blind Placebo-Controlled Multi-center Trial.

Ou J, Smith RC, Tobe RH, Lin J, Arriaza J, Fahey JW, Liu R, Zeng Y, Liu Y, Huang L, Shen Y, Li Y, Cheng D, Cornblatt B, Davis JM, Zhao J, Wu R, Jin H.

Journal
Journal of autism and developmental disorders · 2024 · 54(2): 628-641
First published
2022-11-24