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Singh · 2014 · Proceedings of the National Academy of Sciences of the United States of America

Behavior and social responsiveness over 18 weeks in adolescents and adults

Did behavior and social responsiveness scores differ between sulforaphane and placebo groups?

Human · randomized double-blind controlled trial

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

Key findings

Greater reduction in behavioral and social responsiveness scores than placebo

At 18 weeks, mean reductions were 21.44 points for SFN and 2.00 for placebo on ABC, and 20.40 and 2.00 points, respectively, on SRS. Between-group p values were <0.001 and 0.017. The abstract reported reductions from baseline in the SFN group of 34% for ABC and 17% for SRS.

Change also seen in clinician ratings

Improvement in social interaction, behavior, and verbal communication was rated more often in the SFN group.

Scores rose again after discontinuation.

After intake stopped, scores tended to return toward baseline.

Behavior and Social Responsiveness · 18-Week Placebo Comparison

Mean score reduction from baseline (points) · compare within each scale

Behavior and Social Responsiveness · 18-Week Placebo Comparison chart. Exact values and units appear in the data table below.

ABC fell 19.44 points and SRS 18.40 points more than placebo

Mean change at 18 weeks in males aged 13–27. Negative changes in the source are shown as score reductions; between-group differences subtract the two mean reductions. ABC p < 0.001 · SRS p = 0.017.

Read the original paper and sources ↓
View values and units
Mean score reduction from baseline (points) · compare within each scale
GroupValue
ABC behavior SFN21.44
ABC behavior placebo2.00
SRS social response SFN20.40
SRS social response placebo2.00

Detailed results

Behavioral and social responsiveness scores both fell more than with placebo.

ABC measures problem behaviors such as irritability, hyperactivity, and repetitive behavior; SRS measures difficulties in social responsiveness. Lower scores on both scales indicate improvement. At 18 weeks, mean reductions with sulforaphane were 21.44 points on ABC and 20.40 on SRS, versus 2.00 points on each scale with placebo.

Mean score reduction at 18 weeks · registered trial results
AssessmentSulforaphane groupPlacebo groupDifference in reduction
Behavior · ABC21.44 points2.00 points19.44 points
Social responsiveness · SRS20.40 points2.00 points18.40 points

ClinicalTrials.gov NCT01474993. Baseline is the mean of screening and initial assessments. The difference in reduction is the difference between the two groups' mean reductions.

Caregiver questionnaires and clinician observations were both used.

The study assigned 44 males aged 13–27 years to sulforaphane (29) or placebo (15). After 18 weeks of intake, it observed whether changes persisted during four weeks off treatment. The numbers analyzed were smaller than those assigned and varied by assessment time and measure.

Clinician ratings also more often indicated improved social interaction, behavior, and verbal communication in the sulforaphane group. Scores tended to return toward baseline after discontinuation.

Percentage reduction from baseline in scale scores versus reduction relative to placebo

The ABC 34% and SRS 17% figures in the paper are reductions in scale scores from baseline within the sulforaphane group. The 19.44- and 18.40-point figures in the chart are differences between reductions in the sulforaphane and placebo groups.

Study design

Adolescent and adult males on the autism spectrum were divided into two groups and compared over 18 weeks. Caregiver questionnaires and clinician assessments were used, with another four weeks of observation after intake stopped.

Participants
44 males · ages 13–27
29 SFN / 15 placebo
Intake and observation
Broccoli sprout-derived SFN 50–150 µmol/day
18 weeks of intake · four-week follow-up after discontinuation
Measures
ABC behavior ratings, SRS social responsiveness, and CGI-I clinical change

Study context

This extract trial involved males aged 13–27 years. The ABC 34% and SRS 17% figures are reductions in scale scores from baseline within the intake group.

Original paper and sources

Sulforaphane treatment of autism spectrum disorder (ASD).

Singh K, Connors SL, Macklin EA, Smith KD, Fahey JW, Talalay P, Zimmerman AW.

Journal
Proceedings of the National Academy of Sciences of the United States of America · 2014 · 111(43): 15550-15555
First published
2014-10-13