An Open Label Study of CM-AT for the Treatment of Children With Autism

Last updated: March 16, 2026
Sponsor: Curemark
Overall Status: Active - Not Recruiting

Phase

3

Condition

Autism

Autism Spectrum Disorder (Asd)

Treatment

CM-AT

Clinical Study ID

NCT02649959
00104/Open Label-Autism
  • Ages 3-17
  • All Genders

Study Summary

This is a Phase III, open label extension study evaluating the continued safety and efficacy of CM-AT in pediatric patients with autism with all levels of fecal chymotrypsin.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Age between 3 and 8 years, inclusive, at the time of signing informed consent/assentin Sponsor 00103 Study

  • Completion of the Sponsor's 00103 Study who continue to meet eligibilityrequirements

  • Currently in the 00102 open label study and continue to meet eligibilityrequirements

  • Subjects who initially qualified for 00103 screening, who subsequently failedBaseline entrance criteria for randomization (@Visit 1) Baseline assessment of theABC eligibility requirement who continue to meet eligibility requirements

  • Up to 20 subjects 9-17 years of age who directly enroll into this study, who meetthe current Diagnostic and Statistical Manual for Mental Disorders (DSM-IV-TR)diagnostic criteria for Autistic Disorder (AD), screened by the SCQ and confirmed bythe ADI-R

Exclusion

Exclusion Criteria:

  • Patient weighing < 13kg

  • Allergy to porcine products

  • Previous sensitization or allergy to trypsin, pancreatin, or pancrelipase

  • History of severe head trauma, as defined by loss of consciousness orhospitalization, skull fracture or stroke.

  • Seizure within the last year prior to enrollment, or the need for seizuremedications either at present or in the past.

  • Evidence or history of severe, moderate or uncontrolled systemic disease

  • Ongoing dietary restriction for allergy or other reasons except nut allergies.Lactose free is allowable but not dairy free.

  • Inability to ingest the study drug / non-compliance with dosing schedule.

  • Inability to follow the prescribed dosing schedule.

  • Use of any stimulant or non-stimulant medication or medications given for attentiondeficit hyperactivity disorder (ADHD) must be discontinued 5 days prior to theinitial randomized study period.

  • Subjects taking an selective serotonin reuptake inhibitor (SSRI) must be on a stabledose for a minimum of 30 days prior to entering the study.

  • History of premature birth <35 weeks gestation.

  • Prior history of stroke in utero or other in utero insult.

Study Design

Total Participants: 405
Treatment Group(s): 1
Primary Treatment: CM-AT
Phase: 3
Study Start date:
October 01, 2015
Estimated Completion Date:
January 31, 2028

Study Description

Autism is clearly a significant cause of disability in the pediatric population. Treatment is based on the observation that many children with autism do not digest protein. CM-AT is a proprietary enzyme that is designed as a granulated powder taken three times daily.

Connect with a study center

  • Southwest Autism Research & Resource Center (S.A.R.R.C.)

    Phoenix, Arizona 85006
    United States

    Site Not Available

  • University of Arizona, Pediatrics Multidisciplinary Research Unit

    Tucson, Arizona 85724
    United States

    Site Not Available

  • Arkansas Children'S Hosp. Research Institute (A.C.H.R.I.)

    Little Rock, Arkansas 72202
    United States

    Site Not Available

  • N.R.C. Research Institute

    Orange, California 92868
    United States

    Site Not Available

  • M.I.N.D. Institute (Univ.of California, Davis)

    Sacramento, California 95817
    United States

    Site Not Available

  • University of California (U.C.S.F.)

    San Francisco, California 94143-0984
    United States

    Site Not Available

  • IMMUNOe Research Centers

    Centennial, Colorado 80112
    United States

    Site Not Available

  • IMMUNOe RESEARCH CENTERS

    Thornton, Colorado 80233
    United States

    Site Not Available

  • Yale Child Study Center

    New Haven, Connecticut 06519
    United States

    Site Not Available

  • Segal Institute For Clinical Research

    North Miami, Florida 33161
    United States

    Site Not Available

  • Advent Health -Lake Mary Pediatrics

    Orange City, Florida 32763
    United States

    Site Not Available

  • A.P.G. Research

    Orlando, Florida 32803
    United States

    Site Not Available

  • Research Institute of Deaconess Clinic

    Newburgh, Indiana 47630
    United States

    Site Not Available

  • Lake Charles Clinical Trials

    Lake Charles, Louisiana 70629
    United States

    Site Not Available

  • L.S.U. Health Sciences Center

    Shreveport, Louisiana 71103
    United States

    Site Not Available

  • Detroit Clinical Research Center, P.C.

    Bingham Farms, Michigan 48025
    United States

    Site Not Available

  • Children'S Specialized Hospital

    Egg Harbor, New Jersey 08234
    United States

    Site Not Available

  • Children'S Specialized Hospital

    Egg Harbor City, New Jersey 08234
    United States

    Site Not Available

  • Children'S Specialized Hospital

    Egg Harbor Township, New Jersey 08234
    United States

    Site Not Available

  • Children's Specialized Hospital

    Tom's River, New Jersey 08755
    United States

    Site Not Available

  • Barbara Enright

    Toms River, New Jersey 08755
    United States

    Site Not Available

  • Children's Specialized Hospital

    Toms River, New Jersey 08755
    United States

    Site Not Available

  • Clinical Research Center of NJ

    Voorhees, New Jersey 08043
    United States

    Site Not Available

  • Clinical Research Center of Nj

    Voorhees, New Jersey 08043
    United States

    Site Not Available

  • Clinical Research Center of Nj

    Voorhees Township, New Jersey 08043
    United States

    Site Not Available

  • Lovelace Scientific Resources

    Albuquerque, New Mexico 87108
    United States

    Site Not Available

  • Montefiore Med.Cneter, Autism & Obsessive Compulsive Spectrum Program

    Bronx, New York 10467
    United States

    Site Not Available

  • Richmond Behavioral Associates

    Staten Island, New York 10312
    United States

    Site Not Available

  • Montefiore Med.Cneter, Autism & Obsessive Compulsive Spectrum Program

    The Bronx, New York 10467
    United States

    Site Not Available

  • Duke Center For Autism and Brain Development

    Durham, North Carolina 27705
    United States

    Site Not Available

  • Cleveland Clinic Autism Center

    Cleveland, Ohio 44104
    United States

    Site Not Available

  • Promedica Children'S Hospital-Univ. of Toledo

    Toledo, Ohio 43606
    United States

    Site Not Available

  • Omega Medical Research

    Warwick, Rhode Island 02886
    United States

    Site Not Available

  • Carolina Clinical Trials, Inc.

    Charleston, South Carolina 29407
    United States

    Site Not Available

  • Vanderbilt Universtiy Med.Center-Treatment&Research Inst. For Asd

    Nashville, Tennessee 37232-2551
    United States

    Site Not Available

  • University of Texas, Houston-Behavioral & Biomedical Sciences

    Houston, Texas 77054
    United States

    Site Not Available

  • Focus Center of Clinical Research

    Clinton, Utah 84015
    United States

    Site Not Available

  • University of Virginia, Dept. of Psychiatry and Neurobehavioral Sciences

    Charlottesville, Virginia 22903
    United States

    Site Not Available

  • Neuroscience, Inc

    Herndon, Virginia 20170
    United States

    Site Not Available

  • Carilion Clinic-Virginia Tech, Carilion School of Medicine

    Roanoke, Virginia 24014
    United States

    Site Not Available

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