Clinical trial Recruiting at 1 site Phase 4 Interventional Ages 5 to 12

Caregiver-led relief for encopresis in autistic children after enuresis treatment

Official title: Comprehensive Toileting Programming: Enuresis Treatment to a Randomized Clinical Trial of a Caregiver-Mediated Multidisciplinary Intervention for Encopresis

Run by Emory University · NCT07226739 · Data updated 2026-11-12

This study tests a telehealth, caregiver-delivered behavioral program plus a glycerin suppository for children with autism who still have encopresis after urine continence is achieved.

More ASD trials

Quick facts

PhasePhase 4
Study typeInterventional
Ages5 Years to 12 Years
SexAll
Enrollment150 (estimated)
SponsorEmory University
Academic / other
Locations1 site (Atlanta, Georgia)
StatusRecruiting
StartedJune 1, 2026
Main results expectedJanuary 2031
Study endsJanuary 2031
Registry record updatedJune 18, 2026
Trial IDNCT07226739 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are 5–12 year olds with ASD or similar developmental delays who have encopresis (>1 incontinent BMs/week) after completing enuresis treatment and have at least one English-speaking caregiver.

Probably not a fit

Children without persistent encopresis after enuresis treatment or without a caregiver able to participate may see limited benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Children ages 5–12 with intellectual or developmental delays and encopresis, who have completed enuresis treatment, are randomized if enuresis is resolved but encopresis persists. The trial compares a telehealth, caregiver-mediated encopresis treatment to a parent education program, with behavioral strategies and glycerin suppositories as needed. All participants see a pediatric gastroenterologist to ensure safety and address constipation. Outcomes include caregiver questionnaires, bowel movement diaries, and caregiver–blinded investigator interviews to assess encopresis and other concerns, plus adverse events.

Why it matters

Potential benefit: If successful, the approach could reduce encopresis symptoms and improve quality of life for children and families.

How similar studies have gone: Prior approaches using behavioral strategies for encopresis show promise but caregiver-mediated telehealth delivery in ASD populations is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria

* Age 5 to 12
* Diagnosis of an intellectual or developmental delay (excluding individuals with ADHD alone)
* Encopresis (more than 1 incontinent BM a week)
* Required for pre-randomization phase only: Enuresis (\> 1 incontinent urination per day when on a consistent toileting sit schedule)
* At least one caregiver who speaks and understands English

Exclusion Criteria:

* Unresolved medical condition that would impede toilet training (e.g., interference with sphincter control, short gut syndrome, urinary tract or gastrointestinal infection, unexplained diarrhea, recent intestinal surgery, inflammatory bowel disease)
* Failed intensive toileting treatment in the past 2 yrs with protocols akin to study
* Current serious behavioral or psychiatric disorder that requires another treatment
* Current or planned other intervention (behavioral or medical) for incontinence

Where it's running

  • Marcus Autism Center
    Atlanta, Georgia, United States
    Recruiting

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.