Research on biomarkers for anxiety in children with autism

Translational Biomarkers and Therapeutic Development for Very Young Children Diagnosed With Autism Spectrum Disorder and Co-occurring Anxiety

Not applicable Interventional Boston Children's Hospital · NCT06221176

This study is testing if certain biological markers can help predict how well children with autism respond to a therapy program for anxiety called Being Brave.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment25 (estimated)
Ages3 Years to 6 Years
SexAll
SponsorBoston Children's Hospital Academic / other
Locations1 site (Brookline, Massachusetts)
Trial IDNCT06221176 on ClinicalTrials.gov

What this trial studies

This study investigates four biomarkers in children with autism spectrum disorder to evaluate their stability and predictive ability regarding treatment response to a cognitive behavioral therapy program called Being Brave. Using a within-subjects design, the study aims to assess how these biomarkers can quantify changes in anxiety levels over a 3-4 week period. The research focuses on determining which baseline biomarker scores can predict treatment outcomes and which biomarkers are sensitive to changes following therapy.

Who should consider this trial

Good fit: Ideal candidates for this study are children aged 3 to 6 years with a diagnosis of autism spectrum disorder and anxiety disorder.

Not a fit: Patients with significant sensory or motor impairments, seizures, or known genetic disorders may not benefit from this study.

Why it matters

Potential benefit: If successful, this research could lead to more personalized and effective treatment strategies for anxiety in children with autism.

How similar studies have performed: Other studies have explored biomarkers in autism and anxiety, but this specific approach focusing on treatment response prediction is relatively novel.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age between 3;0 and 6;11 years old
* A diagnosis of autism spectrum disorder using DSM-5 diagnostic criteria
* A diagnosis of anxiety disorder using DSM-5 diagnostic criteria
* Use of fluent 2-3 word phrases or fluent speech (i.e., Module 2 or 3 for ADOS-2)
* Cognitive ability (either verbal or non-verbal IQ) \> 80 using the DAS-2
* A parent/guardian who is willing/able to participate and respond to interviews/surveys in English and willing/able to participate in Being Brave parent training in English and support homework activities.

Exclusion Criteria:

* Presence of seizures
* Premature birth (\<36 weeks) or low birth weight (\<2500 gms)
* Known genetic or medical disorders (e.g., Fragile X), or injuries (e.g., stroke) with implications for the nervous system or that require regular psychoactive medication that alter EEG/RSA/EDR signal (e.g., anti-convulsants)
* Significant sensory or motor impairment (e.g., blindness)
* Major physical abnormalities
* Exposure to environmental factors that could contribute to neurocognitive delays (significant alcohol exposure in utero, extreme environmental deprivation)
* Previous CBT for anxiety
* Presence of conduct or oppositional defiant disorder or ADHD so severe as to interfere with the child's ability to take part in treatment
* Presence of a primary presenting problem for which the intervention would be inappropriate (e.g., obsessive-compulsive disorder, severe mood disorder, suicidality)
* Psychotic symptoms in the child or parents
* Parent/caregiver who is not fluent in English or English is spoken in the home less than half of the time.

Where this trial is running

Brookline, Massachusetts

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions AutismAutism Spectrum Disorder
Last reviewed 2026-06-13 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.