Clinical trial Recruiting at 1 site Phase2; Phase3 Interventional Ages 3 to 10

Spironolactone in Children with NCOR Gene Mutations and ASD

Official title: An Exploratory Study of Spironolactone Tablets for the Treatment of Children With Gene Mutations Related to NCOR

Run by Qilu Hospital of Shandong University · NCT06678685 · Data updated 2026-11-12

A phase 2/3 trial tests whether spironolactone can help children aged 3-10 with NCOR-related gene mutations and autism spectrum disorder.

Quick facts

PhasePhase2; Phase3
Study typeInterventional
Ages3 Years to 10 Years
SexAll
Enrollment2 (estimated)
SponsorQilu Hospital of Shandong University
Academic / other
Locations1 site (Jinan, Shandong)
StatusRecruiting
StartedOctober 30, 2024
Main results expectedDecember 30, 2026
Study endsDecember 30, 2027
Registry record updatedMay 18, 2026
Trial IDNCT06678685 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are children aged 3-10 with an NCOR-related gene mutation confirmed by exon testing and an ADOS-2 diagnosis of autism, who are not hyperkalemic and have no contraindicating medical conditions.

Probably not a fit

Patients without an NCOR-related mutation, with other pathogenic genetic findings, or with significant renal, metabolic, or cardiac risks may not benefit.

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

What this trial studies

This interventional study investigates spironolactone as a potential treatment for neurodevelopmental symptoms linked to NCOR gene mutations in children with autism. Eligible participants are 3-10 years old and must meet ADOS-2 criteria for autism and have a confirmed NCOR-related mutation. The trial will monitor safety and clinical outcomes through collection of clinical data and biological samples, while participants or their guardians provide informed consent. Exclusion criteria include other pathogenic mutations, hyperkalemia risk, renal impairment, recent spironolactone use, and certain concomitant medications. The study is led by Qilu Hospital of Shandong University in Jinan, China.

Why it matters

Potential benefit: If successful, spironolactone could offer a new therapeutic option to improve neurodevelopmental and behavioral symptoms in this specific genetic subgroup.

How similar studies have gone: Previous research has explored NCOR pathway interactions in neurodevelopmental disorders, but this specific spironolactone approach in NCOR-mutant ASD is novel or exploratory.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. ADOS-2 diagnostic criteria for autistic children
2. Patients with NCOR related gene mutation detected by whole exon test;
3. Age: 3-10 years old;
4. The subject and (or) guardian sign the informed consent, agreeing that the researcher will cooperate with the clinical trial process and collect clinical data and peripheral blood and urine samples;

Exclusion Criteria:

1. have other pathogenic mutations (confidence higher than the NCOR related mutation);
2. Boys over 10 years old;
3. Allergic to spironolactone, used spironolactone one month before enrollment;
4. Hyperkalemia, serum potassium concentration \> 5.5mmol/L;
5. Renal insufficiency;
6. Used related drugs one month before enrollment: potassium supplement, angiotensin-converting enzyme inhibitor, angiotensin receptor blocker, digoxin, coletenamine, acetylsalicylic acid, abiraterone;
7. Fever (body temperature above 37.3°);
8. Clinically significant metabolic, hematological, liver, immune, urological, endocrine, neurological, pulmonary, psychiatric, skin, allergic, renal, or other major conditions in the determination of ASD that may affect the interpretation of study findings or patient safety.

Where it's running

  • Qilu Hospital of Shandong University
    Jinan, Shandong, China
    Recruiting

Study contacts

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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.