Abstract
Fourteen children (12 infantile autism full syndrome present, 2 atypical pervasive developmental disorder) between 5 and 13 years of age participated in a double-blind placebo-controlled cross-over trial. Each child received 20 mg Org 2766 (synthetic analog of ACTH 4– 9)/day during 4 weeks, or placebo in a randomly assigned sequence. Drug effects were monitored by ethological playroom observation and by Aberrant Behavior Checklist ratings by parents and teachers. Data of the playroom observation pointed to an activating influence of Org 2766, as revealed by a significant decrease of Stereotypic behavior and significant increases in “change toys,” “locomote,” and “talk”. Checklist ratings did not show significant changes. The clinical implications of these findings are discussed.
Similar content being viewed by others
References
Aman, M. G., Singh, N. N., Stewart, A. W., & Field, C. J. (1985a). The Aberrant Behavior Checklist: A behavior rating scale for the assessment of treatmnet effects.American Journal of Mental Deficiency, 89, 485–491.
Aman, M. G., Singh, N. N., Stewart, A. W., & Field, C. J. (1985b). Psychometric characteristics of the Aberrant Behavior Checklist.American Journal of Mental Deficiency, 89, 492–502.
American Psychiatric Association. (1980).Diagnostic and statistical manual of mental disorders (3rd. ed.). Washington, DC: Author.
Buitelaar, J. K., van Engeland, H., de Kogel, C. H., de Vries, H., & van Hooff, J. A. R. A. M. (1990). Differences in the structure of social behaviour of autistic children and nonautistic retarded controls.Journal of Child Psychology and Psychiatry (in press.)
Buitelaar, J. K., van Engeland, H., de Kogel, H. de Vries, H., van Hooff, J. A. R. A. M., & van Ree, J. M. (1990). The adrenocorticotrophic hormone 4–9) analog Org 2766 in autistic children: Effects on the organization of behavior. (submitted).
Cohen, J. (1977).Statistical power analysis for the behavioral sciences (rev. ed.). New York: Acedemic Press.
Courchesne, E. (1987). A neurophysiological view of autism. In E. Schopler & G. B. Mesibov (Eds.),Neurobiological issues in autism (pp. 285–324). New York: Plenum Press.
Courchesne, E., Lincoln, A. L., Kilman, B. A., & Galambos, R. (1985). Event-related brain potential correlates of the processing of novel visual and auditory information in autism.Journal of Autism and Developmental Disorders, 15, 55–76.
De Wied, D., & Jolles, J. (1982). Neuropeptides derived from the proopicortin: Behavioral, physiological, and neurochemical effects.Physiological Reviews, 62, 976–1059.
Hills, M., & Armitage, P. (1979). The two-period cross-over clinical trial.British Journal of Clinical Pharmacology, 8, 7–20.
Kragh-Sorensen, P., & Lolk, A. (1987). Neuropeptides and dementia. In E. R. de Kloet, V. M. Wiegant, & D. de Wied (Eds.),Progress in Brain Research (pp. 269–277). Amsterdam: Elsevier.
Niesink, R. J. M., & Van Ree, J. M. (1983). Normalizing effect of an adrenocorticotropic hormone (4–9) analog Org 2766 on disturbed social behavior in rats.Science, 221, 960–962.
O'Donohue, T. L., & Dorsa, D. M. (1982). The opiomelanotropinergic neuronal and endocrine systems.Peptides, 3, 353–395.
Panksepp, J., & Sahley, T. L. (1987). Possible brain opioid involvement in disrupted social intent and language development of autism. In E. Schopler & G. B. Mesibov (Eds.),Neurobiological issues in autism (pp. 357–374). New York: Plenum Press.
Pigache, R. M., & Rigter, H. (1981). Effects of peptides related to ACTH on mood and vigilance in man.Frontiers in Hormone Research, 8, 193–207.
Sandman, C. A., Walker, B. B., & Lawton, C. A. (1980). An analog of α-MSH/ACTH 4–9 enhances interpersonal and environmental awareness in mentally retarded adults.Peptides, 1, 109–114.
Sandman, C. A., Berka, C., Walker, B. B., & Veith, J. (1985). ACTH 4–9 effects on the the human visual event-related potential.Peptides, 6, 803–807.
Schopler, E., & Reichler, R. J. (1972). How well do parents understand their own psychotic child?Journal of Autism and Childhood Schizophrenia, 2, 387–400.
Schopler, E., Reichler, R. J., DeVellis, R. F., & Daly, K. (1980). Toward objective classification of childhood autism: Childhood Autism Rating Scale (CARS).Journal of Autism and Developmental Disorders, 10, 91–103.
Sparrow, S., Balla, D., & Cicchetti, D. (1984).Vineland Adaptive Behavior Scales (Survey Form). Circles Pines, MN: American Guidance Service.
Van Engeland, H., Bodnar, F. A., & Bolhuis, G. (1985). Some qualitative aspects of the social behaviour of autistic children: An ethological approach.Journal of Child Psychology and Psychiatry, 26, 879–893.
Verbaten, M. N., Roelofs, J. W., van Engeland, H., Kenemans, J. L., & Slangen, J. L. (1990). Abnormal visual event-related potentials of autistic children.Journal of Autism and Developmental Disorders, in press.
Author information
Authors and Affiliations
Additional information
The authors gratefully acknowledge the assistance of Ineke den Hartog, Kathy de Kogel, Ivan Komproe, Tilly Koolstra, and Kees Koopman, and thank the patients and their parents for their cooperation.
Rights and permissions
About this article
Cite this article
Buitelaar, J.K., van Engeland, H., van Ree, J.M. et al. Behavioral effects of Org 2766, a synthetic analog of the adrenocorticotrophic hormone (4–9), in 14 outpatient autistic children. J Autism Dev Disord 20, 467–478 (1990). https://doi.org/10.1007/BF02216053
Issue Date:
DOI: https://doi.org/10.1007/BF02216053