Systematic Review: Distribution of Age and Intervention Modalities in Therapeutic Clinical Trials for Autism Spectrum Disorder

J Autism Dev Disord. 2020 Jun;50(6):2208-2216. doi: 10.1007/s10803-019-03942-0.

Abstract

The prevalence of ASD remains relatively stable across the lifespan, necessitating a quantitative understanding of how intervention clinical research is applied across age groups. Here we report a systematic review of treatment studies between 2013 and 2017, enrolling 11,213 subjects with ASD in 218 studies. Individuals under 18 years old constituted the majority of studies (84%) and subjects (92%). Subjects under 18 years old were more likely to be enrolled in behavioral studies (OR (CI) = 1.34 (1.17-1.54)), and less likely to be enrolled in pharmacological (OR = 0.60 (0.52-0.69)) studies than subjects ≥ 18 years old. Identified disparities in both intervention modalities and outcome measures should serve to guide future research priorities.

Keywords: Adolescent; Adult; Autism; Clinical trial; Disparity; Systematic review.

Publication types

  • Systematic Review

MeSH terms

  • Adolescent
  • Age Distribution*
  • Autism Spectrum Disorder / epidemiology*
  • Child
  • Clinical Trials as Topic*
  • Female
  • Humans
  • Male
  • Outcome Assessment, Health Care
  • Prevalence