Pancreatic Replacement Therapy Improves Maladaptive Behaviors in Preschoolers with ASD

December 11, 2023

Study Suggests that Researchers Critical of Earlier Types of Enzyme Therapy Were Incorrect

New research published in JAMA Network has evaluated the use of high-protease pancreatic therapy in 190 preschool children with autism spectrum disorder (ASD) to determine if it improved maladaptive behaviors such as irritability or agitation. High-protease pancreatic treatment was analyzed using the drug CM-AT, designed to enhance protein digestion, potentially leading to restoring the pool of essential amino acids. The study included a double-blind, randomized, placebo-controlled segment of 12 weeks, followed by an open-label segment of 24 weeks, totaling 36 weeks of research. The results demonstrated that CM-AT improved maladaptive behaviors, with statistically significant differences in irritability and agitation, as noted by the Aberrant Behavior Checklist. The authors suggest that the delayed-start analysis used in this study may prove to be an important tool to evaluate treatments for ASD. In the end, they found no safety issues with CM-AT, suggesting that this therapy may be a promising behavioral treatment for preschool children with ASD. Interestingly, a 2016 Spectrum article was highly skeptical of the CM-AT’s potential to correct enzyme shortages, support digestion and influence positive behaviors in children. However, this new study suggests this earlier critique could have been wrong to discount CM-AT’s benefits. 

Original Study

Show Buttons
Hide Buttons