SLPCohortMolecular autism2017

The EU-AIMS Longitudinal European Autism Project (LEAP): design and methodologies to identify and validate stratification biomarkers for autism spectrum disorders.

Eva Loth, Tony Charman, Luke Mason and 62 others

PMID 28649312

WHAT IT FOUND

People with ASD and controls from childhood through adulthood have been recruited into a longitudinal autism research project that tracks brain, cognitive, genetic and symptom profiles.

No result changes therapy choices yet.

Key findings

01LEAP is a multicentre longitudinal autism project that recruited approximately 437 people with ASD and 300 controls, plus 102 twins, to look for biomarkers that can divide ASD into distinct subgroups.

02In the baseline case-control group, the ASD and control groups did not differ in sex composition, but controls had higher average full-scale IQ than the ASD group.

03Not all planned tests were obtained: structural MRI was obtained in 93% of the ASD group and 96% of controls, while the emotion-processing functional MRI scan was obtained in 47% and 60%.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

This paper reports design and baseline data, not validated biomarkers, treatment effects or clinical recommendations. People with moderate, severe or profound intellectual disability were excluded, so it says nothing about those groups. The control group had higher average IQ than the autism group, mainly because fewer controls were in the lower average IQ range, which may affect comparisons. Some planned tests were not obtained for many participants, especially optional scans and later added tasks, because level 3 measures were omitted first when time ran short, technical problems occurred, or a participant wanted to stop. At the time of writing, follow-up was not complete for the whole cohort; 448 participants had completed follow-up. The study is observational, so it cannot show whether any marker predicts response to a treatment.

Declared interests

The supplied text names Innovative Medicines Initiative as funder. It also says the project was designed by academic and industry partners in consultation with the European Medicines Agency.

The easy way to misread this

Do not read this as evidence that autism can already be split into clinically useful biological subgroups or that any therapy should be chosen from these tests. The paper describes a study design and baseline data; validation and treatment-response results are planned, not reported.

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The EU-AIMS Longitudinal European Autism Project (LEAP): design and methodologies to identify and validate stratification biomarkers for autism spectrum disorders. — Applied Evidence