Spectrum 10K consultation report delayed

The U.K.-based genetics study launched the consultation more than a year ago in response to fierce criticism from autistic self-advocates.

two people sit on opposite edges of a cliff
Say when: In January, the agency Hopkins Van Mil published a statement from Spectrum 10K saying that a full report would be available “in due course.”
Klaus Vedfelt / Getty Images

The organizers of Spectrum 10K, a large-scale autism genetics study, have delayed publishing the results of a consultation that launched more than a year ago. The consultation aimed to address concerns about the project’s ethics and communication with the autistic community.

The study has already faced numerous setbacks and delays (see timeline below). When Spectrum 10K launched in 2021, it planned to recruit 10,000 autistic participants to answer research questions about health issues associated with the condition. Its organizers at the Autism Research Centre at the University of Cambridge conceived of the project as the largest autism genetics study in the United Kingdom to date.

But within three weeks, the study team had slammed on the brakes, pausing participant recruitment after an outcry from a range of groups, including autism charities, advocacy organizations and autistic community members. Critics said that the organizers had not been clear about how the project would benefit autistic people, and that there were problems with how the researchers planned to handle consent and DNA samples.

In response, the study team launched a consultation to gather feedback on the study’s design. The consultation, co-led by the agency Hopkins Van Mil and autistic researcher Karen Leneh Buckle, closed on 31 May 2023. In June, the project’s website announced it would publish results in late 2023, but the team missed that deadline. (As of 7 March 2024, the project website was down.) In January of this year, Hopkins Van Mil published a statement from Spectrum 10K saying that the full report would be available “in due course.”

Autism researchers and autistic people are following the consultation closely, says Heini Natri, a genetics researcher at the Translational Genomics Research Institute. The changes will set a precedent for future studies, she adds. “There’s lots of potential for raising the bar.”

Natri, who is autistic, participated in the consultation and says she was “left feeling hopeful that there will be big improvements.”

Neither Hopkins Van Mil nor the Autism Research Centre have specified a revised date for results to be made public. Hopkins Van Mil shared its report with the Spectrum 10K team in September 2023, according to the agency’s director, Henrietta Hopkins. “In line with many other detailed consultation processes we have run, Spectrum 10K are now taking time to think about the report and what it means for the study,” Hopkins says.

Leneh Buckle, who ran the consultation along with Hopkins Van Mil, declined to comment.

Simon Baron-Cohen, lead investigator of the study and professor of developmental psychopathology at the University of Cambridge, said in a statement to The Transmitter that “the scale of the consultation on Spectrum 10K is unlike anything we have done before.”

It involved more than 500 autistic people and their families or caregivers, and offered a great depth and breadth of feedback, he says. “We are taking time to fully understand and reflect on all the feedback received.”

24 August 2021

The Autism Research Centre at the University of Cambridge announces the launch of Spectrum 10K, a large-scale genetic study of autistic people and their families, designed to investigate autistic people’s health outcomes and support needs.

27 August 2021

The “Stop Spectrum 10K” petition on Change.org alleges that “the organisers behind this study have direct links to organisations that advocate for cures and eugenics,” and that DNA samples could be used to study potential cures or for prenatal screening.

31 August 2021

The U.K. National Autistic Society says that the “divisive” project has raised “serious concerns and questions, particularly about the nature of the consent, the collection of DNA samples and how this could be used in the future.”

3 September 2021

Boycott Spectrum 10K, a coalition of advocacy organizations, academics and autistic people, publishes a statement saying that the project has not been clear about how the research will improve autistic people’s lives.

10 September 2021

Simon Baron-Cohen, director of the Autism Research Centre and lead investigator on Spectrum 10k, publishes a statement apologizing “unreservedly” for the issues raised. He announces that the project has paused recruitment and will design a consultation with autistic people.

11 September 2021

The Change.org petition declares “victory” with the project’s postponement, saying that the researchers have “successfully heard the voices of autistic people and charities.”

13 September 2021

The U.K. Health Research Authority—a government body that oversees research ethics—says it is investigating the concerns, and that the team’s decision to pause was “good practice.”

28 October 2021

Spectrum 10K announces that its consultation will consist of three phases. Phase 1, selecting people to design the consultation, is due to run until February 2022.

20 May 2022

The U.K. Health Research Authority says it has liaised with the ethics committee that approved Spectrum 10K, and that although the original ethical approval of the study stands, the committee has “reflected on its favourable ethics opinion for the study in light of the concerns raised.”

23 May 2022

The Spectrum 10K team announces that Phase 1 is complete, and that the study team will begin to co-design the consultation based on feedback.

19 December 2022

The Spectrum 10K team publishes its Phase 2 report, saying that the consultation co-leads—autistic researcher Karen Leneh Buckle and facilitating agency Hopkins Van Mil—will now finalize the consultation’s design, due to begin in January 2023.

26 January 2023

The Spectrum 10K team announces that Phase 3—the consultation itself—has been delayed.

6 March 2023

The consultation launches, due to run until May 2023, with a survey, Q&A webinars and drop-in discussions.

2 June 2023

Spectrum 10K announces that the consultation is closed, with the report due out in late 2023.

January 2024

The Spectrum 10K team announces that results from the consultation will be available later in the year, according to Hopkins Van Mil.

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