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The IAF-guided repetitive transcranial magnetic stimulation (\u03b1-rTMS) is increasingly explored in diverse neurological conditions. However, there is limited data on the efficacy and safety of \u03b1-rTMS in children with autism spectrum disorder (ASD). <jats:bold>Materials and methods<\/jats:bold>: The IAF, childhood autism rating scale (CARS), Pediatric Quality of Life Inventory 4.0 (PedsQLTM 4.0), and semi-structured interview data of patients that received 19 \u03b1-rTMS sessions (4 weeks) were aggregated and analysed using paired student t-test and descriptive method. <jats:bold>Results<\/jats:bold>: Data were retrieved from 28 patients (26 males, aged 3-9years (mean\u2009<jats:underline>\u00b1<\/jats:underline>\u2009SD age: 6.1\u2009<jats:underline>\u00b1<\/jats:underline>\u20091.8years)). The post-\u03b1-rTMS data shows a significant improvement in IAF (9.4\u00a0Hz; <jats:italic>p<\/jats:italic>\u2009<jats:italic><jats:underline>\u2264<\/jats:underline><\/jats:italic>\u2009<jats:italic>0.025<\/jats:italic>) towards 10\u00a0Hz. The CARS and PedsQLTM 4.0 surveys indicate that patients\u2019 ASD symptoms and quality of life improved significantly. Specifically, reports from semi-structured interviews suggest improved sleep trouble \u2013 the most significant comorbidity. The experiences of minor side effects such as hyperactivity resolved within two hours following \u03b1-rTMS sessions. <jats:bold>Conclusion<\/jats:bold>: This study presents evidence on the efficacy and safety of \u03b1-rTMS in improving ASD symptoms, quality of life and comorbid sleep troubles in children. 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