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Elucidation of the mechanism of action of guanfacine in the brains of children with ADHD.

Effects of guanfacine on brain resting state network in children with ADHD: A randomized, placebo-controlled, double-blind, crossover trial - GAIN trial

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
JPRN
Registry ID
JPRN-jRCTs051250210
Enrollment
184
Registered
2026-01-30
Start date
2026-06-23
Completion date
Unknown
Last updated
2026-09-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

attention-deficit/hyperactivity disorder ADHD

Interventions

Group A: At the first visit, subjects will take 1 mg of Intuniv. At the second visit, subjects will take a placebo and undergo tests (MRI, CANTAB cognitive function assessment, Gazefinder eye tracking

Sponsors

Yoshifumi Mizuno
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: [Children with ADHD] 1) Meet the diagnostic criteria for ADHD as defined in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published by the American Psychiatric Association. 2) Written consent must be obtained through the free will of both the legal representative and the patient themselves, if aged 16 years or older. For individuals under 16 years of age, written consent must be obtained through the free will of the legal representative, and informed consent must be obtained from the patient themselves after receiving sufficient explanation and achieving a full understanding. 3) The age at which consent is given must be between 6 and 17 years. 4) Gender: Not restricted [Typically developing children] 1) Recruited healthy children with no history of psychiatric disorders. 2) Age: Children aged six years or older, but under 18 years of age at the time consent was obtained. 3) Gender: Not restricted 4) Individuals who, having received a sufficient explanation of the study and having achieved a full understanding of it, provided written consent of their own free will. If the subject is a minor or lacks the capacity to give consent, written consent was obtained from a legal representative.

Exclusion criteria

Exclusion criteria: [Children with ADHD] 1) Individuals with a history of hypersensitivity to any Guanfacine component. 2) Individuals with severe hepatic or renal impairment. 3) Individuals with physical conditions requiring strict dietary management, and Individuals with other serious physical conditions. 4) Pregnant individuals or those who may be pregnant. 5) Individuals with a history of cardiovascular or cerebrovascular diseases, such as Long QT syndrome (LQTS), arrhythmia, angina pectoris, myocardial infarction, or cerebral infarction. 6) Individuals with cardiac implantable electronic devices or neural pacemakers or other implanted metallic devices, such as arterial clips, and Individuals wearing orthodontic appliances 7) The principal investigator or co-investigator predicted that individuals with excessive head or body movement during MRI imaging, as well as those with severe claustrophobia or nyctophobia, be excluded. 8) Individuals deemed unsuitable as research subjects by the principal investigator or co-investigator. [Typically Developing Children] 1) Individuals deemed unsuitable as research subjects by the principal investigator or co-investigator. 2) For head MRI only, individuals meeting any of the following criteria are excluded: Individuals who are pregnant or may be pregnant Individuals with implanted cardiac or neural pacemakers, metallic implants such as arterial clips, or orthodontic appliances. Individuals with a fear of confined or dark spaces. Individuals with a history of conditions such as hernias who cannot maintain the same posture for extended periods.

Design outcomes

Primary

MeasureTime frame
Evaluating changes in resting-state functional connectivity (rsFC) between the guanfacine treatment group and the placebo group.

Secondary

MeasureTime frame
1. Cognitive Function (CANTAB): Stop Signal Task (SST) and Spatial Working Memory (SWM) 2. Gaze Measurement (Gazefinder): Visual attention and gaze patterns are measured using Gazefinder. 3. Behavioral Assessment (Conners-3): To obtain parents' observations about the behaviors of participants. 4. Global Impressions (CGI, CGS & PG-I, PGI-S): To assess a patient's overall condition and changes in condition.

Contacts

Public ContactMizuno Yoshifumi

University of Fukui Hospital

mizunoyoshi23@gmail.com+81-776-61-3111

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Sep 19, 2026