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Do effects of methylphenidate decline after long-term use? A double-blind, placebo-controlled cross-over study of effects of methylphenidate on cognitive functioning and real world behavior in treatment naïve children compared to effects after 9 months of treatment in clinical practice

Do effects of methylphenidate decline after long-term use? A double-blind, placebo-controlled cross-over study of effects of methylphenidate on cognitive functioning and real world behavior in treatment naïve children compared to effects after 9 months of treatment in clinical practice - MEDUSA

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON49265
Enrollment
60
Registered
2020-12-21
Start date
2023-08-01
Completion date
Unknown
Last updated
2024-04-09

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

Four day use of methylphenidate in a regular dose and four days use of placebo

Sponsors

Accare
Lead Sponsor

Eligibility

Age
2 Years to 17 Years

Inclusion criteria

Inclusion criteria: • Children between the ages 6 and 12, any ethnicity or cultural background • Who have been diagnosed with ADHD as confirmed with the Parent Interview for Child Symptoms (PICS) (obtained during routine clinical assessment) • Who are going to start methylphenidate as per clinical decision • No use of methylphenidate for the past six months • Have a bodyweight of at least 20 kilograms • Deemed reliable and compliant with the protocol • Parents (or the legal guardian) and children (twelve years) have provided informed consent to participate in the study.

Exclusion criteria

Exclusion criteria: • Intellectual disability (based on available IQ below 70 or the clinical opinion of the investigator, taking into account relevant psychosocial information, e.g. educational level/academic achievements; or as confirmed by the IDS-2 IQ screener obtained in each participant, see section 7.1.2)

Design outcomes

Primary

MeasureTime frame
Measures include observations of classroom behavior rated by trained investigators and as perceived by the teacher (e.g. hyperactivity, off-task behavior, disobedient behavior, and (verbal) aggression), as well as the performance on the neuropsychological test battery measuring spatial working memory, sustained attention, response inhibition, and motor and mental response speed. Furthermore, EEG measures during rest (i.e. theta and beta power, theta/beta ratio) and during a response inhibition task (P300 peak) will be analyzed.

Secondary

MeasureTime frame
Physical activity during classroom observation and everyday cognitief functioning as rated by the parents (BRIEF-P).

Countries

Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)