NCT00069927

Brief Summary

RATIONALE: Stimulant drugs such as dextroamphetamine-amphetamine and methylphenidate may help improve memory, attention, and thinking problems caused by central nervous system (CNS) treatment for cancer, and may help decrease depression. PURPOSE: This randomized phase II trial is studying dextroamphetamine-amphetamine to see how well it works compared to methylphenidate in treating depression and problems with memory, attention, and thinking in children who have undergone CNS treatment for cancer. This trial will also study how often depression is seen and if these medications might help.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
12

participants targeted

Target at below P25 for phase_2 depression

Timeline
Completed

Started Aug 2003

Typical duration for phase_2 depression

Geographic Reach
1 country

9 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 1, 2003

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

October 3, 2003

Completed
4 days until next milestone

First Posted

Study publicly available on registry

October 7, 2003

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2006

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2006

Completed
Last Updated

February 3, 2014

Status Verified

January 1, 2014

Enrollment Period

2.8 years

First QC Date

October 3, 2003

Last Update Submit

January 31, 2014

Conditions

Keywords

unspecified childhood solid tumor, protocol specificdepressionneurotoxicity

Outcome Measures

Primary Outcomes (1)

  • Response rate as measured by Wechsler Intelligence Scale for Children-III (WISC III) subtest: Coding, Symbol Search and Digit Span at baseline, and 3 weeks after the start of study treatment

    12 weeks

Secondary Outcomes (2)

  • Durability of response as measured by WISC III subtest: Coding, Symbol Search and Digit Span at 12 weeks after the start of study treatment

    12 weeks

  • Depression as measured by Children's Depression Inventory Short Version (CDI-S) at baseline, weeks 3 and 12

    12 weeks

Study Arms (2)

Arm 1- Adderall- XR®

EXPERIMENTAL

Adderall-XR® 1 10 mg/day for 3-12 weeks depending on subject's response

Drug: Adderall-XR®Drug: Concerta®

Arm II Concerta®

EXPERIMENTAL

Concerta ® 18 mg/day for 3-12 weeks depending on subject's response

Drug: Adderall-XR®Drug: Concerta®

Interventions

Adderall-XR® 10 mg/day for 3-12 weeks depending on subject's response

Also known as: dextroamphetamine-amphetamine
Arm 1- Adderall- XR®Arm II Concerta®

Concerta® 18 mg/day for 3-12 weeks depending on subject's response

Also known as: methylphenidate hydrochloride
Arm 1- Adderall- XR®Arm II Concerta®

Eligibility Criteria

Age6 Years - 17 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Between the ages of 6-17 at the time of study participation.
  • Have a diagnosis of any malignancy that required CNS treatment such as surgery and/or irradiation and/or intrathecal chemotherapy. (Patients treated with systemic chemotherapy alone are not eligible to participate)
  • Off treatment and cancer free for a minimum of 6 months.
  • Have a proficiency in English.

You may not qualify if:

  • Patients with an estimated intelligence quotient (IQ) of less than 65 (based on the Wide Range Achievement Test (WRAT-3) Reading subtest) are not eligible to continue on study.
  • At least one standard deviation below the level of performance predicted by their IQ on at least 2 of the 3 WISC-III subtests.
  • Diagnosed with Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD) prior to their cancer diagnosis.
  • Currently taking antidepressants, antipsychotics, or other stimulants.
  • Are blind.
  • Have glaucoma.
  • Family history of motor and phonic tics or Tourette's syndrome.
  • Have seizures not controlled by antiepileptic drugs. (Note: Patients who are not experiencing seizure activity, having been on a stable dose of an antiepileptic drug for at least 12 weeks may participate)
  • Taking a monoamine oxidase (MAO) inhibitor.
  • Have a history of cardiovascular disease, uncontrolled hypertension or hyperthyroidism.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (9)

University of Florida Shands Cancer Center

Gainesville, Florida, 32610-0296, United States

Location

Sacred Heart Children's Hospital

Pensacola, Florida, 32504, United States

Location

St. Joseph's Children's Hospital of Tampa

Tampa, Florida, 33677-4227, United States

Location

CCOP - Florida Pediatric

Tampa, Florida, 33682-7757, United States

Location

MBCCOP-Medical College of Georgia Cancer Center

Augusta, Georgia, 30912-4000, United States

Location

William Beaumont Hospital - Royal Oak Campus

Royal Oak, Michigan, 48073, United States

Location

Wilford Hall Medical Center

Lackland Air Force Base, Texas, 78236-5300, United States

Location

CHRISTUS Santa Rosa Children's Hospital

San Antonio, Texas, 78207, United States

Location

MBCCOP - South Texas Pediatrics

San Antonio, Texas, 78229-3900, United States

Location

MeSH Terms

Conditions

DepressionNeurotoxicity Syndromes

Interventions

SLI381Methylphenidate

Condition Hierarchy (Ancestors)

Behavioral SymptomsBehaviorNervous System DiseasesPoisoningChemically-Induced Disorders

Intervention Hierarchy (Ancestors)

PhenylacetatesAcids, CarbocyclicCarboxylic AcidsOrganic ChemicalsPiperidinesHeterocyclic Compounds, 1-RingHeterocyclic Compounds

Study Officials

  • Margaret Booth-Jones, PhD

    University of South Florida

    STUDY CHAIR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 3, 2003

First Posted

October 7, 2003

Study Start

August 1, 2003

Primary Completion

June 1, 2006

Study Completion

September 1, 2006

Last Updated

February 3, 2014

Record last verified: 2014-01

Locations