Strattera Treatment in Children With ADHD Who Have Poor Response to Stimulant Therapy
A Pilot Study of Strattera Treatment in Children With Attention-Deficit/Hyperactivity Disorder Who Have Poor Response to Stimulant Therapy
1 other identifier
interventional
30
1 country
1
Brief Summary
This will be a 6-week, unblinded study using the medication Strattera for children and adolescents with attention deficit hyperactivity disorder (ADHD) who failed to respond to an adequate trial of stimulant treatment. Specific hypotheses are as follows: Hypothesis 1: ADHD symptomatology in youth with ADHD will be responsive to Strattera treatment in the short term. Hypothesis 2: Strattera treatment (in doses of up to 120 mg/day or 1.2 mg/kg/day) in children and adolescents with ADHD will be safe and well tolerated.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_4
Started Sep 2004
Typical duration for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2004
CompletedFirst Submitted
Initial submission to the registry
September 13, 2005
CompletedFirst Posted
Study publicly available on registry
September 16, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2007
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2007
CompletedJune 22, 2010
June 1, 2010
3 years
September 13, 2005
June 18, 2010
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Symptom reduction using Clinical Global Impression (ADHD)
administered weekly
ADHD Symptom Checklist
administered weekly
Interventions
Eligibility Criteria
You may qualify if:
- Male and female outpatients 6-17 years of age.
- Subjects with the diagnosis of attention deficit hyperactivity disorder (ADHD), by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), as manifested in clinical evaluation and confirmed by structured interview.
- ADHD rating scale-symptom checklist \> 24
- Subjects with a past history of depression, bipolar disorder, anxiety disorder (including obsessive compulsive disorder \[OCD\]) without current disorder for \> 3 months as ascertained through structured diagnostic interview and clinical exam.
- Subjects treated for anxiety disorders and depression (with non-MAOI antidepressants \[e.g., SSRIs, bupropion, venlafaxine\] or benzodiazepines) who are on a stable medication regimen for at least three months, and who have a disorder specific Clinical Global Impression (CGI)-severity score ≤ 3 (mildly ill) and who have a score on the Hamilton-Depression and Hamilton-Anxiety Rating Scale below 15 (mild range) will be included in the study.
- Subjects with a past or present history of tics will be eligible.
- Subjects with a past history of substance use disorders but drug and alcohol free for \> 6 months.
- Subjects with mild cases of asthma and allergy will be included.
- Potential subjects will have failed an adequate trial of a stimulant as defined by:
- Subjects who had intolerable side effects on a stimulant, or
- Poor response (an ADHD CGI-I of \> 3) on at least 4 weeks of \> 1.0 mg/kg/day of a methylphenidate product; or \> 0.5 mg/kg/day of an amphetamine product.
- Only English-speaking subjects will be allowed into the study for the following reasons:
- the assessment instruments are not available and have not been adequately standardized in other languages;
- the clinical trials facility is located in Cambridge and not in the Massachusetts General Hospital (MGH) main campus without the availability of translators;
- psychiatric questionnaires and evaluations are taxing and adding the complexity of a translator has the potential to make the patient experience even more exhausting.
You may not qualify if:
- Any clinically unstable psychiatric conditions including the following:
- acute psychosis,
- acute panic,
- acute OCD,
- acute mania,
- acute suicidality,
- acute substance use disorders (alcohol or drugs),
- sociopathy,
- criminality.
- Any metabolic, neurological, hepatic, renal, cardiovascular, hematological, ophthalmic, or endocrine disease.
- Clinically significant abnormal baseline laboratory values which include the following:
- Values which deviate greater than 20% from the normal ranges of the laboratory standard for a basic metabolic screen and complete blood count.
- Mental retardation (intelligence quotient \[I.Q.\] \< 75).
- Organic brain disorders.
- Seizures.
- +6 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Massachusetts General Hospitallead
- Eli Lilly and Companycollaborator
Study Sites (1)
Massachusetts General Hospital
Cambridge, Massachusetts, 02138, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Joseph Biederman, MD
Massachusetts General Hospital
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
September 13, 2005
First Posted
September 16, 2005
Study Start
September 1, 2004
Primary Completion
September 1, 2007
Study Completion
September 1, 2007
Last Updated
June 22, 2010
Record last verified: 2010-06