NCT06369714

Brief Summary

A multi-center, randomized controlled trial is being conducted to investigate the efficacy of a novel digital therapeutics (DTx) program that utilizes a cross-training approach between neurofeedback training and executive function training for pediatric patients (aged 6-12) diagnosed with ADHD. This gamified interactive program is designed to improve attention deficits and executive function impairments in pediatric patients with ADHD. It is delivered through an engaging iPad game in a home-based treatment format. Patients will be randomly assigned to one of three groups: medication alone, digital therapeutics alone, or a combination of both interventions. Subjects will undergo 30 treatment sessions over the 8-week period, with each session lasting 30 minutes. Investigators will reassess symptoms of ADHD, executive functions, and objective measures of attention at the end of the treatment. Additionally, questionnaires will be distributed to parents to gather their insights and feedback on the treatment approach. This innovative digital therapeutics approach is expected to improve ADHD symptoms individually and enhance therapeutic outcomes when used alongside conventional drug treatment regimens.

Trial Health

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Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
210

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Feb 2023

Typical duration for not_applicable

Geographic Reach
1 country

2 active sites

Status
recruiting

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

February 24, 2023

Completed
1.1 years until next milestone

First Submitted

Initial submission to the registry

April 2, 2024

Completed
15 days until next milestone

First Posted

Study publicly available on registry

April 17, 2024

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2025

Completed
Last Updated

June 10, 2025

Status Verified

June 1, 2025

Enrollment Period

2.9 years

First QC Date

April 2, 2024

Last Update Submit

June 8, 2025

Conditions

Keywords

Digital TherapeuticsNeurofeedbackAttention Deficit Disorders with HyperactivityChildrenExecutive function disorder

Outcome Measures

Primary Outcomes (1)

  • Swanson, Nolan, and Pelham IV Rating Scale

    The Swanson, Nolan, and Pelham IV Rating Scales (SNAP-IV) will be completed by parents to assess the severity of ADHD symptoms. The values range from 0 to 3, with lower scores indicating a better outcome.

    Baseline to End of Treatment (Week 8) and to Follow-up (Week 20, Week 32)

Secondary Outcomes (5)

  • Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition criteria for ADHD

    Baseline to End of Treatment (Week 8) and to Follow-up (Week 20, Week 32)

  • Questionnaire-Children with Difficulties

    Baseline to End of Treatment (Week 8) and to Follow-up (Week 20, Week 32)

  • Behavior Rating Inventory of Executive Function

    Baseline to End of Treatment (Week 8) and to Follow-up (Week 20, Week 32)

  • Continuous Performance Test

    Baseline to End of Treatment (Week 8) and to Follow-up (Week 20, Week 32)

  • Digital Cancellation Test

    Baseline to End of Treatment (Week 8) and to Follow-up (Week 20, Week 32)

Study Arms (3)

Medication group

ACTIVE COMPARATOR

The medication group will take Methylphenidate Hydrochloride Extended-Release Tablets with a fixed dose for eight weeks.

Drug: Concerta

Digital therapeutics group

EXPERIMENTAL

The digital therapeutics group will complete 30 training sessions within 8 weeks.

Device: Digital therapeutics

Combination group

EXPERIMENTAL

The combination group will take Methylphenidate Hydrochloride Extended-Release Tablets while undergoing digital therapeutics.

Drug: ConcertaDevice: Digital therapeutics

Interventions

Methylphenidate Hydrochloride Extended-Release Tablets with the following specifications: 18mg dosage, oral administration, once a day for a duration of 8 weeks.

Also known as: Methylphenidate Hydrochloride Extended-Release Tablets
Combination groupMedication group

30 sessions of digital therapeutics, each lasting 30 minutes, will be conducted with a frequency of once every 1-2 days over an 8-week period.

Combination groupDigital therapeutics group

Eligibility Criteria

Age6 Years - 12 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Meet the diagnostic criteria established by the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) for ADHD.
  • Digital Cancellation Test total score\<50 points.
  • Raven's Standard Progressive Matrices score≥85.
  • years ≤ Age\<12 years.
  • No interventions for ADHD received within 4 weeks.
  • No color blindness.

You may not qualify if:

  • Patients with organic mental disorders, schizophrenia, bipolar disorder, depressive disorders, and other psychiatric conditions.
  • Patients with comorbid autism spectrum disorder, Tourette's syndrome, and other neurodevelopmental disorders.
  • Patients with comorbid conduct disorders.
  • Patients with severe traumatic brain injury or neurological disorders.
  • Patients with a history of severe somatic diseases.
  • Patients with a history of substance or drug dependency.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Changzheng Hospital, Naval Medical University

Shanghai, Shanghai Municipality, 200003, China

RECRUITING

Changhai Hospital, Naval Medical University

Shanghai, Shanghai Municipality, 200433, China

RECRUITING

MeSH Terms

Conditions

Attention Deficit Disorder with Hyperactivity

Interventions

Methylphenidate

Condition Hierarchy (Ancestors)

Attention Deficit and Disruptive Behavior DisordersNeurodevelopmental DisordersMental Disorders

Intervention Hierarchy (Ancestors)

PhenylacetatesAcids, CarbocyclicCarboxylic AcidsOrganic ChemicalsPiperidinesHeterocyclic Compounds, 1-RingHeterocyclic Compounds

Study Officials

  • Lei Lei, MD

    Department of Pediatric, Changhai Hospital, Naval Medical University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Yuanhao Cai, MBBS

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Associate Chief Physician, Principal Investigator

Study Record Dates

First Submitted

April 2, 2024

First Posted

April 17, 2024

Study Start

February 24, 2023

Primary Completion

December 31, 2025

Study Completion

December 31, 2025

Last Updated

June 10, 2025

Record last verified: 2025-06

Data Sharing

IPD Sharing
Will not share

Locations