Attention Deficit Disorder With Hyperactivity Clinical Trial
Official title:
Betahistine: Novel Therapeutic in Attention Deficit Hyperactivity Disorder
This study will determine whether the drug betahistine increases focus and causes side effects in people with attention deficit hyperactivity disorder.
Attention deficit hyperactivity disorder (ADHD) is a disorder in which problems with paying
attention and focusing disrupt people's lives. Betahistine is a drug that activates
histamine, a compound found in the human body that regulates immune response and acts as a
neurotransmitter. Increased availability of histamine in the brain is known to enhance
attention and cognition. In previous studies, betahistine increased vigilance in healthy
participants. Presently, betahistine is used outside the United States to treat vertigo, but
at doses that are too low to have an effect on attention and cognition. Based on data
regarding the use of betahistine outside the United States and on data from other studies
using betahistine, there do not appear to be any significant side effects from its use at
low doses. This study will determine both whether betahistine is effective in increasing
vigilance in people with ADHD and whether it has any side effects at higher doses.
Participation in this study will last approximately 4 weeks. Participants will first attend
a screening visit that will include a review of their medical and psychiatric history, a
physical examination, vital signs measurements, an electrocardiogram (EKG) test, blood and
urine sample collection, an eating questionnaire, and a clinical interview to confirm an
ADHD diagnosis. Eligible participants will then be randomly assigned to receive either
betahistine or placebo on subsequent study visits.
Participants will then attend three weekly study visits, starting 1 week after completing
screening. At each visit, participants will receive a dose of either betahistine or placebo.
The dose of betahistine will increase at each visit, starting at 50 mg, then increasing to
100 mg, and then to 200 mg. Participants will be asked to refrain from eating and to drink
only water in the 12 hours prior to study visits. Also at each visit, participants will have
their vital signs measured, complete questionnaires concerning appetite and mood, perform
attention and memory tests, provide several blood samples, undergo an EKG test, and perform
a breathing test. Some of these tests will be repeated several times over the course of each
study visit. Additionally, at the last study visit, participants will undergo a physical
examination and provide urine samples.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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