Attention Deficit Disorder With Hyperactivity Clinical Trial
Official title:
Methylphenidate Treatment of ADHD in Children With Tourette Syndrome
This study will evaluate the safety and effectiveness of methylphenidate in treating attention deficit hyperactivity disorder in children with both attention deficit hyperactivity disorder and Tourette syndrome.
Tourette syndrome is a neurological disorder that is characterized by repetitive,
involuntary movements and vocalizations called tics. Many children with Tourette syndrome
also have attention deficit hyperactivity disorder (ADHD), which is one of the most common
childhood mental disorders. Symptoms of ADHD usually include impulsiveness, inattention, and
hyperactivity. ADHD is commonly treated with a stimulant medication, such as
methylphenidate. It is under debate, however, whether using stimulants in children with
Tourette syndrome exacerbates tics associated with the disorder. This study will evaluate
the safety and effectiveness of methylphenidate in treating ADHD in children who have both
ADHD and Tourette syndrome.
Participants in this 6-week, double blind study will receive three doses of methylphenidate
over the course of the study. Each dose will be taken twice daily, approximately 3.5 hours
apart, for 2 weeks. Medication will be dispensed at study visits, which will occur once
every 2 weeks. At each study visit, participants will take a dose of the medication. About
an hour after ingesting the medication, they will be observed in a classroom setting by
study physicians. Participants will then complete a Continuous Performance Test, which will
measure their voluntary attention levels. The following will be assessed at study visits:
ADHD symptoms; oppositional and aggressive behavior; frequency and severity of tics and
obsessive compulsive disorder symptoms; rebound tic exacerbation; effects of methylphenidate
on tic-related problems with self-esteem, family life, academic and social performance, and
overall tic severity; anxiety and mood symptoms; and adverse drug reactions. Parents and
teachers will also complete assessments of participants' behavior on 2 days of each week for
the duration of the study.
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Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Double-Blind, Primary Purpose: Treatment
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