Attention Deficit Hyperactivity Disorder (ADHD) Clinical Trial
Official title:
Developmental Pilot Study of External Trigeminal Nerve Stimulation for ADHD
The purpose of this study is to develop external Trigeminal Nerve Stimulation (eTNS) as a
potential nonmedication treatment for attention-deficit/hyperactivity disorder (ADHD).
Study hypothesis address potential differences over 4 weeks of active vs. sham eTNS treatment
on ADHD symptoms, measures of executive function, electroencephalography (EEG) profiles,
other dimensional measures of height, weight, mood, anxiety, and sleep, and side effect
profiles.
This three-year developmental study is a double-blind randomized trial of active vs. inactive
sham eTNS for ADHD, with four weeks acute treatment followed by an additional one week of
clinical observation and testing after treatment cessation.
The study will enroll 85-90 participants aged 8-12 years to achieve a completion target of
N=36 for each study condition (total final N = 72). Participants will meet Diagnostic and
Statistical Manual-5 (DSM-5) criteria for ADHD, any current presentation, as established by
the Behavior Disorders Module of the Kiddie Schedule for Affective Disorders and
Schizophrenia (KSADS-PL) and clinical interview.
Other screening procedures include measures of ADHD symptom severity, other behavioral
ratings, and cognitive assessments. Once inclusion/exclusion criteria have been reviewed and
verified, participants in Phase 1A will have a pre-treatment visit to establish behavioral
and cognitive baseline ratings and to obtain an EEG. Participants and parents will be
instructed in the use of eTNS, and participants will begin use of the eTNS as directed during
sleep each night. Participants will be randomized 1:1 to active or inactive sham eTNS.
Participants, families, and most of the study team will remain blind to treatment assignment.
Participants will have weekly assessments over the five-week study to assess behavioral,
cognitive, and brain activation change and to monitor safety, tolerability, and compliance.
Weekly ratings will be obtained from a parent, teacher, and clinician investigator. EEG will
occur at baseline, end of treatment (week 4).
In Phase 1B, all participants remain blinded for one week after cessation of the intervention
and return for a final visit to assess residual effects of eTNS therapy vs. sham.
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